When All Else Fails, Lay on Hands (MRI Sagittal)

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Identifier walsh_2005_s4_c2_MRIsagittal
Title When All Else Fails, Lay on Hands (MRI Sagittal)
Creator Roger E. Turbin, MD, Rutgers New Jersey Medical School
Subject Sarcoidosis; Papilledema; Vision Disorders; Dialysis; Pseudotumor Cerebri; Granuloma, Plasma Cell; Intraocular Pressure
History A 57-year old female with an 8-month history of photopsia and dark spots OS 1 month after second renal transplant. Renal failure attributed to biopsy-proven renal sarcoidosis.
Pathology Photopsia and dark spots OS; Progressive field loss OS
Disease/Diagnosis Cerebral venous hypertension from dialysis fistula causing pseudo-pseudo tumor
Clinical VA: 20/20 OD, 20/25 OS, declining to 20/40 OD; Normal visual field OD, Enlarged blind spot and mild nasal depression OS; RAPD OS; Tonometry: 16 OD, 15 OS
Presenting Symptom Photopsias and dark spots in left eye.
Neuroimaging MRI; CT
Treatment Enzyme inhibitors; Corticosteroids
References 1. Molina, J et al. Pseudotumor cerebri: an unusual complication of brachiocephalic vein thrombosis associated with hemodialysis catheters. Am J Kidney Dis 1998;31:1-3. 2. Lal S et al. Benign intracranial hypertension: a complication of subclavian vein catheterization and arteriovenous fistula. Am J Kidney Dis 1986;8:262-264. 3. Surratt, R et al. The importance of preoperative evaluation of the subclavian vein in dialysis access planning. Am J Roentgenol 1991;156:623-625. 4. Pisoni R et al. Vascular access use in Europe and the United States: results from the DOPPS. Kidney Int 2002;61:305-316.
Language eng
Format video/mp4
Type Image/MovingImage
Source 31st Annual North American Neuro-Ophthalmology Society Meeting, Frank B. Walsh Session CD-ROM
Relation is Part of Case 2, Session IV, Walsh Session, NANOS 2005
Collection Neuro-ophthalmology Virtual Education Library: NOVEL http://NOVEL.utah.edu
Publisher Spencer S. Eccles Health Sciences Library, University of Utah
Holding Institution North American Neuro-Ophthalmology Association. NANOS Executive Office 5841 Cedar Lake Road, Suite 204, Minneapolis, MN 55416
Rights Management Copyright 2008. For further information regarding the rights to this collection, please visit: https://NOVEL.utah.edu/about/copyright
ARK ark:/87278/s6kh0r2z
Contributor Primary Turbin, Roger E.
Contributor Secondary Frohman, Larry P.; Farkas, Jeff; Mirani, Neena; Cuadra, Sal; Padberg, Frank
Setname ehsl_novel_fbw
ID 177613
Reference URL https://collections.lib.utah.edu/ark:/87278/s6kh0r2z
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