| Identifier |
walsh_2002_s4_c1 |
| Title |
A Man with the Worst Smelling Cologne |
| Creator |
Norah S. Lincoff MD, University at Buffalo |
| Subject |
Vision, Low; Scotoma; Toluene; Inhalant Abuse; Metabolic Diseases |
| History |
A 28-year old male with decreasing vision and photophobia, a 5-month history of numbness and weakness from the neck down and concomitant uncoordinated movement. Previous history significant for recurrent kidney calculi, heart murmur, meningitis and migraine. |
| Pathology |
Gliosis and myelin pallor |
| Disease/Diagnosis |
Neurologic sequelae from chronic toluene intoxication |
| Clinical |
VA: 20/40 OU declining to counting fingers OD, 20/400 OS |
| Presenting Symptom |
Declining vision with photophobia; Numbness and weakness of extremities |
| Neuroimaging |
MRI |
| Treatment |
Tx for presumed MS: Interferon-beta; IV neuroprotective agents |
| Date |
2002 |
| References |
1. Ehyai A, Freemon FR (1983) Progressive optic neuropathy and sensorineural hearing loss due to chronic glue sniffing. J Neuro Neurosurg Psychiatry 46:349-351. 2. Ashikaga R, Araki Y (1995) Cranial MRI in chronic thinner intoxication. Neuroradiology 37:443-444. 3. Lazar RB, Ho SU (1983) Multifocal central nervous system damage caused by toluene abuse. Neurology 33:1337-1340. 4. Escobar A, Aruffo C (1980) Chronic thinner intoxication: clinico-pathologic report of a human case. J Neuro Neurosurg Psychiatry 43: 986-99. |
| Language |
eng |
| Format |
application/pdf |
| Type |
Text |
| Source |
28th Annual North American Neuro-Ophthalmology Society Meeting, Frank B. Walsh Session CD-ROM |
| Relation is Part of |
Case 1, Session IV, Walsh Session, NANOS 2002 |
| 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/s6251mxs |
| Contributor Primary |
Lincoff, Norah S. |
| Contributor Secondary |
Balos, Lucia |
| Setname |
ehsl_novel_fbw |
| ID |
177679 |
| Reference URL |
https://collections.lib.utah.edu/ark:/87278/s6251mxs |
