Two Sixes are Hard to Swallow

Update Item Information
Identifier walsh_2001_s3_c3
Title Two Sixes are Hard to Swallow
Creator M. Tariq Bhatti, MD, Duke Health
Subject Diplopia; Seizures; Abducens Nerve Diseases; Ocular Motility Disorders; Papilledema; Esophageal Neoplasms; Adenocarcinoma; Meningeal Carcinomatosis
History A 60-year old male with hoarseness and headaches attributed to a viral illness developed binocular, horizontal diplopia.
Pathology Poorly differentiated infiltrating adenocarcinoma of the esophagus
Disease/Diagnosis Neoplastic meningitis secondary to esophageal adenocarcinoma
Clinical Bilateral VI nerve palsy
Presenting Symptom Headache; Hoarseness; Diplopia
Neuroimaging CT; MRI
Treatment Antiviral agents; Anticonvulsants; Surgery
Date 2001
References 1. Lesser GJ. Neoplastic meningitis. The Neurologist 1996;2:11-24. 2. Wasserstrom WR, Glass JP, Posner JB. Diagnosis and treatment of leptomeningeal metastases from solid tumors. Experience with 90 patients. Cancer 1982;49:759-772. 3. Zachariah B, Zachariah SB, Varghese R, Balducci L. Carcinomatosis meningitis: clinical manifestations and management. Int J Clin Pharmacol Ther. 1995;33:7-12. 4. Jorda M, Ganjei-Azar P, Nadji M. Cytologic characteristics of meningeal carcinomatosis. Arch Neurol 1998;55:181-184. 5. Quint LE, Hepburn LM, Francis IR, Whyte RI, Orringer MB. Incidence and distribution of distant metastasis from newly diagnosed esophageal carcinoma. Cancer 1995;76:1120-1125. 6. Averbuch SD, Blinder MA. Brain metastasis from esophageal carcinoma. CA Cancer J Clinc 1983;33:164-166. 7. Fisher MA, Weiss RB. Carcinomatosis meningitis in gastrointestingal malignancies. South Med J 1979;72:930-932. 8. Teare JP, Whitehead M, Rake MO, Coker RJ. Rapid onset of blindness due to meningeal carcinomatosis from an oesophageal adenocarcinoma. Postgrad Med J 1991;67:909-911. 9. Girola SS, Arrigoni E, DiGiullo G, Di Maggio EM, Mazzone A. Meningeal carcinomatosis in patient with esophagus adenocarcinoma. Minerva Med 1997;88:105-107. 10. Castell DO, Richter JE, eds. The Esophagus, 3rd ed. Baltimore: Williams and Wilkins, 1999;235-258.
Language eng
Format application/pdf
Type Text
Source 27th Annual North American Neuro-Ophthalmology Society Meeting, Frank B. Walsh Session CD-ROM
Relation is Part of Case 3, Session III, Walsh Session, NANOS 2001
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/s69k4dxr
Contributor Primary Bhatti, M. Tariq
Setname ehsl_novel_fbw
ID 177708
Reference URL https://collections.lib.utah.edu/ark:/87278/s69k4dxr
Back to Search Results