| Identifier |
walsh_2001_s2_c1 |
| Title |
Tapirs, Zebras and Gazelles |
| Creator |
Lise Pieroth |
| Subject |
Myelodysplastic Syndromes; Thrombocytopenia; Weight Loss; Blepharoptosis; Pupil Disorders; Optic Atrophy; Aspergillosis; Nocardia Infections; Immunocompromised Host |
| History |
A 79-year old male right retrobulbar pain, headache and sudden loss of vision OD. A recent routine checkup revealed thrombocytopenia and a myelodysplastic syndrome. |
| Pathology |
Ring-enhancing lesions of the cortex |
| Disease/Diagnosis |
Orbital aspergillosis with nacardiosis of the brain |
| Clinical |
VA: HM OD, 20/40 OS; Color plates: 0/6 OD, 4/6 OS; IOP 26 OD, 21 OS; Exophthalomometry 22 OU; RAPD OD |
| Presenting Symptom |
Right retrobulbar pain; Headache; Loss of vision OD |
| Neuroimaging |
MRI |
| Treatment |
Corticosteroids; Anti-bacterial agents |
| Date |
2001 |
| References |
1. Segawa H, Takashi H, et al. Aspergillosis of the optic nerve. Report of a case. No th Shimkey 1973; 25:77-82. 2. Weinstein JM, Morris GL. Posterior ischemic optic neuropathy due to Aspergillus fumigatus. J Clin Neuro Ophthalmol 1989;9:7-13. 3. Chavis PS, Sauchelli S, et al. Pansinusitis with compressive visual loss (Sinus Aspergillosis) Walsh 1982 (7). 4. Ng TT, Robson GD, Denning DW. Hydrocortisone-enhanced growth of aspergillus. Microbiology 1994;140:2475-2479. 5. Denning DW, Stevens DA. Antifungal and surgical treatment of invasive Aspergillosis; Review of 2,121 Cases. Rev Infect Dis 1990;12:1147-1201. 6. Malton M, Kennerdell J. A puzzling orbital apex syndrome (Aspergilloma of orbital apex and cavernous sinus) Walsh 1987 (27). 7. Spoor T, Hartel W. The saga of a steroid responsive optic neuropathy: another misadventure (Aspergillosis) Walsh 1982 (10). 8. Boon AP, Adams DH, et al. Cerebral Aspergillosis in liver transplantation. J Clin Path 1990;43:114-118. 9. Zimmer C, Marzheuser S, et al. Brain biopsy in AIDS. J Neurol 1992;239:394-400. 10. Bahls F, Sumi SM. Cryptococcal meningitis and cerebral toxoplasmosis in a patient with acquired immune deficiency syndrome. J Neurol Neurosurg Psych 1986;49:328-330. |
| 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 1, Session II, 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/s6j105v3 |
| Contributor Primary |
Pieroth, Lise |
| Contributor Secondary |
Winterkorn, Jacqueline; Schubert, Herman; Millar, William; Kazim, Michael |
| Setname |
ehsl_novel_fbw |
| ID |
177714 |
| Reference URL |
https://collections.lib.utah.edu/ark:/87278/s6j105v3 |
