Painless Loss of Vision with Numbness (Pathology)

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Identifier walsh_2000_s6_c1_biceps
Title Painless Loss of Vision with Numbness (Pathology)
Creator Hsu, Cynthia T.
Subject Polyarteritis Nodosa; Infarction; Choroid; Diplopia; Pupil Disorders; Papilledema; Optic Neuropathy, Ischemic
Presenting Symptom Blurred vision OS; Binocular diplopia
History A 70-year old female with blurred vision OS and binocular horizontal diplopia. Previous history significant for numbness of bottom of right foot and hand, hypertension and asthma.
Clinical VA: HM at 2' OD, 20/100 OS; Color plates: 0/10 OD, 0.5/10 OS; RAPD OD
Neuroimaging CT; MRI
Pathology Necrotizing vasculitis with fibrinoid necrosis of the small arteries.
Disease/Diagnosis Polyarteritis nodosa
Treatment Corticosteroids; Alkylating antineoplastic agents
References 1. Calabrese LH, Duna GF. Vasculitic syndromes. In: Stein JH, ed. Internal Medicine. St. Louis: Mosby, 1998;1219-20. 2. Cohen RD, Conn DL, Ilstrup DM. Clinical features, prognosis, and response to treatment in polyarteritis. Mayo Clin Proc 1980;55:146-55. 3. Valente RM, Hall S, O'Duffy JD, Conn DL. Vasculitis and releated disorders. In: Kelley WN, Harris ED, Jr, Ruddy S, Sledge CV, eds. Textbook of rheumatology. Philadelphia: W.B. Saunders Company, 1997;1091-7. 4. Wise GN. Ocular periarteritis nodosa. Arch Ophthalmol 1952;48:1-11. 5. Morgan CM, Foster CS, D'Amico DJ, Gragoudas ES. Retinal vasculitis in polyarteritis nodosa. Retina 1986;6:205-9. 6. Galetta SL. Vasculitis. In: Miller NR, Newman NJ, eds. Walsh and Hoyt's Clinical Neuro- Ophthalmology. Baltimore: Williams & Wilkins, 1998;3744-51.
Relation is Part of Case 1, Session VI, Walsh Session, NANOS 2000; walsh_2000_s6_c1
Contributor Primary Hsu, Cynthia T.
Contributor Secondary Kerrison, John B.; Miller, Neil R.
Publisher Spencer S. Eccles Health Sciences Library, University of Utah
Type Image
Format image/jpeg
Source 26th Annual North American Neuro-Ophthalmology Society Meeting, Frank B. Walsh Session CD-ROM
Rights Management Copyright 2008. For further information regarding the rights to this collection, please visit:
Holding Institution North American Neuro-Ophthalmology Association. NANOS Executive Office 5841 Cedar Lake Road, Suite 204, Minneapolis, MN 55416
Collection Neuro-ophthalmology Virtual Education Library: NOVEL
Language eng
ARK ark:/87278/s60z75zf
Setname ehsl_novel_fbw
Date Created 2006-10-24
Date Modified 2012-02-09
ID 177749
Reference URL
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