| Identifier |
walsh_2006_s1_c5_pp |
| Title |
Insidious Unilateral Vision Loss (PowerPoint) |
| Creator |
Gabrielle R. Bonhomme, MD; Nicholas J. Volpe, MD |
| Affiliation |
Pittsburgh and Philadelphia, PA |
| Subject |
Meningitis; Scotoma; Optic Neuropathy, Ischemic; Arthritis, Rheumatoid; Diabetes Mellitus; Pupil Disorders |
| History |
A 47-year old female with a 4-month history of self-reported shadowy vision and poor depth perception OD. Previous history significant for rheumatoid arthritis, diabetes mellitus and hypothyroidism. Contributory: A 10-year history of smoking and exposure to anti-rheumatic agents. |
| Pathology |
Lymphocytic infiltration of dura from right optic nerve; Inflammation and fibrotic changes of right optic nerve |
| Disease/Diagnosis |
Rheumatoid arthritis-related pachymeningitis |
| Clinical |
VA: 20/100, improving to 20/60 with pinhole and subsequent decline to 20/200 OD, 20/25 OS; Color plates: 2/8 OD, 7/8 OS; RAPD OD |
| Presenting Symptom |
Poor depth perception and vision OD |
| Neuroimaging |
MRI |
| Treatment |
IV steroids; Corticosteroids; Surgery |
| Date |
2006 |
| References |
1. Cellerini M, Gabbrielli S, Maddali Bongi S, et al. MRI of cerebral rheumatoid pachymeningitis: report of two cases with follow-up. Neuroradiology 2001; 43:147 2. Agildere A, Tutar NU, Yucel E, et al. Pachymeningitis and optic neuritis in rheumatoid arthritis: MRI findings. British Journal of Radiology 1999; 72:404 3. Kupersmith, MJ, Martin V, Heller G, et al. Idiopathic hypertrophic pachymeningitis. Neurology 2004; 62:686- 694 4. Riku S and Kato S. Workshop: Idiopathic hypertrophic pachymeningitis. Neuropathology 2003; 23:335 5. Yucel AE, Kart H, Aydin P, et al. Pachymeningitis and optic neuritis in rheumatoid arthritis: successful treatment with cyclophosphamide. Clinical Rheumatology 2001; 20:136-9. |
| Language |
eng |
| Format |
application/pdf |
| Type |
Text |
| Source |
32nd Annual North American Neuro-Ophthalmology Society Meeting, 2006 Frank B. Walsh Session |
| Relation is Part of |
Session 1, Case 5, Walsh Session, NANOS 2006 |
| Collection |
Neuro-Ophthalmology Virtual Education Library - Walsh Session Annual Meeting Archives https://novel.utah.edu/Walsh/index3.html |
| Publisher |
Spencer S. Eccles Health Sciences Library, University of Utah |
| Holding Institution |
Spencer S. Eccles Health Sciences Library, University of Utah, 10 N 1900 E SLC, UT 84112-6739 |
| Rights Management |
Copyright 2008. For further information regarding the rights to this collection, please visit: https://NOVEL.utah.edu/about/copyright |
| ARK |
ark:/87278/s6m0486m |
| Setname |
ehsl_novel_fbw |
| ID |
178085 |
| Reference URL |
https://collections.lib.utah.edu/ark:/87278/s6m0486m |
