Staggering and Slurring, But Not Drunk

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Identifier walsh_2000_s3_c5
Title Staggering and Slurring, But Not Drunk
Creator Michael S. Okun
Subject Ophthalmoplegia, Chronic Progressive External; Dysarthria; Autonomic Nervous System Diseases; Hereditary Sensory and Motor Neuropathy; Paraplegia; Speech Language Disturbance
History A 43-year old male with horizontal, binocular double vision and equilibrium disturbances
Pathology Sensory ganglionopathy; Mitochondrial myopathies
Disease/Diagnosis Sensory ataxic neuropathy with dysarthria and ophthalmoparesis
Clinical VA: 20/20 OU
Presenting Symptom Diplopia; Paresthesia; Ataxic gait
Neuroimaging MRI
Date 2000-03-25
References 1. Berenberg RA, Pellock JM, DiMaura S, Schotland DL et al. Lumping or splitting? "ophthalmolo-plegia-plus" or Kearns-Sayre syndrome? Ann Neurol 1977;1:37-54. 2. Colan RV, Snead C, Oh SJ, Kashlan MB. Acute autonomic and sensory neuropathy. Ann neurol 1980;8:441-4. 3. Fadic R, Russel JA, Vedanarayanan V, Lehar M, Kunel RW, Jhns DR . Sensory ataxic neuropathy as the presenting feature of a novel mitochodnrial disease. Neurology 1997;49:239-45. 4. Newman NJ. Mitochondrial disease and the eye. Ophthalmology Clinics of North America 1992;5(3):405-24. 5. Reichmann H, Degoul F, Gold R, Meurers B et al. Histological enzymatic and mitochondrial DNA studies in patients with Kearns-Sayre syndrome and chronic progressive external ophthalmoplegia. Eur Neuro 1991;31:108-13. 6. Sparaco M, Bonilla E, Dimauro, Powers JM. Neuropathology of mitochondrial excephalomyopathies due to mitochondrial DNA defects. J Neuropathol Exp Neurol 1993;52(1):1-10.
Language eng
Format application/pdf
Type Text
Source 32nd Annual Frank Walsh Society Meeting
Relation is Part of Session 3, Case 5, Walsh Session, NANOS 2000
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/s69889s4
Contributor Primary Okun, Michael S.
Contributor Secondary Bhatti, M. Tariq; Guy, John, R.
Setname ehsl_novel_fbw
ID 178157
Reference URL https://collections.lib.utah.edu/ark:/87278/s69889s4
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