| Identifier |
walsh_2000_s4_c3 |
| Title |
Left-Right Confusion |
| Creator |
Valérie Biousse, MD; Gregory Van Stavern, MD; Jean Sandbach, MD; Nancy J. Newman, MD |
| Affiliation |
(VB) (GVS) (JS) (NJN) Emory Eye Center, Atlanta, GA |
| Subject |
Temporal Lobe; Brain Abscess; Abducens Nerve Diseases; Diplopia |
| History |
A 44-year old female with a 20-year history of migraine with aura. Previous history significant for supraventricular tachycardia triggered by caffeine and peptic ulcer disease. Post-operative, it was elicited that a tooth extraction had been performed a few weeks prior to the onset of frontal headaches without anti-bacterial prophylaxis. |
| Pathology |
Septic inflammation of sphenoid sinus |
| Disease/Diagnosis |
Brain abscess secondary to dental infection |
| Clinical |
Isolated complete left abduction deficit consistent with left VI nerve palsy. |
| Presenting Symptom |
Diplopia; Frontal headache |
| Neuroimaging |
CT; MRI |
| Treatment |
Surgery; Anti-bacterials agents |
| Date |
2000 |
| References |
1. Biousse V, Bousser MG. Cerebral venous thrombosis. The Neurologist 1999;5:326-49. 2. Chun CH, Johnson JD, Hofstetter M et al. Brain abscess. A study of 45 consecutive cases. Medicine 1986;65:415-31. 3. Katz BJ. Lesions procedures by infecitons and inflammations of the central nervous system. In: Miller NR, Newman NJ, editors. Walsh and Hoyt's Clinical Neuro-Ophthalmology 5th ed. Baltimore: Williams & Wilkins, 1999; p:3941-4064. 4. Kuehnen J, Schwartz A, Neff W, Hennerici M. Cranial nerve syndrome in thrombosis of the tran-verse/sigmoid sinuses. Brain 1998;121:381-8. 5. Newman NJ, Third, fourth, sixth nerve lesions and the cavernous sinus. In Principles and Practice of Ophthalmology. Albert and Jakobiec Eds. 2nd Ed. Vol. 5 Saunders 1999; pp:3992-4028. 6. Ruelle A, Zerbi D, Zucarello M et al. Brain stem abscess treated successfully with medical therapy. Neurosurgery 1991;28:742-6. 7. Vallee L, Pinton F, Martin BH et al. Brain abscess complicating dental caries in children. Arch Pediatr 1994;1:166-9. 8. Wolh TA. Hemianopia from occipital lobe abscess after dental care? Am J Ophthalmol 1991;112:689-94. 9. Yamamoto M, Jimbo M, Ide M et al. Penetration of antibiotics into brain abscesses. Neurosurgery 1993;33:44-9. |
| Language |
eng |
| Format |
application/pdf |
| Type |
Text |
| Source |
26th Annual North American Neuro-Ophthalmology Society Meeting, Frank B. Walsh Session CD-ROM |
| Relation is Part of |
Session 4, Case 3, Walsh Session, NANOS 2000 |
| 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 84112-6883 |
| Rights Management |
Copyright 2008. For further information regarding the rights to this collection, please visit: https://NOVEL.utah.edu/about/copyright |
| ARK |
ark:/87278/s6gt5qz8 |
| Setname |
ehsl_novel_fbw |
| ID |
178171 |
| Reference URL |
https://collections.lib.utah.edu/ark:/87278/s6gt5qz8 |
