| Identifier |
walsh_2008_s1_c4_pp |
| Title |
WHAT?!? (PowerPoint) |
| Creator |
Beau Bruce, MD, PhD, Emory University |
| Subject |
Papilledema; Sarcoma, Myeloid; Intracranial Hypertension; Hearing Loss, Sensorineural; Choroid Diseases; Optic Neuropathy, Ischemic; Otitis |
| History |
A 49-year old man with a 3-week history of headache, nausea and bluured vision OD, followed by 2 days of vertigo and hearing loss. Previous history significant for obesity, obstructive sleep apnea, amblyopia OD, LASIK OS and a 10-year history of vertigo. |
| Pathology |
Atypical monomorphic large mononuclear cells with vesicular nuclei suggestive of myeloid sarcoma. |
| Disease/Diagnosis |
Asymmetric papilledema with choroidal folds from intracranial hypertension due to cerebral venous siuns thrombosis secondary to myeloid sarcoma of the mastoid bone and ear |
| Clinical |
VA: 20/200 OD (amblyopic eye)), 20/50 OS; RADP OS |
| Presenting Symptom |
Headache; Nausea; Blurred vision OS; Vertigo |
| Neuroimaging |
MRI |
| Treatment |
Immunosupressive agents; Anticoagulants; Stem-cell transplant; Antineoplastic agents |
| References |
1. Jacobson DM. Intracranial hypertension and the syndrome of acquired hyperopia with choroidal folds. J Neuroopthalmol 15: 178-185, 1995. 2. Griebel SR, Kosmorsy GS. Choroidal folds associated with increased intracranial pressure. Am J Ophthalmol. 129:513-516,2000. 3. Andres E, Kurtz JE, Maloisel F, Dufour P. Otological manifestations of acute leukemia: report of two cases and review of the literature. Clin Lab Haematol. 23: 57-60, 2001. 4. Gokcan MK, Batikhan H, Calguner M, Tatargasi AL. Unilateral hearing loss as a presenting manifestation of granulocytic sarcoma (chloroma). Otol Neurotol. 27: 106-109, 2006. |
| Language |
eng |
| Format |
application/pdf |
| Type |
Text |
| Source |
40th Annual Frank Walsh Society Meeting |
| Relation is Part of |
Session 1, Case 4, Walsh Session, NANOS 2008 |
| 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 2002. For further information regarding the rights to this collection, please visit: https://NOVEL.utah.edu/about/copyright |
| ARK |
ark:/87278/s6ww7mgx |
| Contributor Primary |
Bruce, Beau |
| Contributor Secondary |
Tehrani, Mahtab; Newman, Nancy J.; Biousse, Valerie |
| Setname |
ehsl_novel_fbw |
| ID |
178191 |
| Reference URL |
https://collections.lib.utah.edu/ark:/87278/s6ww7mgx |
