Identifier |
walsh_2008_s3_c4_pp |
Title |
Urgent, Double Vision, and Head Games (PowerPoint) |
Creator |
Joseph G. Chacko, MD, University of Arkansas |
Subject |
Carcinoma, Bronchogenic; Myasthenia Gravis; Ophthalmoplegia; Adenocarcinoma; Diplopia; Blepharoptosis; Oculomotor Nerve Diseases; Deglutition Disorders |
History |
A 64-year old female with 3-month history of horizontal and vertical double vision and a droopy right upper lid. Previous history significant for diabetes and hypertension. Family history remarkable for stroke and cerebral aneurysm. |
Pathology |
Striational antibodies consistent with myastenia gravis. |
Disease/Diagnosis |
Paraneoplastic myasthenia gravis associated with primary pulmonary adenocarcinoma |
Clinical |
VA: Best-corrected, 20/30 OD, 20/20 OS; Color plates 10/10 OU |
Presenting Symptom |
Horizontal and vertical double vision; Droopy right upper lid |
Neuroimaging |
CT; MRI |
Treatment |
Steroids; IV immunoglobulin; Anticholinesterase agents |
Date |
2008-03-09 |
References |
1. Hedges. Ophthalmoplegia of myasthenia and bronchial neoplasm. Arch Ophthalmol, 70, 333, 1963. 2. Romi, Skeie, Gilhus, Aarli. Striational antibodies in myasthenia gravis: reactivity and possible clinical significance. Arch Neurol, 62(3), 442, 2005. 3. Leavitt. Myasthenia gravis with a paraneoplastic marker. J Neuro-Ophthalmol, 20(2), 102, 2000. |
Language |
eng |
Format |
application/pdf |
Type |
Text |
Source |
40th Annual Frank Walsh Society Meeting |
Relation is Part of |
Session 3, 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/s60g3nw0 |
Contributor Primary |
Chacko, Joseph |
Setname |
ehsl_novel_fbw |
ID |
178229 |
Reference URL |
https://collections.lib.utah.edu/ark:/87278/s60g3nw0 |