| Identifier |
walsh_2007_s4_c1 |
| Title |
Diplopia, Dysarthria, and Dizziness from Subarachnoid Fat? |
| Creator |
Neil R Miller, M.D., Professor of Ophthalmology, Johns Hopkins University |
| Subject |
Diplopia; Dysarthria; Dizziness; Trochlear Nerve Diseases; Neurotoxicity Syndromes; Diagnostic Imaging; Contrast Media; Iophendylate |
| Presenting Symptom |
Diplopia; Impaired balance |
| History |
A 66-year old female with sudden oblique double vision, isolated left IV nerve palsy and bilateral peripheral vestibular dysfunction. Previous history significant for hypertension, colonic polyps and degenerative joint disease of the spine which required several surgeries. |
| Clinical |
N/A |
| Neuroimaging |
MRI |
| Pathology |
Focal and neurologic deficits caused from adverse effects of iophendylate deposition. |
| Disease/Diagnosis |
Focal inflammation from iophendylate deposits in subarachnoid space |
| Treatment |
Surgery |
| References |
1. Junck L, Marshall WH. Neurotoxicity of radiocontrast agents. Ann Neurol 13:469-484, 1983. 2. Pascuzzi RM, Roos KL, Scott JA. Chronic focal seizure disorder as a manifestation of intracranial iophendylate. Epilepsia 29:294-296, 1988. 3. Mizuno M, Yamasoba T, Nomura Y. Vestibular disturbance after myelography. Contrast media in the internal auditory canal. ORL 54:113-115, 1992. 4. Wong CK, Woo E, Yu YL. Iophendylate-induced basal arachnoiditis. Clin Exp Neurol 54:199-204, 1992. 5. Tabbador K.Unusual complications of iophendylate injection myelography. Arch Neurol 29:435-36, 1973. |
| Relation is Part of |
Case 1, Session 4, Walsh Session, NANOS 2007 |
| Contributor Primary |
Miller, Neil R. |
| Publisher |
Spencer S. Eccles Health Sciences Library, University of Utah |
| Type |
Text |
| Format |
application/pdf |
| Source |
39th Annual Frank Walsh Society Meeting |
| Rights Management |
Copyright 2008. For further information regarding the rights to this collection, please visit: https://NOVEL.utah.edu/about/copyright |
| Holding Institution |
North American Neuro-Ophthalmology Association. NANOS Executive Office 5841 Cedar Lake Road, Suite 204, Minneapolis, MN 55416 |
| Collection |
Neuro-ophthalmology Virtual Education Library: NOVEL http://NOVEL.utah.edu |
| Language |
eng |
| ARK |
ark:/87278/s6028vb2 |
| Setname |
ehsl_novel_fbw |
| ID |
178322 |
| Reference URL |
https://collections.lib.utah.edu/ark:/87278/s6028vb2 |
