Fulminant Course with Four D's - Diplopia, Dysarthria, Dysphagia, and Death

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Identifier walsh_2009_s2_c2
Title Fulminant Course with Four D's - Diplopia, Dysarthria, Dysphagia, and Death
Creator Sarkis M. Nazarian
Subject Abducens Nerve Diseases; Carcinoma, Signet Ring Cell; Meningeal Carcinomatosis; Cerebrospinal Fluid; Hypoglycemia
History A 53-year old male with a 1-week history of diplopia, dysarthria, and dysphagia.
Pathology Signet ring adenocarcinoma at the gastro-esophageal junction, metatstatic to leptomeninges.
Disease/Diagnosis Signet-cell carcinoma of the gastro-esophageal junction, metastatic to the leptomeninges.
Clinical VA: 20/20 OD, 20/30 OS; Abduction deficit OD
Presenting Symptom Diplopia; Dysarthria; Dysphagia; Vertigo; Headache
Neuroimaging CT; MRI
Treatment Cholinesterase inhibitors; Glucocorticoids
References Attached
Language eng
Format application/pdf
Type Text
Source 41st Annual Frank Walsh Society Meeting
Relation is Part of Session 2, Case 2, Walsh Session, NANOS 2009
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/s6d50qtd
Contributor Primary Nazarian, Sarkis M.
Contributor Secondary Hodges, Anissa; Daaif, Mohammad; Tang, Wei; Bhaleeya, Swetangi; Husain, Muhammad
Setname ehsl_novel_fbw
ID 178729
Reference URL https://collections.lib.utah.edu/ark:/87278/s6d50qtd
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