WHAT?!? (Presentation Video)

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Identifier walsh_2008_s1_c4_video
Title WHAT?!? (Presentation Video)
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 male with a 3-week history of headache, nausea and blurred 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 sinus thrombosis secondary to myeloid sarcoma of the mastoid bone and ear
Clinical VA: 20/200 OD (amblyopic eye), 20/50 OS; RAPD OS
Presenting Symptom Headache; Nausea; Blurred vision OS; Vertigo
Neuroimaging MRI
Treatment Immunosuppressive agents; Anticoagulants; Stem-cell transplant; Antineoplastic agents
Date 2008-03-09
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 video/mp4
Type Image/MovingImage
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/s66d5wtx
Contributor Primary Bruce, Beau
Contributor Secondary Tehrani, Mahtab; Newman, Nancy J.; Biousse, Valerie
Setname ehsl_novel_fbw
ID 178746
Reference URL https://collections.lib.utah.edu/ark:/87278/s66d5wtx
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