| Identifier |
walsh_1987_s4_c2 |
| Title |
A Case of Opsoclonus |
| Creator |
Shirley H. Wray, MD, PhD, FRCP, Professor of Neurology Harvard Medical School, Director, Unit for Neurovisual Disorders, Massachusetts General Hospital |
| Subject |
Ocular Motility Disorders; Limbic Encephalitis; Opsoclonus-Myoclonus Syndrome; Inappropriate ADH Syndrome |
| History |
A 56-year old female with dizziness, nausea, and self-reported, "things jumping around" visual field disturbances. Previous history for tetralogy of Fallot, hyserectomy with bilateral salpingo-oophorectomy. |
| Pathology |
Chronic inappropriate secretion of anti-diuretic hormone |
| Disease/Diagnosis |
Paraneoplastic midbrain and cerebellar encephalitis |
| Clinical |
Opsoclonus |
| Presenting Symptom |
Dizziness; Nausea; Field vision disturbance |
| Neuroimaging |
MRI |
| Treatment |
Surgery; Steroids; Antineoplastic agents |
| References |
1. Orzechowski, cited by Orzechowski C: De l'ataxie dysmetrique des yeux: Remarques sur l'ataxie des yeux dite myoclonique (opsoclonie, opschorie). J. Psychol. Neurol. 35 (pt 1 and 2):1-18, 1927. 2. Case Records of the Massachusetts General Hospital: N. Engl. J. Med. 246:266-269, 1952. 3. Smith JL and Walsh FB: Opsoclonus-ataxic conjugate movements of the eyes. Arch. Ophthalmol. 64:244, 1960. 4. Cogan DG: Opsoclonus, Body Tremulousness, and Benign Encephalitis. -Arch. Ophthalmol. 79:545-551, (May) 1968. 5. Dyken P and Kolar 0: Dancing Eyes, Dancing Feet. Brain 91 (pt.- 2): 305-320, 1968. 6. Baringer JR, Sweener VP and Winkler GF: An acute syndrome of ocular oscillations and truncal myclonus. Brain 91:473, 1968. 7. Blue SK, Janeway R and Stanley JA: Opsoclonus and body tremulousness: A case report with suggested cause. Trans. Am. Neurol. Assoc. 96:208-210, 1971. 8. Wertenbaker C, Behrens MM, Hunter SB and Plank CR: Opsoclonus-a cerebellar p* disorder? Neuro-ophthalmology 2:73-84, 1981. 9. Schou HI: Myoklonus-Epilepsie mit eigentumlichen Gehirnveranderungen, Z. Neurol. Pyschiatr. 95:12-20, 1925. 10. Alessi D: Lesioni parenchimatose del cerveletto da carcinoma uterino (gliosicarcinotossica?) Riv. Pat. Nerv. Ment. 55:148-174, 1940. 11. Cogan DG: Ocular Dysmetria: Flutter-like Oscillations of the Eyes, and Opsoclonus. Arch. Ophthalmol. 51:318-335, (March)l954. 12. Ross AT and Zeman W: Opsoclonus, Occult Carcinoma, and Chemical Pathology in Dentate Nuclei. Arch. Neurol. 17 546-551, (Nov)1967. 13. Ellenberger C, Jr., Campa JF and Netsky MG: Opsoclonus and Parenchymatous Degeneration of the Cerebellum. Neurology 18:1041-1046, • 1968. 14. Bellur SN: Opsoclonus : Its clinical value. Neurology, June, 1975, pp. 503-507. 15. Kilgo GR and Schwartze GM: Opsoclonus: Update on Clinical and Pathological Associations. J. Clin. Neuro-o phthalmol. 4:109-113, 1984. 16. Dropcho E and Payne R: Paraneoplastic Opsoclonus-Myoclonus: Association with Medullary Thyr.oid Carcinoma and Review of the Literature. Arch Neurol 43:410-5, 1986. 17. Graus F, Cordon-Cardo C, Cho E and Posner JB: Opsoclonus and oat cell carcinoma of the lung: Lack of evidence of anti-CNS antibodies. Lancet 1:1479, 1984. |
| Language |
eng |
| Format |
application/pdf |
| Type |
Text |
| Source |
1987 Walsh Proceedings |
| Relation is Part of |
Case presented at the NANOS 1987 Walsh Session, February 20-21 Contributor Primary |
| 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 2008. For further information regarding the rights to this collection, please visit: https://NOVEL.utah.edu/about/copyright |
| ARK |
ark:/87278/s6fr00gd |
| Contributor Primary |
Wray, Shirley H. |
| Contributor Secondary |
Anderson, Neil E. |
| Setname |
ehsl_novel_fbw |
| ID |
178775 |
| Reference URL |
https://collections.lib.utah.edu/ark:/87278/s6fr00gd |
