Something Wicked This Way Comes

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Identifier walsh_2010_s1_c1
Title Something Wicked This Way Comes
Creator Michael S. Vaphiades, MD, University of Alabama
Subject Pupil Disorders; Optic Atrophy; Sarcoidosis; Hearing Loss, Sensorineural
History A 63-year old female with a 2-year history of progressive declining vision accompanied by a 10-year history of hearing loss. Previous history significant for tuberculosis.
Pathology Granulomas with polyclonal inflammation of left optic nerve.
Disease/Diagnosis Bilateral infiltrative optic neuropathy secondary to neurosarcoidosis
Clinical VA: LP OD, NLP OS; Color vision: Absent OU; RAPD OS
Presenting Symptom Hearing loss; Swollen optic nerve OS; Progressive declining vision
Neuroimaging MRI
Treatment Corticosteroids; Antineoplastic alkylating agents
Date 2010-03-07
References 1. Kellinghaus S, Schilling M, Ludemann P. Neurosarcoidosis: Clinical experience and diagnostic pitfalls. Eur Neurol 51:84-88, 2004. 2. Ng KL, McDermott N, Romanowski CAJ, Jackson A. Neurosarcoidosis masquerading as glioma of the optic chiasm in a child. Postgrad Med J 71:265-268, 1995. 3. Stern BJ, Krumholz A, Johns C, et al. Sarcoidosis and its neurological manifestations. Arch Neurol 42:909- 917, 1985. 4. Jennings JW, Rojiani AM, Brem SS, Murtagh FR. Necrotizing neurosarcoidosis masquerading as a left optic nerve meningioma: Case Report. Am J Neuroradiol 23:660-662, 2002. 5. Pollock JM, Greiner FG, Crowder JB, Crowder JW, et al. Neurosarcoidosis mimicking a malignant optic glioma. J Neuro-Ophthalmol 28:214-216.2008.
Language eng
Format application/pdf
Type Text
Source 42nd Annual Frank Walsh Society Meeting
Relation is Part of Case presented at the NANOS 2010 Walsh Session, March 7
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 2010. For further information regarding the rights to this collection, please visit: https://NOVEL.utah.edu/about/copyright
ARK ark:/87278/s6f192kr
Contributor Primary Vaphiades, Michael
Contributor Secondary Gupta, Shelly; Palmer, Cheryl
Setname ehsl_novel_fbw
ID 178930
Reference URL https://collections.lib.utah.edu/ark:/87278/s6f192kr
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