A Bright Spot Causing Darkness

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Identifier walsh_2011_s2_c5
Title A Bright Spot Causing Darkness
Creator Thomas N. Hwang
Subject Papilledema; Intracranial Hypertension; Ocular Paraneoplastic Syndromes; Blindness; Melanoma; Neoplasm Metastasis; Venous Thrombosis
History A 20-year old male with a 2-week history of headache and blurred vision.
Pathology Papilledema; Intracranial hypertension
Disease/Diagnosis Metastatic melanoma causing venous thrombosis and paraneoplastic retinopathy
Clinical VA: 20/20 OU declining to 20/30 OD, 20/200 OS
Presenting Symptom Headache; Blurred vision declining to loss of vision
Neuroimaging MRI; ERG
Treatment Surgery; Alkylating antineoplastic agents; XRT
Date 2011-02-05
References 1. Arneja JS, Gosain AK. Giant congenital melanocytic nevi. Plast Reconstr Surg. 2009 Jul;124(1 Suppl):1e-13e. 2. Bodkin PA, Hassan MF, Kane PJ, Brady N, Whittle IR. 'Surgical' causes of benign intracranial hypertension. J R Soc Med. 2008 May;101(5):259-61. 3. Hill DL, Miller NR, Newman NJ, Biousse V. A patient with headache and increased intracranial pressure. Rev Neurol Dis. 2008 Spring;5(2):90-1. 4. Jayashankar A, Sabourin SM, Mullins ME. AJR teaching file: acute onset headache. AJR Am J Roentgenol. 2008 Sep;191(3 Suppl):S25-7. 5. Keltner JL, Thirkill CE, Yip PT. Clinical and immunologic characteristics of melanoma-associated retinopathy syndrome: eleven new cases and a review of 51 previously published cases. J Neuroophthalmol. 2001 Sep;21(3):173-87. 6. Kim AW, T robe JD. Syndrome simulating pseudotumor cerebri caused by partial transverse venous sinus obstruction in metastatic prostate cancer. Am J Ophthalmol. 2000 Feb;129(2):254-6. 7. Lu Y, Jia L, He S, Hurley MC, Leys MJ, Jayasundera T, Heckenlively JR. Melanoma-associated retinopathy: a paraneoplastic autoimmune complication. Arch Ophthalmol. 2009 Dec;127(12):1572-80. 8. Powers JM, Schnur JA, Baldree ME. Pseudotumor cerebri due to partial obstruction of the sigmoid sinus by a cholesteatoma. Arch Neurol. 1986 May;43(5):519-21.
Language eng
Format application/pdf
Type Text
Source 43rd Annual Frank Walsh Society Meeting
Relation is Part of Case presented at the NANOS 2011 Walsh Session, February 5
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 2011. For further information regarding the rights to this collection, please visit: https://NOVEL.utah.edu/about/copyright
ARK ark:/87278/s6rv0rkp
Contributor Primary Hwang, Thomas
Setname ehsl_novel_fbw
ID 179028
Reference URL https://collections.lib.utah.edu/ark:/87278/s6rv0rkp
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