Trouble Reading

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Identifier walsh_2011_s3_c4
Title Trouble Reading
Creator Stacy, Rebecca
Subject Immunologic Deficiency Syndromes; Common Variable Immunodeficiency; Leukoencephalopathy, Progressive Multifocal; Hemianopsia; Demyelinating Diseases
Presenting Symptom Reading and comprehending difficulties
History A 60-year old female with a 4-week history of progressive difficulty reading and word comprehension. Previous history significant for a 20-year history of recurrent granulomatous iritis in OU and chronic variable immune deficiency (CVID), diagnosed 23 years previous with associated hepatitis and dermatitis.
Clinical VA: 20/30 OU; Right homonymous hemianopsia
Neuroimaging MRI
Pathology Lesions in the left posterior temporal and occipital regions composed of foamy macrophages with severe demyelination and gliosis.
Disease/Diagnosis Progressive multifocal leukoencephalopathy in the setting of chronic variable immune deficiency (CVID)
Treatment Anticonvulsants; Antimalarials
References 1. Koralnik, I. New insights into progressive multifocal leukoencephalopahty. Curr Opin Neurol. 17: 366-370, 2004. 2. Narula S. et al., Progressive multifocal leukoencephalopathy in a patient with common variable immunodeficiency and abnormal CD8+ T-cell subset distribution, Ann Allergy Asthma Immunol, 98: 483-499, 2007.
Relation is Part of Case presented at the NANOS 2011 Walsh Session, February 5
Contributor Primary Stacy, Rebecca
Contributor Secondary Lessell, Simmons
Publisher Spencer S. Eccles Health Sciences Library, University of Utah
Date 2011-02-05
Type Text
Format application/pdf
Source 43rd Annual Frank Walsh Society Meeting
Rights Management Copyright 2011. For further information regarding the rights to this collection, please visit:
Holding Institution North American Neuro-Ophthalmology Association. NANOS Executive Office 5841 Cedar Lake Road, Suite 204, Minneapolis, MN 55416
Collection Neuro-ophthalmology Virtual Education Library: NOVEL
Language eng
ARK ark:/87278/s69p34j5
Setname ehsl_novel_fbw
ID 179047
Reference URL
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