Fulminant Course with Four D's - Diplopia, Dysarthria, Dysphagia, and Death (Audio)

Update item information
Identifier walsh_2009_s2_c2_mp3
Title Fulminant Course with Four D's - Diplopia, Dysarthria, Dysphagia, and Death (Audio)
Creator Nazarian, Sarkis M.
Subject Abducens Nerve Diseases; Carcinoma, Signet Ring Cell; Meningeal Carcinomatosis; Cerebrospinal Fluid; Hypoglycemia
Presenting Symptom Diplopia; Dysarthria; Dysphagia; Vertigo; Headache
History A 53-year old male with a 1-week history of diplopia, dysarthria, and dysphagia.
Clinical VA: 20/20 OD, 20/30 OS; Abduction deficit OD
Neuroimaging CT; MRI
Pathology Signet ring adenocarcinoma at the gastro-esophageal junction, metastatic to the leptomeninges .
Disease/Diagnosis Signet-cell carcinoma of the gastro-esophageal junction, metastatic to the leptomeninges
Treatment Cholinesterase inhibitors; Glucocorticoids
References 1. Connor et al, Vanishing diplopia: a problem case, Pract Neurology, 7, 268, 2007. 2. Nardone et al, Isolated Oculomotor nerve palsy as the presenting clinical manifestation of meningeal carcinomatosis, Neurol Sci, 27, 288, 2006.
Relation is Part of Session 2, Case 2, Walsh Session, NANOS 2009
Contributor Primary Nazarian, Sarkis M.
Contributor Secondary Hodges, Anissa; Daaif, Mohammad; Tang, Wei; Bhaleeya, Swetangi; Husain, Muhammad
Publisher Spencer S. Eccles Health Sciences Library, University of Utah
Date 2009-02-22
Type Sound
Format audio/mpeg
Source 41st Annual Frank Walsh Society Meeting
Rights Management Copyright 2009. For further information regarding the rights to this collection, please visit: https://NOVEL.utah.edu/about/copyright
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 http://NOVEL.utah.edu
Language eng
ARK ark:/87278/s67p927z
Setname ehsl_novel_fbw
Date Created 2012-06-06
Date Modified 2017-02-21
ID 179063
Reference URL https://collections.lib.utah.edu/ark:/87278/s67p927z
Back to Search Results