| Identifier |
walsh_2009_s2_c2_mp3 |
| Title |
Fulminant Course with Four D's - Diplopia, Dysarthria, Dysphagia, and Death (Audio) |
| Creator |
Sarkis M. Nazarian |
| Subject |
Abducens Nerve Diseases; Carcinoma, Signet Ring Cell; Meningeal Carcinomatosis; Cerebrospinal Fluid; Hypoglycemia |
| History |
A 53-year old male with a 1-week history of diplopia, dysarthria, and dysphagia. |
| 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 |
| Clinical |
VA: 20/20 OD, 20/30 OS; Abduction deficit OD |
| Presenting Symptom |
Diplopia; Dysarthria; Dysphagia; Vertigo; Headache |
| Neuroimaging |
CT; MRI |
| Treatment |
Cholinesterase inhibitors; Glucocorticoids |
| Date |
2009-02-22 |
| 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. |
| Language |
eng |
| Format |
audio/mpeg |
| Type |
Sound |
| Source |
41st Annual Frank Walsh Society Meeting |
| Relation is Part of |
Session 2, Case 2, Walsh Session, NANOS 2009 |
| 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 2009. For further information regarding the rights to this collection, please visit: https://NOVEL.utah.edu/about/copyright |
| ARK |
ark:/87278/s67p927z |
| Contributor Primary |
Nazarian, Sarkis M. |
| Contributor Secondary |
Hodges, Anissa; Daaif, Mohammad; Tang, Wei; Bhaleeya, Swetangi; Husain, Muhammad |
| Setname |
ehsl_novel_fbw |
| ID |
179063 |
| Reference URL |
https://collections.lib.utah.edu/ark:/87278/s67p927z |
