Recurrent Uveitis and a Homonymous Visual Field Defect with Ring-Enhancing MRI Lesion: It's All Negative (Audio)

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Identifier walsh_2009_s1_c5_mp3
Title Recurrent Uveitis and a Homonymous Visual Field Defect with Ring-Enhancing MRI Lesion: It's All Negative (Audio)
Creator Sokolava, Elena
Subject Central Nervous System; Uveitis; Actinomycetales Infections; Whipple Disease; Retinal Hemorrhage; Gliosis; Papilledema; Hemianopsia; Pupil Disorders; Periodic Acid-Schiff Reaction
Presenting Symptom Progressive loss of vision OU; Headache
History A 36-year old male with decreased vision OU and left frontal headache. An episode of self-reported red eye treated with topical steroids 6 months previous to presentation. Previous history significant for hypertension and possible bi-polar disorder with paranoia.
Clinical VA: 20/15 OD, 20/200 OS; Color plates: 12/12 OU; RAPD OS; Right/temporal field defect OD
Neuroimaging MRI
Pathology CNS inflammatory lesion
Disease/Diagnosis CNS Whipple disease
Treatment Surgery; IV anti-bacterial agents
References 1. Knox DL, Green WR, Troncoso JC, Yardley JH, Hsu QOD, Zee DS. Cerebral ocular Whipple's disease: a 62-year odyssey from death to diagnosis. Neurology 45:61 7-625, 1 995. 2. Fenollar, F. Whipple's Disease. N Engl J Med 356:55-66, 2007. 3. Lynch T., Odel J., Fredericks, DN, Louis, ED, Forman, S., Rotterdam, H., Fahn S., Relman DA. Polymerase disease, Annals of Neurology. 42:120-4, 1997. 4. Louis, ED, Lynch, T., Kaufman, P., Fahn, S, Odel, J. Diagnostic guidelines in central nervous system Whipple's disease. Annals of Neurology. 40:561-8, 1996.
Relation is Part of Session 1, Case 5, Walsh Session, NANOS 2009
Contributor Primary Sokolova, Elena
Contributor Secondary Carter, John E.; Bazan, Carlos; Henry, James; Harris, Michelle
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:
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/s6057jst
Setname ehsl_novel_fbw
Date Created 2012-06-06
Date Modified 2017-02-21
ID 179065
Reference URL
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