| Identifier |
walsh_2012_s3_c3_ppt |
| Title |
A Mystery Case of Proptosis, Optic Neuropathy, and Peripheral Neuropathy |
| Creator |
Bonnie Keung |
| Subject |
Charcot-Marie-Tooth Disease; Polyradiculoneuropathy, Chronic Inflammatory Demyelinating; Multiple Sclerosis |
| History |
Age 7 - headaches and vision loss to count fingers in left eye; Age 13 - diagnosed with multiple sclerosis; Age 22 - diplopia thought to be bilateral INO; identical twin with sequential bilateral optic neuritis at 8 years, diagnosis of multiple sclerosis at 12 years, and repeated exacerbations of gait impairment |
| Pathology |
Nerve fascicles with loss of large and small myelinated nerve fibers; thin myelin sheathes and frequent 'onion-bulb' formations with concentric layers of Schwann cell processes |
| Disease/Diagnosis |
Combined central and peripheral myelinopathy |
| Clinical |
20/20 OU; left RAPD; 3 mm right proptosis; -3 adduction in right eye; -2 abduction in left eye; -1 elevation deficit bilaterally; one Lisch nodule; one cafe au lait spot less than 2 cm; Optic nerves appeared pale OS > OD. |
| Presenting Symptom |
A 23 year-old female with proptosis and ophthalmoplegia. |
| Neuroimaging |
MRI |
| Date |
2012-02-12 |
| Language |
eng |
| Format |
application/pdf |
| Type |
Text |
| Source |
44th Annual Frank Walsh Society Meeting |
| Relation is Part of |
Case presented at the NANOS 2012 Walsh Session, February 12 |
| 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 2012. For further information regarding the rights to this collection, please visit: https://NOVEL.utah.edu/about/copyright |
| ARK |
ark:/87278/s65q5006 |
| Contributor Primary |
Keung, Bonnie |
| Contributor Secondary |
Warner, Judith; Digre, Kathleen; Katz, Bradley; Chin, Steven; Shah, Lubdha; Eckart, Danielle |
| Setname |
ehsl_novel_fbw |
| ID |
179079 |
| Reference URL |
https://collections.lib.utah.edu/ark:/87278/s65q5006 |
