"No Skin Off My Back"

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Identifier walsh_2012_s4_c5
Title "No Skin Off My Back"
Creator J. Alexander Fraser
Subject Sarcoidosis; Carotid Artery, Internal; Arteritis; Optic Neuropathy, Ischemic; Cerebral Infarction
History A 41-year old male with a sudden onset loss of vision OS with headache over the brow. Previous history significant for a wide excision of a malignant melanoma from the left scapular region and left axillary lymph node dissection 5 years previously. Patient was a smoker.
Pathology Non-caseating granulomatous inflammation with no evidence of malignancy.
Disease/Diagnosis Occlusive internal carotid arteritis from sarcoidosis, causing cerebral infarction and NAION (from hypoperfusion or, less likely, embolism)
Clinical VA: 20/20 OD; CF OS; Color vision: 10/10 OD, No control plate OS; RAPD OS; cup-to-disc ratio 0.1 OD, cup obliterated OS; mild temporal depression OD, severe generalized depression OS
Presenting Symptom Loss of vision OS; Headache
Neuroimaging CT; MRI
Treatment Surgery; Anti-inflammatory analgesics
Date 2012-02-12
References Attached
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/s6tb19rc
Contributor Primary Fraser, J. Alexander
Contributor Secondary Kwan, Keith F.; Rogers, John M.
Setname ehsl_novel_fbw
ID 179105
Reference URL https://collections.lib.utah.edu/ark:/87278/s6tb19rc
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