It's All in Your Head

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Identifier walsh_2013_s2_c3
Title It's All in Your Head
Creator Hills, William L; Grafe, Marjorie R; Weissman, Jane; Falardeau, Julie; Mass, Michele K; Shults, William T
Subject Erdheim-Chester Disease; Histiocytosis; Non-Langerhans Cell; Intracranial; Visual Fields; Migraine Visual Aura
Presenting Symptom A 45-year-old woman with a history of migraine headaches with visual aura presented after an atypical visual aura of 3 days duration without headache.
History Migraine headache with visual aura since age 27 and upper airway resistance syndrome.
Clinical Brain MRI revealed revealed multiple intra- and extra-axial enhancing masses including brain parenchyma, pituitary infundibulum and corpus callosum; Visual Acuity 20/20 right eye, 20/30 left eye; Color vision 10/10 right, 7/10 left without RAPD
Neuroimaging CT Scan; MRI; Flow Cytometry
Pathology Pathology was consistent with Erdheim-Chester disease (ECD).
Disease/Diagnosis Isolated intracranial Erdheim-Chester disease presenting as an atypical migraine visual aura without headache
Treatment High dose interferon alpha, steroids, biphosphonates, and cytotoxic agents.
References Attached
Relation is Part of Case presented at the NANOS 2013 Walsh Session, February 10
Contributor Primary Kedar, Sachin
Contributor Secondary Rucker, Janet C
Publisher Spencer S. Eccles Health Sciences Library, University of Utah
Date 2013-02-10
Type Text
Format application/pdf
Source 45th Annual Frank Walsh Society Meeting
Holding Institution North American Neuro-Ophthalmology Association (NANOS), Copyright 2013. For further information regarding the rights to this collection, please visit
Collection Neuro-ophthalmology Virtual Education Library: NOVEL
Language eng
ARK ark:/87278/s6x66jhk
Setname ehsl_novel_fbw
Date Created 2013-12-12
Date Modified 2021-05-06
ID 179144
Reference URL
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