Sacramentum Gladiatorium

Update item information
Identifier walsh_2013_s3_c1
Title Sacramentum Gladiatorium
Creator Michael S. Vaphiades, MD, University of Alabama; Doyle, Jennifer
Subject Optic Nerve; Headaches; Giant Cell Arteritis; Magnetic Resonance Imaging; Sphenoid Sinusitis
Presenting Symptom An 84-year-old woman who noted a headache for 2 weeks and a one day history visual loss OS.
History Medical history includes hypertension and hyperlipidemia.
Clinical Visual acuity is 20/30 OD and no light perception OS. Color vision is 4 of 8 OD and 0 of 8 plates OS. Confrontational fields are full in the right and nonplottable OS. Pupils measure 7mm in each eye with 2+reactivity in the right and no reactivity in the left with greater than 1.2 Log RAPD OD. She has decreased temporal artery upstroke bilaterally.
Neuroimaging MRI
Pathology Culture showed abundant methicillin resistant staphylococcus aureus.
Disease/Diagnosis Sphenoid sinus mucocele induced optic neuropathy (methicillin resistant staphylococcus aureus)
Treatment Clindamycin; Sulfamethoxazole/Trimethoprim
References Attached
Relation is Part of Case presented at the NANOS 2013 Walsh Session, February 10
Contributor Primary Bhatti, M Tariq
Contributor Secondary Thurtell, Matthew J
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/s64r0rjm
Setname ehsl_novel_fbw
Date Created 2013-12-12
Date Modified 2021-05-06
ID 179150
Reference URL
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