A Difficult Bug to Swallow

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Identifier walsh_2013_s2_c5-1
Title A Difficult Bug to Swallow
Creator Lao, Kenneth; Isernhagen, Blake A; Siatkowski, R Michael
Subject Orbital Apex; Metastatic Disease; Ophthalmoplegia
Presenting Symptom A 54 year-old white male presented to the emergency room with a one month history of progressive binocular diplopia and a one week history of painless loss of vision in his left eye.
History Non-insulin dependent diabetes mellitus, hypertension, and a right ventricular thrombus.
Clinical Visual acuities of 20/25 in his right eye and no light perception in his left eye. Pupil exam revealed a 3mm pupil on the right that reacted briskly to light and accommodation without an afferent pupillary defect. The left pupil was 5mm and did not react to light or accommodation and had an afferent pupillary defect. Posterior extent of the left optic nerve showed evidence of infiltration by the lesion with coinciding edema.
Neuroimaging CT Scan; PET Scan
Disease/Diagnosis Esophageal Adenocarcinoma with metastasis to the left orbital apex
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 http://library.med.utah.edu/NOVEL
Collection Neuro-ophthalmology Virtual Education Library: NOVEL http://NOVEL.utah.edu
Language eng
ARK ark:/87278/s6x37v38
Setname ehsl_novel_fbw
Date Created 2013-12-12
Date Modified 2021-05-06
ID 179175
Reference URL https://collections.lib.utah.edu/ark:/87278/s6x37v38
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