| 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 |
