Admissions Ad Nauseum: A Cryptic Case of Chiasmopathy

Update item information
Identifier walsh_2013_s4_c3-1
Title Admissions Ad Nauseum: A Cryptic Case of Chiasmopathy
Creator Simpson, Sara A; Merkler, Alex; Lavi, Ehud; Safedieh, Joseph; Segal, Alan; Dinkin, Marc
Subject Cryptococcal Meningitis; Leptomeningeal disease; Chiasmopathy
Presenting Symptom A 38 year old healthy female presented with blurred vision.
Clinical Visual acuity of 20/200 OD and 20/50 OS, a central scotoma OD and a temporal hemianopia OS. VEP, SSEP, BAEP were all unrevealing. ANA was elevated at 1:320. Lumbar puncture (LP) had elevated opening pressure of 31 cm of water, WBC 34, protein of 231, glucose <10 and positive oligoclonal bands.
Neuroimaging MRI; PET Scan; CT Scan
Pathology A mucicarmine stain of the pituitary biopsy was positive, consistent with the presence of mucopolysaccharides on the capsule of cryptococcal yeast at the time of the biopsy. The speciation of the yeast was Cryptococcus neoformans var grubii, commonly found in eucalyptus plant, wood and pigeon feces and found around the world.
Disease/Diagnosis Cryptococcal neoformans var grubii meningitis
Treatment Methylprednisolone
References Attached
Relation is Part of Case presented at the NANOS 2013 Walsh Session, February 10
Contributor Primary Thurtell, Matthew J
Contributor Secondary Van Stavern, Gregory P
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/s6sb73bg
Setname ehsl_novel_fbw
Date Created 2013-12-12
Date Modified 2021-05-06
ID 179176
Reference URL