Raise Your Grade Point Average

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Identifier walsh_2013_s4_c1
Title Raise Your Grade Point Average
Creator Grabe, Hilary M; Myers, Jeffrey L; Quint, Douglas J; Elner, Victor M; Jonathan Daniel Trobe MD, Michigan University
Presenting Symptom A cocaine-abusing 51 year-old man complained in May 2012 of left eye decreased vision and pain for several months.
History Two years earlier, he had had persistent hearing loss in the left ear attributed elsewhere to infection. One year later, he developed left facial weakness diagnosed as Bell's palsy, treated with corticosteroids without recovery. A few months later, he became hoarse and had difficulty swallowing.
Clinical Neurologic examination disclosed left hypesthesia of all three trigeminal divisions, left facial weakness, left neurosensory hearing loss, and left sternocleidomastoid and trapezius weakness.
Neuroimaging CT Scan; MRI
Pathology Diagnosis is granulomatosis with polyangiitis (GPA), previously known as Wegener's granulomatosis. It caused scleritis and secondary globe rupture, the nasopharyngeal/intracranial mass with mononeuritis multiplex (cranial nerves 7-11), and lung lesions.
Disease/Diagnosis Granulomatosis with polyangiitis (Wegener's granulomatosis)
Treatment Prednisone; Rituximab
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 http://library.med.utah.edu/NOVEL
Collection Neuro-ophthalmology Virtual Education Library: NOVEL http://NOVEL.utah.edu
Language eng
ARK ark:/87278/s6ht5kw1
Setname ehsl_novel_fbw
Date Created 2013-12-12
Date Modified 2021-05-06
ID 179178
Reference URL https://collections.lib.utah.edu/ark:/87278/s6ht5kw1