| Identifier |
walsh_2015_s1_c3-2 |
| Title |
Speakeasy |
| Creator |
Joseph G. Chacko |
| Subject |
Cavernous Sinus Tumor; Perineural Invasion; Adenoid Cystic Carcinoma |
| History |
A 64 year-old Caucasian gentleman presented with an unusual complaint. He stated that if he touchedthe inside of his right cheek with his tongue, he felt a tingly sensation in his R eyebrow. This had startedone month ago. He also complained of foreign body sensation and discomfort in the right eye for sixmonths. Additionally, he had recently noted a droopy R eyelid for which his local ophthalmologist hadplaced a stitch in his R upper lid to lift it. He also complained of recent binocular diagonal doublevision. Past medical history included hypertension, hyperlipidemia, emphysema, and coronary arterydisease requiring 4 stents (2002 and 2011). Social history was significant for 50 pack-years of smoking,and he drank 6 beers per week. His medication list included simvastatin, prasugrel, fluticasone-salmeterol, tiotropium bromide, aspirin, metoprolol, and hydrochlorothiazide. Exam revealed best-corrected visual acuity of 20/40 and 20/25. BP was 125/70. Pupils were 5.5 mm and 5 mm, with noRAPD. IOP was 19 and 21. Eye movements revealed -1 adduction, -3 supraduction, and -1 abduction inthe R eye only. Visual fields were full to confrontation OU. External exam revealed ptosis with an MRDof -2 OD and +2 OS. Facial sensation to cotton tip was WNL bilaterally. Slit lamp revealed a decreasedtear film OD and mild corneal scarring OD. There were 2+ nuclear sclerotic cataracts OU. Dilatedfundus exam revealed pink, sharp optic discs with normal cups and spontaneous venous pulsation OS. Adiagnostic procedure was then performed. |
| Date |
2015-02-22 |
| Language |
eng |
| Format |
application/pdf |
| Type |
Text |
| Source |
47th Annual Frank Walsh Society Meeting |
| Relation is Part of |
NANOS Annual Meeting Frank B. Walsh Sessions; 2015 |
| Collection |
Neuro-ophthalmology Virtual Education Library: NOVEL http://NOVEL.utah.edu |
| Publisher |
Spencer S. Eccles Health Sciences Library, University of Utah |
| Holding Institution |
North American Neuro-Ophthalmology Association. NANOS Executive Office 5841 Cedar Lake Road, Suite 204, Minneapolis, MN 55416 |
| Rights Management |
Copyright 2013. For further information regarding the rights to this collection, please visit: https://NOVEL.utah.edu/about/copyright |
| ARK |
ark:/87278/s6df9ns9 |
| Contributor Primary |
Laura Bonelli |
| Contributor Secondary |
Peter J. Savino |
| Setname |
ehsl_novel_fbw |
| ID |
179295 |
| Reference URL |
https://collections.lib.utah.edu/ark:/87278/s6df9ns9 |
