A Nod to the Nodule

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Identifier walsh_2022_s3_c3
Title A Nod to the Nodule
Creator Natalie Brossard, Kirill Zaslavski, Laila Al-Shafai, David Munoz, Edward Margolin
Subject Autoimmune Diseases; CNS Vasculitidies; Meningo-encephalitis; Optic Radiations; Visual Field Testing
History A 67-year-old man presented to emergency department in March'21 with 6hours h/o fever, headache, confusion, right- sided weakness and urinary incontinence. He had h/o hypertension, rheumatoid arthritis, spinal stenosis and was taking etanercept/leflunomide/sulfasalazine. Non-contrasted CT showed left frontoparietal lesion with surrounding edema, thought to be either mass lesion or subacute stroke.
Disease/Diagnosis Rheumatoid nodule and leptomeningitis presenting as a brain mass
Date 2022-02
References 1 Atzeni, F. et al. Central nervous system involvement in rheumatoid arthritis patients and the potential implications; of using biological agents. Best Practice and Research: Clinical Rheumatology vol. 32 (2018).; 2. Bathon, J. M., Moreland, L. W. & DiBartolomeo, A. G. Inflammatory central nervous system involvement in; rheumatoid arthritis. Seminars in Arthritis and Rheumatism 18, 258-266 (1989).; 3. Nesbitt, C., Willshire, L., Quan, D., Shaw, C. & Batchelor, P. Leptomeningeal rheumatoid nodules: diagnosis and; failed therapeutics. Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia 22, 425-428; (2015).; 4. Takahashi, M. et al. Multiple intracranial nodules associated with rheumatoid arthritis: case report. Neurologia; medico-chirurgica 54, 317-320 (2014).; 5. Kim, R. C. & Collins, G. H. The neuropathology of rheumatoid disease. Human Pathology 12, (1981).
Language eng
Format application/pdf
Relation is Part of NANOS Annual Meeting 2022: Walsh Session III
Collection The NANOS Annual Meeting Neuro-Ophthalmology Collection: https://novel.utah.edu/collection/NAM/toc/
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 2022. For further information regarding the rights to this collection, please visit: https://NOVEL.utah.edu/about/copyright
ARK ark:/87278/s6c0bmjh
Contributor Primary Natalie Brossard, MD, MSc
Contributor Secondary Kirill Zaslavski, Laila Al-Shafai, David Munoz, Edward Margolin
Context URL Neuro-ophthalmology Virtual Education Library: NOVEL http://NOVEL.utah.edu
Setname ehsl_novel_fbw
ID 2192220
Reference URL https://collections.lib.utah.edu/ark:/87278/s6c0bmjh
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