| Identifier |
walsh_2023_s1_c1 |
| Title |
Under Pressure to Find a Diagnosis |
| Creator |
Deena Tajfirouz, Ronald Go, Eoin Flanagan, Aditya Raghunathan, John Chen |
| Affiliation |
(DT) Mayo Clinic, Rochester, MN; (RG) (EF) (AR) (JC) Mayo Clinic |
| Subject |
Diplopia; Hearing Loss; Tumor; Magnetic Resonance Imaging (MRI); Meningo-encephalitis |
| Description |
A 27-year-old woman developed left foot numbness followed by headaches, vertigo, and imbalance. Her symptoms continued to worsen and within two months, she developed binocular diplopia, bilateral hearing loss, worsening numbness and required a walker for ambulation. On examination her vital signs were normal with mild nuchal rigidity. She had bilateral grade 3 disc edema with intact vision, bilateral internuclear ophthalmoplegia, skew deviation, mild bilateral hearing loss, left-sided tongue weakness, decreased sensation to pain and temperature of the lower extremities up to T10 level and ataxia. The remainder of her examination including strength and reflexes were normal. |
| Date |
2023-03 |
| References |
1. Parks NE, Goyal G, Go RS, Mandrekar J, Tobin WO. Neuroradiologic manifestations of Erdheim-Chester disease. Neurol Clin Pract. 8(1):15-20. 2018. 2. Garg N, Lavi ES. Clinical and Neuroimaging Manifestations of Erdheim-Chester Disease: A Review. J Neuroimaging. (1):35-44. 2021. 3. Wagner KM, Mandel JJ, Goodman JC, Gopinath S, Patel AJ. Intracranial Erdheim-Chester Disease Mimicking Parafalcine Meningioma: Report of Two Cases and Review of the Literature. World Neurosurg. 110:365-370. 2018. 4. Haque A, Pérez CA, Reddy TA, Gupta RK. Erdheim-Chester Disease with Isolated CNS Involvement: A Systematic Review of the Literature. Neurol Int. 14(3):716-726. 2022. 5. Abeykoon JP, Lasho TL, Dasari S, Rech KL, et al. Mayo Clinic-University of Alabama at Birmingham Histiocytosis Working Group. Sustained, complete response to pexidartinib in a patient with CSF1Rmutated Erdheim-Chester disease. Am J Hematol. 97(3):293-302. 2022. |
| Language |
eng |
| Format |
video/mp4 |
| Type |
Image/MovingImage |
| Source |
49th Annual North American Neuro-Ophthalmology Society Annual Meeting |
| Relation is Part of |
NANOS Annual Meeting 2023: Walsh Society Meeting Session I: "Adventureland": Learning From Pediatric Neuro-Ophthalmic Disorders: https://novel.utah.edu/collection/NAM/toc/ |
| Collection |
Neuro-Ophthalmology Virtual Education Library: NOVEL http://NOVEL.utah.edu |
| Publisher |
North American Neuro-Ophthalmology Society |
| Holding Institution |
Spencer S. Eccles Health Sciences Library, University of Utah, 10 N 1900 E SLC, UT 84112-5890 |
| Rights Management |
Copyright 2023. For further information regarding the rights to this collection, please visit: https://NOVEL.utah.edu/about/copyright |
| ARK |
ark:/87278/s6y4frv7 |
| Setname |
ehsl_novel_nam |
| ID |
2386032 |
| Reference URL |
https://collections.lib.utah.edu/ark:/87278/s6y4frv7 |
