Crossed Signals: Double and Unsteady

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Identifier walsh_2023_s2_c4
Title Crossed Signals: Double and Unsteady
Creator Aishwarya Sriram, Otto Rapalino, Anat Stemmer-Rachamimov, Bart Chwalisz
Affiliation (AS) Massachusetts Eye and Ear Infirmary; (OR) (AS) (BC) Massachusetts General Hospital
Subject 3rd Nerve Palsy; Brain Stem Syndromes; Autoimmune Diseases; Neurologic Disorders; Diplopia
Description A 45-year-old Egyptian man with history of hypertension, hyperlipidemia, and coronary artery disease presented with three days of severe holocephalic headache, fatigue, blurry vision, and difficulty forming full sentences, which evolved into binocular diplopia and left eyelid drooping. He had no history of trauma or systemic complaints. Examination showed mildly decreased central acuities in both eyes, ptosis OS, and anisocoria with a larger left pupil more notable in the light. He had -1.5 adduction, -0.5 abduction, and -3 infraduction in the left eye, and -3 supraduction OU (see pictures).
Date 2023-03
References 1. Armstrong GT, Liu Q, Yasui Y, Huang S, Ness KK, et al. Long-term outcomes among adult survivors of childhood central nervous system malignancies in the Childhood Cancer Survivor Study. J Natl Cancer Inst. 101:946-58. 2009. 2. Prasad G, Haas-Kogan DA. Radiation-induced gliomas. Expert Rev Neurother. 10:1511-7. 2009. 3. Hamblin R, Vardon A, Akpalu J, Tampourlou M, Spiliotis I, Sbardella E, et al. Risk of second brain tumour after radiotherapy for pituitary adenoma or craniopharyngioma: a retrospective, multicentre, cohort study of 3679
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 Session II: "Frontierland" : 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/s66trt2a
Setname ehsl_novel_nam
ID 2386040
Reference URL https://collections.lib.utah.edu/ark:/87278/s66trt2a
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