| Identifier |
walsh_2023_s3_c3 |
| Title |
A Not So Sweet Case of Papilledema |
| Creator |
Meari Taguchi, Wayne Cornblath, Sangeeta Khanna, Lindsey De Lott, Tatiana Deveney, Hemant Parmar, Emile Pinarbasi |
| Affiliation |
(MT) (WC) (SK) (LD) (TD) (HP) (EP) University of Michigan |
| Subject |
Papilledema; Lumbar Puncture; Magnetic Resonance Imaging (MRI); Optic Disc Edema; Increased Intracranial Pressure |
| Description |
A healthy 19 year old man with normal body mass index presented with a one-year history of transient visual obscurations, severe headaches with pulsatile tinnitus, and intermittent episodes of numbness encompassing his lower face and distal extremities. Neurological examination was normal. Ophthalmologic examination demonstrated normal visual acuity and visual field, but bilateral optic disc edema (Figure1A-C). MRI brain/orbit and MRV demonstrated a stable left anterior temporal arachnoid cyst (Figure2). Lumbar puncture demonstrated an opening pressure of 42 cm H2O, 2 white blood cells (40% lymphocytes), protein 25 mg/dL, and glucose15 mg/dL. |
| Date |
2023-03 |
| References |
Aslan S, Gocmen R, Acar NP, Khasiyev F, Gumeler E, Soylemezoglu F, Tunc Arsava E, Topçuoglu MA, Unal Cevik I. Two cases of primary leptomeningeal melanomatosis mimicking subacute meningitis. Neuroradiol J. 2018 Feb;31(1):42-46. doi: 10.1177/1971400917708581. Epub 2017 Jun 19. PMID: 28627959; PMCID:PMC5789992. Brunsvig KL, Zenobi M, Rilliet B, El Hassani Y, de Haller R, Ansari M, Lobrinus JA, Hanquinet S, Fluss J. Primary leptomeningeal melanocytosis in a 10-year-old girl: a challenging diagnosis with a poor prognosis. J Child Neurol. 2011 Nov;26(11):1444-8. doi: 10.1177/0883073811409749. Epub 2011 Jun 13. PMID: 21670389. Chow E, Troy SB. The differential diagnosis of hypoglycorrhachia in adult patients. Am J Med Sci. 2014 Sep;348(3):186-90. doi:10.1097/MAJ.0000000000000217. PMID: 24326618; PMCID: PMC4065645. |
| Language |
eng |
| Format |
application/pdf |
| Type |
Text |
| Source |
49th Annual North American Neuro-Ophthalmology Society Annual Meeting |
| Relation is Part of |
NANOS Annual Meeting 2023: Walsh Society Session III: "Tomorrowland" : 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/s66jnt20 |
| Setname |
ehsl_novel_nam |
| ID |
2389049 |
| Reference URL |
https://collections.lib.utah.edu/ark:/87278/s66jnt20 |
