| Identifier |
walsh_2015_s1_c5-2 |
| Title |
Under Pressure |
| Creator |
Nathan H. Kung |
| Subject |
Paraneoplastic Disorders; Polyneuropathy; Papilledema; Optic Nerve Sheath Fenestration |
| History |
A 29-year-old woman was referred to neuro-ophthalmology clinic for 1 year of headaches andpapilledema discovered 2 months earlier. She complained of recently blurred vision but no positionalheadache, pulsatile tinnitus, transient visual obscurations, or other neurologic issues. She used nomedications and denied any recent illnesses except for thrombocythemia (591k) on recent blood work,and had no significant past medical history. Her initial examination in 4/2009 revealed normal acuitywith 20/20 VA OU, equal pupils without RAPD, and severe grade 4 papilledema OU with severalchoroidal folds through both maculae. No hemorrhages were noted. All other portions of theexamination were normal. Her BMI was 27. Humphrey SITA Standard visual fields were performedand showed slight enlargement of the blind spot OU with a nasal step in the L eye. An MRI of the brainand orbits with and without gadolinium was normal with normal venous flow voids. CSF analysisshowed an opening pressure of 26 cm H2O with 1 RBC, 1 WBC, Protein 75, Glucose 69, and noabnormalities on cytology. Although she had atypical features, a preliminary diagnosis of ProbablePseudotumor Cerebri was made and she was initiated on acetazolamide, with improved papilledemaover the next several months. Over the next three years, however, she developed worsening vision withmultiple additional symptoms. |
| Date |
2015-02-22 |
| Language |
eng |
| Format |
application/pdf |
| Type |
Text |
| Source |
2015 North American Neuro-Ophthalmology Society Annual 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/s68s7mj6 |
| Contributor Primary |
Laura Bonelli |
| Contributor Secondary |
Peter J. Savino |
| Setname |
ehsl_novel_fbw |
| ID |
179296 |
| Reference URL |
https://collections.lib.utah.edu/ark:/87278/s68s7mj6 |
