An Unusual Cause of Vertical Diplopia

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Identifier walsh_1999_s3_c3
Title An Unusual Cause of Vertical Diplopia
Creator Angela S. Oster
Subject Lymphoma, AIDS-Related; Herpesvirus 8, Human; Orbital Neoplasms; Diplopia; Exophthalmos
History A 30-year old male with binocular vertical diplopia. left peri-orbital pain and low-grade fever. Previous history significant for HIV with first AIDS-defining illness, Pneumocystis carinii pneumonia.
Pathology Large cell lymphoma
Disease/Diagnosis Orbital lymphoid tumor
Clinical VA: Best-corrected, 20/20 OU; Motility: Variable left hypertropia worse on downgaze and upgaze in adduction.
Presenting Symptom Binocular vertical diplopia; Left periorbital pain
Neuroimaging CT
Treatment Surgery; HIV protease inhibitors
References 1. Cesarman E, Chang Y, Moore PS, Said JW, Knowles DM. Kaposi's sarcoma-associated herpesvirus-like DNAsequences in AIDS-related body-cavity-based lymphomas. NEJM 1995 May; 332 (13): 1186-1191. 2. Chang Y, Cesarman E, Pessin MS, Lee F, Culpepper J, Knowles DM, Moore PS. Identification of Herpes-like DNA sequences in AIDS-associated Kaposi's sarcoma. Science 1994 Dec; 266: 1865-1869. 3. Gaidano G, Pastore C, Gloghini A, Volpe G, Capello D, Polito P, Vaccher E, Tirelli U, Saglia G, Carbone A. Human Herpesvirus Type - 8 in Haematopoietic Neoplasia. Leukemia and Lymphoma 1997; 24: 257-266. 4. Harrington WJ, Bagasra O, Sosa CE, Bobroski LE, Baum M, Wen XL, Cabral L, Byrne GE, Pomerantz RJ, Wood C. Human Herpesvirus Type 8 DNA Sequences in Cell-Free Plasma and Mononuclear Cells of Kaposi's Sarcoma Patients. J Infect Dis 1996; 174: 1101 -1105. 5. Hornblass A, Jakobiec FA, Reifler DM, Mines J. Orbital Lymphoid Tumors Located Predominantly within Extraocular Muscles. Ophthalmology 1987; 94: 688-697. 6. Humphrey RW, Davis DA, Newcomb FM, Yarchoan R. Human Herpesvirus 8 in the Pathogenesis of Kaposi's Sarcoma and Other Diseases. Leukemia and Lymphoma 1998: 28: 255-264. 7. Nador RG, Cesarman E, Chadbum A, Dawson DB, Ansari MQ, Said J, Knowles DM. Primary Effusion Lymphoma: A Distinct Clinicopathologic Entity Associated with the Kaposi's Sarcoma-Associated Herpesvirus. Blood 1996; 88 (2): 645-656. 8. Rizzieri DA, Liu J, Traweek ST, Miralles GD. Clearance of HHV-8 from Peripheral Blood Mononuclear cells with a Protease Inhibitor. The Lancet 1997; 349:775-776. 9. Said JW, Chien K, Takeuchi S, Tasaka T, Asou H, Cho SK, de Vos S, Cesarman E, Knowles DM, Koeffler HP. Kaposi's Sarcoma-Associated Herpesvirus in Primary Effusion Lymphoma: Demonstration of Herpesvirus in Lymphoma Cells. Blood 1996; 87 (12): 4937-4943.
Language eng
Format application/pdf
Relation is Part of Case presented at the NANOS 1999 Walsh Session, February 6-7.
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 2008. For further information regarding the rights to this collection, please visit: https://NOVEL.utah.edu/about/copyright
ARK ark:/87278/s6ns0xn1
Contributor Primary Oster, Angela S.
Contributor Secondary Lam, Byron; Johnson, Thomas; Rosa, Robert
Setname ehsl_novel_fbw
ID 178100
Reference URL https://collections.lib.utah.edu/ark:/87278/s6ns0xn1