Fulminant Course with Four D's - Diplopia, Dysarthria, Dysphagia, and Death (PowerPoint)

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Identifier walsh_2009_s2_c2_pp
Title Fulminant Course with Four D's - Diplopia, Dysarthria, Dysphagia, and Death (PowerPoint)
Creator Sarkis M. Nazarian
Subject Abducens Nerve Diseases; Carcinoma, Signet Ring Cell; Meningeal Carcinomatosis; Cerebrospinal Fluid; Hypoglycemia
History A 53-year old male with a 1-week history of diplopia, dysarthria, and dysphagia.
Pathology Signet ring adenocarcinoma at the gastro-esophageal junction, metastatic to the leptomeninges .
Disease/Diagnosis Signet-cell carcinoma of the gastro-esophageal junction, metastatic to the leptomeninges
Clinical VA: 20/20 OD, 20/30 OS; Abduction deficit OD
Presenting Symptom Diplopia; Dysarthria; Dysphagia; Vertigo; Headache
Neuroimaging CT; MRI
Treatment Cholinesterase inhibitors; Glucocorticoids
Date 2009-02-22
References 1. Connor et al, Vanishing diplopia: a problem case, Pract Neurology, 7, 268, 2007. 2. Nardone et al, Isolated Oculomotor nerve palsy as the presenting clinical manifestation of meningeal carcinomatosis, Neurol Sci, 27, 288, 2006.
Language eng
Format application/pdf
Type Text
Source 41st Annual Frank Walsh Society Meeting
Relation is Part of Session 2, Case 2, Walsh Session, NANOS 2009
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 2002. For further information regarding the rights to this collection, please visit: https://NOVEL.utah.edu/about/copyright
ARK ark:/87278/s6ks6vc8
Contributor Primary Nazarian, Sarkis M.
Contributor Secondary Hodges, Anissa; Daaif, Mohammad; Tang, Wei; Bhaleeya, Swetangi; Husain, Muhammad
Setname ehsl_novel_fbw
ID 178712
Reference URL https://collections.lib.utah.edu/ark:/87278/s6ks6vc8