| Identifier |
walsh_1987_s4_c1 |
| Title |
Ophthalmoplegia, Ataxia and Repriratory Failure |
| Creator |
Robert S. Hepler |
| Subject |
Paraneoplastic Syndromes, Nervous System; Ophthalmoplegia; Ataxia; Carcinoma, Renal Cell; Neoplasm Metastasis; Hematuria; Nystagmus, Pathologic; Dizziness; Diplopia |
| History |
A 58-year old male with diplopia, dizziness, fatigue and difficulty walking. Previous history significant for renal cell carcinoma discovered during nephrectomy of the right kidney. |
| Pathology |
Paraneoplastic encephalitis of pons, medulla and left VIII nerve |
| Disease/Diagnosis |
Paraneoplastic syndrome associatec with renal cell carcinoma |
| Clinical |
Diplopia; Nystagmus; Gait disturbances and dizziness |
| Presenting Symptom |
Diplopia; Dizziness; Difficulty walking; Fatigue; Loss of hearing AS |
| Neuroimaging |
CT; MRI |
| Treatment |
IV steroids |
| References |
1. Henson RA and Urich H. Cancer and the nervous system: the neurological manifestations of systemic malignant disease. Boston, Blackvell, 1982. 2. Palma GP. Paraneoplastic syndromes of the nervous system. Vest J Med 142:787-796, 1985. 3. Dietl HV, Puist SM, Engelhardt P and Mehraein P. Paraneoplastic brainstem encephalitis with acute dystonia and central hypoventilation. J Neurol 227:229-238, 1982. 4. Halperin JJ, Richardson EP, Ellis J, Ross JS and Vray SH. Paraneoplastic encephalomyelitis and neuropathy. Report of a case. Arch Neurol 38:773-775, 1981. 5. Case records of the Massachusetts General Hospital. Weekly clinicopathological exercises. Case 30-1985. A 52 year-old woman with a progressive neurologic disorder and a pelvic mass. N Engl J Med 313:249-257, 1985. 6. Chagnac A, Gal R, Kimche D, Zevin D, Machtey I and Levi J. Liver granulomas: a possible paraneoplastic manifestatin of hypernephroma. Amer J Gastroenterol 80:989-992, 1985. |
| Language |
eng |
| Format |
application/pdf |
| Type |
Text |
| Source |
1987 Walsh Proceedings |
| Relation is Part of |
Case presented at the NANOS 1987 Walsh Session, February 20-21 Contributor Primary |
| 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/s6kh0r59 |
| Contributor Primary |
Hepler, Robert S. |
| Contributor Secondary |
Yee, Robert D.; Vinters, Harry V. |
| Setname |
ehsl_novel_fbw |
| ID |
178774 |
| Reference URL |
https://collections.lib.utah.edu/ark:/87278/s6kh0r59 |
