To Biopsy Or Not To Biopsy? That Is the Question (Presentation Video)

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Identifier walsh_2011_s2_c3_mov
Title To Biopsy Or Not To Biopsy? That Is the Question (Presentation Video)
Creator Michael Yoon
Subject Papilledema; Demyelinating Diseases; Aphasia; Vertigo; Hemianopsia
History A 16-year old female with an 8-week history of intense vertigo, headache, poor naming, blurred vision and gait instability.
Pathology Dense infiltrate of macrophages associated with interspersed reactive hypertrophic astrocytes and extensive myelin loss.
Disease/Diagnosis Tumefactive demyelinating lesion
Clinical 20/20 OU; Bilateral disc edema
Presenting Symptom Blurred vision; Vertigo; Headache; Aphasia
Neuroimaging MRI
Treatment IV Anti-inflammatory agents
Date 2011-02-05
References 1. Dastgir J, DiMario FJ. Acute tumefactive demyelinating lesions in a pediatric patient with known diagnosis of multiple sclerosis: review of the literature and treatment proposal. J Child Neurol 2009;24(4):431-7. 2. Kiriyama T, Kataoka H, Taoka T, et al. Characteristic neuroimaging in patients with tumefactive demyelinating lesions exceeding 30 mm. J Neuroimaging 2010;XX:1-9. 3. Malhotra HS, Jain KK, Agarwal A, et al. Characterization of tumefactive demyelinating lesions using MR imaging and in-vivo proton MR spectroscopy. Multiple Sclerosis 2009;15:193-203. 4. Masdeu JC, Quinto C, Olivera C, Tenner M, Leslie D, Visintainer P. Open-ring imaging sign: highly specific for atypical brain demyelination. Neurology 2000;54:1427-1433. 5. Newman NJ, Selzer KA, Bell RA. Association of multiple sclerosis and intracranial hypertension. J Neuro- Ophthalmol. 1994;14:189-192.
Language eng
Format video/mp4
Type Image/MovingImage
Source 43rd Annual Frank Walsh Society Meeting
Relation is Part of Case presented at the NANOS 2011 Walsh Session, February 5
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 2011. For further information regarding the rights to this collection, please visit: https://NOVEL.utah.edu/about/copyright
ARK ark:/87278/s60c4znx
Contributor Primary Yoon, Michael
Contributor Secondary McCulley, Timothy
Setname ehsl_novel_fbw
ID 179034
Reference URL https://collections.lib.utah.edu/ark:/87278/s60c4znx