A Difficult Bug to Swallow

Update Item Information
Identifier walsh_2013_s2_c5
Title A Difficult Bug to Swallow
Creator Kenneth Lao, Blake A. Isernhagen, R. Michael Siatkowski
Subject Orbital Apex; Metastatic Disease; Ophthalmoplegia
History Non-insulin dependent diabetes mellitus, hypertension, and a right ventricular thrombus.
Disease/Diagnosis Esophageal Adenocarcinoma with metastasis to the left orbital apex
Clinical Visual acuities of 20/25 in his right eye and no light perception in his left eye. Pupil exam revealed a 3mm pupil on the right that reacted briskly to light and accommodation without an afferent pupillary defect. The left pupil was 5mm and did not react to light or accommodation and had an afferent pupillary defect. Posterior extent of the left optic nerve showed evidence of infiltration by the lesion with coinciding edema.
Presenting Symptom A 54 year-old white male presented to the emergency room with a one month history of progressive binocular diplopia and a one week history of painless loss of vision in his left eye.
Neuroimaging CT Scan; PET Scan
Date 2013-02-10
References Attached
Language eng
Format application/pdf
Type Text
Source 45th Annual Frank Walsh Society Meeting
Relation is Part of Case presented at the NANOS 2013 Walsh Session, February 10
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), Copyright 2013. For further information regarding the rights to this collection, please visit http://library.med.utah.edu/NOVEL
ARK ark:/87278/s6c856wq
Contributor Primary Kedar, Sachin
Contributor Secondary Rucker, Janet C
Setname ehsl_novel_fbw
ID 179156
Reference URL https://collections.lib.utah.edu/ark:/87278/s6c856wq