I Can't See Straight

Update Item Information
Identifier walsh_2015_s4_c4-2
Title I Can't See Straight
Creator Steven A. Newman
Subject MRI imaging; Cystic Intracranial Lesions; Virchow-Robin Spaces
History In May of 2014 this 30 year old right handed patient was referred for consultation regarding diplopiaand dizziness. The patient relates that she had been told that she had tired eyes as a child. Two and ahalf years ago she began to have intermittent exodeviation. She was seen locally and diagnosed ashaving a IV nerve palsy and treated with 2 diopters of base in prism and 2 diopters of base upprism. Six months before her referral she began to complain of double vision. The patient attributed theonset of double vision to a car accident in 2007. On examination visual acuity was correctable to 20/20and 20/25. Color was intact. Visual fields demonstrated an inferior Seidel scotoma on the rightside. There was no afferent pupillary defect. Motility examination revealed severe limitation in up gazeOD > OS with 45 diopters of right exotropia and 12 diopters of right hypotropia. Counter clockwisetorsional nystagmus was noted. Slit lamp examination and applanation tensions were within normallimits. Funduscopic examination revealed no evidence of disc edema or optic atrophy. OCT revealedsome epiretinal surface changes, but no obvious epiretinal membrane. Imaging studies were obtained.
Date 2015-02-22
Language eng
Format application/pdf
Type Text
Source 2015 North American Neuro-Ophthalmology Society Annual Meeting
Relation is Part of NANOS Annual Meeting Frank B. Walsh Sessions; 2015
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 2013. For further information regarding the rights to this collection, please visit: https://NOVEL.utah.edu/about/copyright
ARK ark:/87278/s6qr7tqm
Contributor Primary Leah N. Levi
Contributor Secondary Elizabeth M. Palkovacs
Setname ehsl_novel_fbw
ID 179308
Reference URL https://collections.lib.utah.edu/ark:/87278/s6qr7tqm