Journal article
A 26-Year-Old Woman With Diplopia and Nystagmus
Journal of neuro-ophthalmology, Vol.40(4), pp.533-537
12/2020
DOI: 10.1097/WNO.0000000000000959
PMID: 32441901
Abstract
A 26-year-old woman presented for a routine contact lens evaluation but was found to have a subtle right sixth nerve paresis and adducting nystagmus of the left eye. She reported horizontal diplopia on far right gaze as well as subjective right-sided weakness and poor balance for 1 year. Brain and spinal MRI revealed multiple cystic lesions with variable enhancement throughout the posterior fossa and cervical spinal cord. These MRI findings were highly suspicious for an infectious central nervous system process, such as neurocysticercosis; however, primary or metastatic tumors were also important considerations. Tumor location and imaging characteristics were most helpful in differentiating among these etiologies. A brain biopsy ultimately established the diagnosis of a rosette-forming glioneuronal tumor.
Details
- Title: Subtitle
- A 26-Year-Old Woman With Diplopia and Nystagmus
- Creators
- William J Anderson - Departments of Ophthalmology (WJA, MAG, SMC), Pathology (MAG), and Neurology (SMC), Saint Louis University School of Medicine, St. Louis, Missouri; and Department of Radiology (AS), Washington University School of Medicine, St. Louis, MissouriAseem SharmaMiguel A GuzmanSophia M Chung
- Resource Type
- Journal article
- Publication Details
- Journal of neuro-ophthalmology, Vol.40(4), pp.533-537
- DOI
- 10.1097/WNO.0000000000000959
- PMID
- 32441901
- ISSN
- 1070-8022
- eISSN
- 1536-5166
- Language
- English
- Date published
- 12/2020
- Academic Unit
- Neurology; Ophthalmology and Visual Sciences
- Record Identifier
- 9984111212302771
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