WHAT?!? (PowerPoint)

Headache; Nausea; Blurred vision OS; VertigoA 49-year old man with a 3-week history of headache, nausea and bluured vision OD, followed by 2 days of vertigo and hearing loss. Previous history significant for obesity, obstructive sleep apnea, amblyopia OD, LASIK OS and a 10-year history of vertigo.VA: 20/200 OD (amblyopic eye)), 20/50 OS; RADP OSMRIAtypical monomorphic large mononuclear cells with vesicular nuclei suggestive of myeloid sarcoma.Immunosupressive agents; Anticoagulants; Stem-cell transplant; Antineoplastic agents1. Jacobson DM. Intracranial hypertension and the syndrome of acquired hyperopia with choroidal folds. J Neuroopthalmol 15: 178-185, 1995. 2. Griebel SR, Kosmorsy GS. Choroidal folds associated with increased intracranial pressure. Am J Ophthalmol. 129:513-516,2000. 3. Andres E, Kurtz JE, Maloisel F, Dufour P. Otological manifestations of acute leukemia: report of two cases and review of the literature. Clin Lab Haematol. 23: 57-60, 2001. 4. Gokcan MK, Batikhan H, Calguner M, Tatargasi AL. Unilateral hearing loss as a presenting manifestation of granulocytic sarcoma (chloroma). Otol Neurotol. 27: 106-109, 2006