Rectifying the Apposite Diagnosis (PowerPoint)

Progressive balance difficulties; Bilateral hearing loss; Loss of vision ODA 65-year old male with a 6 week history of progressive balance difficulties, bilateral hearing loss and loss of vision OD. Previous history significant for hypertension and rectal cancer Tx surgery, antineoplastic agents and XRT.VA: HM OD, 20/25 OS; RAPD ODMRICerebellopontine mas lesion showing signet ring adenocarcinoma.Steroids1. Hayreh SS, Podhajsky P, Zimmerman MB. Ocular and optic nerve head ischemic disorders and hearing loss. Am J Ophthalmol 1999;128:606-611. 2. Kramer MR, Nesher G, Sonnenblick M. Steroid-responsive hearing loss in temporal arteritis. J Laryngol Otol. 1988;102:524-5. 3. Wolfovitz E, Levy Y, Brook JG. Sudden deafness in a patient with temporal arteritis. J Rheumatol. 1987;14:384-5. 4. Jayson GC, Howell A. Carcinomatous meningitis in solid tumors. Ann Oncol 1996; 7:773-786. 5. Giglio P, Weinberg JS, Forman AD, Wolff R, Groves MD. Neoplastic meningitis in patients with adenocarcinoma of the gastrointestinal tract. Cancer 2005;103:2355-62