000			02308nam a22002657a 4500
999			_c11998 _d11998
001			OPH 2020 0003
003			PILC
005			20240720153215.0
008			211020b xxu||||| |||| 00| 0 eng d
040			_beng _cFEU-NRMF MEDICAL LIBRARY _erda
041			_aenglish
050			_aOPH 2020 0003
245			_a"Parinaud syndrome" _b- a case report / _cJulia Mercedes C. Villalva and Miriam Louella D. Fermin.
260			_aFairview, Quezon City: _bDepartment of Ophthalmology, FEU-NRMF, _c2020.
300			_a24 pages: _billustrations, tables, photos; _c(in folder) _ewith flash drive (soft copy).
336			_2rdacontent _atext
337			_2rdamedia _aunmediated
338			_2rdacarrier _avolume
504			_aIncludes bibliographical references.
520			_aAbstract: This is a case of an 11-year old male who presented with progressive headache accompanied by limited upgaze n both eyes. Patient complained of generalized headache, throat pain and low-grade fever, and was diagnosed with Acute Tonsillopharyngitis by his Pediatrician. Analgesics and antibiotics were given which provided temporary relief. Due to persistent headache and an episode of projectile vomiting, patient sought consult to an Ophthalmologist and he was given prescription glasses for Astigmatism, which did not afford relief. Patient was admitted to another institution due to worsening of symptoms. Patients was subsequently discharged as improved with a diagnosis of Urinary Tract Infection. A few days later, another episode of projectile vomiting associated with headache, diplopia and seizure occurred which prompted admission. Significant ophthalmologic findings include non-reactive pupils to direct light and limitation of eye movement on upgaze with nystagmus. MRI with contrast was done and revealed a heterogeneously mass at the pineal region, measuring 37x26x35 mm. An emergency ventriculoperitoneal shunt was done due to another seizure episode. Patient underwent adjuvant radiotherapy, chemotherapy and total mass excision, which revealed a histologic finding of Teratoma. Despite optimal therapy, patient passed away as result of multi-organ failure.
521			_aRESDOP
700			_aVillalva, Julia Mercedes C., MD. _eauthor
700			_aFermin, Miriam Louella D., MD. _eauthor
942			_2lcc _cRU