Publications by authors named "Charles Rheeman"

2 Publications

  • Page 1 of 1

Resolution of pretibial myxedema with teprotumumab in a patient with Graves disease.

JAAD Case Rep 2020 Dec 15;6(12):1281-1282. Epub 2020 Sep 15.

Department of Dermatology, The Mount Sinai Hospital, New York, New York.

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http://dx.doi.org/10.1016/j.jdcr.2020.09.003DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7701010PMC
December 2020

Delayed presentation of morning glory disc anomaly and transsphenoidal encephalocele: A management dilemma.

Neuroophthalmology 2019 Apr 26;43(2):95-101. Epub 2018 Jun 26.

Department of Neurosurgery, Albany Medical Center, Albany, NY, USA.

Morning glory disc anomaly (MGDA) is a rare developmental abnormality of the optic disc that is associated with many other neurological and vascular conditions. Most cases are diagnosed in childhood. We report a 57-year-old woman who presented to the ophthalmology department for assessment of long-standing poor vision in the left eye and exotropia. Examination showed a left MGDA and bitemporal hemianopsia. These findings prompted magnetic resonance imaging, revealing a transsphenoidal basal meningoencephalocele with herniation of the optic chiasm and inferior hypothalamus into the dural sac. Due to the eloquence of the neurovascular structures it contained, a decision was made not to reduce the meningoencephalocele. Instead, a ventriculoperitoneal shunt was placed. The patient's ophthalmologic examination remained stable over the following year. While rare, MGDA can be first diagnosed in late adulthood and a thorough evaluation should be completed to assess for midline cranial defects, vascular abnormalities, and other associated abnormalities. Patients presenting late in life with basal encephalocele, herniation of the optic chiasm, and bitemporal hemianopsia present a management dilemma. In this case, a ventriculoperitoneal shunt was placed with the intention of lowering intracranial pressure to prevent further herniation and reduce the risk of cerebrospinal fluid leak.
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http://dx.doi.org/10.1080/01658107.2018.1479434DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6619961PMC
April 2019