| Identifier |
Parkinson_in_Neuro-Ophtho |
| Title |
Parkinson in Neuro-Ophthalmology |
| Creator |
Andrew G. Lee, MD; David Beckman |
| Affiliation |
(AGL) Chairman, Department of Ophthalmology, The Methodist Hospital, Houston, Texas; Professor of Ophthalmology, Weill Cornell Medicine, New York City, New York; (DB) Baylor College of Medicine, Houston, Texas |
| Subject |
Parkinson's Disease; Parkinson's Sign; Wolff-Parkinson-White Syndrome |
| Description |
Dr. Lee lectures medical students on different Drs. Parkinson who played a role in the development of neuro-ophthalmology. |
| Transcript |
"So, what I want to tell you about is three ways this name Parkinson comes to neuro-ophthalmology. The one you're probably most familiar with is the disease Parkinson's Disease, that is Parkinson the neurologist. Parkinson the neurologist described the disorder that is the primary and most common motor neurodegenerative disorder that we see. It's characterized by that classic pill-rolling tremor and the stooped posture and all the things you know about Parkinson's Disease. The reason you need to know it for neuro-ophthalmology is because it is a motor dysfunction. It presents to me as diplopia, and usually it's from convergence insufficiency exodeviations. The patients are going to say they have no double vision at distance, but they have problems at near with reading. The second thing is they have dry eye. Because of that Parkinsonian stare and the lid retraction and they're not blinking properly because it's a motor disorder, they get dry eye. And then the last thing you need to know about Parkinson's is they don't do well with the bifocal or the progressive lens, and usually that's because their eye movements are a problem. So please don't give these bifocal or multifocal lenses to Parkinson's Disease people. Plus, they get this stooped over posture and they can't move so their glasses start scooting down their nose, and they can't even use the bifocal part. The second Parkinson is not Parkinson's Disease, it is Parkinson's sign. And this Parkinson is a neurosurgeon Parkinson. The neurosurgeon Parkinson described the presence of a Horner syndrome, which is an anisocoria greater in the dark because it's a sympathetic lesion, plus an ipsilateral sixth nerve palsy. And the combination of, say, a right Horner's and a right sixth implicates a lesion in the cavernous sinus on the ipsilateral side. And that is the Parkinson's sign. That is the neurosurgeon Parkinson's. And then we have something that hardly ever would come to ophthalmology because it's a cardiac thing, the Wolff-Parkinson-White syndrome. Wolff-Parkinson-White as you know is a cardiac problem where we are bypassing the AV node because you have an accessory pathway. That accessory pathway is called the Bundle of Kent in the Wolff-Parkinson-White syndrome. And it leads to the bypass of this AV node and leads to premature activation of the ventricle independent of the coordinated effort that's supposed to be in the node. And that Wolff-Parkinson-White is associated with the mitochondrial disease Leber Hereditary Optic Neuropathy. And so we have Wolff-Parkinson-White plus Leber, we call that Leber's plus. There are a number of other pluses that you need to know about with Leber that affect other organ systems, but the one for this particular talk is Wolff-Parkinson-White. And that's the cardiologist Parkinson. So you need to know about the neurology Parkinson, the neurosurgery Parkinson, and the cardiology Parkinson in neuro-ophthalmology." |
| Date |
2022-03 |
| Language |
eng |
| Format |
video/mp4 |
| Type |
Image/MovingImage |
| Collection |
Neuro-Ophthalmology Virtual Education Library: Andrew G. Lee Collection: https://novel.utah.edu/Lee/ |
| Publisher |
North American Neuro-Ophthalmology Society |
| Holding Institution |
Spencer S. Eccles Health Sciences Library, University of Utah |
| Rights Management |
Copyright 2019. For further information regarding the rights to this collection, please visit: https://NOVEL.utah.edu/about/copyright |
| ARK |
ark:/87278/s6x62f0t |
| Setname |
ehsl_novel_lee |
| ID |
1751089 |
| Reference URL |
https://collections.lib.utah.edu/ark:/87278/s6x62f0t |
