Ocular Motor Signs in Progressive Supranuclear Palsy (PSP)

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Identifier Ocular_Motor_Signs_in_PSP
Title Ocular Motor Signs in Progressive Supranuclear Palsy (PSP)
Alternative Title Video 5.31 Common ocular motor and neurologic signs in progressive supranuclear palsy (PSP) from Neuro-Ophthalmology and Neuro-Otology Textbook
Creator Daniel R. Gold, DO
Affiliation (DRG) Departments of Neurology, Ophthalmology, Neurosurgery, Otolaryngology - Head & Neck Surgery, Emergency Medicine, and Medicine, The Johns Hopkins School of Medicine, Baltimore, Maryland
Subject Abnormal Pursuit; Abnormal Range; Upgaze Palsy; Downgaze Palsy; Mesencephalon; Square Wave Jerks
Description 𝗢𝗿𝗶𝗴𝗶𝗻𝗮𝗹 𝗗𝗲𝘀𝗰𝗿𝗶𝗽𝘁𝗶𝗼𝗻: This is a 65-yo-woman complaining of imbalance and double vision. She had significant convergence insufficiency (and would close her right eye with near viewing), providing an explanation for her diplopia. Convergence insufficiency is very common with parkinsonism. She had bradykinesia and rigidity, and given a supranuclear vertical gaze disorder, she was subsequently diagnosed with progressive supranuclear palsy (PSP). She had a variety of commonly-seen ocular motor findings on her exam including improved vertical gaze with the vestibulo-ocular reflex, saccadic (choppy) smooth pursuit and VOR suppression, hypometric horizontal saccades, square wave jerks, and she demonstrated other typical signs of PSP including astonished facies with eyelid retraction, procerus sign, and the applause sign. 𝗡𝗲𝘂𝗿𝗼-𝗼𝗽𝗵𝘁𝗵𝗮𝗹𝗺𝗼𝗹𝗼𝗴𝘆 𝗮𝗻𝗱 𝗡𝗲𝘂𝗿𝗼-𝗼𝘁𝗼𝗹𝗼𝗴𝘆 𝗧𝗲𝘅𝘁𝗯𝗼𝗼𝗸 𝗟𝗲𝗴𝗲𝗻𝗱: Seen in this video are convergence insufficiency (frequent closure of the right eye to minimize diplopia), supranuclear gaze palsy (with sparing of the vertical vestibulo-ocular reflex), saccadic smooth pursuit and VOR suppression, hypometric horizontal saccades, square wave jerks, astonished facies with eyelid retraction, procerus sign, and the applause sign. https://collections.lib.utah.edu/ark:/87278/s60p4nv0
Date 2017
Language eng
Format video/mp4
Type Image/MovingImage
Collection Neuro-Ophthalmology Virtual Education Library: Dan Gold Neuro-Ophthalmology Collection: https://novel.utah.edu/Gold/
Publisher North American Neuro-Ophthalmology Society
Holding Institution Spencer S. Eccles Health Sciences Library, University of Utah, 10 N 1900 E SLC, UT 84112-5890
Rights Management Copyright 2016. For further information regarding the rights to this collection, please visit: https://NOVEL.utah.edu/about/copyright
ARK ark:/87278/s60p4nv0
Setname ehsl_novel_gold
ID 1213440
Reference URL https://collections.lib.utah.edu/ark:/87278/s60p4nv0
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