Posterior Fossa Lesions

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Identifier NOVEL_Cogan_1-2
Title Posterior Fossa Lesions
Subject Posterior Cranial Fossa
Description Presenting Symptoms: Incoordination of fingers and leg; slurring of voice. 7/26/79: 57 year old male whose difficulty began in 1973 with gait disturbance and incoordination of hand; progressive to date with scanning speech. Present visual complaint is movement of object in environment to side gaze when shifting gaze from right to left. Illustrated movement is in the direction of gaze; has had to give up driving because of this. Family History: Father had unsteady gait and probably had the same entity but he died of kidney infection. One paternal cousin has same difficulty as patient and one brother has diagnosis as multiple sclerosis. Exam: considerable adiadokinesia (more on right side). Slight nystagmus. on lateral gaze to either side and minimal vertical nystagmus on up gaze +++ dysmetria horizontal to either side (probably accounts for illustrative movement) and on down gaze but not on up gz. Pursuit movement saccadic and poor vestibular suppression. Poor horizontal optikokinetic response but good vertical optikokinetic may be better to rt (tho' poor) than to left. Impression: Pure cerebellar signs although patient was referred to as a extrapyramidal syndrome. Anatomy: Posterior cranial fossa. Pathology: Lesions of posterior cranial fossa. Disease/ Diagnosis: Posterior Fossa Lesions
Creator David G. Cogan, MD (1908-1993), Former Director of Ophthalmology, National Eye Institute
Contributor Primary Fred C. Chu
Contributor Secondary U.S. Department of Health and Human Services. National Institutes of Health. National Eye Institute
Publisher Spencer S. Eccles Health Sciences Library, University of Utah
Date 1980; 1989
Type Image/MovingImage
Format video/mp4
Source 3/4" Umatic master videotape
Relation is Part of David G. Cogan Collection
Rights Management Copyright 2008. For further information regarding the rights to this collection, please visit:
Holding Institution Spencer S. Eccles Health Sciences Library, University of Utah, 10 N 1900 E, SLC, UT 84112-5890
Collection Neuro-ophthalmology Virtual Education Library: NOVEL
Language eng
ARK ark:/87278/s6sx6fw8
Setname ehsl_novel_dgc
Date Created 2006-02-22
Date Modified 2021-08-24
ID 177187
Reference URL
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