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Show LITERATURE ABSTRACTS 229 deral) every day produced a remission. We hope that this generally safer therapy will be effective in other patients with this sometimes troubling disorder. Lyn A. Sedwick, M. D. Discrete Metastasis of Solid Tumors to Extraocular Muscles. Capone A Jr, Slamovits TL. Arch Ophthaimol 1990; 108: 237- 43 ( Feb). [ Reprint requests to Dr. T. L. Slamovits, Department of Ophthalmology, Montefiore Medical Center, Albert Einstein College of Medicine, 111 E. 210th St., Bronx, NY 10467.] The authors report five patients with extraocular muscle metastases; in two patients these metastases were the first indications of the cancers. Pain, diplopia, and proptosis were common. Computerized tomographic scanning disclosed discrete masses in the muscles in three, and diffuse enlargement including the tendinous insertion in two. In this series, cancers causing this rarely reported type of metastasis were breast, gastric adenocarcinoma, renal cell, cutaneous malignant melanoma, and neuroendocrine carcinoma of the skin. Lyn A. Sedwick, M. D. Familial Hemifacial Spasm. Carter JB, Patrinely JR, Jankovic J, McCrary JA III, Boniuk M. Arch Ophthalmol 1990; 108: 249- 50 ( Feb). [ Reprint requests to Dr. J. R. Patrinely, 6501 Fannin NC200, Houston, TX 77030.] Three males in successive generations of one family developed left- sided hemifacial spasm. The proband had a vetebral artery anomaly near the facial nerve on magnetic resonance scanning. The authors advise that autosomal dominant inheritance be considered in hemifacial spasm patients, especially if the onset is at a relatively young age. Lyn A. Sedwick, M. D. The Ocular Manifestations of Syphilis in the Human Immunodeficiency Virus Type I- Infected Host. McLeish WM, Pulido JS, Holland S, Culbert-son WW, Winward K. Ophthalmology 1990; 97: 196203 ( Feb). [ Reprint requests to Dr. J. S. Pulido, Department of Ophthalmology, University of Iowa Hospitals and Clinics, Iowa City, IA 52242.] The authors report nine patients with ocular or optic nerve inflammatory disease associated with positive treponeme- specific serum serology and human immunodeficiency virus type- 1 ( HIV- 1) infection. In one patient with neurosyphilis, serum rapid plasma reagin ( RPR) was consistently negative. This and other aspects of their patients' disease courses led the authors to conclude, as have others in the literature, that the association of HIV1 infection with syphilis alters the natural history of the latter. Lyn A. Sedwick, M. D. Orbital Varis Thrombosis. Bullock JD, Goldberg SH, Connelly PJ. Ophthalmology 1990; 97: 251- 6 ( Feb). [ Reprint requests to Dr. J. D. Bullock, Department of Ophthalmology, Wright State University School of Medicine, Suite 250, Plumwood Bldg., 5 Plumwood Rd., Dayton, OH 45409.] Three patients with sudden thrombosis of orbital varix are described. In two, computerized tomographic features resembled cavernous hemangioma. The possible pathophysiology of thrombosis in these lesions is discussed. Lyn A. Sedwick, M. D. A Clinicopathologic Study of Three Carcinoid Tumors Metastatic to the Orbit. Immunohistochemical, Ultrastructural, and DNA Flow Cytometric Studies. Shetlar OJ, Font RL, Ordonez N, ElNaggar A, Bonuik M. Ophthalmology 1990; 97: 25764 ( Feb). [ Reprint requests to Dr. R. L. Font, Ophthalmic Pathology Laboratory, Cullen Eye Institute, Baylor College of Medicine, One Baylor Plaza, Houston, TX 77030.] The authors describe three patients with carcinoid tumor metastastic to orbit and include clinical photographs, computerized tomographic pictures, and color histologic sections. In an easily perused table, they review the literature on this rather rare orbital metastasis. Lyn A. Sedwick, M. D. J Clin Neuro- ophtlullmol, Vol. 10, No. 3, 1990 |