| OCR Text |
Show LlTERATiI/,} /IHST/\/ICTS 259 nedy. "irome, which is dl'iinl..'d ,1S lInil,lll'r,11 optic dtr\'phy with ipsilaterdl ,1IHlsmi,1 ,1Ild l'llntr,llateI'd I pdpilledemd. This syndwnll' W,lS ddilll'd by Fllstl..'r Kennedy in III II ,lS di,lgnllstic lli l'\panding It'sil)Jls ,It the iwnt,ll hlbe, uSlhllly tumllr or absct'ss. TIlt' dinic,ll prl'sl'nt,ltilln in thi~ l\ISl' is ila\\"ed sllml'\\"h,lt ,lS ,1 ll'<ll'hing tlllli bv till' p,ltienfs Illss lli visilln /Ji}alert/ili/. \\"hid1 wlluld m,lJ...e pseudl1-Fl1ster Kennedv nHlrl' likely with p,lSt ,1Ild prest'nt isdwmil' llptic Iwurllp,lthv in the S,lIlll' p,ltient. LI/II A. Set!il'/ck, M.D. Prevention of Classic Migraine Headache by Digital Massage of the Superficial Temporal Arteries during Visual Aura. Lipton SA. AIIII NCIII'ol 1l~Sb;14::;I:;-b (T\1.n·) [Reprint requests to Dr. S. LiptllJ1. The Long\\"llod Area Neuroll1gy Pro~ram, Harvard T\fedic.11 School, Beth Israel and Children's Hllspit.lls. Bllston, MA.] The author's technique consists oi vigorous bilateral compression and massage oi the iron tal branches of the superficial temporal artery usin~ the second and third fin~ers. The author states that this maneuver should be started at the iirst sign of the visual aura and continued until the aura has completely subsided, This technique blocked 3-1 of -12 attacks (81 (/r) in 15 patients. One of the 15 patients underwent a dozen randomized trials of no treatment or digital massage. In the five untreated episodes, the auras were followed by severe headaches. In the seven cases in which digital massage was employed throu~hout the period of the aura, the headaches were prevented. This is an intriguing preliminary report oi a novel method for preventing migraines, which avoids drug therapy and its attendant side eiiects. Waller M. lay, M.D. Improvement of Photostress Recovery Testing after Extracranial-Intracranial Bypass Surgery. Katz B, Weinstein PR. Br I Ophtlral11lo1 19H6; 70:277-280 (Apr). [Reprint reguests to Barrett Katz, M.D., Department of Ophthalmology, UCSD Eye Center (M-018), University of California, La Jolla, CA 92093. J The macular photostress test monitors in a semiglL1ntitive fashion the effect of light on the retina. In this test, the macula is dazzled with a bright light, dnd till' time required for subjectively measurl'd visual acuity to return to prestress levels is l'llmpared with normal recovery times. The authors describe their method of performing the 1l1,11'1I1ar photostrcss test. First, best corrected acuity ior distance is determined. With one eye shielded, the patient looks directly into a handIwld muscle light for 10 s as that light is held 3 cm ffllm the eye. Immediately after the light is remowd, the patient is asked to read test letters one linl' larger than his best acuity, Photostress is recordl:.' d in seconds, with the end point being the capacity to read any three letters of that predetermined line. The procedure is then repeated for the opposite eye. The authors report a patient with carotid occlusive disease who experienced episodes of li~ht-induced amaurosis in an eye with changes of venous stasis retinopathy. Although the macula appeared normal on examination, the macular photostress test was prolonged. After anastomosis of the superficial temporal artery with the middle cerebral artery, the patient's light-induced amaurosis resolved. The macular photostress test also returned to normal. The macular photostress test has primarily been used previouslv in differentiating ..ubtle maculopathy and subdinical optic neuropath\'. The autho~ s demonstrate that it may also ser\'~ as a diag- • <- nostic stress test for the retinal circulation in cases of carotid disease. \Valtcr AI. !at/. M.D. Respiratory Epithelium Lined Cysts Presenting in the Orbit without Associated Mucocele Formation. James CRH, Lyness R, Wright IE iiI ! OJ'h11111/ 11/01 IYl{6;70:3H7-YO (M,l\'). IReprint requests tll Mr. C. R. H. James, MOllrefield E"e Hospit'll, Cit,· Road, Londtln ECI V2PD, England.] The usual pathological wute fllf upper respiratorv tract epithelium tll enll'r tht' orbit is in association with mucocele iorm,1tilln. !\1ucl1Cele.. form a.. a fl'Sldt oi blocJ...,lge oi tht' normal drainage pathway uf ,1 sinus. Incrl'aSt'd pressure, from continuing secretion by the lining of the respiratory epithelium, causes sinus e:\pansion and may eventually bt' associated with ostt'odastic resorption of its bony wall. This allows the t'nlarging respiratory epithelium-lined Cyst to enter the orbit, with ensuing ocular displacement and proptosis. Suc- |
