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Title | History | Type |
51 |
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Palatal Tremor | | Text |
52 |
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Paraneoplastic Ocular Flutter | The patient is a 58 year old woman with known hypertension. In 1994, two weeks prior to admission she had a dramatic change in behavior with insomnia, agitation and depression. This was accompanied by "ringing of hands and anxiety for no apparent reason". She became anorexic, lost 15 pounds ... | Text |
53 |
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Paraneoplastic Opsocolonus | This patient is the index case of the Anti-Ri antibody, published in Annals of Neurology in 1988 (4). The Anti-Ri antibody is recognized to be a paraneoplastic marker in patients with breast and gynecological malignancies (10). The history of this case is particularly important because she was in... | Text |
54 |
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Paraneoplastic Upbeat Nystagmus | This case was presented to the Clinical Eye Movement Society at the American Neurological Association Meeting in October 2009. The patient is a 65 year old woman who was in good health until seven weeks prior to admission. On June 22/09 on the return flight from her daughter's wedding in Oregon she ... | Text |
55 |
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Parasellar Meningioma | This patient is a 58 year old woman from Peru who, in 1975, developed intermittent headaches and right retro-orbital eye pain. She was seen by several ophthalmologists in South America who were unable to make a diagnosis. In March 1977 she awoke one morning with vertical diplopia most marked on... | Text |
56 |
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Parkinson's Disease | | Text |
57 |
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Parkinson's Disease (Guest Lecture) | | Text |
58 |
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Pendular Oscillations | This 37 year old woman has had progressive multiple sclerosis (MS) affecting the cerebellum and brainstem for 6 years. Neurological examination: Titubation Dysarthria Incoordination of the extremities Ataxic gait Spastic paraparesis with generalized hyperreflexia and extensor plantar responses. ... | Text |
59 |
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Pendular Vertical Oscillations | | Text |
60 |
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Pontine Infarction | The patient is a 62 year old right handed man, status post myocardial infarction in 1989 and on Coumadin. In 1993 he presented with a history of three separate TIAs 1. Instantaneous perioral tingling and/or numbness lasting less than 1 minute. 2. Episodic numbness of the right hand and foot lasti... | Text |
61 |
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Progressive External Ophthalmoplegia | | Text |
62 |
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Progressive Supranuclear Palsy | | Text |
63 |
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Saccades (Guest Lecture) | | Text |
64 |
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Selective saccadic palsy | This case is published courtesy of Scott D.Z. Eggers, M.D., Department of Neurology, Mayo Clinic College of Medicine (1). The patient is a healthy 50 year old woman who underwent otherwise uncomplicated aortic valve replacement for an incidentally discovered ascending aortic aneurysm. Upon awakeni... | Text |
65 |
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Supranuclear Paralysis of Downgaze | John Trojanowski and I published this case in Neurology in 1980.(12) At that time, it was one of the first of five reports in the literature of the pathological localization of lesions in the midbrain that are responsible for selective supranuclear paralysis of downgaze. This case is of particula... | Text |
66 |
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Supranuclear Paralysis of Vertical Gaze | This case was presented to the Clinical Eye Movement Society at the American Neurological Association Meeting in October 2007. The patient is a healthy, 36 year old Lieutenant Commander in the Coast Guard who was last seen perfectly well at 2 a.m. on the day of admission. He awoke in the morning ... | Text |
67 |
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Tauopathies (Guest Lecture) | A contemporary way to consider a set of neurodegenerative diseases based on their molecular signature. | Text |
68 |
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Thalamic Infarct | The patient is a 64 year old man with no major past medical history who, on the day of admission, suddenly developed loss of vision in both eyes and then was unable to open his eyes on his own unless he used his hands. Holding his eyelids open his vision was very blurry. Within minutes he lost con... | Text |
69 |
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Thalamic Stroke and Disordered Sleep (Guest Lecture) | | Text |
70 |
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Third Nerve Palsy | The patient is a 50 year old man with Type II Diabetes who presented to an outside hospital in September 1996 with ptosis and an inability to open the right eye. Five months prior to admission (PTA), he had flu-like symptoms with mild fever, sinus congestion and diffuse myalgia in the chest, abdo... | Text |
71 |
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Thyroid Associated Orbitopathy | The classical eye signs of thyroid associated ophthalmopathy (TAO) of Graves' Disease is illustrated by case ID925-4. This 50 year old woman with TAO is included in the collection because she illustrates very well lid lag (persistent elevation of the upper eyelid in downgaze) - von Graefe sign E... | Text |
72 |
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Transient Monocular Blindness (Guest Lecture) | The patient is a 61 year old lawyer who carried a diagnoses of late onset diabetes mellitus, hypertension, hyperlipidemia, and glaucoma. He presented with transient blurred vision in his left eye (OS) In June 1989 whilst standing in the intense sunlight in the parking lot of a shopping mall, the p... | Text |
73 |
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Upbeat Nystagmus | The patient, a 36 year old Italian, presented in October 1967, at the age of 27, with acute dizziness and ataxia. He was evaluated in Rome. A pneumoencephalogram showed hydrocephalus, attributed to arachnoiditis, and a ventriculo-atrial shunt was placed. Three months post shunt placement he ... | Text |
74 |
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Visual Neglect | | Text |
75 |
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Whipple's Disease (Guest Lecture) | The patient is a 44 year old woman with a past history of ethanol abuse. She was transferred to the Massachusetts General Hospital (MGH) on 3/10/93 for evaluation of memory impairment, hypothalamic dysfunction and a one month history of diplopia and ataxia. In February 1992 (13 months PTA), she ... | Text |