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TitleCreatorDescriptionSubject
1 Central/Branch Retinal Artery Occlusion (PowerPoint)AAO/NANOS - American Academy of Ophthalmology / North American Neuro-Ophthalmology SocietyOcclusion of a branch or central retinal artery may result in acute visual loss. The ophthalmoscopic findings are retinal whitening due to ischemic retina in the distribution of the occluded artery. Sparing or selective involvement of cilioretinal artery branches may occur. Patients with a central r...Central/Branch Retinal Artery Occlusion
2 Chest CT Thymoma (Guest Lecture)Robert A. Novelline, MDThe patient is a 46 year old woman who presented in July 1977 with horizontal double vision lasting two weeks. Three weeks later the left upper eyelid started to droop and by the end of the day the eye was closed. She had no ptosis of the right eye and no generalized fatigue. She consulted an intern...Unilateral Ptosis; Unilateral Lid Retraction; Myasthenic Lid Twitch; External Ophthalmoplegia; Ocular Myasthenia Gravis; Tensilon Test; Thymolipoma; Generalized Myasthenia Gravis; Unilateral Myasthenia Gravis; Myasthenic Ptosis; Lid Retraction; Lid Twitch
3 Chiasmal Herniation (PowerPoint)AAO/NANOS - American Academy of Ophthalmology / North American Neuro-Ophthalmology SocietyThis woman was 61 years old when she underwent initial neuro-ophthalmologic evaluation. Twenty-three years earlier, she had undergone removal of a pituitary adenoma followed by radiation therapy. At that time, she had noted a preoperative visual field defect that improved somewhat after the surgery....Chiasmal Herniation
4 Evolution of Optociliary Veins with Perioptic Nerve SheathWilliam F. Hoyt, PhDSeries of images showing progression of disc swelling and macular degeneration. Pathology: Optociliary Vein. Disease/Diagnosis: Perioptic nerve sheath meningioma evolution. Clinical notes: Visual Loss.Optic Disc Atrophy with Special Features; Optociliary Veins; Shunt Vessels (Meningioma)
5 Exposed Drusen (PowerPoint)William F. Hoyt, PhDPP25a: Left eye: Severe visual field defect. PP25b: right eye with exposed drusen and field loss: visual field defects; PP25c: right eye visual field PP25d: left eye visual field.Pseudopapilledema; Exposed Drusen
6 Brain MRI in Multiple Sclerosis (Guest Lecture)Anne G. Osborn, MDThe patient is a 25 year old woman who was in excellent health until 4 days prior to admission when she noted blurred vision and horizontal double vision on lateral gaze to right and left. Past History: Negative for strabismus as a child. No previous episodes of transient neurological symptoms. Fami...Bilateral Internuclear Ophthalmoplegia; Abducting Nystagmus; Normal Convergence; Gaze Evoked Upbeat Nystagmus; Gaze Evoked Downbeat Nystagmus; Saccadic Dysmetria; Multiple Sclerosis; Horizontal Saccadic Dysmetria
7 Pendular Vertical OscillationsShirley H. Wray, MD, PhD, FRCPSee also: http://content.lib.utah.edu/cdm/ref/collection/ehsl-shw/id/68, http://content.lib.utah.edu/cdm/ref/collection/ehsl-shw/id/247, http://content.lib.utah.edu/cdm/ref/collection/ehsl-shw/id/111, http://content.lib.utah.edu/cdm/ref/collection/ehsl-shw/id/312, http://content.lib.utah.edu/cdm/ref...Palatal Tremor (Myoclonus); Pendular Vertical Oscillations; Unilateral Horizontal Gaze Palsy; Facial Palsy; Pontine Infarct; Degenerative Hypertrophy of the Inferior Olivary Nucleus; Lesion in the Guillain-Mollaret Triangle; Oculopalatal Myoclonus; Oculopalatal Tremor Lid Nystagmus; Bilater...
8 Paraneoplastic Upbeat NystagmusShirley H. Wray, MD, PhD, FRCPThis 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 ...Upbeat Nystagmus; Lid Nystagmus; Square Wave Jerks (Saccadic Oscillations); Saccadic Dysmetria; Saccadic Pursuit; Paraneoplastic Syndrome; Paraneoplastic Upbeat Nystagmus; Pancreatic Endocrine Carcinoma; Anti-Hu - Associated Paraneoplastic Encephalitis
9 One and a Half SyndromeShirley H. Wray, MD, PhD, FRCPThis 44 year old woman presented in 1973 with an acute attack of optic neuritis in the right eye that fully recovered after a course of ACTH therapy. In 1991, 18 years later, she developed unsteadiness of gait, "walking like a chicken", stiff legs that jerked spontaneously in bed at night, and numbn...Unilateral Internuclear Ophthalmoplegia; Unilateral Horizontal Gaze Palsy; Upbeat Nystagmus on Upgaze; Convergence Normal; Fisher's One-and-a-Half Syndrome; Uhthoff's Symptom; Multiple Sclerosis; Unilateral Horizontal Gaze Palsy Demyelination; Gaze Evoked Upbeat Nystagmus; Abducting Nystagmus
10 Pendular OscillationsShirley H. Wray, MD, PhD, FRCPThis 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. Neur...Pendular Horizontal Oscillations; Left Beating Nystagmus; Obtrusive Saccades; Bilateral Gaze Evoked Nystagmus; Saccadic Dysmetria; Oscillopsia; Titubation; Ataxia; Multiple Sclerosis; Primary Position Horizontal Nystagmus; Gaze Evoked Horizontal Nystagmus; Horizontal Saccadic Dysmetria
11 LateropulsionShirley H. Wray, MD, PhD, FRCPThis 60 year old patient has Wallenberg's syndrome due to infarction of the left dorsolateral medulla. Wallenberg's syndrome is the best recognized syndrome involving the vestibular nuclei and adjacent structures. Unilateral infarcts affecting the vestibular nuclei may produce an oculomotor imbalanc...Deviation of the Eyes Under Closed Lids; Lateropulsion; Dorsolateral Medullary Infarction; Medulla Infarct
12 Alcoholic Cerebellar DegenerationShirley H. Wray, MD, PhD, FRCPThe patient is a 72 year old woman who presented with a 4 year history of progressive difficulty with balance, frequent falls and unsteadiness walking. She required a cane to steady herself. Past History: Significant for alcohol abuse. In 1980, she came to Boston for a second opinion and was seen in...Square Wave Jerks; Dysmetria; Horizontal Saccadic Hypermetria; Horizontal Gaze Evoked Nystagmus; Saccadic Pursuit; Gait Ataxia; Alcoholic Cerebellar Degeneration; Gaze Evoked Horizontal Nystagmus; Horizontal Saccadic Dysmetria; Alcohol
13 Saccades and Saccadic OscillationsShirley H. Wray, MD, PhD, FRCPA PowerPoint slideshow demonstrating normal eye movements.Normal Eye Movements
14 Convergence InsufficiencyShirley H. Wray, MD, PhD, FRCPA PowerPoint slideshow describing the condition.Basal Ganglia; Blepharoclonus; Convergence Insufficiency; Parkinson's Disease- Dopamine deficiency; Saccadic Breakdown of Smooth Pursuit; Slow Hypometric Horizontal Saccades; Slow Hypometric Saccades
15 Congenital Horizontal Gaze Palsy Progressive ScoliosisShirley H. Wray, MD, PhD, FRCPA PowerPoint slideshow describing the condition.Congenital Cranial Disinnervation Syndrome; Congenital Horizontal Gaze Palsy; Mutation of the ROBO 3 Gene on Chromosome 11q23-q25; Progressive Scoliosis
16 Paraneoplastic OpsocolonusShirley H. Wray, MD, PhD, FRCPA PowerPoint slideshow describing the condition.Adenocarcinoma of the Breast; Anti-Ri Antibody; Ocular Flutter; Opsoclonus; Oscillopsia; Paraneoplastic Cerebellar Syndrome; Paraneoplastic Ocular Flutter; Paraneoplastic Opsoclonus; Saccadic Oscillations
17 Parasellar MeningiomaShirley H. Wray, MD, PhD, FRCPA PowerPoint slideshow describing the condition.Aberrant Reinnervation of the Third Nerve; Cavernous Sinus Syndrome; Oculomotor Nerve; Parasellar Meningioma; Ptosis; Third Nerve Palsy; Unilateral Oculomotor Third Nerve Palsy; Unilateral Third Nerve Palsy
18 Parkinson's DiseaseShirley H. Wray, MD, PhD, FRCPA PowerPoint slideshow describing the condition.Blepharoclonus; Convergence Insufficiency; Parkinson's Disease- Dopamine Deficiency; Saccadic Breakdown of Smooth Pursuit; Slow Hypometric Horizontal Saccades
19 Myasthenia ThymomaShirley H. Wray, MD, PhD, FRCPA PowerPoint slideshow describing the condition.External Ophthalmoplegia; Generalized Myasthenia Gravis; Myasthenic Lid Twitch; Ocular Myasthenia Gravis; Tensilon Test; Thymolipoma; Unilateral Lid Retraction; Unilateral Myasthenia Gravis; Unilateral Ptosis
20 NeuroblastomaShirley H. Wray, MD, PhD, FRCPPowerPoint slideshow describing the condition.Ataxia; Downbeat Nystagmus; Neuroblastoma; Paraneoplastic Downbeat Nystagmus; Paraneoplastic Opsoclonus; Primary Position Downbeat Nystagmus
21 Palatal TremorShirley H. Wray, MD, PhD, FRCPA PowerPoint slideshow describing the condition.Bilateral Horizontal Gaze Palsy Hemorrhage; Bilateral Horizontal Gaze Palsy; Bilateral Lid Nystagmus; Bilateral Sixth Nerve Palsy; Brainstem Infarct; Degenerative Hypertrophy of the Inferior Olivary Nucleus; Facial Palsy; Facial Weakness; Lesion in the Guillain - Mollaret Triangle; Lid Nystagmus; O...
22 Frontotemporal DementiaShirley H. Wray, MD, PhD, FRCPA PowerPoint slideshow describing the condition.Acquired Ocular Motor Apraxia; Acquired Oculomotor Apraxia; CNS Degeneration; Complete paralysis of Voluntary Horizontal Saccades on Command to Look Left; Frontotemporal Dementia; Impaired Pursuit; Inability to Make a Refixation Saccade on Command to a Target Held on the Left; Normal Voluntary Hori...
23 Chiari-I MalformationShirley H. Wray, MD, PhD, FRCPA PowerPoint slideshow describing the condition.Ataxia; Chiari-1 Malformation; Downbeat Nystagmus; Dysmetria; Horizontal Saccadic Dysmetria; Lid Nystagmus; Oscillopsia; Primary Position Downbeat Nystagmus; Vertical Saccadic Dysmetria
24 Anterior Ischemic Optic Neuropathy (PowerPoint)AAO/NANOS - American Academy of Ophthalmology / North American Neuro-Ophthalmology SocietyThe patient is a 62-year-old female who presented in August 1996 with visual loss OD that she first noted as loss of her superior field in May 1996. She felt that it had been static since, and perhaps was even a little better in the week before she was seen. There was no pain, even with ocular rotat...Nonarteritic Ischemic Optic Neuropathy ; Anterior Ischemic Optic Neuropathy
25 Temporal Arteritis (PowerPoint)AAO/NANOS - American Academy of Ophthalmology / North American Neuro-Ophthalmology SocietyThis 74-year-old asthmatic male had acute visual loss OS while watching the Super Bowl in 1994. He was seen the next day by a retina specialist, who noted that his optic disc was normal and referred the patient to a neuro-ophthalmologist, who evaluated him about 40 hours after his visual loss. He wa...Temporal Arteritis
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