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Filters: Date: "2002" Collection: "ehsl_novel_novel"
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TitleCreatorDescriptionSubject
26 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
27 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
28 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
29 Optic Neuropathy with Sinus Disease (PowerPoint)AAO/NANOS - American Academy of Ophthalmology / North American Neuro-Ophthalmology SocietyThe patient is a 66-year-old man with a history of ethanol abuse. He presented with 3 months of right-sided headache and a few days of progressive visual loss OD to hand motions only. When seen by the orbital service, he had nearly complete ophthalmoplegia and ptosis. Sinus biopsy showed fungus, whi...Optic Neuropathy with Sinus Disease
30 Histiocytosis (PowerPoint)AAO/NANOS - American Academy of Ophthalmology / North American Neuro-Ophthalmology SocietyThis 1-year-old child with familial erythrophagocytic lymphohistiocytosis was readmitted with a fever and was noted to have bilateral blindness. The spinal tap showed a protein of 148, with 178 WBC with 98% ""lymphocytes."" This image demonstrates the optic nerve infiltration. He was treated with ra...Optic Nerve Histiocytosis; Histiocytosis
31 Orbital Tumors - Choroidal Folds From Orbital Mass (PowerPoint)AAO/NANOS - American Academy of Ophthalmology / North American Neuro-Ophthalmology SocietyThis 30-year-old man had a retrobulbar intraconal mass OS. The CT scans showed a heterogeneous lobulated enhancing mass, 2.2 x 1.9 x 1.8 cm. The case beautifully exhibits chorodial folds. The ultrasound showed internal reflectivity. The patient refused surgery.Choroidal Folds from Orbital Mass
32 Moyamoya Disease (PowerPoint)AAO/NANOS - American Academy of Ophthalmology / North American Neuro-Ophthalmology SocietyThis 32-year-old woman was referred with a history of 4 days of loss of vision OD. She had a history of manic depressive illness and IV drug abuse; she had been HIV tested 4 weeks before and was negative. She said she last injected cocaine 5 days before being seen, the night before she awoke with th...Saturday Night Retinopathy; Moyamoya Disease
33 Saturday Night Retinopathy (PowerPoint)AAO/NANOS - American Academy of Ophthalmology / North American Neuro-Ophthalmology SocietyThis 32-year-old woman was referred with a history of 4 days of loss of vision OD. She had a history of manic depressive illness and IV drug abuse; she had been HIV tested 4 weeks before and was negative. She said she last injected cocaine 5 days before being seen, the night before she awoke with th...Saturday Night Retinopathy
34 Moyamoya Syndrome (PowerPoint)AAO/NANOS - American Academy of Ophthalmology / North American Neuro-Ophthalmology SocietyA 9-year-old boy had recurrent ischemic episodes that had begun 2 years prior to evaluation. A significant right hemiparesis and a significant speech, learning, and memory disorder were present. His noncontrast axial view CT scan demonstrated multiple cerebral infarcts. Cerebral angiography revealed...Moyamoya Disease; Moyamoya Syndrome
35 Periphlebitis in Optic Neuritis (PowerPoint)AAO/NANOS - American Academy of Ophthalmology / North American Neuro-Ophthalmology SocietyThis 35-year-old otherwise-healthy woman developed typical optic neuritis OD with excellent recovery. She had no clinical evidence of multiple sclerosis at that time. She presented in August of 1991, at which time perivenous sheathing was seen in the retinal periphery OU. A limited workup was negati...Periphlebitis in Optic Neuritis
36 Third Nerve PalsyShirley H. Wray, MD, PhD, FRCPThe 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, abdomen...Ptosis; Unilateral Third Nerve Palsy; Oculomotor Nerve; Meningovascular Syphilis; Heubner's Arteritis; Unilateral Oculomotor Third Nerve Palsy; Third Nerve Microinfarct; Fascicular Third Nerve Palsy
37 Systemic Disorders With Optic Nerve and Retinal FindingsAAO/NANOS - American Academy of Ophthalmology / North American Neuro-Ophthalmology SocietyA 42-year old woman presented with a history of severe brow pain and 4 days of progressive visual loss OD. There was no increased pain on ocular rotation. Aside from heavy menses, she denied any significant past medical history. Her examination revealed acuity NLP OD, 20/25 OS; color vision 9/10 OS;...Syphilis
38 Lid Lag (PPT)Shirley H. Wray, MD, PhD, FRCPThe 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 Eyeli...Lid Lag; Bilateral Exophthalmos; Restrictive Orbitopathy of Graves' Disease
39 Visual NeglectShirley H. Wray, MD, PhD, FRCPThe patient following infarction of the non-dominant right parietal lobe has visual hemi-neglect on the left. Review: (ref 2) Patient's with hemi-neglect ignore or fail to attend to stimuli on the side of space contralateral to their lesion. Neglect can be multimodal in that all stimuli whether audi...Impaired Initiation of Horizontal Saccades to the Left; Deviation of the Eyes to the Left Under Closed Eyelids; Normal Pursuit Eye Movements; Parietal Lobe Infarct; Visual Neglect
40 Thyroid Associated Orbitopathy (TAO) (PPT)Shirley H. Wray, MD, PhD, FRCPThis 71 year old woman (Wray case 925-4) was referred with bilateral optic neuropathy and thyroid associated ophthalmopathy (TAO) of Graves' Disease. She had been treated for primary hyperthyroidism on three occasions with radioactive iodine and was taking Tapazole 5 mg daily. Neuro-ophthalmological...Bilateral Lid Retraction; Lid Lag; Bilateral Exophthalmus; Restrictive Orbitopathy of Graves' Disease; Lid Retraction; Thyroid Orbitopathy; Restriction Syndromes; Thyroid Eye Disease; Thyroid-Associated Ophthalmopathy; Blow-Out Fracture
41 Familial Amyotrophic Lateral SclerosisShirley H. Wray, MD, PhD, FRCPThis 58 year old woman was referred to Dr. Robert Brown in March 1995 for evaluation of slurred speech. She remained under his care until her death. On examination she had signs of a pseudobulbar palsy: Dysarthria and dysphagia Diminished palatal movement with positive gag bilaterally Diminished rap...Supranuclear Paralysis of Up and Downgaze Degeneration; Convergence Insufficiency; Slow Hypometric Horizontal Saccades;; Saccadic Breakdown of Horizontal Pursuit; Bulbar Palsy; Familial Amyotrophic Lateral Sclerosis; Lou Gehrig's Disease; CNS -Degeneration; Superoxide Dismutase (SOD1) Gene
42 Chest CT: ThymomaRobert A. Novelline, MDSlideshow describing condition.External Ophthalmoplegia; Generalized Myasthenia Gravis; Myasthenic Lid Twitch; Ocular Myasthenia Gravis; Tensilon Test; Thymolipoma; Unilateral Lid Retraction; Unilateral Myasthenia Gravis; Unilateral Ptosis
43 Paraneoplastic Disease (PowerPoint)AAO/NANOS - American Academy of Ophthalmology / North American Neuro-Ophthalmology SocietyThis 46-year-old woman noted progressive bilateral visual loss over a 10-month period. She had a malignant melanoma removed from her right thigh 2 years ago and excisional biopsy of an inguinal node metastasis 8 months ago. She also complained of poor night vision and rare intermittent ""sparkles"" ...Paraneoplastic Disease
44 Radiation Retinopathies (PowerPoint)AAO/NANOS - American Academy of Ophthalmology / North American Neuro-Ophthalmology SocietyRadiation retinopathy may mimic diabetic or hypertensive optic neuropathy. A history of irradiation to the eye, orbit, or head is mandatory. Radiation retinopathy usually occurs many months after radiation therapy.Radiation Retinopathy
45 Brain Control of Horizontal Saccadic Eye MovementsShirley H. Wray, MD, PhD, FRCPPowerPoint lecture describing brain control of horizontal saccadic eye movements.Acquired Ocular Motor Apraxia; Alzheimer's Disease with Mild Extrayramidal Signs; Cerebral Cortex; CNS Degeneration; Complete Paralysis of Voluntary Horizontal Saccades on Command to Look Left; Facial Tremor; Frontotemporal Dementia; Impaired Pursuit; Inability to Make a Refixation Saccade on Comma...
46 Papilledema and Resolution (PowerPoint)AAO/NANOS - American Academy of Ophthalmology / North American Neuro-Ophthalmology SocietyThis 42-year-old male with pseudotumor cerebri and chronic papilledema demonstrated refractile bodies, which can be seen with chronic optic disc edema. This image shows the chronic papilledema at presentation, with associated refractile hyaline bodies at the disc periphery in both eyes.Pseudotumor Cerebri/Papilledema; Edema; Papilledema and Resolution
47 Bilateral PtosisShirley H. Wray, MD, PhD, FRCPA PowerPoint slideshow of diagnosed patients.Bilateral Ptosis; Facial Weakness; Full Eye Movements; MuSK Antibody Myasthenia Gravis; Tongue Atrophy; Myasthenia Gravis
48 Ocular Motor ApraxiaShirley H. Wray, MD, PhD, FRCPPresentation covering an overview of Ocular Motor Apraxia. See also: http://content.lib.utah.edu/cdm/ref/collection/ehsl-shw/id/255, http://content.lib.utah.edu/cdm/ref/collection/ehsl-shw/id/253, and http://content.lib.utah.edu/cdm/ref/collection/ehsl-shw/id/252Congenital Ocular Motor Apraxia; Head Thrust; Ocular Motor Apraxia
49 Alexia Without AgraphiaShirley H. Wray, MD, PhD, FRCPThe patient is a 69 year old left handed man with a history of hypertension, insulin dependent diabetes mellitus and atrial fibrillation. Treated with coumadin, adjusted to keep the INR between 2 and 3. On the morning of admission he awoke at 4 a.m., sat momentarily on the side of the bed and then s...Pure Alexia; Color Anomia; Right Homonymous Hemianopia; Alexia Without Agraphia; Infarct of the Left Visual Cortex and Splenium of the Corpus Callosum; Disconnection Syndrome; Occipital Infarct
50 Constructional ApraxiaShirley H. Wray, MD, PhD, FRCPSlideshow describing condition.Apraxia of the Left Hand; Constructional Apraxia; Degenerative CNS Disease; Dressing Apraxia; Progressive Lobar Atrophy; Right Parietal Lobe
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