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TitleCreatorDescriptionSubject
126 Thalamic InfarctShirley H. Wray, MD, PhD, FRCPThe 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 consc...Somnolence; Bilateral Ptosis; Supranuclear Paralysis of Downgaze; Vertical Oculocephalic Reflex Normal; Absent Convergence; Horizontal Gaze Evoked Nystagmus; Top of the Basilar Syndrome; Artery of Percheron; Thalamic Infarct; Supranuclear Paralysis of Downgaze Infarct; Thalamus Infarct; Downgaze Pal...
127 Saccades (Guest Lecture)Shirley H. Wray, MD, PhD, FRCPThe video of the normal eye movement examination was made with the assistance of Dr. Terrence Millette, a neurologist and former Fellow with me in 1985-1986. Introduction to the Saccadic System Saccades are fast eye movements that bring the image of an object of interest onto the fovea. They consist...Normal Eye Movements; Examination, Ocular; Saccades; Optokinetic Nystagmus Drum (OKN Drum); Pursuit; Ocular Motility
128 Progressive External OphthalmoplegiaShirley H. Wray, MD, PhD, FRCPSee also: http://content.lib.utah.edu/cdm/ref/collection/ehsl-shw/id/120, http://content.lib.utah.edu/cdm/ref/collection/ehsl-shw/id/121, http://content.lib.utah.edu/cdm/ref/collection/ehsl-shw/id/124, http://content.lib.utah.edu/cdm/ref/collection/ehsl-shw/id/13, and http://content.lib.utah.edu/cdm...Unilateral Ptosis; External Ophthalmoplegia Affecting Upgaze; Normal Pupils; Progressive External Ophthalmoplegia (PEO); Mitochondrial Myopathy; Unilateral Progressive External Ophthalmoplegia; Bilateral Ptosis; Facial Weakness; Complete External Ophthalmoplegia; Bilateral Progressive Exter...
129 Anterior Ischemic Optic Neuropathy (Thai)NANOSLoss of blood supply to the optic nerve results in diminished visual acuity.Anterior Ischemic Optic Neuropathy; AION; Patient Brochure
130 Pendular Vertical OscillationsShirley H. Wray, MD, PhD, FRCPSlideshow describing condition.Absent convergence; Bilateral Horizontal Gaze Palsy Hemorrhage; Bilateral Horizontal Gaze Palsy; Bilateral Lid Nystagmus; Bilateral Sixth Nerve Palsy; Brainstem Infarct; CNS Whipple's Disease; Degenerative Hypertrophy of the Inferior Olivary Nucleus; Facial Palsy; Facial Weakness; Lesion in the Gui...
131 Overview of TDP-43 Proteinopathies: Shared Mechanisms Underlying Frontotemporal Lobar Degeneration and Amyotrophic Lateral Sclerosis, The F. E. Bennett LectureJohn Q. Trojanowski, MD, PhDSlideshow describing 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...
132 Upbeat NystagmusShirley H. Wray, MD, PhD, FRCPSlideshow describing condition.Bilateral Lid Nystagmus; Bulbar Palsy; Cerebellar Astrocytoma; Cervical Myelitis; Horizontal Gaze Evoked Nystagmus; Horizontal Saccadic Dysmetria; Opsoclonus; Oscillopsia; Post Infectious Brainstem Encephalitis; Primary Position Upbeat Nystagmus; Saccadic Hypermetria; Saccadic Pursuit; Square Wave ...
133 Alexia Without AgraphiaShirley H. Wray, MD, PhD, FRCPSlideshow describing condition.Alexia without Agraphia; Color Anomia; Disconnection Syndrome; Infarct of the Left Visual Cortex and Splenium of the Corpus Callosum; Pure Alexia; Right Homonymous Hemianopia
134 Alcoholic Cerebellar DegenerationShirley H. Wray, MD, PhD, FRCPSlideshow describing condition.Alcoholic Cerebellar Degeneration; Dysmetria; Gait Ataxia; Gaze Evoked Horizontal Nystagmus; Horizontal Gaze Evoked Nystagmus; Horizontal Saccadic Dysmetria; Horizontal Saccadic Hypermetria; Saccadic Pursuit; Square Wave Jerks
135 LateropulsionShirley H. Wray, MD, PhD, FRCPSlideshow describing condition.Deviation of the Eyes Under Closed Lids; Dorsolateral Medullary Infarction; Lateropulsion; Medulla Infarct
136 Clivus ChordomaShirley H. Wray, MD, PhD, FRCPSlideshow describing condition.Abduction Weakness; Clivus Chordoma; Esotropia; Sixth Nerve Palsy
137 Multiple Myeloma (PowerPoint)AAO/NANOS - American Academy of Ophthalmology / North American Neuro-Ophthalmology SocietyThis 48-year-old female was seen in May 1996 with a history of 2 months of diplopia from a right abducens palsy. This was due to the recurrence of myeloma that had initially been diagnosed and treated with radiation and chemotherapy 9 years before and required further therapy, including bone marrow ...Multiple Myeloma
138 Superior Ophthalmic Vein Thrombosis (PowerPoint)AAO/NANOS - American Academy of Ophthalmology / North American Neuro-Ophthalmology SocietyThis 27-year-old woman had no past ocular history and presented with 3 weeks of redness OS that has been treated by the referring doctor as allergic conjunctivitis. She was referred for evaluation when she developed binocular diplopia. Her past medical history included phlebitis and one miscarriage ...Superior Ophthalmic Vein Thrombosis
139 Multiple Sclerosis 2008: Bench to Bedside….and Back Again, The Raymond Adams LectureStephen L. Hauser, MDSlideshow describing condition.Abducting Nystagmus; Bilateral Internuclear Ophthalmoplegia; Botulinum Toxin Therapy; Gaze Evoked Downbeat Nystagmus; Horizontal Pendular Nystagmus; Horizontal Saccadic Dysmetria; Lid Nystagmus; Multiple Sclerosis; Normal Convergence; Oscillopsia; Pendular Horizontal Oscillations; Saccadic Dysmetri...
140 Oculomasticatory MyorhythmiaShirley H. Wray, MD, PhD, FRCPSlideshow describing condition.CNS Whipple's Disease; Oculomasticatory Myorhythmia; Pendular Vergence Oscillations; Somnolence; Supranuclear Paralysis of Up and Downgaze Infection-Whipple's Disease; Supranuclear Paralysis of Up and Downgaze; Tropheryma Whippelii - Infection
141 Oculomasticatory MyorhythmiaShirley H. Wray, MD, PhD, FRCPSlideshow describing condition.CNS Whipple's Disease; Oculomasticatory Myorhythmia; Pendular Vergence Oscillations; Somnolence; Supranuclear Paralysis of Up and Downgaze Infection-Whipple's Disease; Supranuclear Paralysis of Up and Downgaze; Tropheryma Whippelii - Infection
142 Myasthenia GravisShirley H. Wray, MD, PhD, FRCPSlideshow describing condition.External Ophthalmoplegia; Generalized Myasthenia Gravis; Myasthenic Lid Twitch; Ocular Myasthenia Gravis; Tensilon Test; Thymolipoma; Unilateral Lid Retraction; Unilateral Myasthenia Gravis; Unilateral Ptosis
143 Alzheimer' s DiseaseShirley H. Wray, MD, PhD, FRCPThe patient is a 78 year old left handed woman with a diagnosis of a left parietal infarct in 1995, bilateral carotid artery stenosis and hypertension. She was first seen in August 1997 for evaluation of involuntary movements of the lower face in the setting of rapidly progressive dementia and was a...Cerebral Cortex; Selective Saccadic Palsy - Acquired; Slow Initiation of Horizontal Saccades on Command; Slow Hypometric Horizontal Saccades; Supranuclear Saccadic and Pursuit Upgaze palsy; Slow Initiation of Horizontal Purusit Tracking a Slow Target; Positive Glabella Tap; Facial Tremor; Alzheimer'...
144 Paraneoplastic Upbeat NystagmusShirley H. Wray, MD, PhD, FRCPA PowerPoint slideshow describing the condition.Anti-Hu - Associated Paraneoplastic Encephalitis Ataxia; Horizontal Saccadic Dysmetria; Lid Nystagmus; Oscillopsia; Pancreatic Endocrine Carcinoma; Paraneoplastic Cerebellar Syndrome; Paraneoplastic Upbeat Nystagmus; Primary Position Upbeat Nystagmus; Saccadic Dysmetria; Saccadic Pursuit; Square Wa...
145 Alzheimer's DiseaseShirley H. Wray, MD, PhD, FRCPSlideshow describing condition.Alzheimer's Disease; Cerebral Cortex; CNS Degeneration; Facial Tremor; Positive Glabella Tap; Selective Saccadic Palsy - Acquired; Slow Hypometric Horizontal Saccades; Horizontal Purusit; Slow Initiation of Horizontal Saccades on Command; Supranuclear Saccadic and Pursuit Upgaze Palsy
146 Selective Saccadic PalsyShirley H. Wray, MD, PhD, FRCPThis 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 awakening...Selective Saccadic Palsy After Cardiac Surgery; Supranuclear Gaze Palsy; Ocular Motility; Bilateral Horizontal Gaze Palsy Hypoxia; Pontine Hypoxia; Cerebral Hypoxia
147 Cavernous AngiomaShirley H. Wray, MD, PhD, FRCPThe patient is a 19 year old sophomore who presented in 1983 with numbness of the left hand, involving initially just the fingers, and numbness and weakness of the right side of the face. He described the numbness in his hand as if it was "intensely asleep". The facial numbness involved the perioral...Unilateral Internuclear Ophthalmoplegia; Unilateral Horizontal Gaze Palsy; Upbeat Nystagmus on Upgaze; Convergence Normal; Pendular Vertical Oscillations; Facial Palsy; Fisher's One-and-a-Half Syndrome; Pontine Hemorrhage; Cavernous Angioma; Unilateral Gaze Palsy Hemorrhage; Abducting Nystagmus; Fac...
148 Brainstem Cavernous AngiomaShirley H. Wray, MD, PhD, FRCPThe patient is a 50 year old woman who presented in November 1977 with a transient facial droop, nystagmus, diplopia, dysarthria and vertigo. She was admitted to New England Tufts Medical Center and had an extensive workup including an electroencephalogram, first generation CT brain scan, angiogram ...Upbeat Nystagmus; Lid Nystagmus; Horizontal Gaze Evoked Nystagmus; Hiccup; Medullary Hemorrhage; Cavernous Angioma; Bilateral Lid Nystagmus; Bilateral Horizontal Gaze Palsy Hemorrhage; Primary Position Upbeat Nystagmus; Medulla Hemorrhage; Medulla
149 Tauopathies (Guest Lecture)Shirley H. Wray, MD, PhD, FRCPSee also: http://content.lib.utah.edu/cdm/ref/collection/ehsl-shw/id/256, http://content.lib.utah.edu/cdm/ref/collection/ehsl-shw/id/32, http://content.lib.utah.edu/cdm/ref/collection/ehsl-shw/id/81, http://content.lib.utah.edu/cdm/ref/collection/ehsl-shw/id/315, http://content.lib.utah.edu/cdm/ref/...Global Supranuclear Vertical Gaze Palsy; Convergence absent; Prominent Stare; Slow Hypometric Horizontal Saccades; Slow Horizontal Pursuit; Vertical Oculocephalic Reflex Normal; Positive Glabella Tap; Progressive Supranuclear Palsy; Steele Richardson Olszewski Syndrome; Supranuclear Paralys...
150 Tauopathies: A Contemporary Way to Consider a Set of Neurodegenerative Disease Based on Molecular SignatureJohn Growdon, MDSlideshow describing condition.CNS - Degeneration Congenital Ocular Motor Apraxia; Convergence absent; Convergence Insufficiency; Global Supranuclear Vertical Gaze Palsy; Head Thrust; Lid Retraction; Positive Glabella Tap; Progressive Supranuclear Palsy - Tauopathy; Progressive Supranuclear Palsy; Prominent Stare; Pursuit Upgaze...
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