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Identifier | Title | History | Subject |
1 |
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Alcoholic_Cerebellar_Degeneration | Alcoholic Cerebellar Degeneration | The 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... | 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 |
2 |
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Alexia_without_Agraphia | Alexia Without Agraphia | The 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... | 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 |
3 |
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Alzheimers_Disease | Alzheimers Disease | The 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... | 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'... |
4 |
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Amyotrophic_Lateral_Sclerosis_guest_lecture | Amyotrophic Lateral Sclerosis (Guest Lecture) | | 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 |
5 |
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Bilateral_Internuclear_Ophthalmoplegia | Bilateral Internuclear Ophthalmoplegia | This patient was seen at the Yale Eye Center at the age of 37. She had a long history of multiple sclerosis. At age 22, she had an acute attack of optic neuritis in the left eye which recovered fully within three weeks. Some months later she had a recurrent episode in the same eye, which also ... | Bilateral Internuclear Ophthalmoplegia; Pendular Horizontal Oscillations; Lid Nystagmus; Upbeat Nystagmus; Botulinum Toxin Therapy; Multiple Sclerosis; Horizontal Pendular Nystagmus; Gaze Evoked Upbeat Nystagmus; Abducting Nystagmus |
6 |
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Bilateral_Ptosis | Bilateral Ptosis | This case, previously reported in 2007, is published courtesy of John Newsom-Davis, M.D., FRCP, FRS, CBE. Weatherall Institute of Molecular Medicine, John Radcliffe Hospital, Oxford. This patient was unusual in presenting in early childhood and the development of persistent facial muscle and tongue... | Bilateral Ptosis; Full Eye Movements; Facial Weakness; Tongue Atrophy; MuSK Antibody Myasthenia Gravis |
7 |
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Blepharospasm_Round_Up_guest_lecture | Blepharospasm Round Up (Guest Lecture) | | Psychogenic Blepharospasm; Lid Twitch; Voluntary Blinking; Blepharospasm; Benign Essential Blepharospasm; Focal Dystonia; Blepharospasm; Benign Essential Blepharospasm; Focal Dystonia |
8 |
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Brain_Control_of_Horizontal_Saccadic_Eye_Movements_guest_lecture | Brain Control of Horizontal Saccadic Eye Movements (Guest Lecture) | | |
9 |
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Brain_MRI_in_Multiple_Sclerosis_guest_lecture | Brain MRI in Multiple Sclerosis (Guest Lecture) | | |
10 |
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Brainstem_Cavernous_Angioma | Brainstem Cavernous Angioma | The 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 |
11 |
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CNS_Lymphoma | CNS Lymphoma | | Bilateral Sixth Nerve Palsy; Bilateral Esotropia; CNS Non-Hodgkin's Lymphoma; Cavernous Sinus Syndrome; Lymphoma; CNS B-Cell Lymphoma |
12 |
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Cavernous_Angioma | Cavernous Angioma | The 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 peri... | 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... |
13 |
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Cavernous_Sinus_Meningioma | Cavernous Sinus Meningioma | This patient is a 46 year old woman from Portugal who was admitted to the Massachusetts General Hospital in September 1986 with ophthalmoplegia of the left eye (OS) and signs of aberrant reinnervation of the third nerve. She presented, in August 1985, with an episode of diplopia. The diplopia was s... | Ptosis; Unilateral Third Nerve Palsy; Aberrant Reinnervation of the Third Nerve; Paresis of Abduction; Sixth Nerve Palsy; Oculomotor Nerve; Cavernous Sinus Meningioma; Cavernous Sinus Syndrome; Unilateral Oculomotor Third Nerve Palsy; Unilateral Sixth Nerve Palsy |
14 |
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Charles_Bonnet_Syndrome | Charles Bonnet Syndrome | The patient is a 79 year old woman with a chief complaint of visual hallucinations. She carries a diagnosis of glaucoma and cataracts. The patient was in good health until two weeks prior to admission when she noted a black cloud in her visual field in the top central area. The cloud gradually c... | Occipital Lobe; Visual Hallucinations; Release Hallucinations; Charles Bonnet Syndrome |
15 |
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Chest_CT_Thymoma_guest_lecture | Chest CT Thymoma (Guest Lecture) | | Chest Thyoma; Computerized Tomography; CT Scan |
16 |
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Chiari_I_Malformation | Chiari I Malformation | | Downbeat Nystagmus; Dysmetria; Oscillopsia; Chiari-1 Malformation; Primary Position Downbeat Nystagmus; Vertical Saccadic Dysmetria; Horizontal Saccadic Dysmetria; Ataxia |
17 |
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Childhood_Migraine_disease | Childhood Migraine Disease | | |
18 |
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Claudes_Syndrome | Claudes Syndrome | The patient is a 76 year old woman who woke one morning unable to see out of her right eye because of ptosis. She came to the Massachusetts General Hospital emergency room and was admitted. Neurological Examination: Right third nerve palsy involving the pupil Ataxia of the left hand on finger-nose t... | Ptosis; Fascicular Third Nerve Palsy; Fixed Dilated Pupil; Contralateral Limb Ataxia; Claude Syndrome; Midbrain Infarct; Oculomotor Nerve; Unilateral Third Nerve Palsy; Subnuclear; Fascicular Oculomotor (Third) Nerve Palsy; Third Nerve Dysfunction |
19 |
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Clivus_Chordoma | Clivus Chordoma | This 46 year old patient had at age 6, a tendency for the left eye to wander out. Her face photograph at that age shows an exotropia and at age 7, a year later, the exotropia was not quite as prominent. It was assumed that the exotropia was due to a non-paralytic strabismus. Past History: ... | Esotropia; Abduction Weakness; Sixth Nerve Palsy; Clivus Chordoma; Chordoma |
20 |
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Congenital_Horizontal_Gaze_Palsy_Progressive_Scoliosis | Congenital Horizontal Gaze Palsy Progressive Scoliosis | The patient is an 8 year old boy with a rare autosomal recessive disorder characterized by congenital absence of conjugate horizontal eye movements preservation of vertical gaze and convergence and progressive scoliosis (HGPPS) developing in childhood. The child was referred to Dr. Cogan with a ... | Congenital Horizontal Gaze Palsy; Progressive Scoliosis; Mutation of the ROBO 3 Gene on Chromosome 11q23-q25; Congenital Cranial Disinnervation Syndrome; Mobius Syndrome |
21 |
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Constructional_Apraxia | Constructional Apraxia | | Dressing Apraxia; Apraxia of the Left Hand; Constructional Apraxia; Right Parietal Lobe; Progressive Lobar Atrophy; Degenerative CNS Disease; Apraxia |
22 |
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Convergence_Insufficiency | Convergence Insufficiency | The patient is a 73 year old man with a ten year history of idiopathic Parkinson's disease characterized by difficulty in walking, generalized rigidity and a mild tremor of his hands at rest with deterioration in his handwriting. He denied any memory impairment or loss of cognitive function. He w... | Basal Ganglia; Blepharoclonus; Convergence Insufficiency; Slow Hypometric Saccades; Saccadic Breakdown of Smooth Pursuit; Parkinson's Disease - Dopamine Deficiency; Slow Hypometric Horizontal Saccades; Convergence |
23 |
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Downbeat_Nystagmus | Downbeat Nystagmus | This 58 year old engineer was referred by his neurologist for evaluation of periodic episodes of difficulty focusing and blurred vision for 8 years. In 1981 whilst sightseeing in Newport, he became acutely aware of difficulty focusing and blurry vision. The symptoms lasted for twenty minutes and t... | Downbeat Nystagmus; Oscillopsia; Primary Position Downbeat Nystagmus |
24 |
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Downbeat_Nystagmus_PAN | Downbeat Nystagmus PAN | This patient carries a diagnosis of multiple sclerosis. | Downbeat Nystagmus; Periodic Alternating Nystagmus; Multiple Sclerosis; Primary Position Downbeat Nystagmus |
25 |
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Essential_Palatal_Tremor | Essential Palatal Tremor | The patient is a 25 year old meteorologist from Tennessee who came to Boston in the summer of 1992 to vacation with his family on the Cape. His illness started with flu-like symptoms, low grade fever from 99 to 100F, sweating and episodes of light headedness associated with occasional nausea, indige... | Essential Palatal Tremor (Myoclonus); Brainstem Encephalitis |