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101 Motility DisturbancesLarry P. Frohman, MDThis 5-year-old child presented with a 70 PD exotropia OS and a right face turn. She had a CT scan of the head at age 4 months that was normal , and she was felt to have an isolated left medial rectus paresis. Her acuity was 20/20 OU. She could fuse with a large face turn, and was orthomorphic is ex...
102 Motility DisturbancesLarry P. Frohman, MDThis 5-year-old child presented with a 70 PD exotropia OS and a right face turn. She had a CT scan of the head at age 4 months that was normal , and she was felt to have an isolated left medial rectus paresis. Her acuity was 20/20 OU. She could fuse with a large face turn, and was orthomorphic is ex...
103 Motility DisturbancesDon Bienfang, MDThis patient displays a posttraumatic left fourth nerve palsy sustained after having struck her head on the dashboard.
104 Motility DisturbancesDon Bienfang, MDThis patient displays a posttraumatic left fourth nerve palsy sustained after having struck her head on the dashboard.
105 Motility DisturbancesDon Bienfang, MDThis patient displays a posttraumatic left fourth nerve palsy sustained after having struck her head on the dashboard.
106 Motility DisturbancesRosa A. Tang, MDTraumatic damage to the third cranial nerve may result in aberrant regeneration of fibers that innervate the eyelid, pupil, or extraocular muscles. For instance, there may be lid retraction in attempted downgaze. Any combination of aberrant activation of third nerve-innervated structures may occur, ...
107 Motility DisturbancesDon Bienfang, MDThis patient displays a posttraumatic left fourth nerve palsy sustained after having struck her head on the dashboard.
108 Motility DisturbancesRosa A. Tang, MDSkew deviation is a vertical deviation that is not localized to any one muscle or muscle group. The deviation may be comitant or not, and intermittent or constant. Skew deviation is often defined by the company it keeps, that is, skew usually occurs in association with other brain-stem signs, and is...
109 Motility DisturbancesRosa A. Tang, MDSkew deviation is a vertical deviation that is not localized to any one muscle or muscle group. The deviation may be comitant or not, and intermittent or constant. Skew deviation is often defined by the company it keeps, that is, skew usually occurs in association with other brain-stem signs, and is...
110 Motility DisturbancesRosa A. Tang, MDCyclical oculomotor paresis may occur in patients as an intermittent phenomenon, with a paretic phase and diplopia and intervals that are nonparetic. The history and examination are classic for the disorder. Pair with Images 95_19 and 95_20.
111 Motility DisturbancesRosa A. Tang, MDCyclical oculomotor paresis may occur in patients as an intermittent phenomenon, with a paretic phase and diplopia and intervals that are nonparetic. The history and examination are classic for the disorder. Pair with Images 95_18 and 95_19.
112 Motility DisturbancesLarry P. Frohman, MDThis young woman had bilateral sixth nerve paresis from a motor vehicle accident. The images show the results of a successful Jensen procedure.
113 Motility DisturbancesLarry P. Frohman, MDThis young woman had bilateral sixth nerve paresis from a motor vehicle accident. The images show the results of a successful Jensen procedure.
114 Motility DisturbancesLarry P. Frohman, MDThis patient sustained a traumatic avulsion of the left medial rectus. Image 94_75 shows the successful postoperative result.
115 Motility DisturbancesRosa A. Tang, MDCyclical oculomotor paresis may occur in patients as an intermittent phenomenon, with a paretic phase and diplopia and intervals that are nonparetic. The history and examination are classic for the disorder. Pair with Images 95_18 and 95_20.
116 Motility DisturbancesLarry P. Frohman, MDThis man had a posttraumatic right sixth nerve paresis. Image 94_66 demonstrates the adduction deficit that the Botox induced.
117 Motility DisturbancesLarry P. Frohman, MDThis man had a posttraumatic right sixth nerve paresis. He is shown in primary gaze before Botox (botulinum toxin; image 94_64)
118 Motility DisturbancesLarry P. Frohman, MDThis man had a posttraumatic right sixth nerve paresis. He is shown in primary gaze after Botox (image 94_65).
119 Motility DisturbancesLarry P. Frohman, MDThis patient sustained a traumatic avulsion of the left medial rectus.
120 Motility DisturbancesLarry P. Frohman, MDThis patient sustained a traumatic avulsion of the left medial rectus.
121 Motility DisturbancesEric L. Berman, MDThis is a 60-year-old albino woman with chronic progressive external ophthalmoplegia and strabismus fixus. Her extreme bilateral esotropia caused her acuity to be 20/400 OU, no view of fundus could be obtained except for the far periphery. CPEO is the most common manifestation of mitochondrial myopa...
122 Motility DisturbancesThomas R. Wolf, MDThe patient is a 53-year-old man with diplopia from right oculomotor nerve palsy and left hemiparesis (Weber's syndrome), with associated left lung hilar mass. The spinal tap showed pleocytosis consistent with carcinomatous meningitis. This image demonstrates oculomotor nerve metastatic carcinomatos...
123 Neuro-Ophthalmic Case With Notable Field ChangesMarilyn C. Kay, MDThis 28-year-old woman presented with a 4-week history of bilateral visual loss. She had a known history of multiple sclerosis. Her vision was 20/60 OD and 20/40 OS, with an RAPD OS and optic pallor OU. Her fields and MRI are shown. Optic tract lesions usually result in an incongruous homonymous hem...
124 Neuro-Ophthalmic Consequences of TherapyMark J. Kupersmith, MDradiation 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.
125 Neuro-Ophthalmic Consequences of TherapyMark J. Kupersmith, MDRadiation causes a vascular retinopathy that may mimic diabetic or hypertensive retinopathy. It does not develop until many months or several years after radiation therapy to the eye, orbit or head.
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