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TitleCreatorDescriptionSubject
826 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
827 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
828 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
829 Saccades and Saccadic OscillationsShirley H. Wray, MD, PhD, FRCPA PowerPoint slideshow demonstrating normal eye movements.Normal Eye Movements
830 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
831 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
832 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
833 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
834 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
835 Internuclear Ophthalmoplegia in ChildhoodShirley H. Wray, MD, PhD, FRCPPowerPoint slideshow describing the condition.Abducting Nystagmus; Bilateral Internuclear Ophthalmoplegia; Medulloblastoma; Upbeat Nystagmus
836 Multiple Sclerosis LateropulsionShirley H. Wray, MD, PhD, FRCPPowerPoint slideshow describing the condition.Deviation of the Eyes Under Closed Lids; Lateropulsion; Multiple Sclerosis
837 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
838 NeuroblastomaShirley H. Wray, MD, PhD, FRCPPowerPoint slideshow describing the condition.Ataxia; Downbeat Nystagmus; Neuroblastoma; Paraneoplastic Downbeat Nystagmus; Paraneoplastic Opsoclonus; Primary Position Downbeat Nystagmus
839 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...
840 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...
841 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
842 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
843 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
844 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
845 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
846 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
847 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
848 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
849 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
850 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
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