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Title | Creator | Description | Subject |
901 |
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Myasthenia Thymoma | Shirley H. Wray, MD, PhD, FRCP | The patient is a 46 year old woman who presented in July 1977 with horizontal double vision lasting two weeks. Three weeks later the left upper eyelid started to droop and by the end of the day the eye was closed. She had no ptosis of the right eye and no generalized fatigue. She consulted an intern... | Unilateral Ptosis; Unilateral Lid Retraction; Myasthenic Lid Twitch; External Ophthalmoplegia; Ocular Myasthenia Gravis; Tensilon Test; Thymolipoma; Generalized Myasthenia Gravis; Unilateral Myasthenia Gravis; Myasthenic Ptosis; Lid Retraction; Lid Twitch |
902 |
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Multiple Sclerosis | Shirley H. Wray, MD, PhD, FRCP | The patient is a 56 year old woman who presented in 1982, at the age of 48, with a one week history of painless loss of vision in the left eye. Past History: Negative for a previous attack of optic neuritis or transient neurological symptoms. Family History: Negative for CNS disease Neuro-ophthalmol... | Upbeat Nystagmus; Lid Nystagmus; Square Wave Jerks; Jerk Oscillations; Rotary Nystagmus; Saccadic Pursuit; Saccadic Dysmetria; Multiple Sclerosis; Bilateral Lid Nystagmus; Primary Position Upbeat Nystagmus; Torsional Nystagmus; Horizontal Saccadic Dysmetria |
903 |
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Midbrain Hemorrhage | Shirley H. Wray, MD, PhD, FRCP | The patient is a 49 year old woman who was in good health until January 17, 1991. When, at work one morning, she had an acute attack of light headedness and double vision and collapsed on the floor without loss of consciousness. She developed a severe retro-orbital headache. She was taken to the loc... | Supranuclear Paralysis of Upgaze Hemorrhage; Convergence Retraction Nystagmus; Vertical Oculocephalic Reflex Normal; Normal Convergence; Skew Deviation; Light/Near Dissociation of the Pupils; Pretectal Syndrome; Midbrain Hemorrhage; Cavernous Angioma |
904 |
|
Mitochondrial Myopathy (Guest Lecture) | Shirley H. Wray, MD, PhD, FRCP | See 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... |
905 |
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Miller Fisher Syndrome: Guest Lecture | Shirley H. Wray, MD, PhD, FRCP | See also: http://content.lib.utah.edu/cdm/ref/collection/ehsl-shw/id/119, http://content.lib.utah.edu/cdm/ref/collection/ehsl-shw/id/29, and http://content.lib.utah.edu/cdm/ref/collection/ehsl-shw/id/37 | Voluntary Ptosis; Bilateral Sixth Nerve Palsy; Esotropia; Paresis of Conjugate Upgaze; Acute Inflammatory Demyelinating Neuropathy; Guillian Barre Syndrome - Miller Fisher Syndrome; Bilateral Ptosis; Total External Ophthalmoplegia; Facial Diplegia; Areflexia; Acute Inflammatory Demyelinati... |
906 |
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Multiple Sclerosis Lateropulsion | Shirley H. Wray, MD, PhD, FRCP | This 44 year old woman has a diagnosis of Multiple Sclerosis. See also: http://content.lib.utah.edu/cdm/ref/collection/ehsl-shw/id/281 | Deviation of the Eyes Under Closed Lids; Lateropulsion; Multiple Sclerosis |
907 |
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Paraneoplastic Opsocolonus | Shirley H. Wray, MD, PhD, FRCP | This patient is the index case of the Anti-Ri antibody, published in Annals of Neurology in 1988 (4). The Anti-Ri antibody is recognized to be a paraneoplastic marker in patients with breast and gynecological malignancies (10). The history of this case is particularly important because she was initi... | Opsoclonus; Ocular Flutter; Oscillopsia; Saccadic Oscillations; Paraneoplastic Cerebellar Syndrome; Adenocarcinoma of the Breast; Anti-Ri Antibody; Paraneoplastic Opsoclonus; Paraneoplastic Ocular Flutter; Saccadomania |
908 |
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Paraneoplastic Ocular Flutter | Shirley H. Wray, MD, PhD, FRCP | The patient is a 58 year old woman with known hypertension. In 1994, two weeks prior to admission she had a dramatic change in behavior with insomnia, agitation and depression. This was accompanied by "ringing of hands and anxiety for no apparent reason". She became anorexic, lost 15 pounds in weigh... | Ocular Flutter; Oscillopsia; Trunkal Ataxia; Paraneoplastic Cerebellar Syndrome; Small Cell Carcinoma of the Lung; Paraneoplastic Ocular Flutter; Flutter |
909 |
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Parasellar Meningioma | Shirley H. Wray, MD, PhD, FRCP | This patient is a 58 year old woman from Peru who, in 1975, developed intermittent headaches and right retro-orbital eye pain. She was seen by several ophthalmologists in South America who were unable to make a diagnosis. In March 1977 she awoke one morning with vertical diplopia most marked on look... | Ptosis; Third Nerve Palsy; Aberrant Reinnervation of the Third Nerve; Oculomotor Nerve; Parasellar Meningioma; Cavernous Sinus Syndrome; Unilateral Oculomotor Third Nerve Palsy; Unilateral Third Nerve Palsy |
910 |
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Parkinsons Disease | Shirley H. Wray, MD, PhD, FRCP | See also: http://content.lib.utah.edu/cdm/ref/collection/ehsl-shw/id/298 and http://content.lib.utah.edu/cdm/ref/collection/ehsl-shw/id/93 | Blepharoclonus; Convergence Insufficiency; Slow Hypometric Horizontal Saccades; Saccadic Breakdown of Smooth Pursuit; Parkinson's Disease- Dopamine deficiency; Basal Ganglia; Blepharoclonus; Convergence Insufficiency; Slow Hypometric Saccades; Saccadic Breakdown of Smooth Pursuit; Parkinson's Disea... |
911 |
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Neuroblastoma | Shirley H. Wray, MD, PhD, FRCP | The patient is Case 27-1995 Case Records of the Massachusetts General Hospital (New Eng. J Medicine 1995, 333:579-586). The discusser was Dr. Elizabeth Engle, Associate Professor of Neurology, Harvard Medical School. The baby girl was born after a 30 week gestation, with a birth weight of 1.25 kg. T... | Downbeat Nystagmus; Paraneoplastic Opsoclonus; Neuroblastoma; Primary Position Downbeat Nystagmus; Ataxia; Paraneoplastic Downbeat Nystagmus |
912 |
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Brain MRI in Multiple Sclerosis | Anne G. Osborn, MD | Slideshow 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... |
913 |
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Cavernous Sinus Meningioma | Shirley H. Wray, MD, PhD, FRCP | Slideshow describing condition. | Abducting Nystagmus; Cavernous Angioma; Convergence Normal; Facial Palsy; Facial Weakness; Fisher's One-and-a-Half Syndrome; Pendular Vertical Oscillations; Pontine Hemorrhage; Unilateral Gaze Palsy Hemorrhage; Unilateral Horizontal Gaze Palsy; Unilateral Internuclear Ophthalmoplegia; Upbeat Nystag... |
914 |
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Amyotrophic Lateral Sclerosis | Robert H. Brown Jr, D.Phil, MD | Slideshow describing condition. | Bulbar Palsy; CNS Degeneration; Convergence Insufficiency; Familial Amyotrophic Lateral Sclerosis; Lou Gehrig's Disease; Saccadic Breakdown of Horizontal Pursuit; Slow Hypometric Horizontal Saccades; Superoxide Dismutase (SOD1) Gene; Supranuclear Paralysis of Up and Downgaze Degeneration |
915 |
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Cavernous Angioma | Shirley H. Wray, MD, PhD, FRCP | Slideshow describing condition. | Cavernous Angioma; Convergence Normal; Facial Palsy; Fisher's One-and-a-Half Syndrome; Pendular Vertical Oscillations; Pontine Hemorrhage; Unilateral Gaze Palsy Hemorrhage; Unilateral Horizontal Gaze Palsy; Unilateral Internuclear Ophthalmoplegia; Upbeat Nystagmus on Upgaze |
916 |
|
Progressive Supranuclear Palsy | Shirley H. Wray, MD, PhD, FRCP | Slideshow describing condition. | Acquired Ocular Motor Apraxia; Apraxia of Eyelid Opening; CNS - Degeneration Convergence absent; Convergence Insufficiency; Global Supranuclear Vertical Gaze Palsy; Impaired Initiation of Horizontal Saccades; Lid Retraction; Positive Glabella Tap; Progressive Supranuclear Palsy - Tauopthay; Progres... |
917 |
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Supranuclear Paralysis of Downgaze | Shirley H. Wray, MD, PhD, FRCP | Slideshow describing condition. | Absent Convergence; Artery of Percheron; Midbrain Infarct; Ocular Tilt Reaction; Skew Deviation; Somnolence; Supranuclear Paralysis of Downgaze Infarct; Supranuclear Paralysis of Downgaze; Vertical Oculocephalic Reflex Normal |
918 |
|
Brainstem Cavernous Angioma | Shirley H. Wray, MD, PhD, FRCP | Slideshow describing condition. | Bilateral Horizontal Gaze Palsy Hemorrhage; Bilateral Lid Nystagmus; Cavernous Angioma; Hiccup; Horizontal Gaze Evoked Nystagmus; Lid Nystagmus; Medulla Hemorrhage; Medullary Hemorrhage; Primary Position Upbeat Nystagmus; Upbeat Nystagmus |
919 |
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Pontine Infarction | Shirley H. Wray, MD, PhD, FRCP | Slideshow describing condition. | Abducting Nystagmus; Convergence Normal; Fisher's One-and-a-Half Syndrome; Pontine Infarct; Unilateral Horizontal Gaze Palsy Infarct; Unilateral Horizontal Gaze Palsy; Unilateral Internuclear Ophthalmoplegia; Upbeat Nystagmus on Upgaze |
920 |
|
Childhood Migraine | Shirley H. Wray, MD, PhD, FRCP | Slideshow describing condition. | Alice in Wonderland Syndrome; Macropsia - Hemi-macropsia; Metamorphopsia; Migraine Visual Aura without Headache; Occipital Lobe; Visual Phenomena |
921 |
|
Eyebrow Spasm | Daniel J. Costello, MD | Slideshow describing condition. | Bipolar Affective Disorder; Epileptic Seizures; Primary Position Left Beating Nystagmus; Rhythmic Eyebrow Spasm; Torsional Nystagmus; Tuberous Sclerosis Complex (TSC-2 DNA sequence variant) |
922 |
|
Charles Bonnet Syndrome | Shirley H. Wray, MD, PhD, FRCP | Slideshow describing condition. | Charles Bonnet Syndrome; Occipital Lobe; Release Hallucinations; Visual Hallucinations |
923 |
|
Thalamic Stroke and Disordered Sleep | Kenneth C. Sassower, MD | Slideshow describing condition. | Absent Convergence; Absent Vertical Saccades and Pursuit Movements; Artery of Percheron; Bilateral Ptosis; Convergence Retraction Nystagmus; Global Supranuclear Paralysis of Vertical Gaze; Horizontal Gaze Evoked Nystagmus; Horizontal Saccadic Dysmetria; Intact Convergence; Lateropulsion; Ocular Dysm... |
924 |
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Progressive External Ophthalmoplegia | Shirley H. Wray, MD, PhD, FRCP | Slideshow describing condition. | Bilateral Progressive External Ophthalmoplegia (PEO); Bilateral Ptosis; Cerebellar Degeneration with Ataxia; Complete External Ophthalmoplegia; External Ophthalmoplegia Affecting Upgaze; Facial Weakness; Kearns-Sayre Syndrome; Mitochondrial Myopathy; Normal Pupils; PEO plus Atypical Retinitis Pigm... |
925 |
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Familial Amyotrophic Lateral Sclerosis | Shirley H. Wray, MD, PhD, FRCP | Slideshow describing condition. | Bulbar Palsy; CNS -Degeneration; Convergence Insufficiency; Familial Amyotrophic Lateral Sclerosis; Lou Gehrig's Disease; Saccadic Breakdown of Horizontal Pursuit; Slow Hypometric Horizontal Saccades; Superoxide Dismutase (SOD1) Gene; Supranuclear Paralysis of Up and Downgaze Degeneration |