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TitleCreatorDescriptionSubject
26 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
27 Convergence InsufficiencyShirley H. Wray, MD, PhD, FRCPThe 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 was ...Basal Ganglia; Blepharoclonus; Convergence Insufficiency; Slow Hypometric Saccades; Saccadic Breakdown of Smooth Pursuit; Parkinson's Disease- Dopamine deficiency; Slow Hypometric Horizontal Saccades; Convergence
28 Curtain Sign (Enhanced Ptosis) - Associated Image 1Bashaer Aldhahwani, MD; Hong Jiang, MD, PhDThis is a 78-year-old male patient who presented with diplopia, right eyelid ptosis, and ophthalmoplegia. He had severe ptosis OD and pseudo-proptosis (lid retraction) OS at baseline, but when the right eyelid was manually elevated, there was marked enhanced ptosis of the left eyelid (Video). He was...Myasthenia GravIs; Clinical Signs
29 Curtain Sign (Enhanced Ptosis) - Associated Image 2Bashaer Aldhahwani, MD; Hong Jiang, MD, PhDThis is a 78-year-old male patient who presented with diplopia, right eyelid ptosis, and ophthalmoplegia. He had severe ptosis OD and pseudo-proptosis (lid retraction) OS at baseline, but when the right eyelid was manually elevated, there was marked enhanced ptosis of the left eyelid (Video). He was...Myasthenia GravIs; Clinical Signs
30 Animated Lessons on the Neurology of Eye Movements and Pupillary DisordersDario Beltran, MD; Douglas Woo, MD; Elliot Frohman, MD, PhD; Steven L. Galetta, MD; Lewis E. Calver, MS; Kim Hoggatt Krumwiede, MAThis interactive training guide correlates clinical eye exams with lesion localization using illustrations, animations, and MRI's to enhance the learning of various common neuro-ophthalmologic lesions that are found in patients with Multiple Sclerosis (MS), stroke, tumor, or infection. Neurologists,...Pupil Abnormalities; Ocular Movement Abnormalities; Diplopia
31 Clival Menigioma Causing 6th Nerve PalsyBashaer Aldhahwani, MD; Mariam S. Vilá-Delgado, MD65 year- old Male patient presented with progressive binocular, horizontal diplopia with limitation of abduction in the right eye. He was diagnosed with Isolated compressive right 6th CN palsy due to right Clival Meningioma.Clival Meningioma; Sixth Nerve Palsy
32 Curtain Sign (Enhanced Ptosis)Bashaer Aldhahwani, MD; Hong Jiang, MD, PhDThis is a 78-year-old male patient who presented with diplopia, right eyelid ptosis, and ophthalmoplegia. He had severe ptosis OD and pseudo-proptosis (lid retraction) OS at baseline, but when the right eyelid was manually elevated, there was marked enhanced ptosis of the left eyelid (Video). He was...Myasthenia GravIs; Clinical Signs
33 Heavy Eye SyndromeMeagan D. Seay, DO; Bradley J. Katz, MDA brief overview of heavy eye syndrome.Heavy Eye Syndrome
34 Non-Organic Visual LossOmar Ozgur, MD; Rudrani Banik, MDPower point of case presentation of 12 year old girl with recurrent monocular visual loss. Examination is normal. Differential diagnosis discussed, including non-organic visual loss. Diagnostic testing for non-organic visual loss reviewed. Slide 4: Figure 1: Table of exam findings Slide 5: Figure 2...Non-organic Visual Loss; Monocular Visual Loss
35 Parasellar MeningiomaShirley H. Wray, MD, PhD, FRCPThis 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
36 Supranuclear Paralysis of Vertical GazeShirley H. Wray, MD, PhD, FRCPThis case was presented to the Clinical Eye Movement Society at the American Neurological Association Meeting in October 2007. The patient is a healthy, 36 year old Lieutenant Commander in the Coast Guard who was last seen perfectly well at 2 a.m. on the day of admission. He awoke in the morning aro...Somnolence; Global Supranuclear Paralysis of Vertical Gaze; Absent Vertical Saccades and Pursuit Movements; Intact Convergence; Convergence Retraction Nystagmus; Ocular Dysmetria; Ocular Tilt Reaction; Lateropulsion; Unilateral Midbrain and Thalamic Infarct; Supranuclear Paralysis of Up and Downgaze...
37 High Yield Secondary HeadachesKathleen B. DigreLecture and case reports relating to secondary headaches.Primary Headache; Secondary Headache
38 Cogan Lid TwitchHari Anandarajah, BAA 50-year-old woman presented with ptosis of her left eyelid for 6 months. Several exam findings including variable and fatigable ptosis, and Cogan lid twitch, raised suspicion for Myasthenia Gravis. Acetylcholine receptor binding, blocking, and modulating antibodies were negative, and single fiber ...Lid Twitch; Myasthenia Gravis
39 Testing Eye MovementsMarc Dinkin, MDDescription of eye movement testing.Eye Movements; Exams
40 Internuclear Ophthalmoplegia in Childhood (Guest Lecture)Shirley H. Wray, MD, PhD, FRCPThis case was reported by Cogan DG and Wray SH. Internuclear ophthalmoplegia as an early sign of brain tumor. Neurology 1970; 20:629-633. The patient is Case 1. He is a 4 ½ year old boy whose parents noted that the right eye had been "drifting" for four months. On examination the only significant f...Bilateral Internuclear Ophthalmoplegia; Upbeat Nystagmus; Medulloblastoma; Abducting Nystagmus
41 Pontine_InfarctionShirley H. Wray, MD, PhD, FRCPThe patient is a 62 year old right handed man, status post myocardial infarction in 1989 and on Coumadin. In 1993 he presented with a history of three separate TIAs 1.Instantaneous perioral tingling and/or numbness lasting less than 1 minute. 2.Episodic numbness of the right hand and foot lasting le...Unilateral Internuclear Ophthalmoplegia; Unilateral Horizontal Gaze Palsy; Upbeat Nystagmus on Upgaze; Convergence Normal; Fisher's One-and-a-Half Syndrome; Pontine Infarct; Unilateral Horizontal Gaze Palsy Infarct; Abducting Nystagmus
42 Clivus_ChordomaShirley H. Wray, MD, PhD, FRCPThis 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: At age 1 f...Esotropia; Abduction Weakness; Sixth Nerve Palsy; Clivus Chordoma; Chordoma
43 Suprasellar MeningiomaSumayya Almarzouqi, MDDescription of a case of suprasellar or sellar mass causeing chiasmal compression.Suprasellar Meningioma
44 Recurrent Painful Ophthalmoplegic NeuropathyJay Chopra, BS; Devin D. Mackay, MDOverview of recurrent painful ophthalmoplegic neuropathy with an illustrative case example and discussion of clinical presentation, possible mechanisms, and treatment.Recurrent Painful Ophthalmoplegic Neuropathy; RPON; Ophthalmoplegic Migraine; Ophthalmoparesis; Painful Cranial Nerve Palsy
45 Whipples Disease (Guest Lecture)Shirley H. Wray, MD, PhD, FRCPThe patient is a 44 year old woman with a past history of ethanol abuse. She was transferred to the Massachusetts General Hospital (MGH) on 3/10/93 for evaluation of memory impairment, hypothalamic dysfunction and a one month history of diplopia and ataxia. In February 1992 (13 months PTA), she deve...Somnolence; Supranuclear Paralysis of Up and Downgaze; Vertical gaze palsy (c); Absent convergence; Pendular vergence oscillations; Bilateral lid nystagmus; Tropheryma Whippelii - Infection; CNS Whipple's Disease; Supranuclear Paralysis of Up and Downgaze Infection-Whipple's Disease
46 Pituitary ApoplexyNagham Al-Zubidi, MDPatient presented with sudden vision loss left eye, horizontal binocular diplopia, sever headaches, light sensitivity and visual field defect.Pituitary Apoplexy; Infarction or Hemorrhage of Pituitary Gland
47 Upbeat NystagmusShirley H. Wray, MD, PhD, FRCPThe patient, a 36 year old Italian, presented in October 1967, at the age of 27, with acute dizziness and ataxia. He was evaluated in Rome. A pneumoencephalogram showed hydrocephalus, attributed to arachnoiditis, and a ventriculo-atrial shunt was placed. Three months post shunt placement he had a re...Upbeat Nystagmus; Saccadic Hypermetria; Saccadic Pursuit; Square Wave Jerks; Oscillopsia; Cerebellar Astrocytoma; Primary Position Upbeat Nystagmus; Horizontal Saccadic Dysmetria
48 Neuro-ophthalmologic Findings in Cerebellar StrokeZoe Rebecca Williams; Aishwarya GaneshThis PowerPoint reviews the anticipated neuro-ophthalmologic findings in cerebellar strokes including posterior inferior cerebellar artery (PICA), anterior inferior cerebellar artery (AICA) and superior cerebellar artery (SCA) territory infarcts. The review includes discussion of potential ocular mi...AICA; Cerebellar Esotropia; Cerebellar Infarct; Lateral Medullary Syndrome; Nystagmus; Ocular Lateropulsion; PICA; SCA; Skew Deviation
49 Giant Cell Arteritis: Diagnostic Prediction Models, Temporal Artery Biopsy and EpidemiologyEdsel Ing MD, PhD FRCSC MPH CPH MIAD MEd MBA,Giant cell arteritis (GCA) is the most common primary vasculitis in the elderly and can cause irreversible blindness, aortitis, and stroke. Diagnostic confirmation of GCA usually entails temporal artery biopsy (TABx) - a time-consuming and invasive test, or ultrasound. The primary treatment of GCA i...Giant Cell Arteritis; Diagnostic Prediction Model; Epidemiology; Temporal Artery Biopsy; Differential Diagnosis
50 Neuro-Ophthalmic Manifestations of Sellar and Parasellar MassesRudrani Banik, MDNeuroanatomy of the Chiasm.Parasellar Masses
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