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Title | Creator | Description | Subject |
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Ptosis | Ethan Waisberg, MB, BCh, BAO candidate | Description of ptosis including etiology, management and treatment. | Ptosis; Blepharoptosis |
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Curtain Sign (Enhanced Ptosis) - Associated Image 1 | Bashaer Aldhahwani, MD; Hong Jiang, MD, PhD | This 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 |
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Curtain Sign (Enhanced Ptosis) | Bashaer Aldhahwani, MD; Hong Jiang, MD, PhD | This 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 |
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Curtain Sign (Enhanced Ptosis) - Associated Image 2 | Bashaer Aldhahwani, MD; Hong Jiang, MD, PhD | This 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 |
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The Ice Pack Test For Myasthenia | Ryan D. Walsh, MD; Collin McClelland, MD | The ice pack test is a simple, low-tech, bedside test that can readily be applied in the outpatient clinic or hospital setting, with minimal risk or discomfort. The ice pack test is used in patients with ptosis to help support or refute a diagnosis of myasthenia. We describe how to perform and int... | Ice Pack Test; Ice Test; Myasthenia Gravis; Ocular Myasthenia; Ptosis; Diagnostic Tests |
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Chest CT Thymoma (Guest Lecture) | Robert A. Novelline, MD | 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 |
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Oculopharyngeal Muscular Dystrophy (OPMD) | Natasha Nayak, MD; Rudrani Banik, MD | Power point of case presentation of chronic, progressive ophthalmoplegia and bilateral ptosis in adult male with positive family history of similar ocular findings. Differential diagnosis with associated findings reviewed. Work up done: EMG testing consistent with myopathy. Genetic testing positiv... | Ophthalmoplegia;, Ptosis; Oculopharygneal Muscular Dystrophy; Genetic Disorder |
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Myasthenia Gravis (Guest Lecture) | 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 |
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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 |
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Anterior Ptosis | Patrick Burchell, MD; Jeffrey Nerad, MD | Demonstration of anterior ptosis repair, levator advancement. | Anterior Ptosis |
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Ocular Myasthenia Gravis (Guest Lecture) | Shirley H. Wray, MD, PhD, FRCP | See also: http://content.lib.utah.edu/cdm/ref/collection/ehsl-shw/id/264, http://content.lib.utah.edu/cdm/ref/collection/ehsl-shw/id/337, http://content.lib.utah.edu/cdm/ref/collection/ehsl-shw/id/332, http://content.lib.utah.edu/cdm/ref/collection/ehsl-shw/id/265, and http://content.lib.utah.edu/cd... | Unilateral ptosis; Positive tensilon test; Ocular Myasthenia Gravis; Unilateral Myasthenia Gravis; Ptosis -- Myasthenic Pseudo-internuclear Ophthalmoplegia; Bilateral Weakness of Adduction; Tensilon Test; Bilateral Myasthenia Gravis; Internuclear Ophthalmoplegia; Familial Myasthenia Gravis;... |
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Ice Test in Myasthenic Ptosis | Julie Falardeau, MD | Demonstration of ice test. | Ice Test; Myasthenic Ptosis |
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Cogan Lid Twitch | Hari Anandarajah, BA | A 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 |
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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 |
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Bilateral Ptosis | Shirley H. Wray, MD, PhD, FRCP | A PowerPoint slideshow of diagnosed patients. | Bilateral Ptosis; Facial Weakness; Full Eye Movements; MuSK Antibody Myasthenia Gravis; Tongue Atrophy; Myasthenia Gravis |
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Marcus Gunn Jaw Winking | Raed Behbehani, MD | Marcus Gunn Jaw Wink causes congenital ptosis and eyelid retraction associated with jaw movement or sucking. It's due to "miswiring" between 3rd and 5th cranial nerves. The treatment of ptosis in children is surgery to prevent amblyopia . | Jaw Winking; Marcus Gunn |
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Ocular Myasthenia Gravis: Past, Present, Future | Victoria S. Pelak, MD | Slideshow describing condition. | Bilateral Myasthenia Gravis; Bilateral Ptosis; Bilateral Weakness of Adduction; Decompensated Phoria; External Ophthalmoplegia; Familial Myasthenia Gravis; Myasthenic Lid Twitch; Ocular Myasthenia Gravis; Positive Tensilon Test; Pseudo-internuclear Ophthalmoplegia; Tensilon Test; Unilateral Myasthen... |
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Miller Fisher Syndrome: A Variant of Guillan Barré Syndrome | Sarah I. Sheikh, BM, BCh, MRCP | Presentation covering the Miller Fisher Syndrome, a variant of Guillan Barre Syndrome. | Acute Inflammatory Demyelinating Neuropathy; Areflexia; Bilateral Ptosis; Bilateral Sixth Nerve Palsy; Esotropia; Facial Diplegia; Facial Weakness; Guillian Barre Syndrome - Miller Fisher Syndrome; Normal Pupils; Paresis of Conjugate Upgaze; Total External Ophthalmoplegia; Voluntary Ptosis |
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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... |
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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... |
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Mitochondrial Myopathy | Shirley H. Wray, MD, PhD, FRCP | A PowerPoint slideshow describing the 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... |
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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... |
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Progressive External Ophthalmoplegia | 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... |
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Patient Portal: Myasthenia Gravis | Aroucha Vickers, DO | Myasthenia gravis (MG) is an autoimmune disease in which the body's immune system creates antibodies (proteins that normally protect us) that may attack receptors on your muscles. This results in muscle weakness because the muscles do not receive the signals to contract (tighten). Muscles anywhere w... | Myasthenia gravis; Ptosis; Double vision |
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Brain Control of Horizontal Saccadic Eye Movements (Guest Lecture) | Shirley H. Wray, MD, PhD, FRCP | In 1995 I published this case alongside eleven personal cases, three with the Kearns-Sayer Syndrome (KSS) and five with Progressive External Opthalmoplegia (PEO). Am J of Neuroradiol:16 (5);1167-1173. The patient was under the care of Dr. Raymond Adams from age 13 years. In 1991, at age 40 years, I ... | Bilateral Ptosis; Facial Weakness; Complete External Ophthalmoplegia; Bilateral Progressive External Ophthalmoplegia (PEO); Mitochondrial Myopathy; PEO plus Deafness; Cerebellar Degeneration with Ataxia; Chronic Progressive External Opthalmoplegia |