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TitleCreatorDescriptionSubject
1 Selective Saccadic PalsyShirley H. Wray, MD, PhD, FRCPSlideshow describing condition.Bilateral Horizontal Gaze Palsy Hypoxia; Ocular Motility; Pontine Hypoxia; Selective Saccadic Palsy After Cardiac Surgery; Supranuclear Gaze Palsy
2 Clinical Characteristics of Ocular LateropulsionJorge C Kattah, MDA discussion of the normal mechanism that maintain the eyes in normal horizontal position.Ocular Lateropulsion; Unilateral Gaze Palsy; Radiographic h-CGD
3 Selective Saccadic PalsyShirley H. Wray, MD, PhD, FRCPThis case is published courtesy of Scott D.Z. Eggers, M.D., Department of Neurology, Mayo Clinic College of Medicine (1). The patient is a healthy 50 year old woman who underwent otherwise uncomplicated aortic valve replacement for an incidentally discovered ascending aortic aneurysm. Upon awakening...Selective Saccadic Palsy After Cardiac Surgery; Supranuclear Gaze Palsy; Ocular Motility; Bilateral Horizontal Gaze Palsy Hypoxia; Pontine Hypoxia; Cerebral Hypoxia
4 Supranuclear and Infranuclear Motility DisorderBrittany Lin, MD; Rudrani Banik, MDPower point of case presentation of patient with supranuclear left gaze preference from frontotemporal CVA (overcome by Doll's head), as well as right sixth nerve palsy with incomitant esotropia from pontine CVA.Supranuclear Gaze Palsy; Sixth Nerve Palsy; Esotropia; Gaze Preference; Stroke
5 Pontine InfarctionShirley H. Wray, MD, PhD, FRCPSlideshow 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
6 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
7 Serial Examination and Evolution of Horizontal Gaze Palsy in Thiamine DeficiencyMaxwell Nyce, OD; Joshua Chisholm, OD; Julia Szmada, OD; Jorge C Kattah, MDNeurology consult of patient with hearing loss following vertical band sleeve gastroplasty. See associated presentation: https://collections.lib.utah.edu/details?id=1512437Gaze Palsy; Gaze Paretic Nystagmus; Vestibular Loss; Hearing Loss; Loss of Speech Comprehension; Encephalopathy
8 Serial Examination and Evolution of Horizontal Gaze Palsy in Thiamine DeficiencyMaxwell Nyce, OD; Joshua Chisholm, OD; Julia Szmada, OD; Jorge C Kattah, MDNeurology consult of patient with hearing loss following vertical band sleeve gastroplasty. See associated video: https://collections.lib.utah.edu/details?id=1512438Gaze Palsy; Gaze Paretic Nystagmus; Vestibular Loss; Hearing Loss; Loss of Speech Comprehension; Encephalopathy
9 Cavernous AngiomaShirley H. Wray, MD, PhD, FRCPSlideshow 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
10 One and a Half SyndromeShirley H. Wray, MD, PhD, FRCPThis 44 year old woman presented in 1973 with an acute attack of optic neuritis in the right eye that fully recovered after a course of ACTH therapy. In 1991, 18 years later, she developed unsteadiness of gait, "walking like a chicken", stiff legs that jerked spontaneously in bed at night, and numbn...Unilateral Internuclear Ophthalmoplegia; Unilateral Horizontal Gaze Palsy; Upbeat Nystagmus on Upgaze; Convergence Normal; Fisher's One-and-a-Half Syndrome; Uhthoff's Symptom; Multiple Sclerosis; Unilateral Horizontal Gaze Palsy Demyelination; Gaze Evoked Upbeat Nystagmus; Abducting Nystagmus
11 One and a Half SyndromeShirley H. Wray, MD, PhD, FRCPSlideshow describing condition.Abducens Nuclear Lesion; Abducting Nystagmus; Cavernous Angioma; Convergence Absent; Convergence Normal; Esotropia; Facial Palsy; Facial Weakness; Fisher's One-and-a-Half Syndrome; Gaze Evoked Upbeat Nystagmus; Multiple Sclerosis; Pendular Vertical Oscillations; Pontine Hemorrhage; Pontine Infarct;...
12 Cavernous Sinus MeningiomaShirley H. Wray, MD, PhD, FRCPSlideshow 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...
13 Cavernous AngiomaShirley H. Wray, MD, PhD, FRCPThe patient is a 19 year old sophomore who presented in 1983 with numbness of the left hand, involving initially just the fingers, and numbness and weakness of the right side of the face. He described the numbness in his hand as if it was "intensely asleep". The facial numbness involved the perioral...Unilateral Internuclear Ophthalmoplegia; Unilateral Horizontal Gaze Palsy; Upbeat Nystagmus on Upgaze; Convergence Normal; Pendular Vertical Oscillations; Facial Palsy; Fisher's One-and-a-Half Syndrome; Pontine Hemorrhage; Cavernous Angioma; Unilateral Gaze Palsy Hemorrhage; Abducting Nystagmus; Fac...
14 One and a Half Syndrome Following Resection of a Posterior Fossa Epidermoid CystChristine Xu; Claire Basco, MS, NP-C; Kiarash Shahlaie; Yin Allison LiuThis is a case of One and a Half Syndrome following resection of a posterior fossa epidermoid cyst. A 31-year-old male initially presented with left facial droop and bilateral ptosis, and a "down and out" gaze of the left eye. He underwent imaging and was diagnosed with an epidermoid cyst located in...Abducens Nucleus; Epidermoid Cyst; Extraocular Movements; Gaze Palsy; Internuclear Ophthalmoplegia; Medial Longitudinal Fasciculus; Neurosurgery; One and a Half Syndrome
15 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
16 Horizontal Gaze PalsyShirley H. Wray, MD, PhD, FRCPThis 56 year old woman with known adenocarcinoma of the breast presented with the recent onset of horizontal diplopia and deviation of her left eye inwards. Her oncologist referred her for a neuro-ophthalmic evaluation. This 56 year old woman with known adenocarcinoma of the breast presented with th...Unilateral Horizontal Gaze Palsy; Esotropia; Fascicular Sixth Nerve Palsy; Horizontal Gaze Evoked Nystagmus; Normal Convergence; Horizontal Oculocephalic Reflexes Absent; Facial Palsy (Bell's Palsy); Abducens Nuclear Lesion; Pontine Metastasis; Adenocarcinoma of the Breast; Unilateral Sixth Nerve Pa...
17 Congenital Horizontal Gaze Palsy, Progressive ScoliosisShirley H. Wray, MD, PhD, FRCPThe patient is an 8 year old boy with a rare autosomal recessive disorder characterized by congenital absence of conjugate horizontal eye movements preservation of vertical gaze and convergence and progressive scoliosis (HGPPS) developing in childhood. The child was referred to Dr. Cogan with a diag...Congenital Horizontal Gaze Palsy; Progressive Scoliosis; Mutation of the ROBO 3 Gene on Chromosome 11q23-q25; Congenital Cranial Disinnervation Syndrome; Mobius Syndrome
18 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...
19 Palatal TremorShirley H. Wray, MD, PhD, FRCPSee also: http://content.lib.utah.edu/cdm/ref/collection/ehsl-shw/id/68, http://content.lib.utah.edu/cdm/ref/collection/ehsl-shw/id/247, http://content.lib.utah.edu/cdm/ref/collection/ehsl-shw/id/111, http://content.lib.utah.edu/cdm/ref/collection/ehsl-shw/id/312, http://content.lib.utah.edu/cdm/ref...Palatal Tremor (Myoclonus); Pendular Vertical Oscillations; Unilateral Horizontal Gaze Palsy; Facial Palsy; Pontine Infarct; Degenerative Hypertrophy of the Inferior Olivary Nucleus; Lesion in the Guillain-Mollaret Triangle; Oculopalatal Myoclonus; Oculopalatal Tremor Lid Nystagmus; Bilate...
20 Pendular Vertical OscillationsShirley H. Wray, MD, PhD, FRCPSlideshow describing condition.Absent convergence; Bilateral Horizontal Gaze Palsy Hemorrhage; Bilateral Horizontal Gaze Palsy; Bilateral Lid Nystagmus; Bilateral Sixth Nerve Palsy; Brainstem Infarct; CNS Whipple's Disease; Degenerative Hypertrophy of the Inferior Olivary Nucleus; Facial Palsy; Facial Weakness; Lesion in the Gui...
21 Pendular Vertical OscillationsShirley H. Wray, MD, PhD, FRCPSee also: http://content.lib.utah.edu/cdm/ref/collection/ehsl-shw/id/68, http://content.lib.utah.edu/cdm/ref/collection/ehsl-shw/id/247, http://content.lib.utah.edu/cdm/ref/collection/ehsl-shw/id/111, http://content.lib.utah.edu/cdm/ref/collection/ehsl-shw/id/312, http://content.lib.utah.edu/cdm/ref...Palatal Tremor (Myoclonus); Pendular Vertical Oscillations; Unilateral Horizontal Gaze Palsy; Facial Palsy; Pontine Infarct; Degenerative Hypertrophy of the Inferior Olivary Nucleus; Lesion in the Guillain-Mollaret Triangle; Oculopalatal Myoclonus; Oculopalatal Tremor Lid Nystagmus; Bilater...
22 Brainstem Cavernous AngiomaShirley H. Wray, MD, PhD, FRCPSlideshow 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
23 Brainstem Cavernous AngiomaShirley H. Wray, MD, PhD, FRCPThe patient is a 50 year old woman who presented in November 1977 with a transient facial droop, nystagmus, diplopia, dysarthria and vertigo. She was admitted to New England Tufts Medical Center and had an extensive workup including an electroencephalogram, first generation CT brain scan, angiogram ...Upbeat Nystagmus; Lid Nystagmus; Horizontal Gaze Evoked Nystagmus; Hiccup; Medullary Hemorrhage; Cavernous Angioma; Bilateral Lid Nystagmus; Bilateral Horizontal Gaze Palsy Hemorrhage; Primary Position Upbeat Nystagmus; Medulla Hemorrhage; Medulla
24 Whipple's DiseaseShirley H. Wray, MD, PhD, FRCPA PowerPoint presentation describing Whipple's Disease.Absent Convergence; Bilateral Lid Nystagmus; CNS Whipple's Disease; Pendular Vergence Oscillations; Somnolence; Supranuclear Paralysis of Up and Downgaze Infection-Whipple's Disease; Supranuclear Paralysis of Up and Downgaze; Tropheryma Whippelii - Infection; Vertical Gaze Palsy (c)
25 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
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