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TitleCreatorDescriptionSubject
1 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
2 Movement Disorders: A Brief OverviewAlbert Yung-Pai Hung, MD, PhDSlideshow describing condition.Basal Ganglia; Blepharoclonus; Convergence Insufficiency; Parkinson's Disease- Dopamine deficiency; Saccadic Breakdown of Smooth Pursuit; Slow Hypometric Horizontal Saccades; Slow Hypometric Saccades
3 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
4 Parkinson's Disease (Guest Lecture)Shirley H. Wray, MD, PhD, FRCPSee also: http://content.lib.utah.edu/cdm/ref/collection/ehsl-shw/id/93 and http://content.lib.utah.edu/cdm/ref/collection/ehsl-shw/id/298Blepharoclonus; Convergence Insufficiency; Slow Hypometric Horizontal Saccades; Saccadic Breakdown of Smooth Pursuit; Parkinson's Disease; Dopamine Deficiency; Basal Ganglia; Slow Hypometric Saccades; Convergence
5 Parkinsons DiseaseShirley H. Wray, MD, PhD, FRCPSee 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/93Blepharoclonus; 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...
6 Saccades (Guest Lecture)Shirley H. Wray, MD, PhD, FRCPThe video of the normal eye movement examination was made with the assistance of Dr. Terrence Millette, a neurologist and former Fellow with me in 1985-1986. Introduction to the Saccadic System Saccades are fast eye movements that bring the image of an object of interest onto the fovea. They consist...Normal Eye Movements; Examination, Ocular; Saccades; Optokinetic Nystagmus Drum (OKN Drum); Pursuit; Ocular Motility
7 Alzheimer's DiseaseShirley H. Wray, MD, PhD, FRCPSlideshow describing condition.Alzheimer's Disease; Cerebral Cortex; CNS Degeneration; Facial Tremor; Positive Glabella Tap; Selective Saccadic Palsy - Acquired; Slow Hypometric Horizontal Saccades; Horizontal Purusit; Slow Initiation of Horizontal Saccades on Command; Supranuclear Saccadic and Pursuit Upgaze Palsy
8 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
9 Alzheimer' s DiseaseShirley H. Wray, MD, PhD, FRCPThe patient is a 78 year old left handed woman with a diagnosis of a left parietal infarct in 1995, bilateral carotid artery stenosis and hypertension. She was first seen in August 1997 for evaluation of involuntary movements of the lower face in the setting of rapidly progressive dementia and was a...Cerebral Cortex; Selective Saccadic Palsy - Acquired; Slow Initiation of Horizontal Saccades on Command; Slow Hypometric Horizontal Saccades; Supranuclear Saccadic and Pursuit Upgaze palsy; Slow Initiation of Horizontal Purusit Tracking a Slow Target; Positive Glabella Tap; Facial Tremor; Alzheimer'...
10 Visual NeglectShirley H. Wray, MD, PhD, FRCPSlideshow describing condition.Deviation of the Eyes to the Left Under Closed Eyelids; Impaired Initiation of Horizontal Saccades to the Left; Normal Pursuit Eye Movements; Parietal Lobe Infarct
11 Progressive Supranuclear PalsyShirley H. Wray, MD, PhD, FRCPSee also: http://content.lib.utah.edu/cdm/ref/collection/ehsl-shw/id/316, http://content.lib.utah.edu/cdm/ref/collection/ehsl-shw/id/241, http://content.lib.utah.edu/cdm/ref/collection/ehsl-shw/id/32, http://content.lib.utah.edu/cdm/ref/collection/ehsl-shw/id/81, http://content.lib.utah.edu/cdm/ref/...Apraxia of Eyelid Opening; Impaired Initiation of Horizontal Saccades; Slow Hypometric Horizontal Saccades; Supranuclear Paralysis of Up and Downgaze Degeneration; Progressive Supranuclear Palsy - Tauopathy; Steele Richardson Olszewski Syndrome; CNS - Degeneration; Square wave Jerks; Supranu...
12 Visual NeglectShirley H. Wray, MD, PhD, FRCPThe patient following infarction of the non-dominant right parietal lobe has visual hemi-neglect on the left. Review: (ref 2) Patient's with hemi-neglect ignore or fail to attend to stimuli on the side of space contralateral to their lesion. Neglect can be multimodal in that all stimuli whether audi...Impaired Initiation of Horizontal Saccades to the Left; Deviation of the Eyes to the Left Under Closed Eyelids; Normal Pursuit Eye Movements; Parietal Lobe Infarct; Visual Neglect
13 Progressive Supranuclear PalsyShirley H. Wray, MD, PhD, FRCPSlideshow 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...
14 Pendular Horizontal OscillationsShirley H. Wray, MD, PhD, FRCPSlideshow describing condition.Ataxia; Bilateral Gaze Evoked Nystagmus; Gaze Evoked Horizontal Nystagmus; Horizontal Saccadic Dysmetria; Left Beating Nystagmus; Multiple Sclerosis; Obtrusive Saccades; Oscillopsia; Pendular Horizontal Oscillations; Primary Position Horizontal Nystagmus; Saccadic Dysmetria; Titubation
15 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
16 Brain Control of Horizontal Saccadic Eye MovementsShirley H. Wray, MD, PhD, FRCPPowerPoint lecture describing brain control of horizontal saccadic eye movements.Acquired Ocular Motor Apraxia; Alzheimer's Disease with Mild Extrayramidal Signs; Cerebral Cortex; CNS Degeneration; Complete Paralysis of Voluntary Horizontal Saccades on Command to Look Left; Facial Tremor; Frontotemporal Dementia; Impaired Pursuit; Inability to Make a Refixation Saccade on Comma...
17 Amyotrophic Lateral SclerosisRobert H. Brown Jr, D.Phil, MDSlideshow 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
18 Familial Amyotrophic Lateral SclerosisShirley H. Wray, MD, PhD, FRCPSlideshow 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
19 Familial Amyotrophic Lateral SclerosisShirley H. Wray, MD, PhD, FRCPThis 58 year old woman was referred to Dr. Robert Brown in March 1995 for evaluation of slurred speech. She remained under his care until her death. On examination she had signs of a pseudobulbar palsy: Dysarthria and dysphagia Diminished palatal movement with positive gag bilaterally Diminished rap...Supranuclear Paralysis of Up and Downgaze Degeneration; Convergence Insufficiency; Slow Hypometric Horizontal Saccades;; Saccadic Breakdown of Horizontal Pursuit; Bulbar Palsy; Familial Amyotrophic Lateral Sclerosis; Lou Gehrig's Disease; CNS -Degeneration; Superoxide Dismutase (SOD1) Gene
20 Tauopathies: A Contemporary Way to Consider a Set of Neurodegenerative Disease Based on Molecular SignatureJohn Growdon, MDSlideshow describing condition.CNS - Degeneration Congenital Ocular Motor Apraxia; Convergence absent; Convergence Insufficiency; Global Supranuclear Vertical Gaze Palsy; Head Thrust; Lid Retraction; Positive Glabella Tap; Progressive Supranuclear Palsy - Tauopathy; Progressive Supranuclear Palsy; Prominent Stare; Pursuit Upgaze...
21 Supranuclear Paralysis of Vertical GazeShirley H. Wray, MD, PhD, FRCPSlideshow describing condition.Absent Vertical Saccades and Pursuit Movements; Convergence Retraction Nystagmus; Global Supranuclear Paralysis of Vertical Gaze; Horizontal Saccadic Dysmetria; Intact Convergence; Lateropulsion; Ocular Dysmetria; Ocular Tilt Reaction; Somnolence; Supranuclear Paralysis of Up and Downgaze Infarct; S...
22 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...
23 Amyotrophic Lateral Sclerosis (Guest Lecture)John Q. Trojanowski, MDThe patient is a 68 year old right handed retired air conditioner repair man who presented with impaired balance and slow walking. For about one year he had noted difficulty lifting his feet high enough when climbing the stairs. From that time on, his movements slowed and worsened so that he had dif...Saccadic Initiation Deficit of Unilateral Horizontal Gaze; Complete Paralysis of Voluntary Horizontal Saccades on Command to Look Left; Inability to Make a Refixation Saccade on Command to a Target Held on the Left; Normal Voluntary Horizontal Saccadic Eye Movements to the Right; Impaired Pursuit; F...
24 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...
25 Frontotemporal DementiaShirley H. Wray, MD, PhD, FRCPThe patient is a 68 year old right handed retired air conditioner repair man who presented with impaired balance and slow walking. For about one year he had noted difficulty lifting his feet high enough when climbing the stairs. From that time on, his movements slowed and worsened so that he had dif...Saccadic Initiation Deficit of Unilateral Horizontal Gaze; Complete Paralysis of Voluntary Horizontal Saccades on Command to Look Left; Inability to Make a Refixation Saccade on Command to a Target Held on the Left; Normal Voluntary Horizontal Saccadic Eye Movements to the Right; Impaired Pursuit; F...
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