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TitleCreatorDescriptionSubject
226 High MyopiaKathleen B. Digre, MD; James J. Corbett, MDSlideshow describing condition.Myopia
227 Hollenhorst PlaqueKathleen B. Digre, MD; James J. Corbett, MDSlideshow describing condition.Hollenhorst Plaque
228 Idiopatic Intracranial Hypertension (Portuguese)NANOSRaised intracranial pressure.Idiopathic Intracranial Hypertension; Patient Brochure
229 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
230 Magnetic Resonance Imaging (MRI)Devin D. Mackay, MDExplanation of using magnetic resonance imaging (MRI) in examinations.Magnetic Resonance Imaging (MRI)
231 Ischemic Ocular SyndromeKathleen B. Digre, MD; James J. Corbett, MDSlideshow describing condition.Ischemic Ocular Syndrome
232 Multifocal ChoroiditisGregory P. Van Stavern, MDMulti-focal choroiditis is usually a bilateral choroidopathy seen more frequently in women associated with punched out appearing lesions occasionally with pigment around the edges. Image provides example.Multi-Focal Choroiditis Panuveitis
233 Retinitis PigmentosaGregory P. Van Stavern, MDRetinitis pigmentosa is a retinal/choroidal degeneration caused by various genetic defects. The term retinitis pigmentosa is really a misnomer since it is not inflammation (retinitis) and it is not a disease of the pigmentary system (pigmentosa).Retinitis Pigmentosa
234 Serpiginous ChoroidopathyGregory P. Van Stavern, MDSerpiginous choroidopathy (also known as Geographic choroidopathy) usually affects the choroid, the choriocapillaris and the retinal pigment epithelium in both eyes.Serpiginous Choroidopathy
235 BirdshotGregory P. Van Stavern, MDBirdshot Retinochoroidopathy is a posterior uveitis seen in women 30-60 years of age who present with floaters, changes in color vision, and difficulty with night vision.Birdshot Choroidopathy
236 Pars PlanitisGregory P. Van Stavern, MDPars planitis is an inflammatory condition seen in children and young adults. It is associated with inflammation of the pars plana--at the far periphery of the retina.Pars Planitis
237 Vogt Koyanagi-Harada (VKH) SyndromeGregory P. Van Stavern, MDVogt-Koyanagi disease causes bilateral uveitis, along with alopecia, vitiligo, and hearing loss.Vogt Koyanagi-Harada Syndrome (VKH)
238 Stargardt's DiseaseGregory P. Van Stavern, MDStargardt's disease is an inherited maculopathy which frequently presents with a loss of central vision.Stargardt's Disease
239 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
240 Best's Vittelform MaculopathyGregory P. Van Stavern, MDThis 14 year old presented with decreased vision, headaches and central scotomas. She was found to have bilateral papilledema related to IIH and also Best's vitilliform maculopathy. The maculas are commonly described as having a "fried egg" sunny side up appearance.Best Macular Dystrophy
241 Constructional ApraxiaShirley H. Wray, MD, PhD, FRCPThe patient is a 72 year old right handed woman who presented in November 1995 with the sudden onset of impaired coordination of visual and motor skills following an inner right ear infection. One of her problems was difficulty sitting on a chair as she tended to place her body incorrectly. By late ...Dressing Apraxia; Apraxia of the Left Hand; Constructional Apraxia; Right Parietal Lobe; Progressive Lobar Atrophy; Degenerative CNS Disease; Apraxia
242 Downbeat Nystagmus PANShirley H. Wray, MD, PhD, FRCPThis patient carries a diagnosis of multiple sclerosis. See also: http://content.lib.utah.edu/cdm/ref/collection/ehsl-shw/id/317Downbeat Nystagmus; Periodic Alternating Nystagmus; Multiple Sclerosis; Primary Position Downbeat Nystagmus
243 Brain Control of Horizontal Saccadic Eye Movements (Guest Lecture)Shirley H. Wray, MD, PhD, FRCPIn 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
244 Essential Palatal TremorShirley H. Wray, MD, PhD, FRCPThe patient is a 25 year old meteorologist from Tennessee who came to Boston in the summer of 1992 to vacation with his family on the Cape. His illness started with flu-like symptoms, low grade fever from 99 to 100F, sweating and episodes of light headedness associated with occasional nausea, indige...Essential Palatal Tremor (Myoclonus); Brainstem Encephalitis
245 Myasthenia ThymomaShirley H. Wray, MD, PhD, FRCPThe 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
246 Multiple SclerosisShirley H. Wray, MD, PhD, FRCPThe 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
247 Midbrain HemorrhageShirley H. Wray, MD, PhD, FRCPThe 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
248 Mitochondrial Myopathy (Guest Lecture)Shirley H. Wray, MD, PhD, FRCPSee 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...
249 Miller Fisher Syndrome: Guest LectureShirley H. Wray, MD, PhD, FRCPSee 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/37Voluntary 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...
250 Multiple Sclerosis LateropulsionShirley H. Wray, MD, PhD, FRCPThis 44 year old woman has a diagnosis of Multiple Sclerosis. See also: http://content.lib.utah.edu/cdm/ref/collection/ehsl-shw/id/281Deviation of the Eyes Under Closed Lids; Lateropulsion; Multiple Sclerosis
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