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TitleCreatorDescriptionSubject
51 Third Nerve PalsyShirley H. Wray, MD, PhD, FRCPThe patient is a 50 year old man with Type II Diabetes who presented to an outside hospital in September 1996 with ptosis and an inability to open the right eye. Five months prior to admission (PTA), he had flu-like symptoms with mild fever, sinus congestion and diffuse myalgia in the chest, abdomen...Ptosis; Unilateral Third Nerve Palsy; Oculomotor Nerve; Meningovascular Syphilis; Heubner's Arteritis; Unilateral Oculomotor Third Nerve Palsy; Third Nerve Microinfarct; Fascicular Third Nerve Palsy
52 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
53 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
54 Hemifacial SpasmShirley H. Wray, MD, PhD, FRCPThe patient is a 72 year old man with myopia, childhood exotropia, progressive age related ptosis and right hemifacial spasm. Hemifacial spasm (HS) most often begins insidiously in the orbicularis oculi muscle in the early stages, as in this man. He presented with a 2 year history of involuntary twi...Lid Twitch; Hemifacial Spasm; Neurovascular Compression Syndrome of the Facial Nerve
55 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
56 AnisocoriaNANOSAnisocoria is a medical term for unequal pupil size. Normally our pupils are relatively the same size. While small differences in pupil size are normal and can even come and go ( physiologic anisocoria ), constant and significant differences in pupil sizes may be a sign of damage to the nerves that ...Anisocoria; Patient Brochure
57 Homonymous HemianopiaNANOSThis refers to an absence of vision towards one side of the visual world in each eye. The damage that caused this problem is in the brain and not in the eyes. Updated April 2020.Homonymous Hemianopia; Patient Brochure
58 Optic Disc DrusenNANOSOptic disc drusen are abnormal deposits of protein-like material in the optic disc - the front part of the optic nerve. Updated April 2020.Optic Disc Drusen; Patient Brochure
59 LateropulsionShirley H. Wray, MD, PhD, FRCPThis 60 year old patient has Wallenberg's syndrome due to infarction of the left dorsolateral medulla. Wallenberg's syndrome is the best recognized syndrome involving the vestibular nuclei and adjacent structures. Unilateral infarcts affecting the vestibular nuclei may produce an oculomotor imbalanc...Deviation of the Eyes Under Closed Lids; Lateropulsion; Dorsolateral Medullary Infarction; Medulla Infarct
60 Alcoholic Cerebellar DegenerationShirley H. Wray, MD, PhD, FRCPThe patient is a 72 year old woman who presented with a 4 year history of progressive difficulty with balance, frequent falls and unsteadiness walking. She required a cane to steady herself. Past History: Significant for alcohol abuse. In 1980, she came to Boston for a second opinion and was seen in...Square Wave Jerks; Dysmetria; Horizontal Saccadic Hypermetria; Horizontal Gaze Evoked Nystagmus; Saccadic Pursuit; Gait Ataxia; Alcoholic Cerebellar Degeneration; Gaze Evoked Horizontal Nystagmus; Horizontal Saccadic Dysmetria; Alcohol
61 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
62 Pituitary TumorNANOSPituitary tumors are benign (non-cancerous) overgrowth of cells that make up the pituitary gland (the master gland that regulates other glands in the body). Updated April 2020.Pituitary Tumor; Patient Brochure
63 Hemifacial Spasm - Large PrintNANOSInvoluntary contractions, called "spasms," of the muscles on one side of the face. The affected side of the face seems to "scrunch up" while the other side of the face remains normal.Hemifacial Spasm; Patient Brochure
64 Hemifacial SpasmNANOSInvoluntary contractions, called "spasms," of the muscles on one side of the face. The affected side of the face seems to "scrunch up" while the other side of the face remains normal.Hemifacial Spasm; Patient Brochure
65 Hemifacial Spasm (French)NANOSInvoluntary contractions, called "spasms," of the muscles on one side of the face. The affected side of the face seems to "scrunch up" while the other side of the face remains normal.Hemifacial Spasm; Patient Brochure
66 Optic Disc Drusen - Large PrintNANOSOptic disc drusen are abnormal deposits of protein-like material in the optic disc - the front part of the optic nerve.Optic Disc Drusen; Patient Brochure
67 Optic Disc Drusen (Hebrew)NANOSOptic disc drusen are abnormal deposits of protein-like material in the optic disc - the front part of the optic nerve.Optic Disc Drusen; Patient Brochure
68 Optic Disc Drusen (French)NANOSOptic disc drusen are abnormal deposits of protein-like material in the optic disc - the front part of the optic nerve.Optic Disc Drusen; Patient Brochure
69 Hemifacial Spasm (Spanish)NANOSInvoluntary contractions, called "spasms," of the muscles on one side of the face. The affected side of the face seems to "scrunch up" while the other side of the face remains normal.Hemifacial Spasm; Patient Brochure
70 Hemifacial Spasm (Hebrew)NANOSInvoluntary contractions, called "spasms," of the muscles on one side of the face. The affected side of the face seems to "scrunch up" while the other side of the face remains normal.Hemifacial Spasm; Patient Brochure
71 Migraine (Large Print)NANOSHeadache on one or both sides of the brain, and may include symptoms of nausea, vomiting, and sensitivity to light.Migraine; Patient Brochure
72 Migraine (Spanish)NANOSHeadache on one or both sides of the brain, and may include symptoms of nausea, vomiting, and sensitivity to light.Migraine; Patient Brochure
73 Migraine (Hebrew)NANOSHeadache on one or both sides of the brain, and may include symptoms of nausea, vomiting, and sensitivity to light.Migraine; Patient Brochure
74 Migraine (German)NANOSHeadache on one or both sides of the brain, and may include symptoms of nausea, vomiting, and sensitivity to light.Migraine; Patient Brochure
75 Migraine (French)NANOSHeadache on one or both sides of the brain, and may include symptoms of nausea, vomiting, and sensitivity to light.Migraine; Patient Brochure
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