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TitleCreatorDescriptionSubject
101 Eyebrow SpasmDaniel J. Costello, MDSlideshow describing condition.Bipolar Affective Disorder; Epileptic Seizures; Primary Position Left Beating Nystagmus; Rhythmic Eyebrow Spasm; Torsional Nystagmus; Tuberous Sclerosis Complex (TSC-2 DNA sequence variant)
102 Charles Bonnet SyndromeShirley H. Wray, MD, PhD, FRCPSlideshow describing condition.Charles Bonnet Syndrome; Occipital Lobe; Release Hallucinations; Visual Hallucinations
103 Thalamic Stroke and Disordered SleepKenneth C. Sassower, MDSlideshow describing condition.Absent Convergence; Absent Vertical Saccades and Pursuit Movements; Artery of Percheron; Bilateral Ptosis; Convergence Retraction Nystagmus; Global Supranuclear Paralysis of Vertical Gaze; Horizontal Gaze Evoked Nystagmus; Horizontal Saccadic Dysmetria; Intact Convergence; Lateropulsion; Ocular Dysm...
104 Progressive External OphthalmoplegiaShirley H. Wray, MD, PhD, FRCPSlideshow 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...
105 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
106 Transient Monocular BlindnessShirley H. Wray, MD, PhD, FRCPSlideshow describing condition.Ipsilateral Internal and External Carotid Occlusive Disease; Ischemic Eye Syndrome; Low Pressure Retinopathy; Ocular Stroke; Retinal Emboli; Retinal Stroke; Sunlight Provoked Transient Monocular Blindness; Transient Monocular Blindness
107 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
108 Thalamic InfarctShirley H. Wray, MD, PhD, FRCPSlideshow describing condition.Absent Convergence; Artery of Percheron; Bilateral Ptosis; Horizontal Gaze Evoked Nystagmus; Somnolence; Supranuclear Paralysis of Downgaze Infarct; Supranuclear Paralysis of Downgaze; Thalamic Infarct; Thalamus Infarct; Top of the Basilar Syndrome; Vertical Oculocephalic Reflex Normal
109 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
110 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
111 Downbeat NystagmusShirley H. Wray, MD, PhD, FRCPSlideshow describing condition.Downbeat Nystagmus; Oscillopsia
112 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...
113 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
114 Bilateral Internuclear OphthalmoplegiaShirley H. Wray, MD, PhD, FRCPSlideshow describing condition.Abducting Nystagmus; Bilateral Internuclear Ophthalmoplegia; Botulinum Toxin Therapy; Gaze Evoked Upbeat Nystagmus; Horizontal Pendular Nystagmus; Lid Nystagmus; Multiple Sclerosis; Pendular Horizontal Oscillations; Upbeat Nystagmus
115 Claude's SyndromeShirley H. Wray, MD, PhD, FRCPSlideshow describing condition.Claude's Syndrome; Contralateral Limb Ataxia; Fascicular Third Nerve Palsy; Fixed Dilated Pupil; Midbrain Infarct; Oculomotor Nerve; Ptosis; Unilateral Third Nerve Palsy
116 Paraneoplastic Ocular FlutterShirley H. Wray, MD, PhD, FRCPSlideshow describing condition.Ocular Flutter; Oscillopsia; Paraneoplastic Cerebellar Syndrome; Paraneoplastic Ocular Flutter; Small Cell Carcinoma of the Lung; Trunkal Ataxia
117 CNS LymphomaShirley H. Wray, MD, PhD, FRCPSlideshow describing condition.Bilateral Esotropia; Bilateral Sixth Nerve Palsy; Cavernous Sinus Syndrome; CNS Non-Hodgkin's Lymphoma
118 Essential Palatal TremorShirley H. Wray, MD, PhD, FRCPSlideshow describing condition.Brainstem Encephalitis; Essential Palatal Tremor (Myoclonus)
119 Downbeat Nystagmus PANShirley H. Wray, MD, PhD, FRCPSlideshow describing condition.Downbeat Nystagmus; Periodic Alternating Nystagmus; Multiple Sclerosis
120 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...
121 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
122 Thalamic InfarctShirley H. Wray, MD, PhD, FRCPThe patient is a 64 year old man with no major past medical history who, on the day of admission, suddenly developed loss of vision in both eyes and then was unable to open his eyes on his own unless he used his hands. Holding his eyelids open his vision was very blurry. Within minutes he lost consc...Somnolence; Bilateral Ptosis; Supranuclear Paralysis of Downgaze; Vertical Oculocephalic Reflex Normal; Absent Convergence; Horizontal Gaze Evoked Nystagmus; Top of the Basilar Syndrome; Artery of Percheron; Thalamic Infarct; Supranuclear Paralysis of Downgaze Infarct; Thalamus Infarct; Downgaze Pal...
123 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...
124 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
125 Supranuclear Paralysis of DowngazeShirley H. Wray, MD, PhD, FRCPJohn Trojanowski and I published this case in Neurology in 1980.(12) At that time, it was one of the first of five reports in the literature of the pathological localization of lesions in the midbrain that are responsible for selective supranuclear paralysis of downgaze. This case is of particular i...Somnolence; Supranuclear Paralysis of Downgaze; Vertical Oculocephalic Reflex Normal; Absent Convergence; Skew Deviation; Ocular Tilt Reaction; Artery of Percheron; Midbrain Infarct; Supranuclear Paralysis of Downgaze Infarct
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