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TitleDescriptionType
201 Blepharospasm with Apraxia of the EyeImage/MovingImage
202 Voluntary NystagmusExample of patient with voluntary nystagmus. Discussion of how a lack of uniform, patterned movement of the eyes along with associated lid movements suggests that activity is voluntary.Image/MovingImage
203 Levator DisinsertionExample of patient with levator disinsertion, a lid disorder. Patient is pregnant and wears poorly fitting contacts. Discussion of characteristics, such as lid ptosis (shown in the left eye of patient), but with full levator function.Image/MovingImage
204 Marcus Gunn Jaw WinkingExample of patient with Marcus Jaw Winking. Patient is led through instructions for movement of jaw (open, close, back and forth), with eyelid seen to be affected. Patient is then led through instructions for direction of gaze and pursuit.Image/MovingImage
205 CPEOPatient with Chronic Progressive External Ophthalmoplegia (CPEO)Image/MovingImage
206 Duane's Retraction Syndrome Type 1: Lid RetractionExample of patients with Duane's Retraction Syndrome, Type 1. Description of components of Duane's Syndrome: limitation of abduction, variable limitation of adduction, and palpebral fissure narrowing and globe retraction with attempted adduction. Type 1 includes limited or absent abduction with norm...Image/MovingImage
207 Cogan's Lid TwitchExample of a patient with Cogan's lid twitch, with discussion of how to detect it in an exam.Image/MovingImage
208 Rotary NystagmusExample of a patient with rotary nystagmus, showing occasional counterclockwise rotary movements of both eyes. Seen more in intrinsic disorders of the brainstem.Image/MovingImage
209 Spasmus NutansExample of patient with spasmus nutans.Image/MovingImage
210 Rotary DownbeatPatient with rotary downbeat nystagmus (no audio)Image/MovingImage
211 Oculopalatal Myoclonus (PPT)Oculopalatal myoclonus (OPM) Rhythmic oscillations of eyes and palate. Occurred after specific brainstem injury from stroke, following stenting. Related Video: http://content.lib.utah.edu/u?/EHSL-Moran-Neuro-opth,128 Disease/Diagnosis: Oculopalatal myoclonusImage/MovingImage
212 Oculopalatal MyoclonusOculopalatal myoclonus (OPM) Rhythmic oscillations of eyes and palate. Occurred after specific brainstem injury from stroke, following stenting. Related PowerPoint Presentation: http://content.lib.utah.edu/u?/EHSL-Moran-Neuro-opth,129 Disease/Diagnosis: Oculopalatal myoclonus.Image/MovingImage
213 Ocular FlutterTwo examples of patients, the first with rotary, flutter-like movements, but not ocular flutter, and the second with genuine ocular flutter. Discussion of difference between ocular flutter and nystagmus, and how to elicit ocular flutter.Image/MovingImage
214 Flutter in DowngazeExamination of patient with flutter in downgaze (no audio)Image/MovingImage
215 Square Wave JerksExample of patient with square wave jerks. Discussion of difference between square wave jerks (saccadic oscillations) and horizontal nystagmus.Image/MovingImage
216 Intermittent Square Wave JerksPatient with intermittent square wave jerks (no audio)Image/MovingImage
217 OpsoclonusExample of patients with opsoclonus, a saccadic abnormality. Discussion of characteristics of opsoclonus, such as involuntary, rapid, brief, random, conjugate saccades. Discussion of possible causes, including brain stem encephalitis (as in first patient), a paraneoplastic effect, tumors, and drug t...Image/MovingImage
218 Hemifacial SpasmExample of patients with hemifacial spasm. First patient has a sequela of Bell's palsy, and is seen to have mainly clonic movements around the eye, with occasional tonic movements around the mouth. Second patient has a cerebellopontine angle epidurmoid tumor, and is seen to have movements around the...Image/MovingImage
219 Shaken Baby SyndromeText
220 Pulsating ExophthalmosExample of a patient with neurofibromatosis with an absent sphenoid wing. Shows left eye pulsating back and forth with the pulse from front and side views.Image/MovingImage
221 Leber's Hereditary Optic NeuropathyImages and visual fields from a boy with acute visual loss.Text
222 MELAS and RPMELAS; Mitochondrial Encephalopathy with Lactic Acidosis, Stroke and Pigmentary Changes in retina-associated with a retinal dystrophy. This 53 year old man had seizures, encephalopathy and lactic acidosis typical of MELAS. His fundus examination showed granularity and some slight pigmentary changes ...Text
223 Progressive Supranuclear PalsyExample of patient with progressive supranuclear palsy. Discussion of difference between saccadic movement in supranuclear palsy and nystagmus. Shows saccadic intrusions in forward gaze, pursuit, saccades, and doll's head maneuver.Image/MovingImage
224 3-35a - Papilledema StagesGrading Papilledema: Stage 4 Stage 4 = Complete obliteration of the cup and complete obscuration of at least some vessels on the surface of the disc. There may be small dilated capillaries on the disc that resemble telangiectasia. It is not the NFL infarcts or hemorrhages but the obscuration of the ...Image
225 3-31b - Papilledema StagesGrading Papilledema: Stage 0 GRADING PAPILLEDEMA GRADING PAPILLEDEMA We grade papilledema in order to tell us how severe it is. The most sensible grading scheme has been provided by Lars Frisén. STAGE 0: This woman had documented increased intracranial pressure of 340 mm water. Very little if any ...Image
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