10,157 results match your criteria Diplopia


[OPHTHALMIC MANIFESTATIONS OF SILENT SINUS SYNDROME].

Harefuah 2019 Feb;158(2):101-104

Meir Medical Center, Kfar Saba, Israel.

Aims: To describe 7 case reports of "silent sinus syndrome" (SSS) cases and review the literature on this topic.

Methods: A retrospective review of 7 consecutive cases of SSS seen by the authors from 2005 to 2017. Data collected included patient demographics, clinical presentation, imaging findings, surgery performed, outcome and follow up. Read More

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February 2019

Relationship of clinical presentation and angiographic findings in patients with indirect cavernous carotid fistulae.

J Neurointerv Surg 2019 Feb 18. Epub 2019 Feb 18.

Radiology and Neurological Surgery, Columbia University, New York, USA.

Introduction: Indirect cavernous carotid fistulae (ICCFs) can present with insidious, non-specific symptoms and prove difficult to diagnose. This study evaluates associations among ICCF symptoms and angiographic findings.

Methods: A retrospective analysis was performed of prospectively maintained records at four medical centers to identify patients with ICCFs evaluated with angiography. Read More

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http://dx.doi.org/10.1136/neurintsurg-2018-014421DOI Listing
February 2019

Simulated image doubling and visual acuity: effects of doubling magnitude, orientation, and ghost image intensity.

Ophthalmic Physiol Opt 2019 Mar;39(2):86-93

School of Optometry and Vision Science and Institute of Health and Biomedical Innovation, Queensland University of Technology, Brisbane, Australia.

Purpose: The effects of image doubling on logarithmic progression chart visual acuity were investigated by simulating diplopia on a computer monitor.

Methods: Ten participants (6M, 4F) aged 21-28 years (mean 22.4 ± 2. Read More

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http://dx.doi.org/10.1111/opo.12605DOI Listing

Hunting for a cause of painful diplopia.

Authors:
Benjamin Nham

Med J Aust 2019 Feb 18. Epub 2019 Feb 18.

Institute of Clinical Neurosciences, Royal Prince Alfred Hospital, Sydney, NSW.

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http://dx.doi.org/10.5694/mja2.50042DOI Listing
February 2019
1 Read

Identification and correction of restrictive strabismus following pterygium excision surgery.

Am J Ophthalmol 2019 Feb 13. Epub 2019 Feb 13.

Shiley Eye Institute and Viterbi Family Department of Ophthalmology, University of California San Diego, La Jolla, CA, USA. Electronic address:

Purpose: To report the characteristics of patients with restrictive diplopia following pterygium excision and a successful treatment approach for the strabismus.

Design: Retrospective interventional case series.

Methods Setting: Single academic institution. Read More

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http://dx.doi.org/10.1016/j.ajo.2019.02.004DOI Listing
February 2019

Delayed Diagnosis of Atypical Presentation of Myasthenia Gravis.

Eur J Case Rep Intern Med 2018 22;5(2):000785. Epub 2018 Feb 22.

Internal Medicine Department, St. Luke General Hospital, Kilkenny, Ireland.

Myasthenia gravis is an autoimmune disorder affecting the neuromuscular junction, resulting in muscle fatiguability and weakness. The pathological characteristics of the disorder include ocular weakness resulting in diplopia and/or ptosis. More generally, the disease can result in fluctuant weakness of skeletal muscle, predominantly affecting ocular, bulbar and respiratory muscles. Read More

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http://dx.doi.org/10.12890/2017_000785DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6346934PMC
February 2018
1 Read

Sirolimus (rapamycin) for the targeted treatment of the fibrotic sequelae of Graves' orbitopathy.

Eye (Lond) 2019 Feb 12. Epub 2019 Feb 12.

Department of Clinical Neurosciences, University of Cambridge, Cambridge, UK.

Background: Rapamycin (alternatively known as sirolimus) is a macrolide immunosuppressant commonly used for organ transplantation. It acts both on lymphocytes through the mechanistic target of rapamycin (mTOR) pathway to reduce their sensitivity to interleukin-2 (IL-2) and, importantly, also has anti-fibrotic properties by acting on myofibroblasts. The latter have been implicated in the pathogenesis of thyroid eye disease (TED). Read More

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http://dx.doi.org/10.1038/s41433-019-0340-3DOI Listing
February 2019

Endovascular Embolization in the Treatment of Epistaxis.

Otolaryngol Head Neck Surg 2019 Feb 12:194599819829743. Epub 2019 Feb 12.

1 Department of Otolaryngology, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA.

Objective: The cost-effectiveness of endovascular embolization (EE) for intractable epistaxis has been questioned, especially as endoscopic surgical techniques have become standard of care at many institutions. Our objectives were to review the safety profile and effectiveness of EE for epistaxis.

Study Design: Retrospective case series. Read More

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http://dx.doi.org/10.1177/0194599819829743DOI Listing
February 2019
1 Read

Acute Visual Disorders-What Should the Neurologist Know?

Semin Neurol 2019 Feb 11;39(1):53-60. Epub 2019 Feb 11.

Department of Neurology, The Johns Hopkins Hospital, Baltimore, Maryland.

Normal vision requires coordination of precisely controlled and coordinated eye movements and normal function of a large cortical and subcortical sensory network. Given the required precision of the system and wide anatomic distribution of the motor and sensory visual systems, vision can be disrupted by a variety of central and peripheral nervous system disorders. While many of these may be relatively benign or have no proven therapy, several may be isolated presentations or harbingers of more serious neurologic conditions. Read More

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http://dx.doi.org/10.1055/s-0038-1677007DOI Listing
February 2019
1 Read

Endoscopic endonasal surgery for Clival Chordomas - a single institution experience and short term outcomes.

Br J Neurosurg 2019 Feb 11:1-6. Epub 2019 Feb 11.

a Department of Neurosurgery , Birmingham University Hospital , Birmingham , England.

Purpose: Clival Chordomas are locally aggressive tumours which pose a significant treatment challenge. Endoscopic endonasal approach for clival chordomas is correlated with higher resection rates and lower morbidity rates in comparison to open approaches. We present our initial single institution experience and short-term patient outcomes following endoscopic endonasal approach for resection of clival chordomas. Read More

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http://dx.doi.org/10.1080/02688697.2019.1567683DOI Listing
February 2019

The clinical features,intradural transcavernous surgical management and outcomes of giant cavernous sinus hemangiomas:a single-institutional experiences.

World Neurosurg 2019 Feb 5. Epub 2019 Feb 5.

Department of Neurosurgery, Beijing Tian Tan Hospital, Capital Medical University, Beijing, China. Electronic address:

Objective: Cavernous sinus hemangiomas (CSHs) are rare vascular tumors. Stereotactic radiosurgery (SRS) is now an effective treatment for small CSHs. The optimum treatment for giant CSHs is still controversial. Read More

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http://dx.doi.org/10.1016/j.wneu.2019.01.165DOI Listing
February 2019
1 Read
2.417 Impact Factor

Tissue Necrosis in Epstein-Barr Virus-Negative Orbital Diffuse Large B-Cell Lymphoma.

J Craniofac Surg 2019 Feb 2. Epub 2019 Feb 2.

Department of Oculoplastic, Orbital, and Lacrimal Surgery, Aichi Medical University Hospital.

An 82-year-old man presented with a history of diplopia for 5 months and painful swelling of the left eyelids for 3 months. Imaging studies revealed a lesion involving the left extraocular muscles, orbital fat, and optic nerve. Laboratory investigations were negative for Epstein-Barr virus antiviral capsid antigens-immunoglobulin M. Read More

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http://dx.doi.org/10.1097/SCS.0000000000005184DOI Listing
February 2019
2 Reads

Oculomotor Nerve Palsy Associated with Duplication of Middle Cerebral Artery, Anterior Communicating Artery Aneurysm, and Parietal Meningioma.

Neuroophthalmology 2019 Feb 25;43(1):53-55. Epub 2018 Apr 25.

Department of Ophthalmology, Faculty of Medicine, Cairo University, Cairo, Egypt.

A 61-year-old male presents with diplopia of acute onset and progressive course. He has a history of previous intracranial haemorrhage that was surgically evacuated 7 years ago and was also associated with diplopia. Examination revealed left complete oculomotor nerve paralysis with a fixed and dilated left pupil. Read More

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http://dx.doi.org/10.1080/01658107.2018.1451902DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6351017PMC
February 2019
2 Reads

Ophthalmological manifestation in patients of tuberculous meningitis.

QJM 2019 Feb 5. Epub 2019 Feb 5.

Professor, Department of Ophthalmology, King George's Medical University, Lucknow, India.

Background: Vision impairment, blindness in particular is a devastating complication in patients with Tubercular meningitis. However information regarding ophthalmological manifestation and its impact on vision is sparse in the literature. This study evaluated the spectrum of ophthalmological manifestations in tuberculous meningitis, including retinal nerve fiber layer thickness assessment by optic coherence tomography and its correlation with visual and clinical outcome. Read More

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http://dx.doi.org/10.1093/qjmed/hcz037DOI Listing
February 2019
2 Reads

[Paraneoplastic Cerebellar Degeneration with Lambert-Eaton Myasthenic Syndrome: A Report of an Effectively Treated Case and Systematic Review of Japanese Cases].

Brain Nerve 2019 Feb;71(2):167-174

Department of Neurology and Strokology, Nagasaki University Hospital.

A 63-year-old female who developed dizziness, diplopia and subsequent gait disturbance from September X-1 year was analyzed. The first neurological findings in May X year revealed cerebellar ataxia, weakness in the proximal limbs, decreased tendon reflexes, and autonomic symptoms (ADL:mRS 3). Furthermore, an incremental phenomenon was observed in the repetitive nerve stimulation test, and she was diagnosed with Lambert-Eaton myasthenic syndrome (LEMS) based on the serum P/Q-type calcium channel (VGCC) antibody positivity. Read More

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http://dx.doi.org/10.11477/mf.1416201237DOI Listing
February 2019
1 Read

Abducens nerve schwannoma: a case report and literature review.

World Neurosurg 2019 Feb 1. Epub 2019 Feb 1.

Department of Neurosurgery, Clinical Research Institute, National Hospital Organization, Kyushu Medical Center, Kyushu Medical Center, 1-8-1, Jigyo-hama, Chuo-ku, Fukuoka 810-8563, Japan.

Background: Abducens nerve function seldom shows complete recovery after removal of abducens nerve schwannoma. No cases with unclear course of the abducens nerve during surgery have been reported to achieve complete recovery of nerve function.

Case Description: We report the case of a 44-year-old woman who presented with occasional dysgeusia without abducens nerve paresis. Read More

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http://dx.doi.org/10.1016/j.wneu.2019.01.123DOI Listing
February 2019

Pembrolizumab-induced Ocular Myasthenia Gravis with Anti-titin Antibody and Necrotizing Myopathy.

Intern Med 2019 Feb 1. Epub 2019 Feb 1.

Department of Neurology, The Jikei University Kashiwa Hospital, Japan.

A 73-year-old man developed diplopia after the administration of pembrolizumab for lung adenocarcinoma. He had ptosis and external ophthalmoplegia without general muscle weakness. Serum CK levels were elevated. Read More

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http://dx.doi.org/10.2169/internalmedicine.1956-18DOI Listing
February 2019
0.967 Impact Factor

Child with intermittent diplopia after otitis media.

Arch Dis Child Educ Pract Ed 2019 Feb 1. Epub 2019 Feb 1.

Institute for Maternal and Child Health IRCCS Burlo Garofolo, Trieste, Italy.

QUESTION 1: What is the diagnosis in this patient?Brain abscessAcute suppurative mastoiditisOptic neuritisCerebral venous sinus thrombosisSubdural haematoma QUESTION 2: What are the most common clinical presentations of this condition? QUESTION 3: How should this patient be managed? Read More

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http://ep.bmj.com/lookup/doi/10.1136/archdischild-2018-31630
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http://dx.doi.org/10.1136/archdischild-2018-316307DOI Listing
February 2019
2 Reads

Idiopathic Orbital Inflammation with Bone Destruction and Extension into the Paranasal Sinuses.

Surv Ophthalmol 2019 Jan 29. Epub 2019 Jan 29.

Duke University Medical Center, Department of Ophthalmology, Durham, NC 27710.

Idiopathic orbital inflammation developed in the right orbit of a woman in her mid-thirties, causing tearing, photophobia, diplopia, altered depth perception, proptosis, and pain on eye movements. Computed tomography disclosed a mass involving the intraconal and extraconal nasal right orbit, extending to the orbital apex with anterior displacement of the globe, effacement of the medial rectus muscle, portions of the fat plane, and the superior oblique muscle, and bone destruction with extension of the mass through the orbital floor into the superior maxillary sinus and through the lamina papyracea into the ethmoid sinus. Orbital biopsy disclosed dense fibrous connective tissue with numerous lymphocytes and macrophages. Read More

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http://dx.doi.org/10.1016/j.survophthal.2019.01.012DOI Listing
January 2019

Mixed cranial neuropathies due to occult perineural invasion of basal cell carcinoma.

Am J Ophthalmol Case Rep 2019 Mar 19;13:136-139. Epub 2018 Dec 19.

Department of Ophthalmology, University of California, San Francisco, 10 Koret Way, San Francisco, CA, 94143, USA.

Purpose: To report a diagnostically challenging case of cranial neuropathy due to perineural invasion by a basal cell carcinoma presenting 7.5 years after treatment of the primary tumor with Mohs micrographic surgery.

Observations: A 62-year-old male with a history of Mohs micrographic surgery for basal cell carcinoma (BCC) of the left brow presented with insidious onset of diplopia and paresthesia localizing to the ipsilateral cranial nerves V, V, and VI. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S24519936183013
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http://dx.doi.org/10.1016/j.ajoc.2018.12.018DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6348452PMC
March 2019
1 Read

Evaluation and validation of sustained upgaze combined with the ice-pack test for ocular myasthenia gravis in Asians.

Neuromuscul Disord 2018 Dec 22. Epub 2018 Dec 22.

Department of Neurology, Seoul National University College of Medicine, Seoul National University Bundang Hospital, Seongnam, Gyeonggi-do, South Korea.

The accuracy of the ice-pack test for diagnosing myasthenia gravis (MG) has been reported to be excellent, however, the sensitivity is low in patients with mild ptosis which is common in Asians who have absent or low double eyelid folds. Herein, we performed the ice-pack test after sustained upgaze and tested its validity for diagnosing MG. The study included 30 newly diagnosed MG patients with ptosis (median age 47 years, range 2-87 years) and 30 controls with ptosis other than MG (median age 58 years, range 5-83 years). Read More

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http://dx.doi.org/10.1016/j.nmd.2018.12.011DOI Listing
December 2018

Diagnosis of IgG4 - related ophthalmic disease in a group of patients with various lesions of the eye and orbits.

Ter Arkh 2018 May;90(5):61-71

A.I. Evdokimov Moscow State University of Medicine and Dentistry, Moscow, Russia.

Aim: To provide demographic, clinical, laboratory, ultrasound, radiological, morphological/ immunomorphological phenotype of IgG4-related ophthalmic diseases, which allowsmaking a differential diagnosis with granulomatous, autoimmune, inflammatory, endocrine and hematologic diseases affecting the eye and orbits.

Materials And Methods: From 2004 to 2016 108 (78.2%) of the 138 patients were diagnosed with non-tumoral lesions of eye and orbits. Read More

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http://dx.doi.org/10.26442/terarkh201890561-71DOI Listing

Acute alcohol intoxication may cause delay in stroke treatment - case reports.

BMC Neurol 2019 Jan 29;19(1):14. Epub 2019 Jan 29.

Department of Neurology, Faculty of Medicine, University of Debrecen, Moricz Zs. krt 22, Debrecen, 4032, Hungary.

Background: The signs and symptoms of acute alcohol intoxication resemble those of vertebrobasilar stroke. Due to their shared symptoms including double vision, nystagmus, dysarthria, and ataxia, the differential diagnosis of alcohol intoxication and vertebrobasilar stroke may pose a challenge. Moreover, if alcohol intoxication and stroke occur simultaneously, the signs and symptoms of stroke may be attributed to the effects of alcohol, leading to delayed stroke diagnosis and failure to perform reperfusion therapy. Read More

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http://dx.doi.org/10.1186/s12883-019-1241-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6350361PMC
January 2019
1 Read

Patient Perspective in the Management of Zygomatic Fractures.

Ann Maxillofac Surg 2018 Jul-Dec;8(2):239-246

Department of Orthodontics and Dentofacial Orthopaedics, Institute of Dental Sciences, Siksha 'O' Anusandhan University, Bhubaneswar, Odisha, India.

Background: A clinical study was undertaken on the management of zygomatic complex fractures using various surgical approaches in the Department of Oral and Maxillofacial surgery during the past 3 years.

Aims: The aim of this study is to evaluate the versatility of various surgical approaches.

Materials And Methods: A total of 15 cases were selected following a clinical and radiological examination of fractures of the zygomatic complex. Read More

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http://www.amsjournal.com/text.asp?2018/8/2/239/248604
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http://dx.doi.org/10.4103/ams.ams_85_16DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6327811PMC
January 2019
3 Reads

A Series of Biopsy-proven Patients with Immunoglobulin G4-related Neurological Disease.

Ann Indian Acad Neurol 2019 Jan-Mar;22(1):73-78

Department of Neurology, Nizam's Institute of Medical Sciences, Hyderabad, Telangana, India.

Aim: To study the clinical presentation, radiological findings, and therapy responsiveness of patients with biopsy-proven immunoglobulin G4 (IgG4)-related neurological disease.

Methods: The study was conducted between January 2016 and March 2018 from the Department of Neurology and Pathology of Nizam's Institute of Medical Sciences. Patients with neurological symptoms and biopsy suggestive of IgG4-related disease (IgG4-RD) were included. Read More

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http://dx.doi.org/10.4103/aian.AIAN_283_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6327705PMC
January 2019

Pattern of Idiopathic Intracranial Hypertension in Indian Population.

Ann Indian Acad Neurol 2019 Jan-Mar;22(1):47-51

Department of Neuromedicine, Medical College, Kolkata, West Bengal, India.

Objective: To evaluate the clinical and demographic profile, laboratory parameters and outcomes of Idiopathic Intracranial hypertension (IIH) patients from Indian subpopulation.

Materials And Method: We did a prospective study on patients who fulfilled the revised diagnostic criteria for Primary pseudotumor cerebri syndrome in adults and children, proposed by Friedman et al in 2013. All patients were examined for BMI, papilloedema, extraocular muscle movement, opening CSF pressure and underwent MRI, MR venography of brain and perimetry. Read More

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http://dx.doi.org/10.4103/aian.AIAN_116_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6327693PMC
January 2019

[Efficacy and Side Effects of Lateral Orbital Wall Decompression Including the Orbital Rim in Patients with Graves' Orbitopathy].

Klin Monbl Augenheilkd 2019 Jan 28;236(1):17-24. Epub 2019 Jan 28.

Klinik für Augenheilkunde, Bereich Strabologie, Neuroophthalmologie und okuloplastische Chirurgie, Universitätsmedizin Göttingen.

Background: Graves' orbitopathy is the most common extrathyroidal manifestation of Graves' disease. In the burnt out fibrotic phase exophthalmos, diplopia and lid retraction may remain, which can require multiple rehabilitative surgical interventions. Orbital decompression is an established surgical procedure for the treatment of exophthalmos in Graves' orbitopathy. Read More

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http://dx.doi.org/10.1055/a-0802-9275DOI Listing
January 2019
3 Reads

Three-year Observation of Children Age 3 to 10 Years Old with Untreated Intermittent Exotropia.

Ophthalmology 2019 Jan 25. Epub 2019 Jan 25.

Jaeb Center for Health Research, Tampa, FL.

Purpose: To describe the course of intermittent exotropia (IXT) in children followed without treatment for three years DESIGN: Observation arm from randomized trial of short-term occlusion vs. observation PARTICIPANTS: 183 children 3 to 10 years old with previously untreated IXT and 400 arcsec or better near stereoacuity METHODS: Participants were to receive no treatment unless deterioration criteria were met at a follow-up visit occurring at 3 months, 6 months, or 6-month intervals thereafter for 3 years MAIN OUTCOME MEASURES: The primary outcome was deterioration by 3 years, defined as meeting motor criterion (constant XT ≥10 prism diopters (Δ) at distance and near) or near stereoacuity criterion (≥ 2 octaves decrease from best previous measure). For the primary analysis, participants also were counted as deteriorated if treatment was prescribed without meeting either deterioration criterion. Read More

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http://dx.doi.org/10.1016/j.ophtha.2019.01.015DOI Listing
January 2019

Threat of a Cycle Proof: Vertebral Artery Dissection Associated with Posterior Inferior Cerebellar Artery Infarction.

Case Rep Otolaryngol 2018 27;2018:5387607. Epub 2018 Dec 27.

Department of Otorhinolaryngology, Head and Neck Surgery, Hospital Center of Vila Nova Gaia/Espinho, Rua Conceição Fernandes s/n, 4434-502 Vila Nova de Gaia, Portugal.

This paper presents a case of a perfectly healthy 36-year-old male, who went to the emergency department with a clinical picture of diffuse headache, dizziness, and asthenia with 3 days of evolution, after a long cycling race. He was admitted to the ENT Department with suspected diagnosis of peripheral vertigo. The patient developed hypoesthesia of the face, diplopia, right lateropulsion, and Romberg with preferential rightward fall, and imaging studies demonstrated an extracranial vertebral artery dissection concomitant with PICA territory infarction. Read More

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http://dx.doi.org/10.1155/2018/5387607DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6327282PMC
December 2018
1 Read

Objective Assessment of Arterial Steal Phenomenon in Direct Carotid Cavernous Fistula Using 2D Parametric Parenchymal Blood Flow Analysis.

Neurointervention 2019 Jan 29. Epub 2019 Jan 29.

Department of Neurosurgery, Rush University Medical Center, Chicago, IL, USA.

The aim of the study is to evaluate the hemodynamic changes and the parenchymal perfusion associated with carotid cavernous fistulas before and after embolization using two-dimensional (2D) parenchymal blood flow analysis. A 15-year-old boy presented with 2-month history of progressive right eye proptosis, chemosis, and diplopia after a motor vehicle accident. Intracranial liquid embolization using Onyx-18 through the inferior petrosal approach was done with balloon protection at the opening of the fistula in the internal carotid artery, resulting in complete occlusion of the fistula. Read More

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http://dx.doi.org/10.5469/neuroint.2018.01102DOI Listing
January 2019

Intraorbital Dermoid Cyst With Zygomaticofrontal Suture Erosion in an Adult.

J Craniofac Surg 2019 Jan 19. Epub 2019 Jan 19.

Department of Otolaryngology-Head and Neck Surgery, University of North Carolina, Chapel Hill, NC.

Background: Dermoid cysts are squamous epithelium-lined sacs that result from abnormal migration of ectodermal cells. They are typically superficial and present in children. This study reviews a rare patient with a congenital dermoid cyst occurring as a superolateral intraorbital and extraconal mas. Read More

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http://dx.doi.org/10.1097/SCS.0000000000005005DOI Listing
January 2019
6 Reads

Orbital precursor B-lymphoblastic lymphoma involving the extraocular muscles in a 56-year-old male and a review of the literature.

Oncol Lett 2019 Feb 19;17(2):1477-1482. Epub 2018 Nov 19.

Department of Ophthalmology, Rigshospitalet, Copenhagen University Hospital, 2100 Copenhagen, Denmark.

The aim of the present study was to describe a rare case of orbital precursor B-lymphoblastic lymphoma (B-LBL) in an adult. A 56-year-old male in complete remission of a gastric precursor B-LBL was referred to our orbital clinic due to rapid development of left-sided painless periorbital swelling, diplopia, and proptosis. Complete ophthalmoplegia was observed. Read More

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http://www.spandidos-publications.com/10.3892/ol.2018.9725
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http://dx.doi.org/10.3892/ol.2018.9725DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6341779PMC
February 2019
4 Reads

Sudden Diplopia at Pediatric Emergency Department: A Case of Gradenigo Syndrome in a Child.

Pediatr Emerg Care 2019 Jan 21. Epub 2019 Jan 21.

Emergency Medicine and Trauma Center, Meyer University Children's Hospital, Florence, Italy.

Objective: Otitis media, facial pain in trigeminal region, and ipsilateral abducens nerve palsy clinically define Gradenigo syndrome, a rare but serious complication of suppurative middle ear infection. Radiological investigation is required to confirm petrous apex involvement and to exclude further consequences as sinus thrombosis, meningitis, and intracranial abscess.

Methods/results: We report the case of an 8-year-old child referred to our emergency department for recurrent headache and sudden strabismus. Read More

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http://dx.doi.org/10.1097/PEC.0000000000001684DOI Listing
January 2019
3 Reads

A case of fulminant Epstein-Barr virus encephalitis in an immune-competent adult.

J Neurovirol 2019 Jan 22. Epub 2019 Jan 22.

Department of Neurology, Haaglanden Medical Center, The Hague, The Netherlands.

A 21-year-old female presented with headache, nausea and vomiting, dysarthria, difficulty finding words, vertigo, episodical diplopia and an abnormal gait since 2 days. Additionally, we found marked ataxia and disturbed liver chemistry whilst her infection parameters were low. Her head CT scan was unremarkable, but her MRI scan showed leptomeningeal enhancement along the cerebellar folia. Read More

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http://dx.doi.org/10.1007/s13365-018-0718-1DOI Listing
January 2019
1 Read

The management of large-angle esotropia in Graves ophthalmopathy with combined medial rectus recession and lateral rectus resection.

J AAPOS 2019 Jan 18. Epub 2019 Jan 18.

Department of Ophthalmology, Casey Eye Institute, Oregon Health and Science University, Portland, Oregon.

Purpose: To describe surgical management and outcomes for large-angle esotropia of ≥50 secondary to Graves ophthalmopathy using combined initial nonadjustable medial rectus recessions and lateral rectus resections.

Methods: The medical records of consecutive patients undergoing strabismus surgery for large-angle esotropia secondary to Graves ophthalmopathy from 1995 to 2012 by a single surgeon at each of two institutions was performed. Patient characteristics, surgical technique, and pre- and postoperative measurements of ocular alignment were analyzed. Read More

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http://dx.doi.org/10.1016/j.jaapos.2018.08.013DOI Listing
January 2019
1 Read

A Comparison of Endoscopic Reduction for Medial Blowout Fractures Using a Bioresorbable Panel and Silastic Sheet.

J Craniofac Surg 2019 Jan 17. Epub 2019 Jan 17.

Department of Otolaryngology Head-Neck Surgery, Kosin University College of Medicine.

Background: The aim of the study was to compare the effectiveness of endoscopic endonasal reduction using a bioresorbable panel and silastic sheet packed with Merocel for blowout fractures of the medial orbital wall.

Design: Retrospective study.

Methods: The study group consisted of 147 patients who underwent endoscopic endonasal reduction of a blowout fracture of the medial orbital wall between January 2005 and December 2016. Read More

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http://dx.doi.org/10.1097/SCS.0000000000005083DOI Listing
January 2019
5 Reads

Petroclival Meningioma Presenting With an Ipsilateral Sixth Nerve Palsy and a Contralateral Homonymous Quadrantanopia: A Unique and Topographically Localizing Syndrome.

J Neuroophthalmol 2019 Jan 16. Epub 2019 Jan 16.

Department of Ophthalmology & Visual Sciences (AS, LJL, AGL), University of Texas Medical Branch, Galveston, Texas; Department of Ophthalmology (AV, AGL), Blanton Eye Institute, Houston Methodist Hospital, Houston, Texas; Department of Ophthalmology (AGL), Baylor College of Medicine, Houston, Texas; Departments of Ophthalmology, Neurology, and Neurosurgery (AGL), Weill Cornell Medicine, New York, New York; Section of Ophthalmology (AGL), University of Texas MD Anderson Cancer Center, Houston, Texas; and Department of Ophthalmology (AGL), University of Iowa Hospitals and Clinics, Iowa City, Iowa.

An 84-year-old woman reported onset of headaches, diplopia, and blurred vision. On examination, she was found to have a left sixth nerve palsy and an incongruous right homonymous hemianopia. Brain MRI demonstrated a left petroclival meningioma, causing this unusual combination of clinical findings. Read More

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http://Insights.ovid.com/crossref?an=00041327-900000000-9918
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http://dx.doi.org/10.1097/WNO.0000000000000742DOI Listing
January 2019
12 Reads

Nerve-Sheath-Risen Neuroglial Cyst: A Case Report and Review of the Literature.

World Neurosurg 2019 Jan 17. Epub 2019 Jan 17.

Skull Base Research Center, Department of Neurosurgery, Loghman-e Hakim hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Background: Neuroglial cysts are rare intracranial lesions that are believed to originate from the sequestration of neural tube lining during embryogenesis. They can present anywhere within the neuraxis; however, their most common location is the frontal lobe. Cerebellopontine angle (CPA) neuroglial cysts are extremely rare and to the best of authors' knowledge, there are no previous reports of a neuroglial cyst arising from cranial nerves. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S18788750193008
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http://dx.doi.org/10.1016/j.wneu.2018.12.203DOI Listing
January 2019
5 Reads
2.417 Impact Factor

Navigation-Assisted Isolated Medial Orbital Wall Fracture Reconstruction Using an U-HA/PLLA Sheet via a Transcaruncular Approach.

J Invest Surg 2019 Jan 15:1-9. Epub 2019 Jan 15.

a Department of Oral and Maxillofacial Surgery , Shimane University Faculty of Medicine , Izumo , Shimane , Japan.

Purpose: We investigated the feasibility of isolated medial orbital wall fracture reconstruction using an unsintered hydroxyapatite particles/poly L-lactide (u-HA/PLLA) sheet implant with the assistance of intraoperative navigation via the transcaruncular approach.

Patients And Methods: Ten consecutive patients (5 males and 5 females; mean age, 57.5 years) were included based on the clinical and imaging criteria. Read More

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http://dx.doi.org/10.1080/08941939.2018.1546353DOI Listing
January 2019
1 Read

[See the ocular motor pathways disorders in neuro-ophthalmology from the view of major of strabismus].

Authors:
W Zhang

Zhonghua Yan Ke Za Zhi 2019 Jan;55(1):3-6

Clinical College of Ophthalmology of Tianjin Medical University, Tianjin Eye Hospital and Institute, Tianjin Key Laboratory of Ophthalmology and Vision Science, Tianjin 300020, China.

Neuro-ophthalmology is an interdisciplinary that covers neurology and ophthalmology. Neuro-ophthalmology involves not only visual afferent system disorders but also visual efferent system disorders. We have recognized that any disturbance in afferent system may result in vision decrease or loss. Read More

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http://dx.doi.org/10.3760/cma.j.issn.0412-4081.2019.01.002DOI Listing
January 2019

Rapidly Growing and Asymptomatic Skull Base Lesion.

J Craniofac Surg 2019 Jan 10. Epub 2019 Jan 10.

Department of Otolaryngology-Head and Neck Surgery, University of Texas Southwestern Medical Center, Dallas.

Trochlear schwannomas typically present with diplopia and are extremely rare benign intracranial neoplasms that require the combined expertise of neurotologists and neurosurgeons for surgical excision. A combined petrosal approach offers a surgical route for removal of growing and/or symptomatic tumors. A study of a trochlear nerve schwannoma that demonstrated rapid growth but was otherwise asymptomatic was presented in this study. Read More

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http://dx.doi.org/10.1097/SCS.0000000000005153DOI Listing
January 2019
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A Tough NUT to Crack: A 47-Year-Old With Diplopia From a Rare Malignancy.

J Neuroophthalmol 2019 Mar;39(1):129-133

Stanley M. Truhlsen Eye Institute (LM, DG, SK), University of Nebraska Medical Center, Omaha, Nebraska; Departments of Radiology (JH), Pathology and Microbiology (JB, DD), and Neurological Sciences (SK), University of Nebraska Medical Center, Omaha, Nebraska.

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http://dx.doi.org/10.1097/WNO.0000000000000747DOI Listing

Internal Carotid Artery Occlusion Causing Acute Cranial Neuropathies.

J Stroke Cerebrovasc Dis 2019 Jan 9. Epub 2019 Jan 9.

Department of Neurology, Westmead Hospital, Sydney, New South Wales, Australia; Sydney Medical School, University of Sydney, Sydney, New South Wales, Australia.

A 54-year-old male with a history of left posterior parietal ischemic stroke, epilepsy, tobacco and marijuana smoking, and alcohol abuse, presented with acute left visual loss and diplopia. On examination, he had reduced left visual acuity and a left oculomotor nerve palsy. CT angiogram from aortic arch to circle of Willis identified extensive thrombus occluding the left common and internal carotid arteries, extending to the left ophthalmic artery. Read More

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http://dx.doi.org/10.1016/j.jstrokecerebrovasdis.2018.12.017DOI Listing
January 2019

From suppression to stereoacuity: a composite binocular function score for clinical research.

Ophthalmic Physiol Opt 2019 Jan;39(1):53-62

Retina Foundation of the Southwest, Dallas, USA.

Purpose: This study aimed to validate a binocular function score that is based on common clinical measures of visual function, providing a more complete analysis of binocular outcomes, against laboratory-based dichoptic tests of threshold stereoacuity and depth of suppression.

Methods: Scores on a composite binocular function (BF) score derived from clinical stereoacuity measures (Randot Preschool Stereoacuity Test and Randot Butterfly) and the Worth 4 Dot test were determined in adults (n = 20; age 24.8 ± 7. Read More

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http://doi.wiley.com/10.1111/opo.12599
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http://dx.doi.org/10.1111/opo.12599DOI Listing
January 2019
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Partial scleral buckle removal during strabismus surgery after retinal detachment repair.

J AAPOS 2019 Jan 6. Epub 2019 Jan 6.

Department of Ophthalmology, Stanford University School of Medicine, Stanford, California. Electronic address:

Purpose: To describe outcomes after partial scleral buckle removal at the time of strabismus surgery.

Methods: The medical records of consecutive patients with symptomatic diplopia who underwent strabismus surgery after scleral buckling by two surgeons were reviewed retrospectively. All patients underwent forced duction testing and had a segment of the scleral buckle removed intraoperatively. Read More

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http://dx.doi.org/10.1016/j.jaapos.2018.08.011DOI Listing
January 2019
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Cervical artery dissection: fibromuscular dysplasia versus vascular Ehlers-Danlos syndrome.

Blood Press 2019 Jan 9:1-5. Epub 2019 Jan 9.

a Division of Cardiology , Cliniques Universitaires Saint-Luc, Université Catholique de Louvain , Brussels , Belgium.

We report the case of a 42-year-old patient referred for suspicion of fibromuscular dysplasia in the context of a carotid artery dissection occurring after a minor trauma. Initial complaints included left hemicrania, lateral diplopia with left 6 cranial nerve palsy and pulsatile tinnitus. The work-up disclosed a large left carotid-cavernous fistula, as well as more proximal carotid lesions compatible with multifocal fibromuscular dysplasia. Read More

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https://www.tandfonline.com/doi/full/10.1080/08037051.2018.1
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http://dx.doi.org/10.1080/08037051.2018.1557507DOI Listing
January 2019
6 Reads

Superior oblique tuck: evaluation of surgical outcomes.

Strabismus 2018 Dec 20:1-6. Epub 2018 Dec 20.

b Ophthalmology , University Hospital Aintree , Liverpool.

Purpose: To report the surgical outcomes of the superior oblique tuck procedure in the management of superior oblique palsies performed at a single centre over a 25-year period.

Methods: A retrospective study of superior oblique tuck performed as a primary and secondary procedure by a single surgeon over a 25-year period between 1992 and 2016. We evaluated patient demographics, the angle of deviation pre- and post-surgery in prism dioptres (PD), amount of muscle tuck surgery performed (mm), complications (iatrogenic Brown's Syndrome) and improvement of diplopia post-operatively. Read More

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http://dx.doi.org/10.1080/09273972.2018.1559204DOI Listing
December 2018
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Erotic asphyxiation: May have you seeing double.

Am J Ophthalmol Case Rep 2019 Mar 19;13:99-101. Epub 2018 Dec 19.

Department of Ophthalmology and Visual Neurosciences, University of Minnesota, Minneapolis, MN, USA.

Purpose: If not recognized and treated promptly, nontraumatic orbital subperiosteal hemorrhage (NTSOH) can have serious sequelae including compressive optic neuropathy and permanent vision loss. The following case establishes erotic asphyxiation as a cause of NTSOH.

Observations: A 29 year-old patient presented with diplopia and periorbital edema and ecchymosis. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S24519936183021
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http://dx.doi.org/10.1016/j.ajoc.2018.12.013DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6305683PMC
March 2019
1 Read

The effect of induced fusional demand on static and dynamic stereoacuity thresholds: the digital Synoptophore.

BMC Ophthalmol 2019 Jan 7;19(1). Epub 2019 Jan 7.

Department of Psychological Sciences, IPHS, University of Liverpool, Liverpool, UK.

Background/aims: The ability to extract depth from disparity may be hindered under fusional stress, as alignment of the eyes may be more difficult to maintain consistently. Therefore we aim to determine the effect of fusional demand on stereoacuity in individuals with no known binocular vision impairments.

Methods: A novel static and dynamic binocular depth detection task, capable of assessing many discrete levels of stereoacuity, was presented on digital displays attached to each tube of the Synoptophore. Read More

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https://bmcophthalmol.biomedcentral.com/articles/10.1186/s12
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http://dx.doi.org/10.1186/s12886-018-1000-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6322307PMC
January 2019
6 Reads