10,227 results match your criteria Diplopia


Intraorbital aneurysm of the ophthalmic artery.

BMJ Case Rep 2019 Apr 23;12(4). Epub 2019 Apr 23.

Department of Ophthalmology, University Hospitals of North Midlands NHS Trust, Stoke-on-Trent, UK.

Intraorbital ophthalmic artery (OA) aneurysms are rare. They can be asymptomatic or present with visual disturbances, exophthalmos and headaches. We present a case of a 57-year-old man who presented with reduced vision, diplopia and exophthalmos. Read More

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http://dx.doi.org/10.1136/bcr-2018-227044DOI Listing

Evaluation of the Graves' Orbitopathy-Specific Quality of Life Questionnaire in the Mainland Chinese Population.

J Ophthalmol 2019 18;2019:7602419. Epub 2019 Mar 18.

Department of Ophthalmology, Guangdong Provincial Key Laboratory of Malignant Tumor Epigenetics and Gene Regulation, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou 510120, China.

Purpose: To study the clinical significance of the Graves' orbitopathy-specific quality of life (GO-QOL) questionnaire in mainland Chinese patients.

Methods: A cross-sectional study was performed at the Ophthalmology Department of the Sun Yat-sen Memorial Hospital from April 2017 to April 2018. Eighty-eight consecutive Graves' orbitopathy (GO) patients completed the two subscales of the GO-QOL questionnaire: visual functioning and appearance. Read More

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http://dx.doi.org/10.1155/2019/7602419DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6442306PMC

Resection of Pediatric Trigeminal Schwannoma Using Minimally Invasive Approach: Case Report, Literature Review, and Video Submission.

World Neurosurg 2019 Apr 19. Epub 2019 Apr 19.

Department of Neurosurgery, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma. Electronic address:

We report the case of a 14-year-old male who presented with an isolated sixth nerve palsy manifested by diplopia. The patient was found to have a trigeminal schwannoma involving the ophthalmic and maxillary branches of the trigeminal nerve. A modified mini-pterional craniotomy was performed for an extended middle fossa approach with an anterior petrosectomy to gain access to the inferior aspect of the posterior fossa tumor component. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S18788750193110
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http://dx.doi.org/10.1016/j.wneu.2019.04.113DOI Listing
April 2019
2 Reads

Orbital Rosai-Dorfman Disease: A Case Report and Literature Review.

J Microsc Ultrastruct 2019 Jan-Mar;7(1):50-52

Department of Pathology, King Faisal Specialist Hospital and Research Centre, Jeddah, Saudi Arabia.

A 53-year-old male presented with dropping of the right eyelid associated with decreased visual acuity for 4 months. He also complained of vertical diplopia especially when looking down. Ophthalmological examination revealed right blepharospasm associated with right hypertropia. Read More

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http://www.jmau.org/text.asp?2019/7/1/50/254065
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http://dx.doi.org/10.4103/JMAU.JMAU_45_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6442326PMC
April 2019
1 Read

Comparison of torsional amplitudes between emmetropes and myopes using after-image slides.

Indian J Ophthalmol 2019 May;67(5):655-658

Department of Pediatric Ophthalmology, Institute of Ophthalmology, Joseph Eye Hospital, Trichy-1, Tamil Nadu, India.

Purpose: To describe the influence of corrected refractive error on measured torsional fusional amplitudes (TA) by comparing the TA between emmetropes and spectacle corrected myopes, using the after-image slides of the synoptophore, as targets.

Methods: Fifty emmetropes (Group I) and 50 myopes (Group II) with best-corrected acuity of 6/6 in each eye were included in the study. Near point of convergence (NPC), near point of accommodation (NPA), and horizontal fusional amplitudes (HFA) were assessed in all the subjects. Read More

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http://dx.doi.org/10.4103/ijo.IJO_1663_18DOI Listing

Innovative techniques for the treatment of adult strabismus.

J AAPOS 2019 Apr 17. Epub 2019 Apr 17.

Department of Ophthalmology, Duke Eye Center, Duke University, Durham, North Carolina; Department of Ophthalmology, University of California, Los Angeles; Doheny Eye Institute, Los Angeles, California.

Adult strabismus is often characterized by surgical complexity. In recent years, several innovative techniques for the management of complex strabismus have been developed. Strabismus surgeons should understand the indications for various strabismus surgical techniques in the management of these difficult cases. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10918531193008
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http://dx.doi.org/10.1016/j.jaapos.2018.10.018DOI Listing
April 2019
3 Reads

A Rhesus Monkey With a Naturally Occurring Impairment of Disparity Vergence. II. Abnormal Near Response Cell Activity in the Supraoculomotor Area.

Invest Ophthalmol Vis Sci 2019 Apr;60(5):1670-1676

Washington National Primate Research Center, University of Washington, Seattle, Washington, United States.

Purpose: Convergence insufficiency is a very common disorder that can have significant adverse effects on school performance. When reading, children with this disorder often experience diplopia and headaches. We have recently obtained a rhesus monkey with a naturally occurring impairment of vergence eye movements. Read More

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http://dx.doi.org/10.1167/iovs.18-26440DOI Listing

Meningioma and psychiatric symptoms: An individual patient data analysis.

Asian J Psychiatr 2019 Mar 28;42:94-103. Epub 2019 Mar 28.

Department of Psychiatry, Dr Ram Manohar Lohia Hospital PGIMER, New Delhi, India.

Meningioma is a slow-growing benign tumor arising from meninges and is usually asymptomatic. Though neuropsychiatric symptoms are common in patients with brain tumors, they often can be the only manifestation in cases of meningioma. Meningiomas might present with mood symptoms, psychosis, memory disturbances, personality changes, anxiety, or anorexia nervosa. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S18762018183113
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http://dx.doi.org/10.1016/j.ajp.2019.03.029DOI Listing
March 2019
3 Reads

Intracapsular hemorrhage rates in non-fixated nylon sheet orbital implants for orbital fracture management.

Am J Otolaryngol 2019 Apr 9. Epub 2019 Apr 9.

Department of Ophthalmology and Visual Sciences, University of Louisville, Louisville, KY, USA; Department of Ophthalmology, Indiana University, Indianapolis, IN, USA; Oculofacial Plastic and Orbital Surgery, Indianapolis, IN, USA; St. Vincent Hospital, Indianapolis, IN, USA. Electronic address:

Purpose: To examine the incidence of intracapsular hemorrhage in orbital fracture repair with non-fixated nylon sheet implants.

Methods: A retrospective chart review of 227 patients presenting from January 2013 to December 2016 for orbital fracture repair with nylon sheet implants.

Results: Of the 331 orbital fractures repaired over 4 years, a total of 227 met inclusion criteria. Read More

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http://dx.doi.org/10.1016/j.amjoto.2019.04.008DOI Listing

Tolosa-Hunt Syndrome: Clinical Manifestations in Children.

Pediatr Neurol 2019 Feb 20. Epub 2019 Feb 20.

Pediatric Department, University Hospital Of Heraklion, Medical School, University of Crete, Heraklion, Crete, Greece. Electronic address:

Background: Tolosa-Hunt syndrome (THS) is a rare condition in children characterized by painful ophthalmoplegia caused by inflammation of unknown etiology in the cavernous sinus, superior orbital fissure, or orbital apex. Our main purpose was to report two pediatric cases of THS, a typical one and another extremely rare one preceded by facial palsy.

Methods: Both cases were diagnosed with THS based on the 2013 International Classification of Headache Disorders (ICHD-3 beta) criteria. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S08878994183072
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http://dx.doi.org/10.1016/j.pediatrneurol.2019.02.013DOI Listing
February 2019
5 Reads

Atypical Case of Rosai-Dorfman Disease of the Lacrimal Gland with Adjacent Bone Erosion.

Ocul Oncol Pathol 2019 Feb 18;5(2):128-134. Epub 2018 Jul 18.

Department of Ophthalmology, Harvard Medical School, Boston, Massachusetts, USA.

Background/aims: Rosai-Dorfman disease (RDD) is a rare, self-limited disorder of unknown etiology that affects children and young adults worldwide and typically manifests as chronic, painless cervical lymphadenopathy. Orbital involvement is very rare and may be an isolated extranodal manifestation or associated with concurrent systemic disease. Adjacent bone involvement is most exceptional, and secondary optic neuropathy has never been reported. Read More

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http://dx.doi.org/10.1159/000489127DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6422131PMC
February 2019

Nystagmus and diplopia in a patient with positive aquaporin-4 antibody.

Can J Ophthalmol 2019 Apr 25;54(2):e66-e69. Epub 2018 Aug 25.

Department of Ophthalmology, School of Medical Sciences, Health Campus, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia. Electronic address:

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http://dx.doi.org/10.1016/j.jcjo.2018.06.022DOI Listing

Idiopathic intracranial hypertension.

Authors:
Elizabeth Boyter

JAAPA 2019 Apr 8. Epub 2019 Apr 8.

Elizabeth Boyter practices neurology with Laureate Medical Group at Northside in Atlanta, Ga. The author has disclosed no potential conflicts of interest, financial or otherwise.

Idiopathic intracranial hypertension is a rare disorder of elevated intracranial pressure with normal cerebrospinal fluid composition and without intracranial pathology. This condition primarily affects obese women of childbearing age and frequently causes headaches, vision loss, diplopia, tinnitus, and nausea. The incidence of idiopathic intracranial hypertension is rising along with obesity rates. Read More

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http://dx.doi.org/10.1097/01.JAA.0000554732.85914.91DOI Listing

A 53-Year-Old Man Presenting With Diplopia and Cavitary Lung Nodules.

Chest 2019 Apr;155(4):e107-e112

Department of Respiratory and Critical Care Medicine, Singapore General Hospital, Singapore.

Case Presentation: A 53-year-old Chinese man presented with 1 week of worsening diplopia and left-sided facial droop. His symptoms developed during a readmission for elective drainage and curettage of a perianal abscess that recurred despite drainage 2 weeks before. He denied having other neurologic symptoms, and did not report any cough, sputum production, night sweats, or fever. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00123692183260
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http://dx.doi.org/10.1016/j.chest.2018.10.021DOI Listing
April 2019
4 Reads
7.483 Impact Factor

[Temporary elevation deficit with exophthalmos in a 4-year-old child].

Ophthalmologe 2019 Apr 5. Epub 2019 Apr 5.

Klinik und Poliklinik für Augenheilkunde, Standort Gießen, Universitätsklinikum Gießen und Marburg GmbH, Friedrichstr. 18, 35385, Gießen, Deutschland.

A 4-year-old girl was referred as an emergency case because of diplopia and intermittent exophthalmos of the left eye. Symptoms had occurred together with recurrent episodes of a common cold. The examinations revealed no conspicuous findings. Read More

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http://dx.doi.org/10.1007/s00347-019-0880-8DOI Listing
April 2019
1 Read

Early Buckle Migration and Restrictive Strabismus after Successful Medical Management of Scleral Buckle Infection.

J Binocul Vis Ocul Motil 2019 Apr 5:1-3. Epub 2019 Apr 5.

c Department of Comprehensive Ophthalmology , Aravind Eye Hospital , Pondicherry , India.

We report a case of restrictive strabismus caused by early scleral buckle (SB) migration within 1 month of surgery after successful medical management of SB infection. A 24 year-old man underwent scleral buckling surgery for left eye inferior retinal detachment (RD). A solid silicone buckle element was placed inferiorly along with an encircling silicone band. Read More

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http://dx.doi.org/10.1080/2576117X.2019.1590140DOI Listing
April 2019
2 Reads

Paediatric orbital trapdoor fracture misdiagnosed as a head injury: a cautionary tale!

BMJ Case Rep 2019 Apr 3;12(4). Epub 2019 Apr 3.

Department of Oral and Maxillofacial Surgery, John Radcliffe Hospital, Oxford, UK.

Trapdoor fractures, otherwise known as 'white-eyed blowout' fractures, occur predominantly in the paediatric cohort and have a male predilection. Patients commonly present with acute fractures to the emergency department, and delayed diagnosis can result in significant morbidity. A lack of external signs, such as oedema or ecchymosis, often misleads physicians into underestimating the seriousness of the injury. Read More

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http://casereports.bmj.com/lookup/doi/10.1136/bcr-2018-22873
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http://dx.doi.org/10.1136/bcr-2018-228739DOI Listing
April 2019
3 Reads

Trans-superior ophthalmic vein approach for treatment of carotid-cavernous fistula.

Neurosurg Focus 2019 Apr;46(Suppl_2):V4

1Department of Neurosurgery, Baylor College of Medicine, Houston, Texas; and.

The authors present a case of a patient with a Barrow Type B carotid-cavernous fistula (CCF) who presented with severe symptoms of eye redness, diplopia, and proptosis. Due to the tortuosity and size of her angular vein and the lack of good flow/access via the inferior petrosal sinus, she was treated with a transvenous approach via a large, dilated superior ophthalmic vein for coil embolization of the CCF. The patient had a full angiographic and symptomatic cure. Read More

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http://dx.doi.org/10.3171/2019.4.FocusVid.18496DOI Listing
April 2019
1 Read

Acquired Ocular Motor Nerve Palsy in Neurology Clinics: A Prospective Multicenter Study.

J Clin Neurol 2019 Apr;15(2):221-227

Department of Neurology, Seoul National University College of Medicine, Seoul National University Bundang Hospital, Seongnam, Korea.

Background And Purpose: This study aimed to determine the patterns and etiologies of acquired ocular motor nerve palsy (OMNP) diagnosed in neurology clinics. We also investigated the clinical features that may predict the causes other than microvascular ischemia in isolated OMNP.

Methods: We performed a prospective multicenter study that had recruited 298 patients with acquired OMNP from the neurology clinics of referral-based 9 university hospitals in Korea. Read More

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http://dx.doi.org/10.3988/jcn.2019.15.2.221DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6444141PMC
April 2019
1 Read

Long-term outcome of full tendon vertical rectus transposition with Foster suture in unilateral complete sixth cranial nerve palsy.

Clin Ophthalmol 2019 18;13:515-519. Epub 2019 Mar 18.

Department of Ophthalmology, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand,

Purpose: To evaluate the success rate and long-term motor and sensory outcomes of the full tendon vertical rectus transposition (VRT) with Foster suture for unilateral complete sixth cranial nerve palsy.

Patients And Methods: We reviewed the medical records of patients with unilateral acquired sixth cranial nerve palsy who underwent unilateral full tendon VRT with Foster suture between 2005 and 2016 and had a follow-up of ≥2 years. Data on pre- and postoperative diplopia, face turn, ocular deviation, and limitation of abduction were collected. Read More

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http://dx.doi.org/10.2147/OPTH.S193751DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6429997PMC
March 2019
1 Read

A rare mimic of acute stroke: rapidly progressing Miller-Fisher Syndrome to acute motor and sensory axonal neuropathy variant of Guillain-Barre Syndrome.

BMJ Case Rep 2019 Mar 31;12(3). Epub 2019 Mar 31.

Department of Neurosciences, University of the Philippines Manila College of Medicine and Philippine General Hospital, Manila, Philippines.

Ophthalmoplegia, ataxia and areflexia characterise the clinical triad of Miller-Fisher Syndrome (MFS). When the disease presents acutely, it can mimic posterior circulation stroke. We describe a case of an adult patient presenting with sudden dizziness, diplopia, vomiting, and loss of balance. Read More

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http://dx.doi.org/10.1136/bcr-2018-228220DOI Listing
March 2019
2 Reads

Application of the three-dimensionally printed biodegradable polycaprolactone (PCL) mesh in repair of orbital wall fractures.

Authors:
So Young Kim

J Craniomaxillofac Surg 2019 Mar 15. Epub 2019 Mar 15.

Department of Plastic and Reconstructive Surgery, Inje University Sanggye Paik Hospital, Inje University School of Medicine, Seoul, South Korea. Electronic address:

Purpose: The present study aims to investigate the surface characteristics and biomechanical properties of 3D-printed polycaprolactone (PCL) mesh and present the clinical outcomes of this implant in the treatment of orbital wall fractures.

Patients And Method: A retrospective review of patients who underwent surgery for medial, inferior and inferomedial orbital wall fractures using PCL mesh was performed between April 2017 and June 2018. Two clinical outcomes were investigated: functional recovery and anatomical accuracy of reduction detected in image. Read More

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http://dx.doi.org/10.1016/j.jcms.2019.03.009DOI Listing
March 2019
1 Read

Vertical Strabismus - Indication of Surgical Techniques on the Inferior Rectus Muscle.

Authors:
J Krásný

Cesk Slov Oftalmol 2019 ;74(4):132-139

Aid: Familiarize themselves with the operating techniques in their own modulation to solve hypotropic states with elevation or hypotropic states with depression.

Methods: Surgery technique “cul-de-sac” is a procedure with fixed adjustable sutures (non-absorbable suture), which are guided in parallel on both peaks original insertion of inferior rectus muscle. The node itself of suture is done in cutting the muscle and through the original insertion only leads arc suture. Read More

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http://dx.doi.org/10.31348/2018/1/2-4-2018DOI Listing
January 2019
1 Read

Imaging of extracranial head and neck lesions in cancer patients: a symptom-based approach.

Jpn J Radiol 2019 Mar 25. Epub 2019 Mar 25.

Department of Diagnostic Radiology, National Cancer Center Hospital East, 6-5-1, Kashiwanoha, Kashiwa, Chiba, 277-8577, Japan.

Besides intracranial lesions, neurological symptoms are also caused in cancer patients by extracranial lesions in the head and neck. Common symptoms caused by such lesions include visual loss, visual field defect, diplopia, ptosis, sensory abnormalities of the head and neck region, facial nerve palsy, dysphagia, dysarthria, hoarseness, and syncope. Some cancer patients often have multiple cranial nerve involvement, which is associated with several syndromes such as jugular foramen syndrome. Read More

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http://dx.doi.org/10.1007/s11604-019-00832-4DOI Listing
March 2019
2 Reads

Orbital Atypical Lipomatous Tumor/Well-Differentiated Liposarcoma Masquerading as Pleomorphic Lipoma: A Diagnostic Challenge.

Ophthalmic Plast Reconstr Surg 2019 Mar 22. Epub 2019 Mar 22.

Department of Ophthalmology, Wills Eye Hospital, Thomas Jefferson University.

Atypical lipomatous tumor/well-differentiated liposarcoma is a common neoplasm of the superficial and deep soft tissues of the extremities, trunk, and retroperitoneum. Atypical lipomatous tumor/well-differentiated liposarcoma is very rare in the orbit, with only 19 previously reported cases. The authors describe a 22-year-old woman who presented with an 8-month history of diplopia and was found to have an orbital mass on MRI. Read More

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http://dx.doi.org/10.1097/IOP.0000000000001378DOI Listing
March 2019
1 Read

Acquired Pediatric Brown Syndrome Secondary to Sinusitis.

J Pediatr Ophthalmol Strabismus 2019 Mar 25;56:e17-e19. Epub 2019 Mar 25.

Acquired pediatric Brown syndrome is rarely associated with sinusitis. Children may present with diplopia, elevation deficiency in adduction, and a head tilt or chin-up position. Magnetic resonance imaging can confirm the diagnosis. Read More

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http://dx.doi.org/10.3928/01913913-20190213-01DOI Listing
March 2019
1 Read

Intraoperative Findings of Extraocular Muscle Necrosis in Linear Orbital Trapdoor Fractures.

J Oral Maxillofac Surg 2019 Feb 26. Epub 2019 Feb 26.

Reader, Department of Oral and Maxillofacial Surgery, Kattankulathur Dental College and Hospital, SRM Institute of Science and Technology, Kattankulathur, India.

Purpose: Orbital trapdoor fractures can constitute a relative surgical emergency. The reason for poor surgical outcomes in ocular motility disturbances and diplopia is not apparent in these fractures. The purpose of this retrospective study was to analyze the possibility of ischemic necrosis of the orbital contents in linear trapdoor fracture of the orbital floor and to evaluate the recovery period of trapdoor fractures. Read More

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http://dx.doi.org/10.1016/j.joms.2019.02.033DOI Listing
February 2019
1 Read
1.280 Impact Factor

Treatment of Cavernous Sinus Hemangiomas with Gamma Knife Radiosurgery as a Primary and Sole Therapy.

Turk Neurosurg 2019 Jan 21. Epub 2019 Jan 21.

Baskent University.

Aim: The aim of current study is, to evaluate the effectiveness of Gamma Knife Radiosurgery (GKS) as a primary and sole therapy for the treatment of cavernous sinus hemangiomas (CSH) and to report the tumor volume dynamics, course of symptoms and complications after SRS.

Material And Methods: A total of 10 CSH patientswere treated with GKS with amedian margin dose of 14.2Gy (range 13-16Gy). Read More

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http://dx.doi.org/10.5137/1019-5149.JTN.25564-18.1DOI Listing
January 2019
1 Read

Virtual reality in multiple sclerosis rehabilitation: A review on cognitive and motor outcomes.

J Clin Neurosci 2019 Mar 18. Epub 2019 Mar 18.

IRCCS Centro Neurolesi "Bonino Pulejo", Messina, Italy. Electronic address:

Multiple sclerosis (MS) is a demyelinating neurodegenerative disease with lesions involving the central nervous system. Clinical symptoms consist of disturbances in motor activity (e.g. Read More

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http://dx.doi.org/10.1016/j.jocn.2019.03.017DOI Listing
March 2019
3 Reads

An Elderly Woman With Progressive Diplopia.

JAMA Ophthalmol 2019 Mar 21. Epub 2019 Mar 21.

Department of Ophthalmology and Visual Sciences, University of Illinois, Chicago.

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http://dx.doi.org/10.1001/jamaophthalmol.2019.0251DOI Listing
March 2019
1 Read

A case report of the rare fifteen-and-a-half syndrome.

Medicine (Baltimore) 2019 Mar;98(12):e14553

Department of Neurology, Baoding No. 1 Central Hospital.

Rationale: The dorsal tegmentum of the caudal pons, including the medial longitudinal fasciculus (MLF), the paramedian pontine reticular formation (PPRF), abducens nucleus, and the adjacent facial nerve is the anatomical basis of the the fifteen and a half syndrome (15½) syndrome. No patients of 15½ Syndrome presenting with bilateral peripheral facial paralysis and one-and-a-half simultaneously at the onset have been reported up to now.

Patient Concerns: A 54-year-old woman complained of diplopia, slurred speech, and slightly distal numbness of the left upper limb for 4 days in our hospital. Read More

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http://dx.doi.org/10.1097/MD.0000000000014553DOI Listing
March 2019
5.723 Impact Factor

Diagnosis and Management Practice Patterns among Pediatric Ophthalmology Personnel in Israel.

J Binocul Vis Ocul Motil 2019 Jan-Mar;69(1):34-41. Epub 2019 Mar 21.

a Department of Ophthalmology , Meir Medical Center , Kfar Saba , Israel.

Purpose: To investigate the diagnosis and management practice patterns of different aspects of pediatric ophthalmology among pediatric ophthalmologists and orthoptists in Israel.

Methods: A 21-question survey was delivered to all registered pediatric ophthalmologists and orthoptists in Israel.

Results: The response rate was 58. Read More

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http://dx.doi.org/10.1080/2576117X.2019.1581552DOI Listing

Familial Cavernous Hemangioma.

J Neuroophthalmol 2019 Mar 18. Epub 2019 Mar 18.

Baylor College of Medicine (GT), Houston, Texas; Department of Ophthalmology (ATK, BAO, AGL), Blanton Eye Institute, Houston Methodist Hospital, Houston, Texas; The Houston Methodist Research Institute (AGL), Houston Methodist Hospital, Houston, Texas; Departments of Ophthalmology, Neurology, and Neurosurgery (AGL), Weill Cornell Medicine, New York, New York; Department of Ophthalmology (AGL), University of Texas Medical Branch, Galveston, Texas; University of Texas MD Anderson Cancer Center (AGL), Houston, Texas; Texas A and M College of Medicine (AGL), Bryan, Texas; and Department of Ophthalmology (AGL), The University of Iowa Hospitals and Clinics, Iowa City, Iowa.

A 30-year-old woman presented with diplopia after resection of an intracranial cavernous malformation. Fundus examination showed an asymptomatic intraocular cavernous hemangioma of the retina. Clinicians should be aware of the potential coexistence of intraocular and intracranial cavernous malformations; the presence of both should suggest familial etiology. Read More

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http://dx.doi.org/10.1097/WNO.0000000000000778DOI Listing
March 2019
4 Reads

Pituitary Metastases: a Nationwide Study on Current Characteristics with Special Reference to Breast Cancer.

J Clin Endocrinol Metab 2019 Mar 20. Epub 2019 Mar 20.

Department of Endocrinology, Skåne University Hospital, Lund University, Malmö, Sweden.

Objective: To investigate the contemporary presentation of pituitary metastases.

Patients: Thirty-eight patients diagnosed with pituitary metastases 1996 to 2018 in Sweden.

Methods: Pituitary metastases were confirmed by histopathology (n = 27) or considered highly likely due to radiological findings, including rapid tumor progression (n = 11). Read More

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http://dx.doi.org/10.1210/jc.2019-00012DOI Listing
March 2019
4 Reads

Ocular Misalignment in Dizzy Patients-Something's A-Skew.

J Neurol Phys Ther 2019 Apr;43 Suppl 2 Supplement, Special Supplement: International Conference on Vestibular Rehabilitation:S27-S30

Departments of Neurology, Ophthalmology, Neurosurgery, Otolaryngology-Head and Neck Surgery, and Emergency Medicine, Johns Hopkins School of Medicine, Baltimore, Maryland (D.R.G.); and Laboratory of Vestibular Neuroadaptation, Departments of Otolaryngology-Head and Neck Surgery and Physical Medicine and Rehabilitation, Johns Hopkins University, School of Medicine, Baltimore, Maryland (M.C.S.).

Background And Purpose: Both central (eg, brain stem, cerebellum) and peripheral (eg, vestibular, fourth cranial nerve palsy) etiologies can cause a vertical misalignment between the eyes with a resultant vertical diplopia. A vertical binocular misalignment may be due to a skew deviation, which is a nonparalytic vertical ocular misalignment due to roll plane imbalance in the graviceptive pathways. A skew deviation may be 1 component of the ocular tilt reaction. Read More

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http://dx.doi.org/10.1097/NPT.0000000000000271DOI Listing
April 2019
1 Read

Orbital Radiotherapy Plus Concomitant Steroids in Moderate-to-Severe Graves' Ophthalmopathy: Good Results After Long-Term Follow-Up.

Int J Endocrinol Metab 2019 Jan 27;17(1):e84427. Epub 2019 Jan 27.

Department of Radiation Oncology, Sant' Andrea Hospital, Sapienza University of Rome, Rome, Italy.

Background: Orbital radiotherapy (RT) is an effective and consolidate treatment for steroid-refractory Graves' ophthalmopathy (GO); however, long term effects are not well known.

Objectives: The aim of this study was to evaluate the long term efficacy and toxicity of orbital RT plus concomitant systemic steroids in a population of patients with moderate-to-severe GO or with eyesight threatening symptoms refractory to steroids.

Methods: Forty patients with moderate-to-severe GO or with eyesight threatening symptoms not responsive/resistant to steroids were treated with orbital RT at the dose of 20 Gy in 10 fractions plus concomitant steroids. Read More

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http://dx.doi.org/10.5812/ijem.84427DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6408739PMC
January 2019
3 Reads

Prostaglandin F2-Alpha Eye Drops (Bimatoprost) in Graves' Orbitopathy: A Randomized Controlled Double-Masked Crossover Trial (BIMA Trial).

Thyroid 2019 Apr 1;29(4):563-572. Epub 2019 Apr 1.

1 Thyroid Research Group, Cardiff University School of Medicine, Cardiff, United Kingdom.

Background: Previous in vitro experiments have demonstrated that prostaglandin F2-alpha (PF) reduced proliferation and adipogenesis in a murine cell line and human orbital fibroblasts derived from subjects with inactive Graves' orbitopathy (GO). The objective of this study was to determine if the PGF analogue bimatoprost is effective at reducing proptosis in this population.

Methods: A randomized controlled double-masked crossover trial was conducted in a single tertiary care academic medical center. Read More

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http://dx.doi.org/10.1089/thy.2018.0506DOI Listing
April 2019
2 Reads
4.493 Impact Factor

Craniofacial penetration by a wooden stick.

Eur Ann Otorhinolaryngol Head Neck Dis 2019 Mar 13. Epub 2019 Mar 13.

Dolphin west-Funabashi ENT clinic, 2-335-1 Katsushika, Funabashi-City, Chiba 273-0032, Japan.

Introduction: Penetrating craniofacial injuries caused by stick-like foreign bodies occur as a result of accidents particularly in children, and often lead to significant morbidity.

Case Summary: We describe a 5-year-old boy who sustained facial trauma after falling on a wooden stick which penetrated his left cheek. At the initial visit, his vital and neurological signs were normal. Read More

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http://dx.doi.org/10.1016/j.anorl.2018.07.008DOI Listing

Anterior Transpetrosal Approach for Trigeminal Schwannoma with Persistent Primitive Trigeminal Artery: 2-Dimensional Operative Video.

Oper Neurosurg (Hagerstown) 2019 Mar 15. Epub 2019 Mar 15.

Department of Neurosurgery, Tokyo Medical University, Tokyo, Japan.

The surgical management of trigeminal schwannomas often requires complicated skull base approaches based on detailed anatomical understanding because of the involvement of multiple compartments of the trigeminal nerve from its root to the peripheral branches. When there is vital anatomical anomaly around the tumor, this can make the surgical management and anatomical understanding more difficult.1,2 This video demonstrates the microsurgical removal of a dumbbell-shaped trigeminal schwannoma via the anterior transpetrosal transtentorial approach in a patient with a persistent primitive trigeminal artery, the most common persistent embryonic carotid-vertebrobasilar anastomosis. Read More

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http://dx.doi.org/10.1093/ons/opz020DOI Listing
March 2019
3 Reads

CLIPPERS Spectrum Disorder: A Rare Pediatric Neuroinflammatory Condition.

Child Neurol Open 2019 7;6:2329048X19831096. Epub 2019 Mar 7.

Department of Pathology, Tata Memorial Centre, Homi Bhabha National Institute, Mumbai, India.

CLIPPERS (chronic lymphocytic inflammation with pontine perivascular enhancement responsive to steroids) is a recently described, rare neuroinflammatory disorder diagnosed by clinical symptoms involving the brain stem with a distinct pattern on neuroimaging and a perivascular T-lymphocyte infiltrate on brain biopsy. It is a condition usually described in adults in the fourth to fifth decade. We report a case of 13-year-old Indian boy who presented with recurrent episodes of ataxia and diplopia with onset at 7 years of age. Read More

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http://dx.doi.org/10.1177/2329048X19831096DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6407169PMC

A clinical analysis on 40 cases of spontaneous intracranial hypotension syndrome.

Somatosens Mot Res 2019 Mar 14:1-7. Epub 2019 Mar 14.

c Department of Neurology , the Affiliated Hospital of Xuzhou Medical University , Xuzhou , China.

Objective: To investigate clinical and imaging features of 40 patients with spontaneous intracranial hypotension (SIH).

Methods: 40 cases of spontaneous intracranial hypotension (SIH) diagnosed in our hospital from June 2013 to September 2017 were collected and retrospectively analyzed.

Results: In our study, the male to female ratio was 2:3. Read More

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http://dx.doi.org/10.1080/08990220.2019.1566122DOI Listing
March 2019
2 Reads

Bioresorbable Material in Secondary Orbital Reconstruction Surgery.

J Ophthalmol 2019 3;2019:8715314. Epub 2019 Feb 3.

Department of Ophthalmology, Shanghai Ninth People's Hospital, Shanghai Key Laboratory of Orbital Diseases and Ocular Oncology, Shanghai Jiao Tong University School of Medicine, Shanghai, China.

Purpose: To validate the potential of bioresorbable implantation in secondary revisional reconstruction after inadequate primary orbital fracture repair, with assessment of pre- and postoperative clinical characteristics and computed tomography image findings.

Methods: A retrospective chart review was conducted on 16 consecutive patients treated for orbital fractures at Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, with inadequate prior surgeries between July 2010 and June 2017; patients who had suffered orbital blowout fractures had undergone primary surgeries elsewhere. Secondary repair of orbital fractures used bioresorbable material following unsatisfactory primary orbital repair. Read More

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https://www.hindawi.com/journals/joph/2019/8715314/
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http://dx.doi.org/10.1155/2019/8715314DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6377963PMC
February 2019
3 Reads

Neural network and logistic regression diagnostic prediction models for giant cell arteritis: development and validation.

Clin Ophthalmol 2019 21;13:421-430. Epub 2019 Feb 21.

Ophthalmology, Harvard University, Boston, MA, USA.

Purpose: To develop and validate neural network (NN) vs logistic regression (LR) diagnostic prediction models in patients with suspected giant cell arteritis (GCA). Design: Multicenter retrospective chart review.

Methods: An audit of consecutive patients undergoing temporal artery biopsy (TABx) for suspected GCA was conducted at 14 international medical centers. Read More

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http://dx.doi.org/10.2147/OPTH.S193460DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6388759PMC
February 2019
3 Reads

Inflammatory myopathy associated with PD-1 inhibitors.

J Autoimmun 2019 Mar 10. Epub 2019 Mar 10.

Department of Neurology, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo, 160-8582, Japan. Electronic address:

Objective: To characterize the inflammatory myopathy associated with programmed cell death 1 inhibitors (PD-1 myopathy).

Methods: We studied 19 Japanese patients with PD-1 myopathy (13 men and 6 women, mean age 70 years), who were referred to Keio University. As control groups, we used 68 patients with anti-signal recognition particle antibodies, 51 patients with anti-aminoacyl transfer RNA synthetase antibodies and 460 healthy subjects. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S08968411193003
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http://dx.doi.org/10.1016/j.jaut.2019.03.005DOI Listing
March 2019
9 Reads
8.410 Impact Factor

Florid T-follicular helper cell hyperplasia associated with extranodal marginal zone lymphoma: a diagnostic pitfall which may mimic T cell lymphoma.

Histopathology 2019 Mar 12. Epub 2019 Mar 12.

Department of Cellular Pathology, The Royal Marsden Hospital, London, SW3 6JJ.

A 62-year old female with a history of myasthenia gravis presented in January 2016 with worsening diplopia. There was a left orbital mass with initial biopsy showing fibrosis and minimal chronic inflammation, insufficient for a diagnosis of lymphoma. Anaemia was detected on routine blood tests in November 2016. Read More

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http://dx.doi.org/10.1111/his.13858DOI Listing
March 2019
1 Read

Wernicke encephalopathy concurrent with polyradiculoneuropathy in a young man after bariatric surgery: A case report.

Medicine (Baltimore) 2019 Mar;98(10):e14808

Department of Physical Medicine and Rehabilitation, China Medical University Hospital.

Rationale: Bariatric surgery is the recommended treatment for morbid obesity because of its rapid and sustained body weight loss effect. Nutrient deficiency-related neurological complications after bariatric surgery are often disabling. Thus, early recognition of these complications is important. Read More

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http://dx.doi.org/10.1097/MD.0000000000014808DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6417542PMC
March 2019
2 Reads

Improved Outcomes of Orbital Reconstruction With Intraoperative Imaging and Rapid Prototyping.

J Oral Maxillofac Surg 2019 Feb 12. Epub 2019 Feb 12.

Consultant, Oral and Maxillofacial Surgery, Christchurch Public Hospital, Canterbury District Health Board, Christchurch, New Zealand.

Purpose: Rapid prototyping and intraoperative computed tomography (CT) are increasingly used in orbital reconstruction when placement of implants is indicated and accurate anatomic restoration is mandatory. The purpose of this study was to review the outcomes of orbital reconstructions at a single institution and the influence of intraoperative CT and rapid prototyping on the rate of return to the operating theater.

Materials And Methods: A retrospective cohort analysis was performed from 2013 through 2016 to assess whether rapid prototyping and intraoperative imaging were used and the need for further revision surgery. Read More

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

Endoscopic Transcaruncular Medial Orbitotomy as an Alternative Approach to Anterior Ethmoidal Artery Coagulation.

J Craniofac Surg 2019 Feb 9. Epub 2019 Feb 9.

Department of Otorhinolaryngology, Head and Neck Surgery, University Hospital Ostrava.

Background: The authors present a series of 5 patients with anterior epistaxis in which a transcaruncular endoscopic approach was used for the anterior ethmoidal artery coagulation (AEA).

Methods: Six AEA coagulations (5 unilateral, 1 bilateral) using the transcaruncular endoscopic approach were performed in 5 patients with anterior epistaxis resistant to conservative measures. An incision was made between the plica semilunaris of conjunctiva and the lacrimal caruncle. Read More

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http://dx.doi.org/10.1097/SCS.0000000000005207DOI Listing
February 2019

[Reconstruction of Isolated Orbital Floor Fractures by Nasoseptal Cartilage].

Acta Chir Orthop Traumatol Cech 2019 ;86(1):72-76

Klinika otorinolaryngologie a chirurgie hlavy a krku, Fakultní nemocnice u sv. Anny v Brně a Lékařské fakulty Masarykovy univerzity Brno.

PURPOSE OF THE STUDY The incidence of isolated orbital floor fractures has an increasing tendency. Their optimal management is not uniform and is still being discussed in the literature. The therapeutic decision as to whether surgical intervention is necessary or conservative approach is adequate vitally depends on clinical and CT findings. Read More

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January 2019
1 Read