摘要:

Neurologic manifestations of Lyme disease are common, often debilitating, and potentially treatable. We document a case ofBorreliainfection of the nervous system manifesting as a reversible Horner's syndrome. The search for Lyme disease should be part of the evaluation of an isolated central or preganglionic Horner's syndrome or any unexplained pupillary abnormality.

ISSN:0272-846X    

出版商:OVID    

年代:1989

数据来源: OVID

摘要:

A 42-year-old man presented with herpes zoster ophthalmicus on the right side. He was found to have acquired immune deficiency syndrome-related complex. Two weeks later he developed toxoplasmic retinochoroiditis in the left eye. He also presented later with left hemiplegia, which was probably caused by herpes zoster arteritis. Nine months after the retinal lesion resolved he developed another area of toxoplasmic retinochoroiditis adjacent to the first lesion. Herpes zoster may be the first presentation of acquired immune deficiency syndrome-related complex in a young healthy individual. Ophthalmologists are encountering patients with acquired immune deficiency syndrome who may have multiple organisms as the cause for their ocular infections and this might pose a treatment dilemma. The combination of herpes zoster ophthalmicus and ocular toxoplasmosis in this patient makes this case unusual.

ISSN:0272-846X    

出版商:OVID    

年代:1989

数据来源: OVID

ISSN:0272-846X    

出版商:OVID    

年代:1989

数据来源: OVID

摘要:

We report here a case of Schilder's myelinoclastic diffuse sclerosis in a 14-year-old girl with sudden bilateral visual loss. Computed tomographic scan showed two large symmetrical lesions in the occipital lobes and a smaller hypodense area in the frontal lobe. Cerebrospinal fluid examination revealed increased immunoglobulin G fraction with the presence of oligoclonal bands. Ultrastructural study of a biopsy specimen disclosed a demyelinating disorder with no cytoplasmic inclusions. Steroid treatment was followed by a dramatic response, with almost complete visual recovery and shrinkage of the lesions.

ISSN:0272-846X    

出版商:OVID    

年代:1989

数据来源: OVID

ISSN:0272-846X    

出版商:OVID    

年代:1989

数据来源: OVID

摘要:

A 70-year-old man developed a syndrome of progressive nondominant parietal and occipital dysfunction including palinopsia and a visual field defect. Despite the marked focality of his clinical findings, radiologic studies were normal. Myoclonus and ataxia began 6 weeks after onset of his illness at which time brain biopsy confirmed Creutzfeldt-Jakob disease (CJD). This is the first reported case of palinopsia due to CJD.

ISSN:0272-846X    

出版商:OVID    

年代:1989

数据来源: OVID

ISSN:0272-846X    

出版商:OVID    

年代:1989

数据来源: OVID

摘要:

An elderly man with glaucoma and acute onset of left-sided cranial nerve III, V, and VII palsies was found to have associated marked intracranial artery dolichoectasia. Dolichoectasia (arterial elongation and distension) affects the intracranial arteries, producing various neurological and ophthalmological findings. The patients are usually men who are more than 40 years old and have a history of hypertension. Diagnosis is made by characteristic radiologic findings. In patients with neurologic symptoms and signs suggesting a space-occupying mass, intracranial dolichoectasia should be considered.

ISSN:0272-846X    

出版商:OVID    

年代:1989

数据来源: OVID

摘要:

We report an unusual case of bilateral internuclear ophthalmoplegia occurring in association with fourth ventricular dermoid tumor and we review the current literature.

ISSN:0272-846X    

出版商:OVID    

年代:1989

数据来源: OVID

摘要:

Although optokinetic nystagmus was described as a clinical phenomenon over 150 years ago, its neurophysiologc mechanism has provoked ongoing controversies and enthusiasm for its clinical application has been sporadic and tepid. In the past 15 years, improvements in clinical and experimental oculography, neuroanatomy, and single unit neuron recordings in alert animals have helped to resolve the neural circuitry of optokinetic nystagmus and to better define its clinical usefulness. The writer reviews the history of the experimental study of optokinetic nystagmus and the clinical circumstances in which this office test may be of particular value.

ISSN:0272-846X    

出版商:OVID    

年代:1989

数据来源: OVID