Pearls & Oy-sters: Tonic eye deviation in stiff-person syndrome.

Pearls & Oy-sters: paroxysmal ocular tilt reaction.

Amadeo R. Rodriguez, MD Robert A. Egan, MD Jason J.S. Barton, MD, PhD, FRCPC In skew deviation, one eye is higher than the other, causing vertical diplopia. Skew deviation is a prenuclear disorder resulting from imbalance in otolith input to the oculomotor system, produced by unilateral lesions anywhere from the otoliths to the interstitial nucleus of Cajal in the rostral midbrain,1 and as such...

Pearls & Oy-sters: optic tract syndrome.

• The optic tract syndrome is characterized by a contralateral, incongruous homonymous hemianopia, contralateral relative afferent pupillary defect (RAPD), and optic atrophy due to retrograde axonal degeneration. • Optic disc pallor often results in a pattern of bowtie atrophy of the eye with temporal field loss and atrophy of the upper and lower poles of the disc of the eye with nasal field lo...

Pearls & oy-sters: cerebral venous air embolism after central catheter removal: too much air can kill.

Pearls & Oy-sters: cough headache secondary to Chiari malformation type I.

Pearls and oy-sters: ictal syncope in a patient with temporal lobe epilepsy.

PEARLS & OY-STERS: ICTAL SYNCOPE IN A PATIENT WITH TEMPORAL LOBE EPILEPSY Nitin K. Sethi, New York: Varade et al. reported ictal syncope in a patient with temporal lobe epilepsy (TLE). The MRI revealed a right temporal-occipital cavernous angioma and the seizure showed onset in the right posterior temporal electrode (T6) on EEG, all compatible with a diagnosis of symptomatic localization-relate...