Pearls and oy-sters of localization in ophthalmoparesis.

Pearls & oy-sters: maternally inherited diabetes and deafness presenting with ptosis and macular pattern dystrophy.

Mitochondrial disorders can cause an array of neuroophthalmologic manifestations such as ptosis, external ophthalmoparesis, nystagmus, pigmentary retinopathy, and optic neuropathy.1 The m.3243A G point mutation in the mitochondrial genome, an alanine-toguanine transition at position 3243 of mitochondrial DNA, in the MT-TL1 gene that encodes the tRNALeu (UUR), commonly presents as an encephalopa...

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...

Pearls & oy-sters: oval pupil: two observations.

The presence of an oval pupil usually localizes the neurologic problem to the midbrain.