Evaluation of clinical signs in suboestrous cows.
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Animals↗
Biomedical subjects
E Eggenberger
Publications and source records attributed to E Eggenberger.
MRI in isolated sixth nerve palsies.
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Abducens Nerve↗
Recurrent idiopathic familial facial nerve palsy and ophthalmoplegia.
INTRODUCTION: Idiopathic facial nerve palsy is a common neurologic condition but episodes of ophthalmoplegia in these patients are uncommon. MATERIALS AND METHODS: Retrospective case series. RESULTS: Three patients with facial nerve palsy with unusual features, including ophthalmoplegia, are described. CONCLUSION: Recurrent episodes, familial tendency, and associated ophthalmoplegia are uncommon in patients with idiopathic facial nerve palsy.
Adult↗
Oculopalatal tremor with tardive ataxia.
Oculopalatal tremor consists of palatal tremor and pendular nystagmus and may develop in a delayed fashion after an acute brainstem lesion. Delayed sequelae are generally restricted to the eyes and branchial-derived muscles, such as those of the palate. We report three cases of oculopalatal tremor that subsequently developed disabling delayed-onset ataxia and emphasize the potential for this significant complication after larger bilateral acute brainstem lesions with sparing of the inferior olive.
Adult↗
Symptomatic corneal topographic change induced by reading in downgaze.
OBJECTIVE: To elucidate the cause of monocular blur or diplopia after reading in downgaze. METHODS: Corneal topography was obtained before and after a 15-to 30-minute reading effort in downgaze in three symptomatic patients and in nine asymptomatic control subjects. RESULTS: Changes in corneal topographic color maps, corneal uniformity index, and predicted corneal acuity were found in the symptomatic patients but not in the control subjects before and after reading. CONCLUSION: Changes in corneal topography can occur after prolonged reading in downgaze and may produce symptoms of blur or monocular diplopia.
Aged↗
Atypical features prompting neuroimaging in acute optic neuropathy in adults.
BACKGROUND: Acute optic neuropathy due to an intracranial lesion may masquerade as optic neuritis or nonarteritic anterior ischemic optic neuropathy (NAION). We reviewed the records of patients who presented with acute unilateral optic neuropathy that was initially diagnosed as optic neuritis or NAION but who ultimately proved to have an underlying structural lesion. METHODS: Retrospective observational case series. We reviewed the records of patients with the initial diagnosis of optic neuritis or NAION in whom the diagnosis was changed to an intracranial etiology at four tertiary care neuro-ophthalmology centres between 1995 and 1998. RESULTS: Eight cases were identified in which atypical features prompted further investigation, including neuroimaging, leading to the diagnosis of an intracranial etiology for the optic neuropathy. Five patients were discovered to have neoplasms (a tuberculum sellae meningioma in two cases, an optic nerve sheath meningioma in two cases and a metastatic lesion in one case), and three patients had intracranial sarcoidosis. Atypical features for optic neuritis included a progressive course, absence of pain, optic atrophy at presentation, lack of significant visual improvement and age over 40 years. For NAION, the atypical features included progressive course, optic atrophy on presentation, absence of vasculopathic risk factors and preceding transient visual loss. INTERPRETATION: Clinicians should be aware that patients with intracranial lesions may present with acute optic neuropathy mimicking optic neuritis or NAION and that certain atypical features should warrant consideration for neuroimaging.
Acute Disease↗
Cat scratch disease: posterior segment manifestations.
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Adolescent↗
[Reassessment of the herd consultation in facilities with accumulated abortions in cattle].
One hundred and ninety-eight dairy herds in which an abortion problem had been investigated by laboratory examination alone or in conjunction with a farm visit were reassessed via a questionnaire at least 1 year after the initial investigation. The overall response rate to the questionnaire was 78%, but more owners responded after a farm visit. One hundred and twenty-five questionnaires (63%) could be evaluated. Significantly more (p = 0.01) complete or tentative diagnoses were made in herds that were visited. The abortion problem had resolved in 88%, 79% and 88% of herds with a complete, a tentative and no diagnosis, respectively. In 65% of herds, the suggested control measures were followed by the attending veterinarian or the owner. Resolution of the abortion problem was more common in herds in which the proposed control measures were followed, in herds in which a complete diagnosis had been made, and in herds that had been visited during the initial investigation. The success in resolving the abortion problem, that could be attributed to the initial investigation, was 21% when a complete diagnosis had been made and 11% when only a tentative diagnosis had been made. Most (67%) herd owners would favour an accompanying farm visit, as opposed to laboratory examinations alone, if another abortion problem occurred, but only if a considerable portion of the cost could be deferred.
Abortion, Veterinary↗
Endarterectomy for recently symptomatic carotid stenosis.
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Carotid Stenosis↗
Childhood sarcoidosis.
A 10-year-old black girl exhibited a bilateral lower motor neuron facial palsy and bilateral hearing loss. Gadolinium-enhanced magnetic resonance imaging of the brain showed enhancement of the cranial nerve VII-VIII complex bilaterally. Disc elevation developed in both eyes, and the patient exhibited facial swelling. Examination of a right parotid biopsy specimen demonstrated noncaseating granulomas, consistent with the diagnosis of sarcoidosis.
Abducens Nerve↗
Eight-and-a-half syndrome: one-and-a-half syndrome plus cranial nerve VII palsy.
Three cases of isolated one-and-a-half syndrome with facial nerve palsy related to infarction are presented. Magnetic resonance imaging in cases 1 and 2 was unremarkable, whereas magnetic resonance angiography demonstrated pathophysiologically significant vertebral basilar disease. Case 3 is unique due to its association with giant cell arteritis. Ipsilateral adduction improved to a greater extent than abduction in each case, perhaps providing insight into the exact localization of these lesions or selective vulnerability of the ocular motor structures within the pons. This combination of clinical findings, termed the 8-1/2 syndrome (cranial nerve 7 + 1-1/2), allows precise localization, and magnetic resonance angiography appears to be the imaging study of choice.
Aged↗
Intracranial Ewing's sarcoma.
Three patients with intracranial Ewing's sarcoma had neuro-ophthalmologic manifestations. In one patient, the primary tumor was in the skull and in two, it involved the long bones. Two patients complained of intermittent headache associated with bilateral, transient visual symptoms suggestive of migraine, which prompted imaging that showed occipital metastases. The third patient had an orbital syndrome.
Adolescent↗
Reduced intestinal colonisation with F18-positive enterotoxigenic Escherichia coli in weaned pigs fed chicken egg antibody against the fimbriae.
Newly weaned pigs were fed a basal diet containing either egg antibody against fimbriae F18 at a high or low level, control egg powder or no egg, and challenged with enterotoxigenic Escherichia coli with fimbriae F18. The challenge was repeated after termination of the antibody treatment. Antibody-containing egg powder was produced by vaccination of hens with semi-purified fimbriae of the two variants F18ab and F18ac. Pigs eating egg powder with antibody against the same fimbrial variant were fully protected, even if the vaccine for the hens was produced with a different serotype devoid of enterotoxins. The effect was dose-dependent. The high dose of antibody against the heterologous variant of fimbriae F18 reduced colonisation at a level which was not significant. Ingestion of egg antibody partially suppressed the build-up of anti-colonisation immunity. Oral application of egg antibodies offers a promising approach for the prevention of infectious diseases of the digestive tract.
Animal Feed↗
The Pulfrich effect and its relationship to retinal illumination.
The Pulfrich stereo-illusion effect occurs in patients with monocular anterior visual system disease when viewing a pendulum. It also can be induced by placing a monocular neutral-density filter in a normal subject. We studied 10 normal subjects to determine if the Pulfrich effect could be induced by monocular illumination in addition to monocular neutral-density filtration. Eighteen of 20 eyes observed the Pulfrich effect with monocular illumination, but the rotation of the ellipse was opposite in direction to that of the neutral-density filter. Our data suggests that the Pulfrich effect results from intereye luminance disparity.
Female↗
Neuro-ophthalmology of multiple sclerosis.
Multiple sclerosis remains a pathophysiologic enigma. The epidemiology has recently been reexamined and appears to lend credence to a greater genetic basis than previously believed. Neuro-ophthalmologic signs and symptoms in multiple sclerosis are extremely common and often present to the eye care practitioner. Although diagnostic methodology is progressing, treatment of multiple sclerosis is currently undergoing a revolution.
Animals↗
Intestinal Chlamydia in finishing pigs.
Gut and blood samples from 119 finishing pigs derived from 11 farms were collected during routine slaughter at an abattoir. Sections of formalin-fixed, paraffin-embedded tissues were labeled immunohistochemically using genus-specific, mouse monoclonal antibody against chlamydial lipopolysaccharide; goat polyclonal antiserum against the major outer membrane protein of Chlamydia trachomatis; and mouse monoclonal antibody against the ovine abortion subtype of C. psittaci. Gut samples from 33 of 111 (29.7%) individual pigs stained positive with the genus-specific monoclonal antibody, and of these 30 of 32 (93.7%) also reacted with the C. trachomatis-specific antiserum. Labeled inclusions were restricted to mature enterocytes of the large intestine in 33 of 111 cases. Infection of small intestinal enterocytes was noted in only one of 82 ileal samples. The blood samples were tested for antichlamydial antibodies by enzyme-linked immunosorbent assay (ELISA) and complement fixation test (CFT). With ELISA, 95 of the 115 sera tested (82.6%) yielded positive antichlamydial reactions. With CFT, 34 of the 119 sera tested (28.6%) were unequivocally positive (> or = 1:10, 100% binding), and 10 (7.6%) yielded doubtful positive reactions (1:10, 50-75% binding). Positive ELISA and CFT titers showed poor agreement (kappa = 0.112), whereas the agreement between positive findings by immunohistochemical labeling and CFT was fair (kappa = 0.205).
Animals↗