Case 50-1977: atheromatous emboli again.
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Biomedical subjects
Publications and source records attributed to P F Finelli.
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A patient with a subarachnoid haematoma anterior to the brain stem demonstrated "typical" ocular bobbing. The absence of CNS parenchymal involvement is distinct from previously described posterior fossa lesions associated with this particular eye movement disorder.
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Five episodes of transient monocular blindness during a six-month period occurred in a 42-year-old black man who had sickle cell trait. Other than the hemoglobin abnormality no cause for the transient monocular blindness was determined.
Intravenous edrophonium chloride promptly stopped a sustained high frequency abduction nystagmus, supporting a diagnosis of myasthenia gravis in a patient with hyperthyroidism. Myasthenia gravis should be considered in the differential diagnosis of any acquired, isolated, and sustained abduction nystagmus, and this possibility should be ruled out by intravenous edrophonium chloride.
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Ulnar neuropathy after liquid nitrogen cryotherapy for verruca vulgaris (common wart) overlying the ulnar nerve at the elbow resulted in much disability from sensory and motor deficits.
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