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Male acromegalic patient

This was a patient of American neurologist Joseph Collins (1866-1950). Note the head tilt, due to a right superior oblique palsy (head tilt contralateral to trochlear nerve paresis, ie, "tilt away"). (Source: Brooks H. Acromegalia. Arch Neurol Psychopathol 1898;1[3]:485-678. Plate I, figure 1.)