I have been having vid problems begining with AH 2.18x and NVidia release 197.x.   After 20-30 minutes of play, my screen get white pixels all over the screen -  looks like snow from an old TV tuned to a dead station, but not nearly as dense.  Sometimes, the screen will turn black, then CTD's with a white screen with a windows message asking to leave the program (which doesn't work) - and requires Task Manager to kill AH.exe.   Once back to the desktop, I still have the snow, so I have to reboot.  The game will run fine for another 20-30 minutes, then does the same CTD routine.  Yesterday, it crashed to BSOD, and I saw a nvxxxxx.sys driver mentioned, but I was too slow to write it down before the machine rebooted on its own.  Heat does not seem to be the problem.   Here are my machine's specs.
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System Information
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Time of this report: 5/19/2010, 00:32:32
      Machine name: GAMING
   Operating System: Windows 7 Home Premium 64-bit (6.1, Build 7600) (7600.win7_gdr.100226-1909)
           Language: English (Regional Setting: English)
System Manufacturer: Gigabyte Technology Co., Ltd.
       System Model: EG45M-UD2H
               BIOS: Award Modular BIOS v6.00PG
          Processor: Intel(R) Core(TM)2 Duo CPU     E8400  @ 3.00GHz (2 CPUs), ~3.6GHz
             Memory: 4096MB RAM
Available OS Memory: 4094MB RAM
          Page File: 1497MB used, 6689MB available
        Windows Dir: C:\Windows
    DirectX Version: DirectX 11
DX Setup Parameters: Not found
   User DPI Setting: Using System DPI
 System DPI Setting: 96 DPI (100 percent)
    DWM DPI Scaling: Disabled
     DxDiag Version: 6.01.7600.16385 32bit Unicode 
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Display Devices
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          Card name: NVIDIA GeForce GTX 260
       Manufacturer: NVIDIA
          Chip type: GeForce GTX 260
           DAC type: Integrated RAMDAC
         Device Key: Enum\PCI\VEN_10DE&DEV_05E2&SUBSYS_23931682&REV_A1
     Display Memory: 2668 MB
   Dedicated Memory: 877 MB
      Shared Memory: 1791 MB
       Current Mode: 1920 x 1200 (32 bit) (59Hz)
       Monitor Name: Generic PnP Monitor
      Monitor Model: Hanns.G HG281
         Monitor Id: HSD1CF3
        Native Mode: 1920 x 1200(p) (59.950Hz)
        Output Type: DVI
        Driver Name: nvd3dumx.dll,nvwgf2umx.dll,nvwgf2umx.dll,nvd3dum,nvwgf2um,nvwgf2um
Driver File Version: 8.17.0011.9745 (English)
     Driver Version: 8.17.11.9745
        DDI Version: 10
       Driver Model: WDDM 1.1
  Driver Attributes: Final Retail
   Driver Date/Size: 4/3/2010 18:55:31, 11906664 bytes
        WHQL Logo'd: n/a
    WHQL Date Stamp: n/a
  Device Identifier: {D7B71E3E-46A2-11CF-2353-98031FC2C535}
          Vendor ID: 0x10DE
          Device ID: 0x05E2
          SubSys ID: 0x23931682
        Revision ID: 0x00A1
 Driver Strong Name: oem21.inf:NVIDIA_SetA_Devices.NTamd64.6 .1:Section003:8.17.11.9745:pci\ven_10de&dev_05e2
     Rank Of Driver: 00E62001
        Video Accel: ModeMPEG2_A ModeMPEG2_C ModeVC1_C ModeWMV9_C 
   Deinterlace Caps: {6CB69578-7617-4637-91E5-1C02DB810285}: Format(In/Out)=(YUY2,YUY2) Frames(Prev/Fwd/Back)=(0,0,0) Caps=VideoProcess_YUV2RGB VideoProcess_StretchX VideoProcess_StretchY DeinterlaceTech_PixelAdaptive 
Rez in game is set to 1920x1200
FOV = 130
MaxTex Size = 1024
anti-aliasing = most