By American Academy of Ophthalmology, Rod Foroozan MD
Offers a symptom-driven method of the prognosis and therapy of significant neuro-ophthalmic stipulations. With the point of interest at the sufferer, this publication emphasizes exam and applicable adjunctive reviews, together with a dialogue of diagnostic imaging modalities, and leads the reader during the occasionally sophisticated manifestations of neuro-ophthalmic sickness to anatomical localization of lesions and definitive analysis. an summary of the anatomy of visible pathways is followed through many illustrations.
Upon final touch of part five, readers will be capable to:
- Describe a symptom-driven method of sufferers with universal neuro-ophthalmic lawsuits in an effort to formulate a suitable differential diagnosis
- choose the main acceptable checks and imaging, in response to symptomatology, to diagnose and deal with neuro-ophthalmic issues in an economical manner
- determine eye move issues and the ocular motor approach
Read or Download 2014-2015 Basic and Clinical Science Course (BCSC): Section 5: Neuro-Ophthalmology PDF
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Extra resources for 2014-2015 Basic and Clinical Science Course (BCSC): Section 5: Neuro-Ophthalmology
Superior ophthalmic vein Inferior ophthalmic vein Circular venous - --l--J,__---'-- -----l - ~ - - ~ plexus Cavernous sinus Superior petrosal - - - ,- - - - - . , sinus ~---Basilar plexus '------Inferior petrosal sinus Figure 1-16 Anatomy of the cavernous sinus drainage system . J foramen ovale as well as through the pterygoid plexus to anastomose with the facial venous system (external jugular vein). Veins of the eyelids anastomose medially between the angular vein and branches of the superior ophthalmic vein (particularly at the superior medial orbit in the region of the trochlea).
Additional vertical pathways include the brachium conjunctivum and the ascending tract of Deiters. The latter pathway runs lateral to the MLF and conveys signals from CN VIII nuclei ipsilaterally to the medial rectus subnucleus in the midbrain, modulating the vestibular response during near fixation. To maintain eccentric gaze, additional tonic input must be provided to the yoke muscles that hold the eye in position. This additional input is provided by integrating the velocity Motoneurons CN Ill Burst neurons riMLF Midbrain Omnipause CNVI l>--- - neurons PPRF Pons RIP Schematic of the brainstem network for saccade generation.
The AChoA supplies blood to the optic tract and distally to the lateral geniculate nucleus (LGN) (Fig 1-11). Injury to the AChoA can produce the optic tract syndrome, a disorder consisting of contralateral homonymous hemianopia, contralateral band atrophy of the optic disc, and a contralateral .... 18 • Neuro-O~hthalmology B A Ch C PCilA Schematic representation of the vascular supply to the optic nerve and optic nerve head. lntraocular view (A), lateral view (B), and sagittal view (C) of the optic nerve head.