By American Academy of Ophthalmology, Rod Foroozan MD
Presents a symptom-driven method of the analysis and remedy of significant neuro-ophthalmic stipulations. With the point of interest at the sufferer, this publication emphasizes exam and acceptable adjunctive experiences, together with a dialogue of diagnostic imaging modalities, and leads the reader in the course of the occasionally sophisticated manifestations of neuro-ophthalmic ailment to anatomical localization of lesions and definitive prognosis. an outline of the anatomy of visible pathways is observed by means of 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 with the intention to formulate a suitable differential diagnosis
- decide upon the main acceptable exams and imaging, according to symptomatology, to diagnose and deal with neuro-ophthalmic issues in a cheap manner
- check eye stream problems 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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Additional resources for 2014-2015 Basic and Clinical Science Course (BCSC): Section 5: Neuro-Ophthalmology
Information from the MT and MST projects via the posterior portion of the internal capsule to the DLPN and lateral pontine nuclei, including the NRTP. From these pontine nuclei, projections are sent to the cerebellum (paraflocculus and dorsal vermis), with outflow signals to the vestibular nuclei and the y-group-a collection of cells at the inferior cerebellar peduncle. The smooth pursuit system is a double decussating pathway (the decussation occurs in both the pons and cerebellum); therefore, it can be simplistically considered an ipsilateral system.
F important to the visual pathways include those supplying the optic radiations as they traverse the deep white matter of the parietal and temporal lobes. Terminal branches of the MCA also variably supply the occipital tip representing the macula. This supply is chiefly responsible for the perimetric finding of macular sparing in PCA or calcarine artery occlusion (see Fig 4-32, in Chapter 4). In addition to the afferent pathways, the MCA supplies the middle temporal region, which is involved in visually guided pursuit movements.
Key: BSG = brainstem saccadic generator; CN = caudate nucleus of the basal ganglia; CS = cerebellar structures; DLPC = dorsolateral prefrontal cortex; FEF = frontal eye field; PON = precerebellar pontine nuclei; PPC = posterior parietal cortex; PVC = primary vi sual cortex; SC = superior colliculus; SEF = supplementary eye field; SNr = substantia nigra pars reticulata. /Used with permission from Kline LB. Neuro-Ophthalmology Review Manual. 6th ed. J reticulate). The BG appears to have several roles in the saccadic system, including inhibiting unnecessary reflexive saccades during fixation and helping in the control of voluntary saccades.
2014-2015 Basic and Clinical Science Course (BCSC): Section 5: Neuro-Ophthalmology by American Academy of Ophthalmology, Rod Foroozan MD