By American Academy of Ophthalmology, Rod Foroozan MD
Offers a symptom-driven method of the analysis and therapy of significant neuro-ophthalmic stipulations. With the focal point at the sufferer, this booklet emphasizes exam and applicable adjunctive experiences, together with a dialogue of diagnostic imaging modalities, and leads the reader in the course of the occasionally refined manifestations of neuro-ophthalmic disorder to anatomical localization of lesions and definitive analysis. an outline of the anatomy of visible pathways is followed by way of many illustrations.
Upon finishing touch of part five, readers can be capable to:
- Describe a symptom-driven method of sufferers with universal neuro-ophthalmic proceedings so that it will formulate a suitable differential diagnosis
- opt for the main acceptable assessments and imaging, in keeping with symptomatology, to diagnose and deal with neuro-ophthalmic problems in an economical manner
- examine eye circulation issues and the ocular motor approach
Read Online or Download 2014-2015 Basic and Clinical Science Course (BCSC): Section 5: Neuro-Ophthalmology PDF
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Additional info for 2014-2015 Basic and Clinical Science Course (BCSC): Section 5: Neuro-Ophthalmology
Posterior ethmoid a. meningeal a. Ophthalmic a. Central retinal a. - --Long ciliary a. '--+----Anterior ciliary a. Jtlll;,--,,"---- lnfraorbital a. 1----+----Facial a. C C, Sagittal view of the arterial supply to the orbit and globe. a. = artery; ICA = internal carotid artery. ) Figure 1-6 (continued) orbital fissures. In rare instances, the ophthalmic artery (OphA) may also arise as a branch off the meningeal system of the ECA. The major blood supply to the intracranial contents is carried by the ICA (Fig 1-8).
A revision of the classic Holmes map. Arch Ophthalmol. 1991;109(6):816-824. 32 • Neuro-Ophthalmology Figure 1-22 Parallel visual processing pathways in the human. The occipitotemporal, or "what," pathway begins in the striate cortex (V1) and projects to the angular gyrus for language processing, to the inferior temporal lobe for object identification, and to the limbic structures. The occipitoparietal, or "where," pathway begins in the striate cortex and projects to the posterior parietal and superior temporal cortex, concerned with visuospatial analysis.
V 4, located within the lingual and fusiform gyrus, seems to be particularly sensitive to color. Damage to this area is probably responsible for most cases of cerebral achromatopsia. Anterior and lateral to area V 4, VS (posterior and within the superior temporal sulcus and gyrus subangularis) is very sensitive to movement and direction (Fig 1-22). The underlying white matter is heavily myelinated. The VS area, which corresponds to the medial temporal visual region, receives ipsilateral input from Vl and direct input from the M-cell layers of the LGN.