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Neuro-ophthalmology
Ashok Garg, Emanuel Rosen, Arturo Perez Arteaga, Jawahar Lal Goyal
SECTION 1: APPLIED ANATOMY AND PRELIMINARY CONSIDERATIONS IN NEURO-OPHTHALMOLOGY
1:
Visual Pathway
INTRODUCTION
RETINA
OPTIC NERVE
OPTIC CHIASMA
Definition
Dimensions
Types
Anatomy
Relations
OPTIC TRACT
Definition
Course
Relations
Roots
Terminations
LATERAL GENICULATE BODY
Definition
Shape
Situation
Development
Parts
Relations
Superior Brachium
OPTIC RADIATIONS
Definition
Course
Meyer's Loop
Further Course
Other Fiber
VISUAL CORTEX
Calcarine Sulcus
Course of Calcarine Sulcus
Cuneus
Histology of the Visual Cortex
Parastriate Cortex
Peristriate Cortex
LOCALIZATION IN THE VISUAL PATHWAY
RETINA
OPTIC NERVE
OPTIC CHIASMA
The Nasal Fibers
The Temporal Fibers
The Macular Fibers
OPTIC TRACT
LATERAL GENICULATE BODY
OPTIC RADIATIONS
VISUAL CORTEX
BLOOD SUPPLY OF THE VISUAL PATHWAY
INTRODUCTION
RETINA
OPTIC NERVE
OPTIC CHIASMA
OPTIC TRACT
LATERAL GENICULATE BODY
OPTIC RADIATIONS
VISUAL CORTEX
LESIONS OF THE VISUAL PATHWAY AND FIELD DEFECTS
OPTIC NERVE TYPE FIELD DEFECTS
Papillomacular Bundle
Arcuate Nerve Fiber Bundle
Nasal Nerve Fiber Bundle Defects
OPTIC CHIASMA LESIONS
Bitemporal Hemianopia
Central Bitemporal Hemianopia
Junctional Scotoma
Upper Temporal Quadrantic Defects
Lower Temporal Quadrantic Defects
OPTIC TRACT LESIONS
LATERAL GENICULATE BODY LESIONS
OPTIC RADIATIONS AND VISUAL CORTEX LESIONS
Temporal Lobe Lesions
Parietal Lobe Lesions
Occipital Lobe Lesions
2:
The Pupil
NORMAL PUPIL
PUPILLARY PATHWAYS
INTRODUCTION
PUPILLOCONSTRICTOR LIGHT REFLEX PATHWAY
Afferent
Efferent
Functions of the Light Reflex
CONVERGENCE NEAR REFLEX PATHWAY
Afferent
Efferent
ACCOMMODATION REFLEX PATHWAY
Afferent
Efferent
PUPILLARY DILATATION PATHWAY
DARKNESS REFLEX
PSYCHOSENSORY REFLEX
PUPIL CYCLE TIME
LESIONS OF THE PUPIL
AMAUROTIC PUPIL
MARCUS GUNN PUPIL
Swinging Flashlight Test
Grades
Lesion
Important Points
WERNICKE'S HEMIANOPIC PUPIL
ARGYLL ROBERTSON PUPIL
Lesion
Features
Light-Near Dissociation
Pseudo-Argyll Robertson Pupil
How to Test for a Pupillary Near Response
TONIC PUPIL
HUTCHINSON'S PUPIL
HORNER'S SYNDROME
Introduction
Central Horner's Syndrome
Preganglionic Horner's Syndrome
Postganglionic Horner's Syndrome
Pharmacological Tests for Horner's Syndrome
Reader's Syndrome
PHARMACOLOGY OF THE PUPIL
PUPIL ABNORMALITIES
HIPPUS
PARADOXICAL PUPILLARY REACTION
IRREGULARITY OF THE PUPIL
POLYCORIA
3:
Binocular Vision
DEFINITION
INTRODUCTION
DIAGNOSIS OF BINOCULAR DISORDERS
ACCOMMODATIVE PERFORMANCE
COVER TEST
SUBJECTIVE TESTS TO ESTIMATE THE PRESENCE, DIRECTION AND MAGNITUDE OF PHORIAS
FIXATION DISPARITY TEST
EVALUATION OF POSITIVE AND NEGATIVE FUSIONAL VERGENCE
MEASUREMENT OF THE NEAR POINT OF CONVERGENCE
CONVERGENCE JUMP TEST
EXTERNAL OPHTHALMOLOGICAL EXAMINATION
RETINOSCOPY AND REFRACTION
MEASUREMENT AND EVALUATION OF DEVIATION
SENSORY STATE
WORTH'S FOUR DOT TEST
ESTIMATION OF THE LEVEL OF SUPPRESSION
STEREOPSIS
EVALUATION OF STEREOPSIS
ACCOMMODATION
PUPILLARY REFLEXES
EYE MOVEMENTS
BINOCULAR VISION ANOMALIES
BINOCULAR ANOMALIES
ACCOMMODATIVE ANOMALIES
OCULOMOTOR ANOMALIES
BINOCULAR ANOMALIES
CONVERGENCE INSUFFICIENCY
Treatment
FALSE CONVERGENCE INSUFFICIENCY
DIVERGENCE INSUFFICIENCY
Diagnosis
Treatment
CONVERGENCE EXCESS
DIVERGENCE EXCESS
Treatment
BASIC EXOPHORIA
BASIC ESOPHORIA
HYPERPHORIAS
ACCOMMODATIVE ANOMALIES
ACCOMMODATIVE INSUFFICIENCY
ACCOMMODATIVE EXCESS
ACCOMMODATIVE INFLEXIBILITY
OCULOMOTOR ANOMALIES
4:
Supranuclear Pathways for Eye Movements
INTRODUCTION
SUPRANUCLEAR AND INFRANUCLEAR PATHWAYS
SUPRANUCLEAR EYE MOVEMENT SYSTEMS
SACCADIC SYSTEM
HORIZONTAL SACCADES
VERTICAL SACCADES
CHARACTERISTIC OF THE SACCADE
PURSUIT SYSTEM
HORIZONTAL PURSUIT SYSTEM PATHWAY
CORRECTIVE SACCADE
PARIETAL LOBE LESION
VERTICAL PURSUIT SYSTEM
VERGENCE SYSTEM
VOLUNTARY VERGENCE
PURSUIT OR REFLEX VERGENCE
NON-OPTIC REFLEX SYSTEM
SEMICIRCULAR CANALS
NECK RECEPTORS
CEREBELLUM
POSITION MAINTENANCE SYSTEM
SUMMARY
5:
Laws of Ocular Motility
INTRODUCTION
DONDER'S LAW
LISTING'S LAW
HERING'S LAW OF MOTOR CORRESPONDENCE
CLINICAL SIGNIFICANCE
SHERRINGTON'S LAW OF RECIPROCAL INNERVATION
CLINICAL SIGNIFICANCE
6:
Pediatric Neuro-ophthalmology Examination
INTRODUCTION
HISTORY
VISUAL DEVELOPMENT
VISUAL ACUITY
HEAD POSTURE
PUPILLARY EXAMINATION
ANISOCORIA
IRIS DEFECTS
MOTILITY
REFRACTION
COLOR VISION
NYSTAGMUS
LOCALIZING TYPE NYSTAGMUS
CONFRONTATIONAL VISUAL FIELDS
FUNDOSCOPIC EXAMINATION
GENERAL NEUROLOGICAL EVALUATION
SECTION 2: VISUAL SENSORY SYSTEM DISORDERS
7:
Congenital Optic Disc Anomalies
INTRODUCTION
ENTITIES
OPTIC DISC DRUSEN
Clinical Features
OPTIC NERVE HYPOPLASIA
Clinical Features
Ocular Associations
Systemic Associations
MORNING GLORY DISC ANOMALY
OPTIC DISC COLOBOMA
OPTIC DISC PIT
CONGENITAL TILTED DISC SYNDROME
CONGENITAL OPTIC DISC PIGMENTATION
AICARDI SYNDROME
8:
Papilledema
BACKGROUND
EPIDEMIOLOGY
PATHOPHYSIOLOGY
CLINICAL SIGNS AND SYMPTOMS
HISTORY
PHYSICAL EXAMINATION
Early Manifestations
Late Manifestations
Chronic Manifestations
MANAGEMENT
TREATMENT
DIFFERENTIAL DIAGNOSIS
PROGNOSIS
9:
Acquired Optic Nerve Disorders
OPTIC NEURITIS
INTRODUCTION
CLINICAL SIGNS AND SYMPTOMS
INVESTIGATION
DIFFERENTIAL DIAGNOSIS
TREATMENT
PROGNOSIS
ISCHEMIC OPTIC NEUROPATHY
INTRODUCTION
CLINICAL SIGNS AND SYMPTOMS
INVESTIGATIONS
DIFFERENTIAL DIAGNOSIS
TREATMENT
PROGNOSIS
COMPRESSIVE AND INFILTRATIVE OPTIC NEUROPATHIES
INTRODUCTION
CLINICAL SIGNS AND SYMPTOMS
INVESTIGATIONS
DIFFERENTIAL DIAGNOSIS
TREATMENT
PROGNOSIS
TOXIC AND DEFICIENCY OPTIC NEUROPATHIES
INTRODUCTION
CLINICAL SIGNS AND SYMPTOMS
INVESTIGATIONS
DIFFERENTIAL DIAGNOSIS
TREATMENT
PROGNOSIS
HEREDITARY OPTIC NEUROPATHIES
INTRODUCTION
CLINICAL SIGNS AND SYMPTOMS
INVESTIGATIONS
DIFFERENTIAL DIAGNOSIS
TREATMENT
PROGNOSIS
10:
Optic Atrophy
INTRODUCTION
CLASSIFICATION OF OPTIC ATROPHY
PATHOLOGICAL CLASSIFICATION
Ascending Optic Atrophy (Wallerian Secondary Degeneration of Axons)
Descending Optic Atrophy (Retrograde degeneration of Axons)
Cavernous Optic Atrophy (Schnable's atrophy)
OPHTHALMOSCOPIC CLASSIFICATION
Primary Optic Atrophy
Consecutive Optic Atrophy
Secondary Optic Atrophy
Glaucomatous Optic Atrophy
ETIOLOGICAL CLASSIFICATION
Congenital Optic Atrophy
Consecutive Optic Atrophy
Circulatory Optic Atrophy
Pressure and Traction Atrophy
Postinflammatory Optic Atrophy
Atrophy due to CNS Diseases
Atrophy due to Exogenous Poisons
Atrophy due to Metabolic Disorder
Traumatic Optic Atrophy
Atrophy of Unknown Etiology
CLASSIFICATION ACCORDING TO CLINICAL PICTURE
Secondary Optic Atrophy
CLINICAL PICTURE OF OPTIC ATROPHY
PRIMARY OPTIC ATROPHY
CONSECUTIVE OPTIC ATROPHY
POSTNEURITIC OPTIC ATROPHY
GLAUCOMATOUS OPTIC ATROPHY
ISCHEMIC OPTIC ATROPHY
SECONDARY OPTIC ATROPHY
DIFFERENTIAL DIAGNOSIS OF OPTIC ATROPHY
INVESTIGATIONS IN A CASE OF OPTIC ATROPHY
TREATMENT
11:
Optic Nerve Tumors
INTRODUCTION
OPTIC NERVE GLIOMAS
CLINICAL FEATURES
Age
Sex
Location
PRESENTING SIGNS AND SYMPTOMS
ASSOCIATION WITH NEUROFIBROMATOSIS
RADIOGRAPHIC FINDINGS
HISTOPATHOLOGY
Gross Appearance
Microscopic Findings
MANAGEMENT
MALIGNANT GLIOMAS OF THE OPTIC NERVE
CLINICAL FEATURES
RADIOLOGY
PATHOLOGY
PROGNOSIS
OPTIC NERVE MENINGIOMAS
CLINICAL FEATURES
SIGNS AND SYMPTOMS
RADIOLOGY
HISTOPATHOLOGY
MANAGEMENT
SECONDARY OPTIC NERVE TUMORS
EXTENSION FROM THE EYE
BLOOD-BORNE METASTASIS
EXTENSION FROM THE MENINGES AND BRAIN
EXTENSION FROM ADJACENT STRUCTURES
12:
Compressive Chiasmatic Lesions
INTRODUCTION
SYMPTOMS AND SIGNS
INVESTIGATIONS
DIFFERENTIAL DIAGNOSIS
TREATMENT
PROGNOSIS
SECTION 3: OCULAR MOTOR SYSTEM DISORDERS
13:
Supranuclear Disorders of Eye Movements
INTRODUCTION
PSEUDO-OPHTHALMOPLEGIA
CLASSIFICATION
SACCADIC DISORDERS
CONJUGATE PALSIES
LESIONS OF THE FRONTAL CORTEX
Overactivity
Unilateral Underactivity
Bilateral Underactivity
LESIONS OF THE BASAL GANGLIA
Overactivity
Underactivity: Progressive Supranuclear Palsy
LESIONS OF THE COLLICULAR AREA
Parinaud's Syndrome
DISSOCIATED PALSIES
INTERNUCLEAR OPHTHALMOPLEGIA
Introduction
Etiology
Classification
ONE AND ONE-HALF SYNDROME
DISSOCIATED VERTICAL PALSIES
PURSUIT DISORDERS
OVERACTIVITY
UNDERACTIVITY
VERGENCE DISORDERS
PARALYSIS OF CONVERGENCE
PARALYSIS OF DIVERGENCE
NONOPTIC REFLEX SYSTEM DISORDERS
VESTIBULAR SYSTEM DISORDERS
CEREBELLAR DISORDER
14:
Cranial Nerve Palsies and their Management
DEFINITION
TYPES
CLINICAL FEATURES
CLASSIFICATION OF PARALYTIC SQUINT
THIRD NERVE PALSY
ANATOMY
ETIOLOGY
Congenital Third Nerve Palsy
Acquired Third Nerve Palsy
CLINICAL PRESENTATION
Complete Third Nerve Palsy
Partial Third Nerve Palsy
Isolated Muscle Palsy
EVALUATION
DIFFERENTIAL DIAGNOSIS
MANAGEMENT OF THIRD NERVE PALSY
During the Acute Phase
Definitive/Surgical Management
Isolated Muscle Paralysis
Complete Third Nerve Paralysis
FOURTH NERVE PALSY
ANATOMY
ETIOLOGY
Congenital Fourth Nerve Palsy
Acquired Fourth Nerve Palsy
CLINICAL PRESENTATION
Bilateral SO Palsy
DIFFERENTIAL DIAGNOSIS
Primary IO Overaction
Brown Syndrome
Pseudoparalysis
Myasthenia gravis
MANAGEMENT OF FOURTH NERVE PALSY
Nonsurgical Management
Surgical Management
SIXTH NERVE PALSY
ANATOMY
ETIOLOGY
Congenital sixth nerve palsy
Acquired Sixth Nerve Palsy
CLINICAL PRESENTATION
DIFFERENTIAL DIAGNOSIS
Myasthenia Gravis
Graves Ophthalmopathy
Duane Rectraction Syndrome
Infantile Esotropia
MANAGEMENT
Non-surgical Management
Surgical Management
15:
Infranuclear Disorders of Ocular Motility
OCULOMOTOR NERVE PALSY
FEATURES
External Ophthalmoplegia
Internal Ophthalmoplegia
DIFFERENTIAL DIAGNOSIS
ETIOLOGY
WORK-UP
TREATMENT
ABDUCENS NERVE PALSY
SYMPTOMS
SIGNS
DIFFERENTIAL DIAGNOSIS
ETIOLOGY
WORK-UP
TREATMENT
16:
Disorders of Neuromuscular Transmission
MYASTHENIA GRAVIS
SYMPTOMS
SIGNS
ETIOLOGY
DIFFERENTIAL DIAGNOSIS
DIAGNOSIS
TREATMENT
17:
Myopathies Affecting Extraocular Muscles
CHRONIC PROGRESSIVE EXTERNAL OPHTHALMOPLEGIA
SYMPTOMS
SIGNS
DIFFERENTIAL DIAGNOSIS
INVESTIGATION
TREATMENT
Medical Care
Surgical Care
MYOTONIC DYSTROPHY
CONGENITAL MUSCULAR DYSTROPHY
FUKUYAMA CONGENITAL MUSCULAR DYSTROPHY
OCULAR PHARYNGEAL DYSTROPHY
18:
Nystagmus
DEFINITION
GENERAL CONSIDERATIONS
TERMINOLOGY
PENDULAR NYSTAGMUS
JERKY NYSTAGMUS
MICRONYSTAGMUS
NULL ZONE
NEUTRAL ZONE
ALEXANDER'S LAW
GRADES
EXAMINATION OF A CASE OF NYSTAGMUS
CLASSIFICATION
OCULAR NYSTAGMUS
DEVIATIONAL NYSTAGMUS
OPTOKINETIC NYSTAGMUS
Introduction
Clinical Test
Kestenbaum's Newspaper Method
Barrie's Ruler Test
Optokinetic Nystagmus Drum
Pathway
Parietal Lobe Lesion
Type of OKN Abnormalities
Inverse OKN
PATHOLOGICAL OCULAR NYSTAGMUS
Amaurotic Nystagmus
Amblyopic Nystagmus
Spasmus Nutans
Miner's Nystagmus
Latent Nystagmus
VESTIBULAR NYSTAGMUS
VESTIBULAR APPARATUS
CALORIC TEST
VERTICAL VESTIBULAR NYSTAGMUS
LESIONS
Canal Paresis (Peripheral Lesion)
Directional Preponderance (Central Lesion)
ROTATIONAL NYSTAGMUS
DOLL'S HEAD PHENOMENON
CEREBELLAR NYSTAGMUS
CENTRAL NYSTAGMUS
MISCELLANEOUS
VOLUNTARY NYSTAGMUS
HYSTERICAL NYSTAGMUS
IDIOPATHIC CONGENITAL NYSTAGMUS
NYSTAGMUS BLOCKAGE SYNDROME
SYMPTOMS
TREATMENT
SECTION 4: NEURO-OPHTHALMIC NONORGANIC DISORDERS
19:
Neuro-ophthalmologic Manifestations of Nonorganic Disease
INTRODUCTION
TERMINOLOGY
DIFFERENTIATING BETWEEN HYSTERIA AND MALINGERING
SPECIFIC NONORGANIC NEURO-OPHTHALMIC DISORDERS
NONORGANIC DISEASE AFFECTING THE AFFERENT VISUAL PATHWAY
EVALUATION FOR VISION LOSS
TOTAL BINOCULAR BLINDNESS
TOTAL MONOCULAR BLINDNESS
Fixation Tests
Diplopia Tests
Fogging Tests
Duochrome Tests
TESTS FOR ALLEGEDLY DEFECTIVE VISION IN ONE EYE
OTHER OPHTHALMIC MANIFESTATIONS OF NONORGANIC DISEASES
VISUAL FIELD DEFECTS
NONORGANIC DISEASE AFFECTING OCULAR MOTILITY AND FIXATION
DISORDERS OF PUPILLARY SIZE AND REACTIVITY
NONORGANIC DISTURBANCE OF EYELID FUNCTION AND OCULAR SENSATION
TREATMENT OF FUNCTIONAL EYE DISEASE
OTHER CAUSES OF NONORGANIC VISUAL LOSS
DELAYED VISUAL MATURATION
AMBLYOPIA
DIAGNOSIS
TREATMENT
20:
Amblyopia
INTRODUCTION
PATHOLOGICAL CONSIDERATION
OTHER IMPORTANT FEATURES OF AMBLYOPIA
SYMPTOMS AND SIGNS
INVESTIGATION
FOR REFRACTIVE OR ANISOMETROPIC AMBLYOPIA
Check Visual Acuity
FOR STRABISMIC AMBLYOPIA
TYPES OF STRABISMUS
TESTING FOR STRABISMUS
FORM-DEPRIVATION AND VISUAL PATHWAY OBSTRUCTION AMBLYOPIA
OTHER PROBLEMS TO BE CONSIDERED
Imaging Studies
Other Tests
DIFFERENTIAL DIAGNOSIS OF AMBLYOPIA
TREATMENTS—MEDICAL AND SURGICAL
MEDICAL CARE
PENALIZATION THERAPY
SURGICAL CARE
ACTIVITY AFTER TREATMENT
FURTHER FOLLOW-UP CARE
DETERRENCE/PREVENTION
AMBLYOPIA AFTER TRAUMA
COMPLICATIONS
CLINICAL TRIALS AND EXPERIMENTS
PROGNOSIS
CONCLUSION
SECTION 5: AUTONOMIC NERVOUS SYSTEM DISORDERS AND MISCELLANEOUS
21:
The Neuro-anatomical Basis of Accommodation and Vergence
INTRODUCTION
ACCOMMODATION
THE PERIPHERAL NERVOUS SYSTEM
VERGENCE
22:
Functional Brain Imaging of Suppression
ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
SUBJECTS AND IMAGES
MRI PROTOCOL
DATA ANALYSIS
RESULTS
DISCUSSION
23:
Headache and Facial Pain
INTRODUCTION
ETIOLOGY
LIFE OR VISION THREATENING
OTHERS
WORK-UP
24:
Ophthalmic Manifestations of Intracranial Lesions
INTRODUCTION
CLASSIFICATION OF INTRACRANIAL LESIONS
SIGNS AND SYMPTOMS
GENERAL OPHTHALMIC SIGNS
PAPILLEDEMA
Clinical Features
ABNORMAL HEAD POSTURE
VISUAL HALLUCINATIONS
PROPTOSIS
AMAUROSIS FUGAX
FALSE-LOCALIZING SIGNS
HYDROCEPHALUS
NERVE DYSFUNCTION
Optic Nerve Dysfunction
VI (Abducens) nerve Dysfunction
Oculomotion (III) Nerve Dysfunction
Trochlear IV Nerve Dysfunction
Trigeminal Neuralgia and Hemifacial Spasm
TRUE LOCALIZING SIGNS
TUMORS OF THE ORBIT
Gaze Evoked Amaurosis
Proptosis
Endophthalmos
Optic Disc Swelling
Choroidal Folds
Optociliary Shunts
Limitations of Ocular Movement
Others
TUMORS OF THE SUPERIOR ORBITAL FISSURE AND CAVERNOUS SINUS
TUMORS IN THE SUPRASELLAR REGION
Optic Nerve Lesions
Optic Chiasma Lesions
Optic Tract Lesions
PITUITARY TUMORS
TUMORS INVOLVING THE LATERAL GENICULATE BODY
TUMORS INVOLVING THE FRONTAL LOBE
Neuro-ophthalmic Signs and Symptoms
TUMORS OF THE TEMPORAL LOBE
Neuro-ophthalmic Signs and Symptoms
TUMORS OF THE PARIETAL LOBE
Neuro-ophthalmic Manifestations
TUMORS INVOLVING THE OCCIPITAL LOBE
Neuro-ophthalmic Manifestations
TUMORS OF THE LATERAL VENTRICLE
TUMORS OF THE THIRD VENTRICLE
TUMORS OF THE FOURTH VENTRICLE
TUMORS OF THE PINEAL GLAND
TUMORS OF THE BRAINSTEM
Midbrain (Mesencephalon)
Tumors of the Pons
Tumors of the Medulla
Tumors of the Cerebellum
HEMORRHAGE
INFECTIONS
DEMYELINATING DISORDERS
25:
Visual Impairment in Cortical Lesions
INTRODUCTION
TEMPORAL LOBE
PARIETAL LOBE
OCCIPITAL LOBE
CORTICAL BLINDNESS
INTRODUCTION
DEFINITION
ETIOPATHOGENESIS
Hypoxic or Anoxic Brain Damage
Vascular Spasm
CLINICAL FEATURES OF CORTICAL BLINDNESS
VISUAL EVOKED POTENTIALS
OTHER INVESTIGATIONS
SPECIAL FORMS OF CORTICAL BLINDNESS
ANTON'S SYNDROME (ANOSAGNOSIA, CORTICAL BLINDNESS WITH DENIAL)
TRANSIENT CORTICAL BLINDNESS
INCOMPLETE FORMS OF CORTICAL BLINDNESS
Balint's Syndrome
Visual Agnosias
Achromatopsia
Akinetopsia
RECOVERY
26:
Multiple Sclerosis
INTRODUCTION
CLINICAL SIGNS AND SYMPTOMS
INVESTIGATIONS
DIFFERENTIAL DIAGNOSIS
TREATMENT
PROGNOSIS
27:
Abnormal Eyelid Functions
INTRODUCTION
CLINICAL SIGNS AND SYMPTOMS
INVESTIGATIONS
DIFFERENTIAL DIAGNOSIS
TREATMENT
PROGNOSIS
INTRODUCTION
CLINICAL SIGNS AND SYMPTOMS
INVESTIGATIONS
DIFFERENTIAL DIAGNOSIS
TREATMENT
PROGNOSIS
INTRODUCTION
CLINICAL SIGNS AND SYMPTOMS
INVESTIGATIONS
CAUSES OF LID RETRACTION
Neurogenic
Myogenic
Mechanic
Miscellaneous
DIFFERENTIAL DIAGNOSIS
TREATMENT
PROGNOSIS
INTRODUCTION
CLINICAL SIGNS AND SYMPTOMS
INVESTIGATIONS
DIFFERENTIAL DIAGNOSIS
TREATMENT
PROGNOSIS
INTRODUCTION
CLINICAL SIGNS AND SYMPTOMS
INVESTIGATIONS
DIFFERENTIAL DIAGNOSIS
TREATMENT
PROGNOSIS
28:
Imaging in Neuro-ophthalmology
COMPUTED TOMOGRAPHY
PRINCIPLES
CONTRAST MEDIUM
MRI BASIC PHYSICAL AND TECHNICAL PRINCIPLES OF RELAXATION, SPECIAL SEQUENCES
Restrictions
CLAUSTROPHOBIA, SEDATION, SURVEILLANCE
OPTIC PATHWAY PATHOLOGY
CONGENITAL PATHOLOGY OF OPTIC PATHWAYS
INFANTILE PRESENTATIONS
Micro-ophthalmos/Anophthalmos
OCULAR TUMORS
SPASMUS NUTANS
Other White Matter Disorders
Septo-optic Dysplasia
Optic Nerve Hypoplasia
Periventricular Leukomalacia
MULTIPLE SCLEROSIS
ACUTE DISSEMINATED ENCEPHALOMYELITIS
TRAUMA (NONACCIDENTAL INJURY)
NEUROFIBROMATOSIS TYPE 1
NEUROFIBROMATOSIS TYPE 2
INTRACRANIAL PATHOLOGY OF THE VISUAL PATHWAY
INTRINSIC LESIONS, GLIOMA IN ADULTS
EXTRA-AXIAL TUMORS
METASTASIS
SELLAR TUMORS
GLIOMAS OF THE CHIASM
Meningiomas
Craniopharyngioma
Astrocytomas
PILOCYTIC ASTROCYTOMA (WHO I)
HIGH GRADE GLIOMA
METASTASIS
CAVERNOMA (SYN. CAVERNOUS HEMANGIOMA) OF THE CAVERNOUS SINUS
TOLOSA-HUNT'S SYNDROME
CYSTIC LESIONS
MULTIPLE SCLEROSIS
Toxoplasmosis
Acute Disseminated Encephalomyelitis (ADEM)
29:
Role of HRT II in Diagnosis of Neuro-ophthalmic Diseases
INTRODUCTION
PITUITARY TUMORS
MOREKER KATARIA CLASSIFICATION OF HRT II CHANGES IN PITUITARY
Acute
Chronic
OPTIC NEUROPATHIES
AAION VS NAAION3
PAPILLEDEMA
SIGNIFICANCE
HRT IN OPTIC DISC EXCAVATION IN CHILDREN AFFECTED BY CEREBRAL VISUAL IMPAIRMENT (CVI)7
INDEX
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