By Lanning B. Kline, MD
Offers a symptom-driven method of the analysis 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 refined manifestations of neuro-ophthalmic affliction to anatomical localization of lesions and definitive prognosis. an outline of the anatomy of visible pathways is followed through many illustrations. final significant revision 2009 2010.
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Additional info for 2011-2012 Basic and Clinical Science Course, Section 5: Neuro-Ophthalmology (Basic & Clinical Science Course)
Vertebral artery or posterior in ferior cerebellar artery occlusion is associated with Wallenberg latera l medullary syndrome, which manifests as ipsilateral Horner syndrome; skew deviatio n; CNs V, IXIX paresis; and contralateral body numbness (see Chapte r 2, Fig 2-5). There is no extremity weakness with the syndrome. The second set of ci rc um fere ntial arte ries is the anterior inferior cerebellar arteries. These arteries arise from the cauda l bas ilar artery and supply the area of the pontomedullary junction of the brainstem, as well as the cerebellum , distally.
Striate cortex wraps around the occipital pole to extend about 1 em onto the lateral convexity of the hemisphere, where the fovea is represented. C, Schematic flattened map of the left striate cortex shown in part B representing the right hemifield. The row of dots shows where st riate cortex folds around the occipital tip. The black oval marks the region of striate cortex corresponding to the contralateral eye's blind spot. HM ~ horizontal meridian. 0 , Right visual hemifield, plotted with a Goldmann perimeter The stippled area corresponds to the monocular temporal crescent.
Rootman J, Stewart B, Goldberg RA. Orbital Surgery: A Conceptual Approach. Philadelphia: Lippincott; \995 . Afferent Visual Pathways It is important to recogni ze that any disturbance in affere nt function may result in the same complaints of visual loss seen with pathology affecting th e retina, optic nerve, and visual pathways (Fig 1- 17). Retina The posterior segment transduces the focused electromag netic image photochemicall y into a series of impulses. ) Photochemical transductio n takes place within the outer segments of the rods (approximately 80- 120 m illion, distributed un iformly over th e reti na except at the fovea) and cones (approxi mately 5- 6 mi llion, with a peak distribution at the fovea and approximately 50% within 30") .
2011-2012 Basic and Clinical Science Course, Section 5: Neuro-Ophthalmology (Basic & Clinical Science Course) by Lanning B. Kline, MD