By Lanning B. Kline, MD
A patient-centered method of the analysis and remedy of significant neuro-ophthalmic stipulations. targeting vital providing symptoms, this publication leads the reader in the course of the occasionally refined manifestations of neuro-ophthalmic affliction to anatomic localization of lesions and definitive analysis. additionally contains an outline of the anatomy of the visible pathway, guidance for carrying out the neuro-ophthalmic exam and acceptable use of diagnostic imaging reviews.
Read Online or Download 2008-2009 Basic and Clinical Science Course: Section 5: Neuro-Ophthalmology (Basic and Clinical Science Course 2008-2009) PDF
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Extra resources for 2008-2009 Basic and Clinical Science Course: Section 5: Neuro-Ophthalmology (Basic and Clinical Science Course 2008-2009)
Reproduced with permission from Rootman J, Stewart 8, Goldberg RA. Orbital Surgery: A Conceptual Approach. ) at the torcular Herophili (confluence of the venous sinuses) at the level of the tentorium separating the cerebellum from the occipital lobes. The transverse sinuses (T5) run anteriorly from the connection of the tentorium and the skull to the petrous pyramid, where they turn to run caudally as the sigmoid sinus (55) down to the jugular bulb, where the internal jugular vein exits the skull.
The tentorium, separating the posterior cranial fossa below, opens to pass the midbrain between these 2 arteries. The third nerve exits between the SCA and the PCA, where it may be compressed. Proximally (PI segment), perforators from the posterior cerebral arteries (including the median thalamostriate branches and the lateral choroidal arteries) supply rostral portions of the midbrain involved in vertical gaze and part of the lateral geniculate. A large branch, the artery of Percheron, often supplies both sides of the midbrain from 1posterior cerebral artery.
Used with permission from Kline LB. Bajandas FJ Neuro-Ophthalmology RePPC = posterior begins in the striate cortex (Vl) and projects view Manual. Rev 5th ed. Thorofare. ) 32 . Neuro-Ophthalmology Efferent Visual System (Ocular Motor Pathways) The efferent visual system also spans a large segment of the central nervous system. The output of the vestibular nuclei provides both the major infranuclear input into ocular motility and the major tonic input into eye position. This system has one of the shortest arcs in the nervous system, producing a fast response with extremely short latency.