By Thomas C. Spoor
There are various nice neuro-ophthalmology texts on hand starting from large encyclopedic tomes to small, particular assets. Combining the easiest good points of those books, Atlas of Neuro-ophthalmology deals a glimpse right into a large choice of infrequent and weird neuro-ophthalmic problems. lengthy famous as a number one authority at the optic nerve, Tom Spoor distills his years of expertise into this fantastically illustrated atlas.
The publication is a very revised and up-to-date model of Dr. Spoor's unique Atlas of Optic Nerve problems (1992). He addresses all points of the optic nerve and its disorders-such as optic atrophy, neuropathy, and nerve tumors-making this a necessary ebook for practitioners and scholars. The inclusion of easy and complicated issues makes it a terrific examine consultant and the excellent illustrations make it a realistic diagnostic software
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Additional info for Atlas of neuro-ophthalmology
50), often subjectively localized to only one eye. Again, the visual field in the ‘normal’ eye may be diagnostic. A visual field is a valuable screening test in any patient complaining of visual dysfunction without an obvious reason. An 81-year-old lady was referred with vague visual complaints and a putative diagnosis of GCA. Visual fields had a distinct homonymous hemianopic flavor (Fig. 56). An MRI demonstrated a rather massive and relatively asymptomatic occipital lobe meningioma causing her visual symptoms (Fig.
Chiasmal syndromes range from subtle junctional scotomas due to compression or inflammation of the optic nerve anterior chiasmal junction, to classic bitemporal hemianopias, to central (macular) bitemporal hemianopias due to compression of the posterior chiasmal notch by an enlarged third ventricle. The following cases—examples of a variety of chiasmal visual field defects—are illustrative. A patient was recently referred with a mildly elevated sedimentation rate for evaluation of an atrophic optic disc and a biopsy of her superficial temporal artery to rule out GCA.
Ascending optic atrophy is secondary to a primary retinal disorder destroying ganglion cells. Examples include central retinal artery occlusion (CRAO; Fig. 21), extensive macular lesions (Fig. 21 Optic atrophy due to diffuse loss of retinal ganglion cells after central retinal artery occlusion. 22), infiltration and destruction of ganglion cells (Tay-Sachs and Batten-Mayou diseases; Fig. 23) or diffuse retinal disease (retinitis pigmentosa; Fig. 24). There are a variety of metabolic (mucopolysaccharidoses, lipidoses) and degenerative neurologic diseases (Friedreichs’s ataxia, spinocerebellar degeneration, Charcot-Marie-Tooth disease) associated with optic atrophy and visual loss.