By Lanning B. Kline, MD
A patient-centered method of the prognosis and remedy of significant neuro-ophthalmic stipulations. concentrating on vital proposing symptoms, this ebook leads the reader in the course of the occasionally refined manifestations of neuro-ophthalmic illness to anatomic localization of lesions and definitive prognosis. additionally comprises an summary of the anatomy of the visible pathway, instructions for engaging in the neuro-ophthalmic exam and applicable use of diagnostic imaging reports.
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Additional resources for 2008-2009 Basic and Clinical Science Course: Section 5: Neuro-Ophthalmology (Basic and Clinical Science Course 2008-2009)
The Neurology of Vision. New York: Oxford University Press; 200 I. ,. ~ ~ Dorsal Occlpltofugal "Where" pathway ~ Ventral Occlpltofugal "What" pathway processing pathways in the human. The ventral, or "what," pathway to the angular gyrus for language processing, the inferior temporal lobe for object identification and limbic structures. The dorsal, or "where," pathway begins in the striate cortex and projects to the posterior parietal and superior tempocortex; ral cortex, dealing with visuospatial analysis.
The contralateral medial rectus is stimulated by interneurons that cross in the pons and ascend in the contralateral MLF. Pathology affecting 1 MLF will result in an ipsilateral adduction deficit with attempted contralateral gaze, often accompanied by abducting nystagmus of the contralateral eye (internuclear ophthalmoplegia). Vertical gaze is controlled through the midbrain. The primary gaze center is located in the riMLF (Fig 1-20). This area receives input from the medial and superior vestibular nuclei via the MLF and other internuclear connections.
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. Inferior superficial cortical venous drainage is carried directly down to the transverse and sigmoid sinus through the vein of Labbe and the basilar vein of Rosenthal.
2008-2009 Basic and Clinical Science Course: Section 5: Neuro-Ophthalmology (Basic and Clinical Science Course 2008-2009) by Lanning B. Kline, MD