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Chapter 1: Neuro-Ophthalmologic History and Neurologic Examination
Introduction
Purpose of the History and Examination
Answering the Patient's Concerns
History of the Present Illness
NonocularAspects of the Physical Examination
Chapter 2: Papilledema
Pathophysiology Fundus Signs of Papilledema
Fundus Signs of Papilledema
Nonfundus Signs of Papilledema
Pseudopapilledema
Causes of Papilledema and Disc Edema
Fluorescent Test
Chapter 3: Pupillary Abnormalities
Function and Anatomy of the Pupil Anatomy
Anatomy
Pupillary Size and Physiology
Normal Pupillary Reflexes
Irregularity of the Pupil
General Examination Techniques
Tonic Pupil
Argyll Robertson Pupil
Fixed Pupil
Afferent Pupillary Defect
Third Cranial Nerve Paralysis
Horner Syndrome
Heterochromia
Chapter 4: Evaluation of Orbital Disease
History Taking and Physical Examination
Imaging of the Orbit and Skull
CT Contrast Agents
Patient Cooperation
Indications for CT Scan
Indications for MRI
Contraindications for CT and MRI
Orbital or Periorbital Lesions That Do Not Require Imaging Studies
Orbital Biopsy
Histopathology
Immunocytochemistry
Surface Markers
Cytoplasmic Markers
Intermediate Filament Proteins
Tumor and Organ Specific Antigens
Lymphoid Antigens
Electron Microscopy
Flow Cytometry
Clinical Understanding of Orbital Disease
Case Studies
Chapter 5: Ptosis
Examination Techniques Pseudoptosis-Types and Causes
Pseudoptosis-Types and Causes
True Ptosis
Synkinetic Ptosis
Cerebral Ptosis
Tests for Ocular Myasthenia Gravis
Treatment of Ptosis
Treatment of Lid Retraction
Chapter 6: Diplopia
Introduction
Mechanism of Normal Binocular Vision and Diplopia
Evaluation of the Diplopic Patient
Case Studies
Prism Therapy
Neuropathic Causes
Myopathic Causes
Chapter 7: Neuro-Otology
Vestibular Disorders
Auditory Disorders
Chapter 8: Noninvasive Imaging Techniques
Ultrasound
Positron Emission Tomography
Nuclear Medicine Techniques in Neuro Ophthalmology
Chapter 9: Imaging of the Orbit and of the Visual Pathways
Orbital Masses
Visual Pathways
Chapter 10: Facial Nerve Disorders
Anatomy
Clinical Findings
Hyperkinectic Facial Nerve Disorders-Abnormal Eyelid and Facial Movements
Chapter 11: Electrodiagnosis
Electrical Changes Recordable from the Eye
Electrical Changes Recordable from the Brain: the Visually Evoked Potential
Clinical Application of Electrodiagnostic Tests of Visual System
Summary
Indications for Electrophysiologic Tests on the Eye
Case Studies
Chapter 12: Unexplained Vision Loss: Macula or Media?
Unexplained Vision Loss from Ocular Media Abnormalities
Unexplained Vision Loss from Macular Disease
Conclusion
Chapter 13: Blurred Vision
Evaluation of the Symptom
Hereditary Causes
Demyeunating Disease Causes
Ischemic Causes
Hematologic and Vascular Causes
Inflammatory Causes
Tumorous Causes
Toxic Causes
Other Miscellaneous Causes
Opacities of the Media
Refractive Errors
Chapter 14: Headache
Anatomy and Physiology of Head Pain
Differential Diagnosis of Head Pain
Headache Disorders Presenting in the Emergency Room
Headaches Presenting in the Emergency or Ambulatory Setting
Headaches Presenting in the Ambulatory Setting
Treatment of Headaches
Conclusion
Chapter 15: Gaze Abnormalities
Normal Gaze Terminology, Structures, and Pathways
Clinical Examination
Abnormal Vertical Gase Cunical Correlators
Abnormal Horizontal Gaze: Clinical Correlations
Vergence Abnormalities: Clinical Correlations
Miscellaneous Gaze Disorders
Case Studies
Chapter 16: Nystagmus and Related Ocular Oscillations
Definition of Terms and Mechanisms
Clinical Evaluation
Methods for Inducing Nystagmus
Anatomically Nonspecific Nystagmus
Anatomically Specific Nystagmus and Rhythmic Oscillations
Miscellaneous Nystagmus
Eye Movements in Coma
Medical Treatment of Nystagmus
Case Studies
Chapter 17: Visual Field Defects
Examination Techniques
Essentials of Automated Perimetry
Topical Diagnosis
Color Defects
Positive Perversion of the Visual System
Functional Visual Loss |