By Lanning B. Kline, MD
Offers a symptom-driven method of the analysis and therapy of significant neuro-ophthalmic stipulations. With the focal point at the sufferer, this e-book emphasizes exam and applicable adjunctive experiences, together with a dialogue of diagnostic imaging modalities, and leads the reader throughout the occasionally sophisticated manifestations of neuro-ophthalmic ailment to anatomical localization of lesions and definitive analysis. 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)
In addition, small branches often suppl y th e trigem inal root. The tentorium, sepa rati ng the posterior cranial fossa below, o pens to pass the midbrain between th ese 2 arteries. The third nerve exits between the superio r cerebellar arteries and the posterior cerebral arteries, where it may be compressed. Proximally (PI segment), perforators from the posterior cerebral arteries (including the medi an thalamostriate bra nches and the lateral choroidal arteries) supply rostral portions of the midbrai n involved in vertical gaze and part of the lateral geniculate.
6. vestib ular visual fixation optokinetic smooth pursuit nystag mus qui ck phases saccades 7. vergence Each system appears to be under the cont rol of-and modulated by-differe nt regions of the bra in (cortex) and brainstem, with considerable anatomical and functional overlap. This section provides an overview of the ocular motor system, with a detailed discllssion of particularl y cl inicall y relevant structures. For interested readers, a comprehensive description of the ocu lar motor system can be found in the o utstanding textbook by Leigh and Zee (Leigh RJ.
Superior view. (Courtesy of Albert L RholOn. ) arrangement underlies the bitempo ral scotom atous field defects seen with poste ri or chi asmatic compression. Optic Tract The fi bers exiting fro m the chiasm proceed circumferentially aroun d the di encephalo n lateral to the hypothalamus and in contact with the ambient cistern (see Fig I- II ). Just prior to the lateral geniculate. the fibers involved in pu pillary pathways exit to the pretecta l nuclei; other fibers exit to the superficial laye rs of the superior collie ulus via the brachium of the superi or colliculus.
2011-2012 Basic and Clinical Science Course, Section 5: Neuro-Ophthalmology (Basic & Clinical Science Course) by Lanning B. Kline, MD