Neurology of vision:
Saved in:
| Main Author: | |
|---|---|
| Format: | Book |
| Language: | English |
| Published: |
Oxford [u.a.]
Oxford Univ. Press
2001
|
| Series: | Contemporary neurology series
60 |
| Subjects: | |
| Online Access: | Inhaltsverzeichnis |
| Physical Description: | XV, 451 S. zahlr. Ill., graph. Darst. |
| ISBN: | 0195129784 |
Staff View
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| 245 | 1 | 0 | |a Neurology of vision |c Jonathan D. Trobe |
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Record in the Search Index
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|---|---|
| adam_text | CONTENTS
INTRODUCTION 1
Part I How the Human Visual System Works
1. THE OPTICAL, RETINOCORTICAL, AND INTEGRATrVE
COMPONENTS 5
THE OPTICAL COMPONENT 5
Emmetropia • Accommodation • Ocular Media Transparency •
The Pinhole Effect
THE RETINOCORTICAL COMPONENT 10
Retina • Optic Nerve • Optic Chiasm • Optic Tract •
Lateral Geniculate Body • Optic Radiations • Primary
Visual Cortex
THE INTEGRATIVE COMPONENT 30
Occipitoparietal Pathway • Occipitotemporal Pathway • Attention and
Object Recognition
SUMMARY 37
Part II Symptoms of a Failing Visual System
2. SYMPTOMS OF OPTICAL DISORDERS 45
WHAT ARE OPTICAL SYMPTOMS? 45
VISION WORSE FOR FAR THAN NEAR OBJECTS 46
VISION WORSE FOR NEAR THAN FAR OBJECTS 4fi
FLUCTUATIONS IN IMAGE CLARITY 50
Variations in the Water Content of Lens or Cornea • Shifts in Lens
Position • Changes in Ciliary Muscle Tone
DAZZLE 51
GLASSES INDUCED IMAGE DISTORTION 51
DISCOLORED IMAGE 52
GHOST IMAGE 52
SUMMARY 53
ix
x Contents
3. NEGATIVE SYMPTOMS OF RETINOCORTICAL DISORDERS 55
NEGATIVE AND POSITIVE SYMPTOMS 55
PERSISTENT VISUAL DEFICITS 56
Impediments to Localization • Clues to Localization
UNPROVOKED TRANSIENT VISUAL DEFICITS 57
Monocular • Binocular
PROVOKED TRANSIENT VISUAL DEFICITS 63
Posture Change • Bright Flash • Sustained Bright Light •
Sustained Dim Light • Exercise or Heat • Eccentric Gaze •
Mild Head Trauma • Cerebral Angiography • Rapid Rise in
Blood Pressure
SUMMARY 67
4. POSITIVE SYMPTOMS OF RETINOCORTICAL DISORDERS 71
ILLUSIONS AND HALLUCINATIONS 71
DEAFFERENTATION STATES 72
Toxic Metabolic Infectious Encephalopathy • Dementia •
Psychosis • Sleep Disorders • Trancelike States • Blindness
VISUAL PATHWAY LESIONS 74
Retina • Optic Nerve • Visual Cortex
OCULAR MOTOR AND VESTIBULAR LESIONS 83
SUMMARY 84
5. SYMPTOMS OF INTEGRATIVE VISUAL DISORDERS 87
THE WHERE AND WHAT VISUAL INTEGRALTVE PATHWAYS 87
FAILED VISUAL SPATIAL AND ATTENTIONAL SKILLS 88
Spatial Attention • Motion
FAILED RECOGNITION 89
Letters, Words, and Other Verbal Symbols • Objects •
Faces • Places • Colors
FAILED MENTAL IMAGERY AND DREAMING 90
FAILED AWARENESS OF VISION AND ITS LOSS 90
Denial of Sight • Denial of Blindness
SUMMARY 91
Part III Measures of a Failing Visual System
6. VISUAL ACUITY, CONTRAST SENSITFvTTY, BRIGHTNESS
SENSE, AND COLOR VISION 97
VISUAL ACUITY 97
Rationale • Testing Methods • Interpretation
Contents xi
CONTRAST SENSITIVITY 102
Rationale • Testing Methods • Interpretation
BRIGHTNESS SENSE 104
Rationale • Testing Methods • Interpretation
COLOR VISION 105
Rationale • Testing Methods • Interpretation
SUMMARY 107
7. VISUAL FIELDS 109
RATIONALE AND OBSTACLES 109
TESTING METHODS 110
Identifying Face Components • Patient Drawing • Finger
Confrontation • Bowl Perimetry
INTERPRETATION 119
Step 1: Is the Field Normal or Abnormal? • Step 2: Is the abnormal field
the result of poor cooperation? • Step 3: Is the abnormal field the
result of an optical or retinocortical abnormality? • Step 4: Can the
retinocortical abnormality be localized? • Nerve Fiber Bundle
Defects • Hemianopic Defects • Nonlocalizing Focal Defects
SUMMARY 138
8. PUPILLARY REACTIONS 140
THE PUPILLARY REFLEX ARC 140
TESTING AND INTERPRETATION 142
Pupil Reactions to Direct Light • Swinging Light Test
SUMMARY 45
9. DARK ADAPTOMETRY, ELECTRORETINOGRAPHY, AND
VISUAL EVOKED POTENTIALS 147
DARK ADAPTOMETRY • 7
Rationale • Testing Methods • Interpretation
ELECTRORETINOGRAPHY l4 »
Rationale • The Full Field Electroretinogram • The Foveal
Electroretinogram • The Multifocal Electroretinogram
VISUAL EVOKED POTENTIALS 1™
Rationale • Testing Methods • Interpretation
ELECTROPHYSIOLOGIC EVALUATION OF VISION LOSS:
ALL TOOLS CONSIDERED 155
SUMMARY ]dd
xii Contents
Part IV Topographic Disorders
10. RETINA AND CHOROID I: VASCULAR DISORDERS 161
RETINAL AND CHOROIDAL ARTERIAL CIRCULATIONS 163
RETINAL VASCULAR REACTION PATTERNS 163
Arteriolar Wall Changes • Arterial Occlusion • Precapillary
Arteriolar Occlusion • Venous Stasis • Venous Occlusion • Inner
Blood Retinal Barrier Incompetence • Neovascularization •
Vasculitis • Vascular Malformation
CHOROIDAL VASCULAR REACTION PATTERNS 174
Choriocapillaris Occlusion • Arteriolar Occlusion •
Neovascularization • Hemangioma
SUMMARY 176
11. RETINA AND CHOROID II: INFLAMMATORY, DEGENERATIVE,
TOXIC, AND NEOPLASTIC DISORDERS 179
INFLAMMATORY DISORDERS 179
Retinal Inflammation • Choroidal Inflammation
DEGENERATIVE DISORDERS 185
Diffuse Photoreceptor Retinal Pigment Epithelium Disorders •
Macular Disorders • Vitreoretinal Interface Disorders
TOXIC DISORDERS 195
Chloroquine and Hydroxychloroquine • Thioridazine •
Deferoxamine • Tamoxifen • Digitalis • Clomiphene •
High Intensity Light
NEOPLASTIC DISORDERS 196
Retinal Malignancies • Choroidal Malignancies
SUMMARY 199
12. OPTIC NERVE AND CHIASM I: INFLAMMATORY, ISCHEMIC,
AND INCREASED INTRACRANIAL PRESSURE DISORDERS 202
GENERAL CLINICAL MANIFESTATIONS 203
Optic Nerve Disorders • Chiasmal Disorders
INFLAMMATORY DISORDERS 207
Typical Optic Neuritis • Atypical Optic Neuritis
ISCHEMIC DISORDERS 213
Noiiarteritk Anterior Ischemic Optic Neuropathy • Hypotensive
Ischemic Optic Neuropath) • Hypertensive Optic Neuropathy •
Artc ritic Ischemic Optic Neuropathy • Posterior Ischemic Optic
Neuropathy • Cervical Carotid Artery Occlusion • Post Cataract
Extraction Optic Neuropathy • Migrainous Optic Neuropathy •
Diabetic Papillopalhy • Chronic Low Perfusion States
INCREASED INTRACRANIAL PRESSURE 223
Papilledema • Pseudotumor Cerebri Syndrome
SUMMARY 229
Contents xiii
13. OPTIC NERVE AND CHIASM II: DYSPLASTIC, NEOPLASTIC,
ANEURYSMAL, HEREDITARY, TOXIC, NUTRITIONAL,
TRAUMATIC, AND GLAUCOMATOUS DISORDERS 237
DYSPLASTIC DISORDERS 238
The Small (Hypoplastic) Disk • The Cupped (Excavated) Disk • The
Tilted (Dysverted) Disk • The Elevated (Pseudopapilledematous) Disk
NEOPLASTIC DISORDERS 240
Pilocytic Astrocytoma • Malignant Glioma of Adulthood •
Craniopharyngioma • Germinoma • Meningioma • Pituitary
Adenoma • Metastatic and Hematopoietic Neoplasms
ANEURYSMAL DISORDERS 253
Ophthalmic Artery Aneurysm • Supraclinoid Carotid Artery Aneurysm
HEREDITARY DISORDERS 256
Dominant Optic Atrophy • Recessive Optic Atrophy • Leber s Hereditary
Optic Neuropathy • Optic Neuropathy in Hereditary Multisystem
Disorders
TOXIC AND NUTRITIONAL DISORDERS 259
Methanol Optic Neuropathy • Ethambutol Optic Neuropathy • Isonia/icl
Optic Neuropathy • Tobacco Alcohol Optic Neuropathy • Vitamin B
Deficiency Optic Neuropathy • Folate Deficiency Optic Neuropathy •
Management of Suspected Toxic Deficiency Hereditary Optir Neuropathies
TRAUMATIC DISORDERS 264
Precanalicular Optic Nerve Injury • Intracanalicular Optic Nerve
Injury • Chiasmal Injury
GLAUCOMA 265
Primary Open Angle Glaucoma • Angle Closure Glaucoma •
Secondary Glaucoma • Congenital Glaucoma
SUMMARY 269
14. OPTIC TRACT, LATERAL GENICULATE BODY, AND
ANTERIOR OPTIC RADIATIONS 275
OPTIC TRACT 27r
Clinical Manifestations • Lesions
LATERAL GENICULATE BODY 280
Clinical Manifestations • Lesions
ANTERIOR OPTIC RADIATIONS 282
Root Lesions • Meyer s Loop Lesions • Trigone Lesions
SUMMARY 284
15. POSTERIOR OPTIC RADIATIONS AND PRIMARY
VISUAL CORTEX 286
SHARED CLINICAL MANIFESTATIONS 287
Hemianopic Visual Field Loss • Nonhemianopic Visual Field Loss •
Illusions and Hallucinations
xiv Contents
MIGRAINE 293
Definition • Pathogenesis • Clinical Features • Differential
Diagnosis • Migrainous Infarction • Mitochondrial
Encephalomyopathy • Retinociliary Migraine
SEIZURES 297
Positive Visual Phenomena • Negative Visual Phenomena
TRANSIENT ISCHEMIC ATTACKS 298
Definition • Pathogenesis • Visual Symptoms
CLOSED HEAD INJURY 298
POSTERIOR CEREBRAL ARTERY OCCLUSION 299
Mechanisms • Anatomy • Occlusive Syndromes
MIDDLE CEREBRAL ARTERY OCCLUSION 309
HYPOTENSION AND HYPOXIA 310
SUPERIOR SAGITTAL SINUS THROMBOSIS 312
OCCIPITAL LOBAR HEMORRHAGE 313
LEUKOENCEPHALOPATHIES 314
Hypertensive Encephalopathy • Toxic Leukoencephalopathy •
Progressive Multifocal Leukoencephalopathy • Childhood X linked
Adrenoleukodystrophy • Acute Disseminated Encephalomyelitis
and Multiple Sclerosis
POLIOENCEPHALOPATHIES 318
Metabolic Encephalopathy • Hemophilus influenzae Meningitis •
Creutzfeldt Jakob Disease • Alzheimer s Disease and Nonspecific
Dementias
DELAYED VISUAL MATURATION 319
SUMMARY 320
16. PARIETAL VISION RELATED CORTEX 326
HEMISPATIAL NEGLECT 326
Clinical Features • Pathophysiology • Differential Diagnosis
BIIATERAL SPATIAL NEGLECT: THE BALINT HOLMES
SYNDROME 331
Bilateral Visual Inattention • Ocular Motor Apraxia • Optic
Ataxia • Impaired Spatial Relations
AKINETOPSIA 342
Clinical Features • Pathophysiology
SUMMARY 342
17. TEMPORAL VISION RELATED CORTEX 346
PITFALLS IN DIAGNOSIS 347
Pitfall 1: Prerequisites are not met • Pitfall 2: Deficit involves more
than one sensory modality • Pitfall 3: Deficit involves naming
rather than recognition
Contents xv
VISUAL OBJECT AGNOSIA 348
Clinical Features • Pathophysiology • Differential Diagnosis
PROSOPAGNOSIA 350
Clinical Features • Pathophysiology • Differential Diagnosis
PURE ALEXIA 353
Clinical Features • Pathophysiology • Differential Diagnosis
CEREBRAL ACHROMATOPSIA 355
Clinical Features • Pathophysiology • Differential Diagnosis
COLOR ANOMIA 361
Clinical Features • Pathophysiology • Differential Diagnosis
VISUAL AMNESIA 361
Clinical Features • Pathophysiology • Differential Diagnosis
SUMMARY 363
Part V Nonorganic Visual Disturbances
18. NONORGANIC VISUAL DISTURBANCES 369
WHAT IS A NONORGANIC CONDITION? 369
POSITIVE VISUAL MANIFESTATIONS 370
Transient Hallucinations • Persistent Hallucinations • Transient
Illusions • Persistent Illusions • Sensitivity to Light • Sensitivity
to Patterns, Colors, or Moving Objects
NEGATIVE VISUAL MANIFESTATIONS 371
Transient Visual Acuity Loss • Persistent Visual Acuity Loss • Persistent
Visual Field Loss
MANAGEMENT ERRORS 380
UNDERLYING BEHAVIORAL AND PSYCHIATRIC CONDITIONS 380
Malingering • Factitious Disorder • Somatofonn Disorders
SUMMARY 3M
Part VI Problem Cases
19. QUESTIONS 389
20. ANSWERS 397
INDEX 409
|
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| institution | BVB |
| isbn | 0195129784 |
| language | English |
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| physical | XV, 451 S. zahlr. Ill., graph. Darst. |
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| spelling | Trobe, Jonathan D. Verfasser aut Neurology of vision Jonathan D. Trobe Oxford [u.a.] Oxford Univ. Press 2001 XV, 451 S. zahlr. Ill., graph. Darst. txt rdacontent n rdamedia nc rdacarrier Contemporary neurology series 60 Gezichtsstoornissen gtt Eye innervation Eye physiopathology Neuroophthalmology Ocular Physiological Phenomena Vision Disorders Neuroophthalmologie (DE-588)4171592-5 gnd rswk-swf Neuroophthalmologie (DE-588)4171592-5 s DE-604 Contemporary neurology series 60 (DE-604)BV000898796 60 HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=009190418&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Trobe, Jonathan D. Neurology of vision Contemporary neurology series Gezichtsstoornissen gtt Eye innervation Eye physiopathology Neuroophthalmology Ocular Physiological Phenomena Vision Disorders Neuroophthalmologie (DE-588)4171592-5 gnd |
| subject_GND | (DE-588)4171592-5 |
| title | Neurology of vision |
| title_auth | Neurology of vision |
| title_exact_search | Neurology of vision |
| title_full | Neurology of vision Jonathan D. Trobe |
| title_fullStr | Neurology of vision Jonathan D. Trobe |
| title_full_unstemmed | Neurology of vision Jonathan D. Trobe |
| title_short | Neurology of vision |
| title_sort | neurology of vision |
| topic | Gezichtsstoornissen gtt Eye innervation Eye physiopathology Neuroophthalmology Ocular Physiological Phenomena Vision Disorders Neuroophthalmologie (DE-588)4171592-5 gnd |
| topic_facet | Gezichtsstoornissen Eye innervation Eye physiopathology Neuroophthalmology Ocular Physiological Phenomena Vision Disorders Neuroophthalmologie |
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