J. Somlai, T. Kovács (Eds.) - Neuro-Ophthalmology



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J. Somlai, T. Kovács (Eds.) - Neuro-Ophthalmology Published: 2016 Edition: 1 st Pages: 742 Illustrations: 457 Illustrations in color: 249 Binding: Hardcover ISBN 978-3-319-28954-0 ebook ISBN 978-3-319-28956-4 MyCopy, Printed ebook Contents can be found here Book can be ordered here ***** Provides guidance for everyday neuro-ophthalmology practice Discusses diagnosis, treatment and rehabilitation Lavishly illustrated throughout This practical guide provides a complete algorithm for diagnosis and treatment, from having a problem with vision, via background and diagnosis, to treatment and eventually to rehabilitation of visual loss and eye-movement disorders in the central nervous system. Following on from introductory sections devoted to the role of neuro-ophthalmology, recent developments in the field, and an overview of neuro-ophthalmologicalexaminations, there are sections devoted to the different parts of the visual system, and finally a section on rehabilitation. The handbook gives an overall picture for all interested in neuro-ophthalmology, borderline territories and overlaps. Neuro-Ophthalmology is aimed at ophthalmologists, neurologists, neurosurgeons, traumatologists, neuroradiologists, experts in cardiology and stroke, and trainees in these areas. It will also be of interest to neuro-rehabilitation specialists, neuropsychologists, and those working in typhlopedagogy and health informatics.

Contents Part I The Importance and Role of Neuro-Ophthalmology 1 The Importance and Role of Neuro- ophthalmology in Ophthalmological Clinical Practice 3 2 The Importance of Neuro- ophthalmology in Neurology........ 5 Tibor Kovács Part II Objectives and Recent Results in the Neuro-Ophthalmological Clinical Practice 3 Mechanisms of Parallel Information Processing in the Visual System..................................... 9 György Benedek 4 A New Direction: Neuro-endocrino-immunology............ 15 Csaba Balázs 5 Visual and Oculomotor Disorders in Internal Diseases........ 19 György Pfliegler 6 Genetic Aspects of Neuro- ophtalmological Diseases.......... 27 Mária Judit Molnár 7 Recent Knowledge in the Neurosurgical Practice Regarding the Visual System............................. 33 János Vajda 8 The Role of Gamma Knife Stereotactic Radiosurgery in the Treatment of Neuro- ophthalmological Diseases........ 37 Gyôrgy T. Szeifert and Jenô Szeifert 9 Neurointerventional Treatment of Diseases Causing Neuro- ophthalmological Symptoms....................... 47 Istvan Szikora 10 Recent Results in Neuropathology: Demyelinating and Conformational Diseases............................. 59 Tibor Kovács ix

x Contents Part III Conventional, Novel and Complementary Examinations in Ophthalmology Functional Tests of the Visual Pathway System 11 Algorithm of the Neuro- ophthalmological Examination Used in the International Practice............. 67 12 Objective and Subjective Examination Methods of Visual Acuity........................................ 79 13 Examination of Contrast Sensitivity....................... 83 14 Examination of Color Vision............................. 89 Klára Aczél 15 Electroretinography (ERG): Electrophysiological Examination of the Retina............................... 97 Ägnes Farkas 16 Functional Examinations of the Visual Pathway System with Electrophysiological Methods................ 111 17 Clinical Importance of Conventional and Modern Visual Field Tests in the Topographical Diagnostics of Visual Pathway Disorders.................................... 119 18 The Differential Diagnosis of Visual Field Deficits at the Bedside......................................... 133 Gyula Gács and Ildikó Szilvássy 19 The Role of Fluorescein Angiography and Optical Coherence Tomography in the Examination of Circulatory Disorders of the Optic Disc................. 145 Zsuzsa Récsán and Zsuzsa Szepessy 20 Optical Coherence Tomography of the Optic Disc and the Macula in Neurodegenerative Diseases............. 157 Gábor Márk Somfai, Erika Tátrai, and Magdolna Simó Neuro-Ophthalmological Examinations of the Eye Movements 21 Diagnosis, Differential Diagnosis and Treatment of Congenital Ocular Motor Disorders.................... 171 Anna Soproni and Patrícia Domsa 22 Polatest Procedure.................................... 197 Judit Pálfia and Ernő Pálfia

Contents xi 23 Physiology and Examination Methods of the Pupillomotor Pathway............................ 207 Bernadett Salomváry 24 Neuro-ophthalmological Methods for the Clinical Analysis of Double Vision............................... 217 Supplementary Test Procedures 25 Duplex Ultrasound Examination of the Carotid and Vertebral Arteries................................. 223 Péter Barsi 26 Transcranial Doppler Examination....................... 231 Gyula Pánczél 27 Color Doppler Ultrasound Examination in Orbital Diseases............................................. 247 János Németh, Zoltan Harkányi, and Zita Morvay 28 The Role of the Ophthalmologic Ultrasound in Neuro-ophthalmology................................ 253 Béla Csákány and János Németh 29 The Role of the EMG-ENG in Diagnosing Neuro- ophthalmologic Diseases.......................... 257 Mária Judit Molnár 30 Computed Tomography Examinations.................... 263 József Kenéz 31 Neuroradiology, Functional MRI........................ 271 György Várallyay and Lajos Rudolf Kozák 32 Novel Information Regarding the Visual and Eye Movement Systems in Otoneurology.............. 283 Ágnes Szirmai 33 Electro-Oculography (EOG) Examination of Eye Movements........................................... 287 Szilvia Gulyás 34 The Importance of Familiar Thrombophilias in the Clinical Practice. Novel Ways in Anticoagulant Therapy............ 295 László Nemes 35 Novel Consideration Regarding the Role of Evoked Potential in Confirming the Diagnosis of Eye Movement Disorders of Brainstem Origin.......................... 305 Szabolcs Tóth

xii Contents Part IV Diseases of Retina and the Optic Nerve (Visual and Sensory System) Congenital Diseases of the Retina and the Visual Pathway 36 Hereditary Diseases of the Retina........................ 309 Ágnes Farkas 37 The Roles of Electroretinography (ERG) and Visual Evoked Potential (VEP) Examinations in the Diseases of the Retina and/or the Optic Nerve..................... 325 38 Congenital Diseases of the Optic Nerve................... 333 39 Phacomatoses......................................... 339 Acquired Diseases of the Optic Nerve Inflammatory Diseases 40 Retrobulbar Optic Neuropathy: From the Neurologist s Approach........................ 345 Gábor Lovas 41 Neuromyelitis Optica (Devic s Disease): A New Concept for an Old Disease....................... 351 Zsolt Illes 42 Acquired Inflammatory Diseases of the Optic Nerve: From the Neuro- Ophthalmologist s Approach............. 361 Circulatory Disorders 43 Vascular Diseases of the Optic Nerve: Internal Medicine Aspects...................................... 369 György Pfliegler 44 The Cardiovascular Background of Intracerebral Small Vessel Disease................................... 377 Éva Nieszner 45 Vascular Diseases of the Optic Nerve: The Neuro- Ophthalmologist s Approach.................. 383 Compressive Optic Neuropathy 46 Diseases Causing Compression of the Optic Nerve: The Neurosurgeon s Perspective......................... 401 János Vajda 47 Neuro-Ophthalmological Aspects of Tumors Causing Compression of the Visual Pathway System................ 407 Bernadett Salomváry

Contents xiii Traumatic Optic Neuropathy 48 The Significance of Neuro- ophthalmology in the Diagnosis and Therapy of Cranial Trauma........... 421 György T. Szeifert and Toxic and Deficiency Optic Neuropathy 49 Toxic and Deficiency Optic Neuropathy................... 433 Vera Klein Eye Related Symptoms and Signs of Intracranial Hypertension 50 Ocular Symptoms and Signs of Intracranial Hypertension......................................... 437 51 Big Blind Spot Syndrome (Papillophlebitis)................ 453 Gyula Gács and Ildikó Szilvássy Part V Neuro-Ophthalmologic Aspects of the Ocular Motor System Disorders of the Pupillomotor Pathway 52 The Most Important Disorders of the Pupillomotor Pathway in the Clinical Practice......................... 463 Infranuclear and Nuclear Neurogenic Paresis 53 Congenital Eye Movement Disorders..................... 471 Andrea Deák 54 The Most Important Clinical Syndromes of Acquired Nuclear and Infranuclear Eye Movement Disorders, and Their Diagnostic and Therapeutic Options............. 483 Neurogenic Paresis Due Too Dysfunction of the Brainstem 55 Eye Movement Disorders Related to Brainstem Dysfunctions -Types, Clinical Significance of Vertical Localization, Modern Therapeutic Principles.............. 493 56 The Clinical Significance of Otoneurology in the Diagnosis of Brainstem Disorders................... 507 Ágnes Szirmai 57 Examination of the Eye Movements of the Patient in Coma............................................. 513 György Geréby

xiv Contents Supranuclear Eye Movement Systems and Their Clinical Significance 58 Supranuclear Regulation of the Eye Movements and the Significance of Their Disturbances................ 523 Szilvia Gulyás Disorders of the Neuromuscular Junction (MG and OMG), Non-isoéated Ocular Muscle Paresis and Myogenic Paresis 59 Disorders of the Neuromuscular Junction and Their Diagnostics.................................. 535 László Sándor Fornádi 60 The Ocular Characteristics and Differential Diagnostics of Mixed Types Eye Movement Disorders (Disorders of Ocular Neuromuscular Junction (OMG), Non Isolated Ocular Muscle Paresis and Myogenic Paresis)................................. 545 61 Endocrine Myopathy and Orbitopathy.................... 561 Csaba Balázs Part VI Diseases of the Orbit 62 Diagnostics and Therapy of Diseases of the Orbit........... 573 Katalin Korányi 63 Traumatic Injuries of the Orbit.......................... 593 György Pulay Part VII Neuro-Ophthalmological Considerations of the Facial Nerve 64 Tumor Lesions of the Facial Nerve....................... 637 Ildikó Gádor Part VIII The Neuro-Ophthalmological Aspects of Headaches 65 Neuro-Opthalmological Aspects of Headaches from the Neurologist s Aspect........................... 647 Csaba Ertsey Part IX Rehabilitation 66 Viewing Down from the Top: Visual Impairments Developing as a Consequence of Cortical Injury............ 663 Anna Verseghi and Zita Snagy Nagy 67 Ignored World Without Missing It Neglect................ 677 Anna Verseghi and Zita Snagy Nagy

Contents xv 68 Introducing Tools and Services Helping Life of People with Impaired Vision...................... 689 Mihaly Szuhaj and Peter Szatmari 69 Elementary and Occupational Rehabilitation of People with Impaired Vision.......................... 705 Marta Tolnayne Csattos and Laszlo Joszt 70 The Importance of Rehabilitation and the Options of a Neuro-ophthalmologist............................. 715 Appendix: Colour Scheme of the Book Content................ 719 Index.................................................... 000