2008-2009 Basic and Clinical Science Course: Section 5: by Lanning B. Kline, MD

By Lanning B. Kline, MD

A patient-centered method of the prognosis and remedy of significant neuro-ophthalmic stipulations. concentrating on very important proposing signs, this booklet leads the reader in the course of the occasionally sophisticated manifestations of neuro-ophthalmic ailment to anatomic localization of lesions and definitive analysis. additionally contains an summary of the anatomy of the visible pathway, guidance for carrying out the neuro-ophthalmic exam and acceptable use of diagnostic imaging stories.

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Extra info for 2008-2009 Basic and Clinical Science Course: Section 5: Neuro-Ophthalmology (Basic and Clinical Science Course 2008-2009)

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B, View of striate cortex after lips of the calcarine fissure are opened. Oashed lines indicate the coordinates of the visual field map. The representation of the horizontal meridian runs approximately along the base of the calcarine fissure. 5° to 40°. Striate cortex wraps around the occipital pole to extend about 1 cm onto the lateral convexity of the hemisphere, where the fovea is represented. C, Schematic flattened map of the left striate cortex shown in part B representing the right hemifield.

The inferior oblique receives its innervation at approximately its midpoint from a neurovascular bundle running parallel to the lateral aspect of the inferior rectus. The innervating branches represent the terminal axonal branches of the ocular motor nerves. ( ~~ ~ ABduction Lateral Rectus Abducens CN VI . " ,,---,~ ~...

The 2 inferior 28 . Neuro-Ophthalmology Figure 1-12 Anatomic dissection of the visual radiations. Key: (1) olfactory bulb; (2) olfactory tract; (3) olfactory trigone; (4) medial olfactory stria; (5) lateral olfactory stria; (6) optic nerve; (7) optic chiasm; (8) limen insulae; (9) tuber cinereum with infundibulum; (10) anterior (rostral) perforated substance; (11) claustrum; (12) putamen; (13) lateral part of globus pallidus; (14) medial part of globus pallidum; (15) basis pedunculi; (16) mamillary body; (17) optic tract; (18) posterior (interpeduncular) perforated substance; (19) cortex of insula; (20) superior cerebellar peduncle; (21) substantia nigra; (22) mesencephalic (cerebral) aqueduct; (23) medial geniculate nucleus; (24) lateral geniculate body; (25) temporal genu of optic radiation; (26) pulvinar of thalamus; (27) sagittal stratum; (28) splenium of corpus callosum; (29) upper lip of calcarine sulcus.

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