Curbside Consultation in Neuro-Ophthalmology 49 Clinical Questions

by Lee, Andrew G.

• ISBN13: 9781556428401
• ISBN10: 1556428405
• Edition: 1st
• Format: Paperback
• Copyright: 2008-09-15
• Publisher: Slack Incorporated

Summary

Are you looking for concise, practical answers to those questions that are often left unanswered by traditional texts and references in neuro-ophthalmology? Are you seeking brief, evidence-based advice for common clinical dilemmas or complications?Curbside Consultation in Neuro-Ophthalmology: 49 Clinical Questionsprovides quick and direct answers to the thorny questions most commonly posed during a "curbside consultation" between neuro-ophthalmologists. Dr. Andrew G. Lee, and associate editors Dr. Paul W. Brazis and Dr. Lanning B. Kline, have designed this unique reference in which neuro-ophthalmologists offer expert advice, preferences, and opinions on tough clinical questions commonly associated with neuro-ophthalmology. The unique Q&A format provides quick access to current information related to neuro-ophthalmology with the simplicity of a conversation between two colleagues. Images, diagrams, and references are included to enhance the text and to illustrate common clinical dilemmas. Curbside Consultation in Neuro-Ophthalmology: 49 Clinical Questionsprovides information basic enough for residents while also incorporating expert pearls that even high-volume ophthalmologists will appreciate. Residents, fellows, and practicing physicians alike will benefit from the user-friendly and casual format and the expert advice contained within. Some of the questions that are answered: bull; What is the best way to manage papilledema? bull; What treatments are there for traumatic optic neuropathy? bull; When and how do I order an imaging study in neuro-ophthalmology? bull; What is the work-up for anterior ischemic optic neuropathy? bull; What evaluation is necessary for an isolated ocular motor cranial neuropathy?

Author Biography

Andrew G. Lee, MD is a graduate of the University of Virginia undergraduate school and the School of Medicine. He completed his ophthalmology residency and was the chief resident at Baylor College of Medicine in Houston, TX in 1993. Following his residency, Dr. Lee completed a fellowship in neuro-ophthalmology with Neil R. Miller, MD at the Wilmer Ophthalmological Institute and was a postdoctoral Fight for Sight fellow at the Johns Hopkins Hospital in Baltimore, MD from 1993 to 1994. He was formerly an Associate Professor at Baylor College of Medicine and Adjunct Associate Professor at the MD Anderson Cancer Center in Houston from 1994 to 2000. He has published over 260 peer-reviewed articles, 40 book chapters, and 2 full textbooks in ophthalmology. Dr. Lee serves on the editorial board of 12 journals, including the American Journal of Ophthalmology, the Canadian Journal of Ophthalmology, and Eye. He has received the American Academy of Ophthalmology (AAO) Honor Award, the AAO Secretariat Award, and the AAO Senior Achievement Award. He has been the invited guest or visiting professor at over 150 medical meetings. Dr. Lee is currently Professor of Ophthalmology, Neurology, and Neurosurgery in the H. Stanley Thompson Neuro-Ophthalmology Clinic at the University of Iowa Hospitals and Clinics.

Table of Contents

Dedication	p. v
About the Editors	p. xi
About the Associate Editors	p. xiii
Contributing Authors	p. xv
Preface	p. xix
How Should a Childhood Optic Nerve Glioma Be Worked Up?	p. 1
How Should an Optic Nerve Sheath Meningioma Be Managed?	p. 5
What Neuroimaging Studies Should I Order?	p. 9
How Should I Evaluate and Manage Suspected Optic Neuritis?	p. 13
What Is the Evaluation of Optic Neuritis?	p. 17
What Is Neuroretinities?	p. 23
How Do You Evaluate Non-Arteritic Anterior Ischemic Optic Neuropathy?	p. 29
How Do You Differentiate Arteritic Anterior Ischemic Optic Neuropathy From Non-Arteritic?	p. 33
How Long Do You Have to Treat Giant Cell Arteritis?	p. 37
What Is the Evaluation of Traumatic Optic Neuropathy?	p. 39
What Is the Evaluation and Management for Papilledema?	p. 43
Is There a Difference in the Management of Pseudotumor Cerebri in Pregnancy?	p. 47
What Is the Evaluation and Management of the High-Flow Carotid Cavernous Fistual?	p. 49
How Do I Manage an Internuclear Ophthalmoplegia?	p. 53
What Is the Evaluation of Ocular Myasthenia Gravis?	p. 57
What Do I Tell My Patients With Ocular Myasthenia About Their Chances of It Progressing to the Rest of Their Body? Do I Need a Neurologist?	p. 61
How Do You Manage Visual Loss in Thyroid Eye Disease?	p. 65
When Do You Use Radiation or Steroids in Thyroid Eye Disease?	p. 69
How Do You Manage Diplopia in Thyroid Eye Disease?	p. 73
Are There Any Treatments for Nystagmus That Work?	p. 77
How Do You Evaluate Downbeat Nystagmus?	p. 81
What Is the Evaluation for Anisocoria?	p. 85
How and When Should I Work Up Horner Syndrome?	p. 89
What Should I Do With a Dilated Pupil?	p. 95
What Is the Evaluation for Episodic Anisocoria?	p. 99
How Do You Manage Toxic and Nutritional Optic Neuropathies?	p. 103
What Are Visual Processing Defects and How Can I Recognize Them?	p. 107
How Do I Manage Headache Syndromes That Come to Me as an Ophthalmologist?	p. 111
What Is the Evaluation of Optic Atrophy?	p. 115
What Do I Do in a Child With Asymmetric Nystagmus?	p. 119
What Is Opsoclonus and How Do I Manage It?	p. 121
What Is Wernick's Encephalopathy and How Does It Affect the Eye?	p. 123
How Do You Manage Postoperative Visual Loss After Spinal Surgery?	p. 127
How Do I Manage Transient Monocular Visual Loss in a Young, Otherwise Healthy Patient?	p. 131
What Is the Evaluation for Transient Monocular Visual Loss in an Older Adult?	p. 135
What Is the Evaluation for a Homonymous Hemianopia?	p. 139
What Is the Evaluation for a Pupil-Involved Third Nerve Palsy?	p. 145
What Is the Evaluation for a Painful Third Nerve Palsy Without a Fixed and Dilated Pupil but With Anisocoria (Partial Pupil Involvement)?	p. 149
How Do You Manage an Isolated and Presumed Vasculopathic Pupil-Sparing Third Nerve Palsy?	p. 153
What Is the Appropriate Evaluation of a Fourth Nerve Palsy?	p. 157
What Is the Appropriate Evaluation in a Patient Suspected of Having a Sixth Nerve Palsy?	p. 161
How Do I Evaluate a Patient With Multiple Ocular Motor Cranial Nerve Palsies?	p. 165
What Is Blepharaospasm?	p. 169
What Is Hemifacial Spasm?	p. 173
How Do You Deal With Nonorganic Visual Loss?	p. 177
How Do You Diagnose and Manage Migraine Aura?	p. 183
How Do I Manage the Low-Flow Carotid Cavernous Fistula?	p. 187
How Do I Recognize Leber's Hereditary Optic Neuropathy?	p. 193
How Do I Manage an Orbital Apex Syndrome?	p. 197
Financial Disclosures	p. 204
Index	p. 209
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