Clinical Methods of Neuro-Ophthalmologic Examination - 1st Edition - ISBN: 9781483200460, 9781483225494

Clinical Methods of Neuro-Ophthalmologic Examination

1st Edition

Authors: Alfred Kestenbaum
eBook ISBN: 9781483225494
Imprint: Butterworth-Heinemann
Published Date: 1st January 1947
Page Count: 394
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Clinical Methods of Neuro-Ophthalmologic Examination presents the clinical methods of ophthalmologic examination that may be helpful in neurologic differential diagnosis. Neuro-ophthalmologic examination has developed in two directions: the more precise methods and the unrefined yet fairly exact methods, such as diagnostic measurement by means of a simple ruler. This book is based on lectures delivered by the author to neurologists and ophthalmologists. This book is composed of 13 chapters and begins with a presentation of anatomic details that are important for the understanding of the various signs and symptoms. The next chapters examine the development of simple perimetry into quantitative perimetry and angio-scotometry, as well as the pathology of the optic nerve. Considerable chapters are devoted to intensive discussions on group of diseases that affect in a parallel way the central nervous system and the eye, such as chiasmal and retrochiasmal lesions, nystagmus, symmetrical eye movement disturbance, palpebral fissure, hemicrania. The final chapter outlines a routine neuro-ophthalmological examination.
This book is directed toward neurologists and ophthalmologists.

Table of Contents


Chapter I. Anatomy of the Optic Pathway

A. General Course of the Optic Pathway

B. Arrangement of Arteries and Veins of the Brain

C. Arrangement of the Fibers within the Optic Pathway

Chapter II. Field of Vision

A. Perimeter

B. Tangent Screen. Angioscotometry

C. General Technic of Perimetry

D. Non-instrumental Perimetry

E. Scotomata

F. Peripheral and Central Field

G. Kinds of Field Restriction

H. Review

Chapter III. Pathology of the Optic Nerve

A. Anomalies of the Optic Disk

B. Diseases of the Optic Disk

C. Papilledema

D. Spurious Papilledema

E. Intrabulbar Optic Neuritis

F. Optic Atrophy

G. Pseudo-Atrophy

Chapter Iv. Chiasmal Lesions

A. Definition of Hemianopia

B. Difficulties in Evaluation of Field Defects

C. Review of Chiasmal Lesions

D. Attempt of Topical Diagnosis of Chiasmal Lesions

E. Evaluation of This Differential Diagnosis

F. Atrophy of the Disk

Chapter V. Retrochiasmal Lesions of the Oftic Pathway (Homonymous Hemianopia)

A. Ophthalmologic Signs

B. Combination of Homonymous Hemianopia with Non-oculistic Signs

Chapter VI. Eye Muscle Palsy

A. Normal Functions of the Eye Muscles

B. Restriction of Motility

C. Diagnosis of Eye Muscle Palsy

D. Topical Diagnosis of Eye Muscle Palsy

Chapter VII. Gaze Movement and Gaze Palsy

A. Fixation

B. Gaze Movements

C. Anatomical Pathways of the Principal Gaze Movements

D. Development of the Principal Types of Gaze in Infancy

E. Complex Gaze Movements

F. Gaze Palsy

G. Oculogyric Spasms or Gaze Spasms

Chapter VIII. Nystagmus

A. Forms of Nystagmus

B. Genesis of Nystagmus

C. Vermiform Eye Movements

D. Vertigo

Chapter IX. Disturbance of the Symmetrical Eye Movements

A. Convergence Insufficiency

B. Spasms of Convergence

C. Divergence Paresis

D. Skew Deviation

E. Heterophoria

F. Tropia

Chapter X. Pupil Accommodation

A. Muscles of the Pupil

B. Size of the Pupil

C. Classification of the Pupillary Reactions

D. Exogenous Pupillary Reactions

E. Co-Movements of the Pupil

F. Endogenous Pupillary Reactions

G. Disturbances of Accommodation

Chapter XI Palpebral Fissure. Miscellaneous

A. Facial Nerve Palsy

B. Narrowing of the Palpebral Fissure

C. Widening of the Palpebral Fissure

D. Co-movements (Synkinetic Movements)

E. Exophthalmos and Enophthalmos

F. Trigeminus Nerve Affection

G. Kaysei-Fleischer's Ring in Pseudosclerosis

Chapter XII. Functional Disturbances. Hemicrania

A. Visual Field

B. Unilateral Amaurosis

C. Bilateral Amaurosis

D. Unilateral Amblyopia

E. Gaze Paralysis

F. Convergence and Accommodation Spasms

G. Convergence Palsy

H. Binocular Diplopia

I. Monocular Diplopia

J. Absence of the Corneal Reflex


Chapter XIII. Routine Neuro-Ophthalmological Examination





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About the Author

Alfred Kestenbaum

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