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. targeting vital featuring symptoms, this e-book leads the reader in the course of the occasionally sophisticated manifestations of neuro-ophthalmic affliction to anatomic localization of lesions and definitive prognosis. additionally comprises an summary of the anatomy of the visible pathway, directions for accomplishing the neuro-ophthalmic exam and applicable use of diagnostic imaging reports.

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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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Inferior olivary nucleus; MRF = medullary reticular formation; PPRF = pontine paramedian reticular formation; SVN = superior vestibular nucleus. (Reproduced with permission from Leigh RJ. Zee OS. The Neurology of Eye Movements. 3rd ed. 1 CHAPTER 1: Neuro-Ophthalmic Anatomy. 39 eyes, a signal to increase firing must be distributed to 1 lateral rectus and the contralateral medial rectus. The lateral rectus is supplied directly through the ipsilateral CN VI. The contralateral medial rectus is stimulated by interneurons that cross in the pons and ascend in the contralateral MLF.

The lateral geniculate is located in the posterior thalamus below and lateral to the pulvinar and above the lateral recess of the ambient cistern. This peaked, mushroomshaped structure is divided into 6 levels. The 4 superior levels are the terminus of parvocellular axons, which are the ganglion cells with smaller receptive fields that are responsible for mediating maximal spatial resolution and color perception. The 2 inferior 28 . Neuro-Ophthalmology Figure 1-12 Anatomic dissection of the visual radiations.

Rev 5th ed. Thorofare. ) 32 . Neuro-Ophthalmology Efferent Visual System (Ocular Motor Pathways) The efferent visual system also spans a large segment of the central nervous system. The output of the vestibular nuclei provides both the major infranuclear input into ocular motility and the major tonic input into eye position. This system has one of the shortest arcs in the nervous system, producing a fast response with extremely short latency. The hair cells of the semicircular canals (Fig 1-15) alter their firing in response to relative movement of the endolymph.

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