2011-2012 Basic and Clinical Science Course, Section 5: by Lanning B. Kline, MD

By Lanning B. Kline, MD

Presents a symptom-driven method of the analysis and remedy of significant neuro-ophthalmic stipulations. With the focal point at the sufferer, this ebook emphasizes exam and applicable adjunctive stories, together with a dialogue of diagnostic imaging modalities, and leads the reader in the course of the occasionally sophisticated manifestations of neuro-ophthalmic illness to anatomical localization of lesions and definitive analysis. an summary of the anatomy of visible pathways is followed by means of many illustrations. final significant revision 2009 2010.

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Additional resources for 2011-2012 Basic and Clinical Science Course, Section 5: Neuro-Ophthalmology (Basic & Clinical Science Course)

Example text

As the optic ner ve enters the optic canal, the dural sheath fuses with the periorbita. It is also surrounded by the annulus of Zinn, which serves as the origin of the 4 rectus muscles and the superior oblique muscle. Within th e canal, the optic nerve is accompa- nied by the ophthalmic arte ry in fe ri orl y and sepa rated from the superior orbital fissure by the optic stru t (the lateral aspect of the lesser wi ng of the sphenoid), which terminates superiorly as the anteri or cli noid. Mediall y, the optic nerve is separa ted from the sphenoid sin us by bone that may be thin or even dehiscent.

39 h Figure 1-24 Sagittal section of monkey brainstem showing the location of the rostral interstitial nucleus of the medial longitudinal fasciculus (riMLF) and other structures important in the control of vertical and horizontal gaze. The shaded areas indicate the mesencephalic reticular formation (MRF), paramedian pontine reticular formation (PPRF), and medullary reticular formation (MedRF). Asterisks indicate the location of cell groups of the paramedian tracts, which project to the flocculus .

Informati o n from the MT and MST projects via the posteri or portion of the internal capsule to the DLPN and lateral pontine nuclei, including the NRTP. From these pontine nuclei , projections are sent to the cerebellum (paraflocculus an d dorsal vermis), with outflow Signals to the vestibular nuclei and the y-g roup-a collection of cells at the inferior cerebellar peduncle (Fig 1-27). For cl ini cal disord ers of the pursuit funct ion, see Clinica l Disorders of the Ocular Motor System in Chapte r 7.

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