In Eye Movement Disorders in Clinical Practice, a leading expert with over thirty years of teaching experience in neurology and neuro-ophthalmology offers comprehensive instruction on the diagnosis and treatment of all varieties of eye movement disorders. This important new text reflects the importance of correlating clinical signs of disorders in the oculomotor system with their neuroanatomic and neurophysiologic architecture. With its focus on signs and symptoms, the book advances lesion localization of eye movement disorders as the central clinical concern. The reader is also presented with a fresh review of bedside examination techniques in the ER, ICU, and walk-in clinic; productive ways of taking a clinical history; sign interpretation; source lesion localization; and, where appropriate, therapy. Unlike most of the titles on eye movement disorders, this book's chapters are arranged according to objective signs - like ptosis, neuromuscular syndromes, dizziness, vertigo, and syndromes of the medulla - rather than disease entities. This emphasis on the topographic analysis of symptoms and signs is contrary to the prevailing clinical approach in which responsibility for therapy typically drives the clinician to arrive at an etiological diagnosis as rapidly as possible. At risk in this process is nothing less than the art of clinical medicine. One of the aims of this book is to reverse this process, and move clinicians back to the observation and interpretation of signs. The text features over 100 clinical cases, each one challenging the reader to determine the neuroanatomical location of the patient's lesion. This exercise provides the anatomical guidance needed to make critical diagnostic and management decisions in patients who often present with abnormal eye movements. Supplemental online videos are available with purchase. Dynamic and intellectually stimulating, Eye Movement Disorders in Clinical Practice is essential for any reader wanting to better understand eye movement disorders.
Author(s): Shirley H. Wray
Edition: 1st
Publisher: Oxford University Press
Year: 2014
Language: English
Pages: 764
Tags: Neuro-Ophthalmology
Cover......Page 764
Title Page......Page 2
Copyright......Page 3
Dedication......Page 6
Contents......Page 7
Preface......Page 8
1. How the Brain Moves the Eyes......Page 10
2. The Eyelid and Its Signs......Page 82
3. Ptosis and Neuromuscular Syndromes......Page 148
4. The Extraocular Muscles and Diplopia......Page 218
5. Cranial Nerves Three, Four, Six, and Their Syndromes......Page 280
6. Horizontal Gaze and Syndromes of the Pons......Page 356
7. Vertical Gaze and Syndromes of the Midbrain......Page 426
8. Dizziness, Vertigo, and Syndromes of the Medulla......Page 497
9. The Cerebellum and Its Syndromes......Page 566
10. Oscillopsia, Nystagmus, Saccadic Oscillations, and Intrusions......Page 633
Index of Case Studies with Video Displays......Page 701
Index......Page 706