New PDF release: 2008-2009 Basic and Clinical Science Course: Section 5:

By Lanning B. Kline, MD

ISBN-10: 1560558784

ISBN-13: 9781560558781

A patient-centered method of the prognosis and remedy of significant neuro-ophthalmic stipulations. concentrating on very important proposing signs, this booklet leads the reader throughout the occasionally refined manifestations of neuro-ophthalmic sickness to anatomic localization of lesions and definitive prognosis. additionally contains an summary of the anatomy of the visible pathway, guidance for accomplishing the neuro-ophthalmic exam and applicable use of diagnostic imaging stories.

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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)

Example text

In addition, CN III also innervates the levator palpebrae and the pupillary sphincter muscles. Extraocular Muscles Of the 6 EOMs, 4 are rectus muscles (lateral, medial, superior, and inferior), and 2 are oblique. The recti originate along with the levator at the annulus ofZinn, a condensation of tissue around the optic nerve at the orbital apex. They run forward within sheaths that are connected by intermuscular septa to pierce the posterior Tenon's capsule and insert on the anterior sclera, at points variably posterior to the corneal limbus, increasing from the medial through the inferior and lateral to the superior (spiral of Tillaux).

V3 has no sharp histological delineation from V2 and sends efferent information to the basal ganglia (pulvinar) and the midbrain. Cells in this area are thought to be capable of responding to more than one stimulus dimension, suggesting that visual integration occurs in this region. V3a, identified as having a separate retinotopic representation, receives its input from V3. Cells in this area are mostly binocularly driven and are sensitive to motion and direction. V4, 30 . 13 A, Left occipital cortex showing location of striate cortex within the calcarine fissure (running between arrows).

Tonic fibers are innervated by a series of grapelike neuromuscular junctions (en grappe); fast twitch fibers have a single neuromuscular junction for each fiber (en plaque). Ocular myofibrils and their attendant neuromuscular connections are unique. These specializations distinguish ocular muscle systems from cardiac, smooth, or skeletal muscles, and help explain why certain diseases preferentially affect or spare the EOMs. 42 . Neuro-Ophthalmology The lateral rectus moves the globe into abduction.

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2008-2009 Basic and Clinical Science Course: Section 5: Neuro-Ophthalmology (Basic and Clinical Science Course 2008-2009) by Lanning B. Kline, MD


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