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 analysis and remedy of significant neuro-ophthalmic stipulations. targeting very important proposing symptoms, this publication leads the reader in the course of the occasionally refined manifestations of neuro-ophthalmic disorder to anatomic localization of lesions and definitive analysis. additionally comprises an summary of the anatomy of the visible pathway, guidance for undertaking the neuro-ophthalmic exam and applicable use of diagnostic imaging experiences.

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Additional resources for 2008-2009 Basic and Clinical Science Course: Section 5: Neuro-Ophthalmology (Basic and Clinical Science Course 2008-2009)

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This runs within the tentorium to drain along with the SSS into the torcular HerophilL Some anterior cerebral venous drainage may access the cavernous sinus. The 2 cavernous sinuses are joined by variable connections through the sella and posteriorly through a plexus of veins over the clivus. The cavernous sinus drains primarily caudally into the jugular bulb via the inferiorpetrosal sinus (IPS),which traverses Dorello'scanalwith CN VI under the petroclinoid ligament. Alternatively, drainage may be lateral along the petrous apex through the superior petrosal sinus (SPS) to the junction of the transverse and sigmoid sinuses.

Modified by C. H. ) colliculus; of Eye Movements. t = thalamus; TR = 3rd ed. New York' Oxford 38 . Neuro-Ophthalmology Figure 1-19 Anatomic scheme for the synthesis of signals for horizontal eye movements. The abducens nucleus (CN V/) contains abducens motoneurons, which innervate the ipsilateral lateral rectus muscle (LR), and abducens internuclear neurons, which send an ascending projection in the contralateral medial longitudinal fasciculus (MLF) to contact medial rectus (MR) motoneurons in the contralateral third nerve nucleus (CN /I/).

The 2 oblique muscles insert on the posterior lateral aspect of the globe. The origin of the inferior oblique muscle is in the anterior inferior medial periorbita near the posterior margin of the lacrimal fossa. The effective origin of the superior oblique muscle is the trochlea, a pulleylike structure located at the notch in the superior medial orbit. The superior oblique muscle runs anteriorly in the superomedial orbit to the trochlea, where its tendon reverses its direction of action. The EOMs are of variable mass and cross section: the inferior oblique is the thinnest, and the medial rectus is the largest.

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