By Lanning B. Kline, MD
Offers a symptom-driven method of the analysis and therapy of significant neuro-ophthalmic stipulations. With the focal point at the sufferer, this publication emphasizes exam and applicable adjunctive reports, together with a dialogue of diagnostic imaging modalities, and leads the reader throughout the occasionally refined manifestations of neuro-ophthalmic ailment to anatomical localization of lesions and definitive prognosis. an outline of the anatomy of visible pathways is followed through many illustrations. final significant revision 2009 2010.
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Extra resources for 2011-2012 Basic and Clinical Science Course, Section 5: Neuro-Ophthalmology (Basic & Clinical Science Course)
It receives an inhibitory input from omnipause neurons of the nucleus raphe interpositus (RIP), which lies in the pons (for clarity, this projection is shown only for upward movements). Excitatory burst neurons in the riMLF project to the motoneurons of CN III and CN IV and send axon collatera ls to the INC. Each riMLF neuron sends axon colla terals to yoke-pair muscles (Hering's lawl. Projections to the elevator subnuclei (innerva ting the superior rectus and inferior oblique muscles) may be bilateral because of axon collatera ls crossing at the level of the CN III nucleus.
This peaked, mushroomshaped structure is divided into 6 levels. The 4 superior levels are the termin i of P-cell axons, which are the ganglion cell s with smaller receptive fields that are responsible for med iating maximal spatial resolution and color perception. The 2 inferior layers receive input from the M-cell fibers, which are the ga nglion cells with larger receptive fields that are more sensitive to detecting 1110tion. Axons originating in th e cont ralateral eye ter- minate in layers I, 4, and 6; the ipsilate ral fibe rs innervate 2, 3, and 5.
J·r\- -1 \ \ ~ Upper vertical meridian ~ l cm c o 270 Figure 1-21 A, Left occipital cortex showing the locat ion of striate cortex with in the calcarine fissure (runnmg between arrows!. The boundary (dashed line) between striate cortex IV1) and extrastriate cortex (V2) contains the representation of the vertical meridian. B, View of striate cortex after the lips of the calcarine fissure are opened. Dashed lines indicate the coordinates of the visual field map. The representation of the horizontal meridian runs approximately along the base of the calcarine fissure .