Abstract
The visual pathways traverse more than one-third of the brain, explaining why visual function is frequently affected by intracranial lesions and a wide range of neurological disorders. Visual disturbances such as monocular or binocular visual loss, visual hallucinations and diplopia may reveal a neurological disorder. Correct interpretation and evaluation of these visual changes may prevent further devastating neurological complications.
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References
Biousse V, Newman N. Neuro-ophthalmology illustrated. New York: Thieme; 2009.
Trobe J. The neurology of vision. Oxford: Oxford University Press; 2001.
Robinett DA, Kahn JH. The physical examination of the eye. Emerg Med Clin North Am. 2008;26:1–16.
Atkins EJ, Newman NJ, Biousse V. Post-traumatic visual loss. Rev Neurol Dis. 2008;5:73–81.
Bord SP, Linden J. Trauma to the globe and orbit. Emerg Med Clin North Am. 2008;26:97–123, vi–vii
Dargin JM, Lowenstein RA. The painful eye. Emerg Med Clin North Am. 2008;26:199–216, viii
Mueller JB, McStay CM. Ocular infection and inflammation. Emerg Med Clin North Am. 2008;26:57–72, vi
Mahmood AR, Narang AT. Diagnosis and management of the acute red eye. Emerg Med Clin North Am. 2008;26:35–55, vi
Vortmann M, Schneider JI. Acute monocular visual loss. Emerg Med Clin North Am. 2008;26:73–96, vi
Biousse V, Mendicino ME, Simon DJ, et al. The ophthalmology of intracranial vascular abnormalities. Am J Ophthalmol. 1998;125:527–44.
Kaufman SR. Developments in age-related macular degeneration: diagnosis and treatment. Geriatrics. 2009;64:16–9.
Miller NR, Newman NJ. The eye in neurological disease. Lancet. 2004;364:2045–54.
Biousse V. Cerebrovascular disease. In: Miller M, Newman N, Biousse V, Kerrison J, editors. Clinical neuro-ophthalmology. 6th ed. Philadelphia: Lippincott Williams and Wilkins; 2005. p. 1967–2168.
Melson MR, Weyand CM, Newman NJ, et al. The diagnosis of giant cell arteritis. Rev Neurol Dis. 2007;4:128–42.
Hall JK. Giant-cell arteritis. Curr Opin Ophthalmol. 2008;19:454–60.
Luneau K, Newman NJ, Biousse V. Ischemic optic neuropathies. Neurologist. 2008;14:341–54.
Atkins EJ, Bruce BB, Newman NJ, et al. Treatment of nonarteritic anterior optic neuropathy. Surv Ophthalmol. 2010;55:47–63.
Hayreh SS, Zimmerman MB. Optic disc edema in non-arteritic anterior ischemic optic neuropathy. Graefes Arch Clin Exp Ophthalmol. 2007;245:1107–21.
Dickersin K, et al. Optic nerve decompression surgery for nonarteritic anterior ischemic optic neuropathy (NAION) is not effective and may be harmful. The Ischemic Optic Neuropathy Decompression Trial Research Group. JAMA. 1995;273:625–32.
Preechawat P, Bruce BB, Newman NJ, et al. Anterior ischemic optic neuropathy in patients younger than 50 years. Am J Ophthalmol. 2007;144:953–60.
Fraser JA, Weyand CM, Newman NJ, et al. The treatment of giant cell arteritis. Rev Neurol Dis. 2008;5:140–52.
Hayreh SS, Biousse V. Treatment of acute visual loss in giant cell arteritis: should we prescribe high-dose intravenous steroids or just oral steroids. J Neuroophthalmol. 2012;32:278–87.
Atkins EJ, Biousse V, Opticneuritis NNJ. Semin Neurol. 2007;27:211–20.
Atkins EJ, Biousse V, Newman NJ. The natural history of optic neuritis. Rev Neurol Dis. 2006;3:45–56.
Weinshenker BG, Wingerchuk DM, Vukusic S, et al. Neuromyelitis optica IgG predicts relapse after longitudinally extensive transverse myelitis. Ann Neurol. 2006;59:566–9.
Giovannoni G. To test or not to test: NMO-IgG and optic neuritis. Neurology. 2008;70:2192–3.
The Optic Neuritis Study Group. Multiple sclerosis risk after optic neuritis: final optic neuritis treatment trial follow-up. Arch Neurol. 2008;65:727–32.
Purvin VA, Chioran G. Recurrent neuroretinitis. Arch Ophthalmol. 1994;112:365–71.
Nordic idiopathic intracranial hypertension study group writing committee, Wall M, MP MD, et al. Effect of acetazolamide on visual function in patients with idiopathic intracranial hypertension and mild visual loss: the idiopathic intracranial hypertension treatment trial. JAMA. 2014;311:1641–51.
Friedman DI, Jacobson DM. Diagnostic criteria for idiopathic intracranial hypertension. Neurology. 2002;59:1492–5.
Thambisetty M, Lavin PJ, Newman NJ, et al. Fulminant idiopathic intracranial hypertension. Neurology. 2007;68:229–32.
Newman NJ. Hereditary optic neuropathies: from the mitochondria to the optic nerve. Am J Ophthalmol. 2005;140:517–23.
Fraser JA, Biousse V, Newman NJ. The neuro-ophthalmology of mitochondrial disease. Surv Ophthalmol. 2010;55:299–334.
Zhang X, Kedar S, Lynn MJ, et al. Homonymous hemianopias: clinical–anatomic correlations in 904 cases. Neurology. 2006;66:906–10.
Bruce BB, Zhang X, Kedar S, et al. Traumatic homonymous hemianopia. J Neurol Neurosurg Psychiatry. 2006;77:986–8.
Zhang X, Kedar S, Lynn MJ, et al. Homonymous hemianopia in stroke. J Neuroophthalmol. 2006;26:180–3.
Zhang X, Kedar S, Lynn MJ, et al. Natural history of homonymous hemianopia. Neurology. 2006;66:901–5.
Bartynski WS. Posterior reversible encephalopathy syndrome, part 1: fundamental imaging and clinical features. AJNR Am J Neuroradiol. 2008;29:1036–42.
Biousse V, Trobe JD. Transient monocular visual loss. Am J Ophthalmol. 2005;140:717–21.
Benavente O, Eliasziw M, Streifler JY, et al. Prognosis after transient monocular blindness associated with carotid-artery stenosis. N Engl J Med. 2001;345:1084–90.
Lavallée PC, Cabrejo L, Labreuche J, et al. Spectrum of transient visual symptoms in a transient ischemic attack cohort. Stroke. 2013;44:3312–7.
Bhatti MT. Orbital syndromes. Semin Neurol. 2007;27:269–87.
Luchanok U, Kaminski HJ. Ocular myasthenia: diagnostic and treatment recommendations and the evidence base. Curr Opin Neurol. 2008;21:8–15.
Bruce BB, Biousse V, Newman NJ. Third nerve palsies. Semin Neurol. 2007;27:257–68.
Biousse V, Newman NJ. Aneurysms and subarachnoid hemorrhage. Neurosurg Clin North Am. 1999;10:631–51.
Elmalem VI, Hudgins PA, Bruce BB, et al. Underdiagnosis of posterior communicating artery aneurysm in noninvasive brain vascular studies. J Neuroophthalmol. 2011;31:103–9.
Brazis PW. Isolated palsies of cranial nerves III, IV, and VI. Semin Neurol. 2009;29:14–28.
Dembek ZF, Smith LA, Rusnak JM. Botulism: cause, effects, diagnosis, clinical and laboratory identification, and treatment modalities. Disaster Med Public Health Prep. 2007;1:122–34.
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Lamirel, C., Newman, N.J., Biousse, V. (2019). Acute Visual Disturbances. In: Singh, M., Bhatia, R. (eds) Emergencies in Neurology . Springer, Singapore. https://doi.org/10.1007/978-981-13-5866-1_7
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DOI: https://doi.org/10.1007/978-981-13-5866-1_7
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