Neuro-ophthalmology

Question 1

Increased ICP

Answer 1

Cause: tumor, AVM, aneurysm, IIH
Sx: morning headache, ataxia, transient visual obscuration, enlarged blind spot

Question 2

Drusen

Answer 2

small hyaline concretions

Sx: asymptomatic enlarged blind spot with normal VA

Question 3

optic neuritis

Answer 3

demyelination (MS, SLE, adrenoleukodystrophy, sarcoidosis, tumor, behcet, whipple, crohn)
Sx: painful visual loss, loss of color discrimination, central scotoma classic

Question 4

ischemia (AION)

Answer 4

etiology: vascular, carotid occlusion, embolic TIA
Sx: sudden painless visual loss, over age 50, HTN, DM, hypotensive episodes