Neuro Ophthalmology 4 Flashcards
What imaging study should you get for IIH?
MRV to look for dural venous thrombosis
What ocular finding is associated with Moyamoya disease (bilateral occlusion of circle of Willis)?
Morning glory disease
The brainstem can be divided from rostral to caudal as the midbrain, pons, and medulla (think bird like Dr. Grant taught). Where are the CN nuclei located in these structures?
Divided into 4’s
- CN 1-4 in the midbrain
- CN 5-8 in the pons
- CN 9-12 in the medulla
What age group does ophthalmoplegic migraine typically present?
Children; it is a cause of painful CN III palsy; unknown etiology; not sure that it is the same mechanisms as regular migraines
Allesthesia (percpetion that the envrionment is rotated, flipped, or inverted, can be part of what syndrome?
Wallenberg Syndrome
Weber, Benedikt, Claude, and Nothnagel syndromes all involve which CN?
CN III
Gradenigo syndrome
Chronic inflammation of the petrous bone causing abducens palsy and facial pain, most common with chronic otitis media
Does Infantile (congenital) nystagmus persist during sleep? Oculopalatal myoclonus?
No; yes
What is the inheritance of Sturge Weber syndrome?
Sporadic
How often should a patient taking amiodarine have an eye exam and for want potential adverse affect?
Baseline and every 6-12 months looking for optic neuropathy (including disk edema). Vorticillata are not concerning.
What type of ocular adverse affect can come from use of TNF alpha drugs such as infliximab?
Optic neuritis from demyelination side affect
What type of dementia is most likely to be associated with formed complex visual hallucinations?
Lewy body dementia; alzheimer’s, vascular, and parkinson’s all are less likely to have formed visual hallucinations
