Optic Nerve Flashcards

1
Q

optic nerve is embryologically derived from the ___

A

optic stalk

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2
Q

total and interval lengths of optic nerve and segments

A

35-55 mm

intraocular: 0.7-1.0
intraorbital: 25-30
intracanalicular: 4-10
intracranial: 10

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3
Q

optic nerve cells responsible for myelin formation

A

oligodendrocytes (recall: Scwann cells for peripheral nerves, oligos for CNS)

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4
Q

typical location of optic nerve head coloboma?

A

inferonasal

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5
Q

cell bodies of optic nerve axons arise from ___

A

ganglion cell layer of retina

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6
Q

where do the central retinal artery and vein enter the optic nerve

A

10-15 mm posterior to globe

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7
Q

patchy, transmural granulomatous inflammation of posterior ciliary artery vessel walls causing vascular occlusion and liquefactive necrosis of the optic nerve?

A

GCA

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8
Q

percentage of patients with sarcoid who have ocular or orbital involvement

A

35%

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9
Q

classic, “naked” (not surrounded by lymphocytes), non-caseating granulomas

A

sarcoidosis (although, ranulomas of optic nerve may feature necrosis)

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10
Q

vacuolar alteration of optic nerve axons, lateral displacement of retinal, juxtapapillary serous intraretinal fluid

A

optic disc edema

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11
Q

large, cystic spaces in ON posterior to lamina cribrosa which contain mucopolysaccharide that stains with alcian blue?

A

Schnabel’s cavernous optic atrophy

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12
Q

Widened subdural space around optic nerve is a sign of ___

A

optic atrophy

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13
Q

Deeply pigmented tumor situated eccentrically on optic disc of white woman?

A

melanocytoma (benign)

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14
Q

Systemic disorder commonly associated with optic nerve glioma (astrocytoma)? Characteristic eosinophilic filaments?

A

NF1. Rosenthal fibers.

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15
Q

from which layer do primary optic nerve sheath meningiomas arise?

A

arachnoid sheath

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16
Q

T or F: optic nerve meningiomas may invade the optic nerve and muscle?

A

TRUE

17
Q

smooth, fusiform enlargement of optic nerve?

A

optic nerve glioma

18
Q

tram-tracking of optic nerve on imaging?

A

optic nerve meningioma

19
Q

systemic association with optic nerve meningioma?

A

NF1 (although optic nerve glioma more common)

20
Q

Plump cells surrounding optic nerve with indistinct cytoplasm arranged in whorls and psammoma bodies?

A

optic nerve meningioma