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Neuro-vascular Neuro-ophthalmology
Mark J. Kupersmith
Alex Berenstein
出版
Springer Berlin Heidelberg
, 1992-11-12
主題
Health & Fitness / Vision
Medical / Allied Health Services / Imaging Technologies
Medical / Biochemistry
Medical / Clinical Medicine
Medical / Neuroscience
Medical / Ophthalmology
Medical / Radiology, Radiotherapy & Nuclear Medicine
Medical / Surgery / Neurosurgery
Science / Life Sciences / Neuroscience
ISBN
3540556362
9783540556367
URL
http://books.google.com.hk/books?id=i4tsAAAAMAAJ&hl=&source=gbs_api
註釋
Neuro-ophthalmological symptoms frequently arise in disorders which alter the intracranial and intraorbital circulation. Because of the wide range of sensory and cognitive systems involved in vision and eye movements, visual disturbances are typically found in the common vascular disorders, such as atherosclerosis, migraine, and aneurysms, but can also result from practically any, common or rare,local or systemic vascular disorder. The dysfunction can be part of a largersyndrome or the predominant clinical abnormality. Many of the newer concepts concerning the diagnosis and treatment of neurovascular disorders have evolved in consequence of advances in techniques for neuroimaging such as MRI; methods of measuring systemic coagulation and inflammation; and superselective catheterization ofabnormal blood vessels and vascular lesions. The neuroophthalmological evaluation of clinical signs and symptoms often leads to accurate localization and diagnosis of the lesion. Many of these clinical abnormalities, such as visual field defects and ocular misalignments, can be quantified and followed to assess either the natural history of the disorder or the effects of therapies. No one medical specialty can manage these neurovascular neuro-ophthalmological disorders alone. The complexity of diagnosis and treatment planning requires a multi- disciplinary team. This approach, bringing ophthalmologists, neurosurgeons, and neurologists together to confer in the management of these cases, has been pioneered by the authors' group at the New York University Medical Center.