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General Internal Medicine

Neuro-Ophthalmology   

Questions discussed in this category

How do you determine when to wean patients with idiopathic intracranial hypertension (IIH) off of acetazolamide?
3 Answers available
What would you recommend for long term management of extensive dural venous sinus thrombosis (CVST) in young females when the only provoking risk factor is combined OCP?
Thrombophilia testing, including JAK2 is negative. When would you stop anticoagulation?
4 Answers available
How do you manage pregnant individuals with newly diagnosed idiopathic intracranial hypertension?
1 Answer available
Do you try to treat the acidosis resulting from acetazolamide in patients with IIH?
1 Answer available
What is your approach to the treatment of idiopathic intracranial hypertension with transverse sinus stenosis?
Do you favor specific medications or surgical interventions?
3 Answers available
Do you ever use ocular ultrasound in evaluation of papilledema?
1 Answer available
What is your approach to the diagnosis and management of optic chiasmitis in systemic lupus erythematosus?
And have you ever seen it occur in isolation without any other manifestations of SLE? 
1 Answer available
What is your approach to the treatment of visual snow syndrome?
1 Answer available
How would you interpret a temporal artery biopsy demonstrating focal chronic inflammation in the adventitia associated with small adventitial vessels and nerves without inflammation of the intima and media and without giant cells?
2 Answers available
Is thyrotropin receptor antibody a good biomarker to predict development of thyroid eye disease?
1 Answer available
Do you routinely obtain baseline vascular imaging (CTA, MRA, PET) in patients with suspected GCA, but negative temporal artery biopsy?
Per 2021 GCA Vasculitis Guidelines: low evidence, but conditional recommendation for CTA neck, chest, abd/pelvis. Is anybody following this or do you ...
2 Answers available
In what conditions can you see roving eye movements?
1 Answer available
Can giant cell arteritis present with a partial cranial neuropathy?
3 Answers available
Do you generally recommend low dose aspirin for patients with giant cell arteritis?
2 Answers available
Do you always perform temporal artery biopsy in patients with positive inflammatory markers and high clinical suspicion of GCA?
2 Answers available
Is either ESR or CRP more sensitive or specific for the diagnosis of GCA?
Additionally, what is the current role for temporal artery ultrasound in workup for GCA?
3 Answers available
What is your steroid-sparing agent of choice to treat GCA given the current tocilizumab shortage?
Thoughts on sarilumab vs methotrexate, or just treat with steroids alone
1 Answer available
How long do you continue steroid-sparing agents such as tocilizumab for GCA once the disease is in remission off steroids?
1 Answer available
At what point in GCA management do you typically introduce tocilizumab?
2 Answers available


Papers discussed in this category

Ann Intern Med, 2020 Sep 22
Risk for Serious Infection With Low-Dose Glucocorticoids in Patients With Rheumatoid Arthritis : A Cohort Study.
N Engl J Med,
Trial of Tocilizumab in Giant-Cell Arteritis.
Lancet, 2016 Mar 04
Tocilizumab for induction and maintenance of remission in giant cell arteritis: a phase 2, randomised, double-blind, placebo-controlled trial.
Arthritis Rheum,
Adjunctive methotrexate for treatment of giant cell arteritis: an individual patient data meta-analysis.
Seminars in arthritis and rheumatism, 2012-06
Utility of erythrocyte sedimentation rate and C-reactive protein for the diagnosis of giant cell arteritis.
Arthritis Rheumatol, 2021 Jul 08
2021 American College of Rheumatology/Vasculitis Foundation Guideline for the Management of Giant Cell Arteritis and Takayasu Arteritis.
Ann Rheum Dis, 2019 Jul 03
2018 Update of the EULAR recommendations for the management of large vessel vasculitis.
Mayo Clin Proc,
My Treatment Approach to Giant Cell Arteritis.
Contemp Neurol Ser,
The diagnosis of stupor and coma.
Arthritis Rheum,
Low-dose aspirin and prevention of cranial ischemic complications in giant cell arteritis.
Archives of ophthalmology (Chicago, Ill. : 1960), 2010-06
Diagnosis and grading of papilledema in patients with raised intracranial pressure using optical coherence tomography vs clinical expert assessment using a clinical staging scale.
Rheumatology (Oxford, England), 2015-03
Large-vessel giant cell arteritis: a cohort study.
Open access rheumatology : research and reviews, 2016
Polymyalgia rheumatica: observations of disease evolution without corticosteroid treatment.
Medicine, 2016 Feb
Description and Validation of Histological Patterns and Proposal of a Dynamic Model of Inflammatory Infiltration in Giant-cell Arteritis.
Histopathology, 2023 Aug 08
Age-related histopathological findings in temporal arteries.
Cardiovascular pathology : the official journal of the Society for Cardiovascular Pathology, 2023 Sep 06
Consensus statement on the processing, interpretation and reporting of temporal artery biopsy for arteritis.
The British journal of ophthalmology, 1997 Feb
Successful treatment of optic neuropathy in association with systemic lupus erythematosus using intravenous cyclophosphamide.
Stroke, 2023 Sep 07
Study of Rivaroxaban for Cerebral Venous Thrombosis: A Randomized Controlled Feasibility Trial Comparing Anticoagulation With Rivaroxaban to Standard-of-Care in Symptomatic Cerebral Venous Thrombosis.
Stroke, 2024 Jan 29
Diagnosis and Management of Cerebral Venous Thrombosis: A Scientific Statement From the American Heart Association.

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