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Neuro-Ophthalmology   

Questions discussed in this category

What are the differential and workup for a patient with findings suggestive of idiopathic intracranial hypertension without papilledema on examination?
4 Answers available
What other conditions should you consider in someone with presumed Tolosa Hunt but without significant improvement on steroid therapy?
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 try to treat the acidosis resulting from acetazolamide in patients with IIH?
1 Answer available
Do you ever use ocular ultrasound in evaluation of papilledema?
1 Answer available
What is your approach to immune management in opsoclonus-myoclonus-ataxia syndrome?
1 Answer available
What baseline visual testing, if any, do you recommend at diagnosis for patients with multiple sclerosis who deny visual complaints?
1 Answer available
How does your treatment approach differ in patients with acute visual loss due to central retinal artery occlusion versus retinal vein occlusion?
2 Answers 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
How do you determine when to wean patients with idiopathic intracranial hypertension (IIH) off of acetazolamide?
2 Answers available
What is your approach to the treatment of visual snow syndrome?
1 Answer available
Is there any benefit from oral vs topical steroids in herpes zoster opthalmicus?
Would the management change if there were complications with optic neuritis?
1 Answer available
How long do oscillopsia and ataxia secondary to thiamine deficiency last after completing repletion?
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
How do you work up incidentally found papilledema in the emergency room?
2 Answers available
How would you work up and manage an isolated CN3 deficit with anisocoria?
MRI Orbits with possible mild enhancement of unilateral CN3; Brain MRI chronic microvascular disease, mild atrophy. 
2 Answers available
What workup do you recommend on patients with suspected ischemic cranial nerve six palsy?
1 Answer available
How do you evaluate asymptomatic patients referred for benign intracranial hypertension?
If patients are asymptomatic, what work up do you typically proceed with?
3 Answers available
What is the utility and yield of CSF studies for orbital apex syndrome?
Although probably more familiar to ophthalmologists, orbital apex syndrome refers to the consequence of any kind of swelling or mass effect within the...
1 Answer 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
Would you recommend medical therapy for asymptomatic idiopathic intracranial hypertension with completely normal visual field testing?
2 Answers available
Do you ever attribute oscillopsia to a cortical lesion?
1 Answer 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 approach to evaluation of underlying autoimmune disease in patients with bilateral scleromalacia?
1 Answer available
In a patient with suspected Miller Fisher syndrome, would you wait until antibody testing results to start IVIG or treat empirically?
Is there is a particular pattern of extraocular motility restriction in Miller Fisher syndrome? 
1 Answer available


Papers discussed in this category

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.
Arch Neurol,
OSCILLOPSIA.
Contemp Neurol Ser,
The diagnosis of stupor and coma.
JAMA Neurol,
The Dilemma of Diagnosing Idiopathic Intracranial Hypertension Without Papilledema in Patients With Chronic Migraine.
JAMA Neurol,
Prevalence of Incidentally Detected Signs of Intracranial Hypertension on Magnetic Resonance Imaging and Their Association With Papilledema.
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.
Neurology(R) neuroimmunology & neuroinflammation, 2022 Mar 08
Diagnosis and Management of Opsoclonus-Myoclonus-Ataxia Syndrome in Children: An International Perspective.

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