| False and non-localizing signs in neuro-ophthalmology. | |
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MedLine Citation:
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PMID: 12441839 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The absolute reliance on abnormal neuro-ophthalmologic findings as signposts for particular lesions of the neuraxis must be tempered by a working knowledge of false and nonlocalizing signs and symptoms. Transient monocular visual loss or complex visual hallucinations may lead to neuroanatomic ambiguity, and elevated intracranial pressure is not the most common cause of swollen optic disks in late life. Sixth nerve palsy associated with increased intracranial pressure is possibly the best-known false localizing sign, but other ocular motility disturbances (divergence paresis, convergence insufficiency, and skew deviation) also elude localization. Lastly, the localizing pitfalls of anisocoria--Horner and Raeder syndromes, physiologic anisocoria, pupil-involving third nerve palsy, and benign pupillary dilation--are discussed. |
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Authors:
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Frederick E Lepore |
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Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: Current opinion in ophthalmology Volume: 13 ISSN: 1040-8738 ISO Abbreviation: Curr Opin Ophthalmol Publication Date: 2002 Dec |
Date Detail:
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Created Date: 2002-11-20 Completed Date: 2003-12-04 Revised Date: 2006-10-13 |
Medline Journal Info:
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Nlm Unique ID: 9011108 Medline TA: Curr Opin Ophthalmol Country: United States |
Other Details:
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Languages: eng Pagination: 371-4 Citation Subset: IM |
Affiliation:
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Department of Neurology, UMDNJ/Robert Wood Johnson Medical School, 97 Paterson Street, New Brunswick, NJ 08901, USA. leporefe@umdnj.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Brain Diseases
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complications*,
diagnosis,
physiopathology Diagnostic Errors Humans Intracranial Pressure Neurology* Ophthalmology* Optic Nerve Diseases / etiology* Vision Disorders / etiology |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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