| Neurologic evaluations in normal-tension glaucoma workups: are they worth the effort? | |
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MedLine Citation:
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PMID: 20929082 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Normal-tension glaucoma is a chronic progressive optic neuropathy of unknown etiology. Neuro-imaging workup in these patients is controversial. OBJECTIVES: To determine the value of routine neurologic and neuro-ophthalmologic evaluations in patients with NTG. METHODS: We conducted a retrospective review of all patients diagnosed with NTG in our institution between 2001 and 2006. Neurologic and neuro-ophthalmologic data were evaluated. RESULTS: Sixty-eight patients were considered suitable for the study 135 males, 33 females; age range 43-90 years). Neurologic and neuro-ophthalmologic findings were normal in all of them. The computed tomography brain scan was normal in 88% and duplex carotid Doppler scan was normal in 92%. CONCLUSIONS: Pathologic findings in neurologic and neuro-ophthalmologic assessments were uncommon in NTG. Therefore, contrary to earlier suggestions, neurologic and neuro-ophthalmologlc evaluations in typical normal-tension glaucoma patients appear to have no added value. |
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Authors:
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Anat Kesler; Inbal Haber; Shimon Kurtz |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: The Israel Medical Association journal : IMAJ Volume: 12 ISSN: 1565-1088 ISO Abbreviation: Isr. Med. Assoc. J. Publication Date: 2010 May |
Date Detail:
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Created Date: 2010-10-08 Completed Date: 2010-10-26 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 100930740 Medline TA: Isr Med Assoc J Country: Israel |
Other Details:
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Languages: eng Pagination: 287-9 Citation Subset: IM |
Affiliation:
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Department of Ophthalmology, Sourasky Tel Aviv Medical Center, affiliated with Sackler Faculty of Medicine, Tel Aviv University, Ramat Aviv, Israel. kesler@netvision.net.il |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Aged, 80 and over Analysis of Variance Brain / radiography Brain Neoplasms / complications, diagnosis* Carotid Arteries / ultrasonography Carotid Artery Diseases / complications, diagnosis* Female Follow-Up Studies Humans Low Tension Glaucoma / complications, diagnosis* Male Middle Aged Neurologic Examination Retrospective Studies Tomography, X-Ray Computed Ultrasonography, Doppler, Duplex |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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