Document Detail


Neurologic evaluations in normal-tension glaucoma workups: are they worth the effort?
MedLine Citation:
PMID:  20929082     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Anat Kesler; Inbal Haber; Shimon Kurtz
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Israel Medical Association journal : IMAJ     Volume:  12     ISSN:  1565-1088     ISO Abbreviation:  Isr. Med. Assoc. J.     Publication Date:  2010 May 
Date Detail:
Created Date:  2010-10-08     Completed Date:  2010-10-26     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100930740     Medline TA:  Isr Med Assoc J     Country:  Israel    
Other Details:
Languages:  eng     Pagination:  287-9     Citation Subset:  IM    
Affiliation:
Department of Ophthalmology, Sourasky Tel Aviv Medical Center, affiliated with Sackler Faculty of Medicine, Tel Aviv University, Ramat Aviv, Israel. kesler@netvision.net.il
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MeSH Terms
Descriptor/Qualifier:
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

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