The Neurology of Eye Movements provides clinicians with a synthesis of current scientific information that can be applied to the diagnosis and treatment of disorders of ocular motility. Basic scientists will also benefit from descriptions of how data from anatomical, electrophysiological, pharmacological, and imaging studies can be directly applied to the study of disease. By critically reviewing such basic studies, the authors build a conceptual framework that can be applied to the interpretation of abnormal ocular motor behavior at the bedside. These syntheses are summarized in displays, new figures, schematics and tables. Early chapters discuss the visual need and neural basis for each functional class of eye movements. Two large chapters deal with the evaluation of double vision and systematically evaluate how many disorders of the central nervous system affect eye movements. This edition has been extensively rewritten, and contains many new figures and an up-to-date section on the treatment of abnormal eye movements such as nystagmus. A major innovation has been the development of an option to read the book from a compact disc, make use of hypertext links (which bridge basic science to clinical issues), and view the major disorders of eye movements in over 60 video clips. This volume will provide pertinent, up-to-date information to neurologists, neuroscientists, ophthalmologists, visual scientists, otalaryngologists, optometrists, biomedical engineers, and psychologists.

Unique case-based guide to generating diagnostic possibilities based on the patients' symptoms. Invaluable for psychiatrists and neurologists.

In Eye Movement Disorders in Clinical Practice, a leading expert with over thirty years of teaching experience in neurology and neuro-ophthalmology offers comprehensive instruction on the diagnosis and treatment of all varieties of eye movement disorders. This important new text reflects the importance of correlating clinical signs of disorders in the oculomotor system with their neuroanatomic and neurophysiologic architecture. With its focus on signs and symptoms, the book advances lesion localization of eye movement disorders as the central clinical concern. The reader is also presented with a fresh review of bedside examination techniques in the ER, ICU, and walk-in clinic; productive ways of taking a clinical history; sign interpretation; source lesion localization; and, where appropriate, therapy. Unlike most of the titles on eye movement disorders, this book's chapters are arranged according to objective signs - like ptosis, neuromuscular syndromes, dizziness, vertigo, and syndromes of the medulla - rather than disease entities. This emphasis on the topographic analysis of symptoms and signs is contrary to the prevailing clinical approach in which responsibility for therapy typically drives the clinician to arrive at an etiological diagnosis as rapidly as possible. At risk in this process is nothing less than the art of clinical medicine. One of the aims of this book is to reverse this process, and move clinicians back to the observation and interpretation of signs. The text features over 100 clinical cases, each one challenging the reader to determine the neuroanatomical location of the patient's lesion. This exercise provides the anatomical guidance needed to make critical diagnostic and management decisions in patients who often present with abnormal eye movements. Dynamic and intellectually stimulating, Eye Movement Disorders in Clinical Practice is essential for any reader wanting to better understand eye movement disorders.

There is perhaps no area of neuro-ophthalmology that is advancing more rapidly with respect to an understanding of its anatomy and physiology than the ocular motor system. For this reason, it is difficult not only to keep up with the latest information concerning the basic mechanisms involved in the control of eye movements but also to remain up to date regarding the pathophysiology of specific disorders of eye movement. The material in this book is derived from a two-day course on eye movements held in The Netherlands in 1986. The course was designed as an introduction to the normal ocular motor system and to disorders of eye movements and was aimed toward orthoptists, ophthalmolo gists, optometrists, neurologists, and neurosurgeons. The chapters in this book were compiled by a trio of experts in the field of eye movements and contain discussions of anatomy and physiology of the ocular motor system, techniques of examination of patients with diplopia, and pathophysiology of specific disorders of ocular motility. Many of the authors of these chapters are among the most active investigators of eye movements in the world today, and their comments thus reflect the latest information in the field. This text is both basic and com prehensive and thus has something for everyone, from the student just beginning a study of the ocular motor system to the seasoned 'veteran' who wishes to know the latest information regarding central ocular motor control mechanisms. Neil R.

This book presents 57 typical cases of neuro-ophthalmic diseases in the emergency room, which represent notoriously complex and difficult challenges for junior doctors. The physical manifestations of these neurologic disorders include visual loss, transient blurring, diplopia, headache, pupillary abnormality, and even cognition problems. Each case provides a wealth of information, including the case report, comments, diagnosis, management, prognosis and concise notes, as well as photographs and other images. As a case-based clinical reference work on neuro-ophthalmic diseases, the book offers readers essential, concretely applicable information and guidance.