Eye Movement Disorders in Clinical Practice

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9780199921805: Eye Movement Disorders in Clinical Practice
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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. Supplemental online videos are available with purchase.

Dynamic and intellectually stimulating, Eye Movement Disorders in Clinical Practice is essential for any reader wanting to better understand eye movement disorders.

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About the Author:


Shirley H. Wray, MD, PhD, FRCP is Professor of Neurology at Harvard Medical School and Director, Unit for Neurovisual Disorders, Department of Neurology, Massachusetts General Hospital, Boston, MA.

Review:


"The strength of this book lies in the richness and immediate accessibility of its clinical content" -- Journal of Neuro-Ophthalmology


"In its clarity and completeness of presentation, upon a "quick read," of the entire monograph one might get the notion that eye movement analysis is straight forward with mastery readily within reach." -- Verne Caviness, M.D., D.Phil (Oxon)


"This is a very useful book and unique in the sense that it has a lot of information, rarely found elsewhere, on the role and influence of the brain and the nerves on eye movement disorders." -- Biz India Book Review


"Dr. Shirley Wray is a consummate neuro-ophthalmological educator as evidenced in this outstanding book. Her approach enables the book to be useful for Ophthalmology and Neurology residents who want the simple basics of eye movements, as well as for experienced specialists who need detailed information about specific issues... The eye movement disorders resulting from lesions in various regions of the brain are highlighted by illustrious case descriptions, with succinct 'Clinical Points to Remember' ending each appropriate section... For me, this single authored book gets a WOW, and will be of great value to Ophthalmology and Neurology trainees, and practitioners, particularly those with educational roles." --Robert B. Daroff, MD, Professor and Chair Emeritus, Department of Neurology, Case Western Reserve University School of Medicine, Cleveland, OH


"Eye Movement Disorders in Clinical Practice by Shirley Wray is a real gem... Dr. Wray covers important subjects like eye movements in coma, vertigo, diplopia, pursuit, saccades, and nystagmus. An award winning professor and educator, Dr. Wray truly has left a legacy for trainees, clinicians and other educators as an example of making a very technical and often complicated subject--eye movements--readily accessible to clinicians of all levels. This book is a must-have for anyone who sees patients with abnormalities of eye movements, eyelids, dizziness and for anyone who teaches any aspect of the clinical eye movement examination. Researchers could benefits from this book as well, since Dr. Wray translates difficult research concepts into understandable clinical terms." --Kathleen B. Digre, MD, Professor Neurology, Ophthalmology, Moran Eye Center, University of Utah, Salt Lake City, Utah


"Eye Movement Disorders in Clinical Practice, by Dr. Shirley Wray, presents eye movement disorders in a full-color, highly illustrative format. The inclusion of numerous diagrams and tables, as well as videos, make this book very attractive. Eye movement disorders are explained in a practical yet comprehensive manner, which makes this book an excellent learning tool for anyone trying to unerstand the intricate relationship between eye movement disorders, and their underlying neuroanatomy and pathophysiology." --Valerie Biousse, MD, Professor of Ophthalmology and Neurology, Cyrus H. Stoner Professor of Ophthalmology, Emory University School of Medicine, Atlanta, GA


"Eye movement disorders are commonly encountered in neurologic and ophthalmic practice, but are often tricky to diagnose and manage. In Eye Movement Disorders in Clinical Practice, Dr. Wray uses a systematic approach to introduce and discuss eye movement disorders. The text is clear, conversational, and covers the full spectrum of eye movement disorders. Dr. Wray draws on cases that she has encountered over the course of her career to illustrate the concepts discussed. These cases have been meticulously documented and are a highlight of the text, often being definitive examples of the disorder under consideration. ... Overall, this book is a welcome addition to the neuro-ophthalmic literature and is highly recommended for trainees, as well as for practicing Neurologists and Ophthalmologists." --Matthew J. Thurtell, MBBS, FRACP, Department of Ophthalmology & Visual Sciences
University of Iowa


"It was a real pleasure to read this book. ... Eye Movement Disorders in Clinical Practice is a keeper! I would recommend it to neurology and ophthalmology trainees and senior clinicians alike." --World Neurology


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Shirley H. Wray, MD, PhD, FRCP is Professor of Neurology at Harvard Medical School and Director, Unit for Neurovisual Disorders, Department of Neurology, Massachusetts General Hospital, Boston, MA.
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