Neuro-Ophthalmology: Diagnosis and Management, 1e

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9780721665337: Neuro-Ophthalmology: Diagnosis and Management, 1e
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NEURO-OPHTHALMOLOGY was developed for practitioners, residents, and students who encounter patients with disturbances of the afferent visual pathways and efferent ocular motor systems. It contains in-depth discussions of neurophthalmic topics and disorders to help readers diagnose and manage patients. Each chapter includes an introduction to the structures or disorders discussed, followed by a review of their neuroanatomy, symptoms, and signs. A detailed discussion of the presentation, pathophysiology, diagnosis, neuroimaging and diagnostic studies, and management of the diseases which affect that structure follows.

  • The book is divided into four parts history and examination, afferent disorders, efferent disorders, and headache to provide readers with thorough, clinically focused information.
  • Repetition between chapters is kept to a minimum through diligent cross-referencing of topics, figures, and tables.
  • Reviews of neuroanatomy andneurophysiology are based upon clinical and pathological observations in humans without extensive discussion of experimental literature involving non-human primates and other animals, making this resource excellent for board preparation.
  • The examination chapter includes reviews of the neurological examination and the bedside neuro-ophthalmic evaluation of comatose patients, helping readers to neuroanatomically localize the problem and determine its etiology.
  • Highly illustrated and referenced, this organized and uniform textbook bridges the gap between neuro-ophthalmic encyclopedias and neuro-ophthalmic handbooks containing tables, outlines, and flow-diagrams.
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    About the Author:

    Grant T. Liu, MD, Associate Professor of Neurology and Ophthalmology; Nicholas J. Volpe, MD, Assistant Professor of Neurology and Ophthalmology; Steven J. Galetta, MD, VanMeter Professor of Neurology and Ophyhalmology; all of the university of Pennsylvania School of Medicine; Hospital of the University of Pennsylvania; Scheie Eye Institute; Children's Hospital of Philadelphia, Philadelphia, PA

    From The New England Journal of Medicine:

    Reading this book was a pleasure. The three authors have a wealth of experience, and their book is uniformly high in quality, authoritative, cohesive, down to earth, and easy to read. It has none of the unevenness and missing or overlapping topics so common in multiauthored books. It is probably the best-illustrated, most comprehensive single-volume textbook on neuro-ophthalmology available today.

    The book is divided into four sections. It opens with a practical review of the neuro-ophthalmic history and examination. The next section, on disorders of the afferent visual pathways, begins with an overview of the topical diagnosis and diagnostic testing of diseases of this system. Subsequent chapters cover disorders of the retina, the optic nerve, and the intracranial visual pathway that cause visual dysfunction. The chapters entitled ``Retinal Disorders,'' ``Disorders of Higher Cortical Function,'' ``Functional Visual Loss,'' and ``Visual Hallucinations and Illusions'' are particularly good. The third section, on efferent neuro-ophthalmic disorders, covers the pupils, facial-nerve dysfunction, cranial-nerve and gaze palsies, nystagmus, and abnormal eye movements. There is an excellent chapter on diseases of the orbit as they relate to neuro-ophthalmology. The last section discusses headache, facial pain, and disorders of facial sensation, all of which are common symptoms in nearly every field of medicine.

    Each chapter follows a well-organized outline, in which a review of the relevant neuroanatomy, symptoms, and signs is followed by detailed discussions of presentation, pathophysiology, diagnosis, neuroimaging, diagnostic studies, and management of the diseases. The numerous tables allow for quick reference to entities more or less likely to be encountered. The authors venture outside of neuro-ophthalmology to list detailed endocrine, systemic, and imaging characteristics of the various disorders. The book is illustrated with high-quality, clearly labeled neuroimages and images of the fundus. There is an extensive list of up-to-date references (most from the late 1990s) at the end of each chapter; they include both the original sources and review articles for those who want to delve deeper into the subject.

    There are two minor irritants, which I suspect are related to attempts to keep the price down. The figures and tables are commonly one page and occasionally two pages ahead of the related text, resulting in a certain amount of flipping of pages. The photographs of the fundus would have been more useful had they been reproduced in color. A minority of the black-and-white photographs of the fundus scattered throughout the text are reproduced in a central collection of 55 color plates, without any legends for the plates or cross-referencing with the original figures in the chapters. More pages to be flipped!

    In their preface, the authors write,

    Our hope was to offer a book that could serve both as a guide for diagnosing and managing patients with neuro-ophthalmic problems and a one-volume textbook containing in-depth discussions of neuro-ophthalmic topics and disorders. With just three authors, our aim was to create a highly organized and uniform textbook, extensively illustrated and referenced, that would bridge the gap between neuro-ophthalmic handbooks containing tables, outlines, and flow-diagrams and neuro-ophthalmic encyclopedias.

    This book is everything that they hoped for.

    Duncan P. Anderson, M.D.
    Copyright © 2001 Massachusetts Medical Society. All rights reserved. The New England Journal of Medicine is a registered trademark of the MMS.

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    Liu MD, Grant T., Volpe MD, Nicholas J.,
    Published by Saunders (2000)
    ISBN 10: 0721665330 ISBN 13: 9780721665337
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