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Management of neuro‐ophthalmology cases in children
Author(s) -
MILAZZO S
Publication year - 2009
Publication title -
acta ophthalmologica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.534
H-Index - 87
eISSN - 1755-3768
pISSN - 1755-375X
DOI - 10.1111/j.1755-3768.2009.2363.x
Subject(s) - medicine , neuro ophthalmology , diplopia , papilledema , physical examination , ocular motility disorders , ptosis , warning signs , magnetic resonance imaging , optometry , surgery , ophthalmology , radiology , eye movement , glaucoma , transport engineering , engineering
Abstract Neuro‐ophthalmological conditions in children must be analyzed carefully and some emergencies must be recognized. Clinical and practical cases are illustrated. On that basis the most important aspects of the field of neuro‐ophthalmology are covered succinctly but sufficiently to enable the practitioner to determine an appropriate diagnosis and course of treatment. Rare and unusual diseases are included but those that are especially critical to the patient’s vision or general health and life. Some specific clinical signs and symptoms need to be carefully evaluated as papilledema, papillary abnormalities, ptosis, diplopia or ocular motility abnormalities. Each clinical case deals with a symptom that leads the patient to seek medical attention or a sign that is demonstrated on physical examination. The proper diagnosis is frequently made with the imaging but must be repeated if necessary. Specific techniques in children are described including oculomotor and electrical testing, tomodensitometry and magnetic resonance imaging. Different treatment as medical surgical and neurosurgical are discussed. The physician evaluating neuro‐ophtalmic patients needs to have a broad background of medical information. So the patient’s workup is properly managed and therapeutic orientations can be done.