Emergencies in Neuro-Ophthalmology: A Case Based Approach PDF
Preview Emergencies in Neuro-Ophthalmology: A Case Based Approach
Emergencies in Neuro-Ophthalmology A Case Based Approach 7615tpNew.indd 1 7/13/10 9:01 AM TThhiiss ppaaggee iinntteennttiioonnaallllyy lleefftt bbllaannkk Emergencies in Neuro-Ophthalmology A Case Based Approach Andrew G Lee The Methodist Hospital, USA Paul W Brazis Mayo Clinic, USA Mansoor Mughal Fabiana Policeni & University of Iowa Hospitals and Clinics, USA World Scientific NEW JERSEY • LONDON • SINGAPORE • BEIJING • SHANGHAI • HONG KONG • TAIPEI • CHENNAI 7615tpNew.indd 2 7/13/10 9:01 AM Published by World Scientific Publishing Co. Pte. Ltd. 5 Toh Tuck Link, Singapore 596224 USA office: 27 Warren Street, Suite 401-402, Hackensack, NJ 07601 UK office: 57 Shelton Street, Covent Garden, London WC2H 9HE Library of Congress Cataloging-in-Publication Data Emergencies in neuro-ophthalmology : a case based approach / Andrew G. Lee . [et al.]. p. ; cm. Includes bibliographical references and index. ISBN-13: 978-981-4295-01-7 (hardcover : alk. paper) ISBN-10: 981-4295-01-9 (hardcover : alk. paper) 1. Neuroophthalmology--Case studies. 2. Ophthalmologic emergencies--Case studies. I. Lee, Andrew G. [DNLM: 1. Optic Nerve Diseases--diagnosis--Case Reports. 2. Emergencies--Case Reports. 3. Optic Nerve Diseases--therapy--Case Reports. WW 280 E53 2010] RE725.E44 2010 617.7'32--dc22 2010011911 British Library Cataloguing-in-Publication Data A catalogue record for this book is available from the British Library. Copyright © 2010 by World Scientific Publishing Co. Pte. Ltd. All rights reserved. This book, or parts thereof, may not be reproduced in any form or by any means, electronic or mechanical, including photocopying, recording or any information storage and retrieval system now known or to be invented, without written permission from the Publisher. For photocopying of material in this volume, please pay a copying fee through the Copyright Clearance Center, Inc., 222 Rosewood Drive, Danvers, MA 01923, USA. In this case permission to photocopy is not required from the publisher. Typeset by Stallion Press Email: [email protected] Printed in Singapore. Emergencies in neuro-ophthalmology.pmd 1 9/8/2010, 10:37 AM b892_FM.qxd 6/29/2010 10:38 AM Page v Dedication Drs. Lee and Brazis would like to dedicate this volume to Dr. Neil R. Miller, their teacher, friend, and source of inspiration. b892_FM.qxd 6/29/2010 10:38 AM Page vi TThhiiss ppaaggee iinntteennttiioonnaallllyy lleefftt bbllaannkk b892_FM.qxd 6/29/2010 10:38 AM Page vii About the Authors Andrew G. Lee MD is currently the Chairman of The Methodist Hospital (TMH) Department of Ophthalmology, and a Professor of Ophthalmology, Neurology and Neurosurgery, Weill Cornell Medical College. He is an Adjunct Professor of Ophthalmology at the University of Iowa Hospitals and Clinics, and a Clinical Professor of Ophthalmology, UTMB Galveston. Paul W. Brazis MD is Professor of Ophthalmology and Neurology at the Mayo Clinic, Jacksonville, Florida. At the time of this publication, Mansoor Moghul MD and Fabiana Policeni MD were fellows in Neuro-ophthalmology at the University of Iowa Hospitals and Clinics. vii b892_FM.qxd 6/29/2010 10:38 AM Page viii TThhiiss ppaaggee iinntteennttiioonnaallllyy lleefftt bbllaannkk b892_FM.qxd 6/29/2010 10:38 AM Page ix Preface The management of emergent neuro-ophthalmic conditions can be a life saving encounter for the general ophthalmologist. This book is designed to help the comprehensive ophthalmologist to make emer- gency triage decisions for initial evaluation and treatment of potentially vision- or life-threatening conditions. This text is case-based and is intended to provide the reader with the opinion and expertise of two neuro-ophthalmologists. One, Dr. Lee is an ophthalmology-based neuro-ophthalmologist and the other, Dr. Brazis is a neurology-based neuro-ophthalmologist. Dr. Moghul and Dr. Policeni collected and collated the case vignettes during their fellowship with Dr. Lee at the University of Iowa Hospitals and Clinics. It is the goal of this text to provide a concise, easy to read, and practical guide to the emergent evaluation of these neuro-ophthalmic conditions. This book is designed to be a quick read and not to be all inclusive or comprehensive. The reader is directed to longer and more comprehensive neuro-ophthalmic texts for this information. It is also not our intention to provide anatomy, pharmacology, physiol- ogy, or other basic mechanisms of disease. Instead, this text is meant to be a quick reference and resource for the clinician in the emer- gency room or in the clinic facing a potentially vision- or life- threatening emergency and to provide immediate guidance for potentially “high stakes” decision making. We also wish to empha- size that the recommendations of this text represent the authors’ own opinions on management and are not intended to be, nor should they be, construed as a “standard of care.” The case vignettes are based upon real clinical cases but the clinical details of each case have ix
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