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Neuro-Ophthalmic Emergencies.

Samuel J Spiegel1, Heather E Moss2

  • 1Department of Neurology and Neurological Sciences, Stanford University, 300 Pasteur Drive, Palo Alto, CA 94305, USA.

Neurologic Clinics
|April 26, 2021
PubMed
Summary
This summary is machine-generated.

Prompt identification and treatment of neuro-ophthalmic emergencies are crucial to prevent vision loss. This review outlines approaches to emergent conditions affecting the optic nerve, visual pathways, and eye movements.

Keywords:
Cavernous sinus syndromeCentral retinal artery occlusionEmergencyGiant cell arteritisNeuro-ophthalmologyPapilledemaPituitary apoplexyRhino-orbital-cerebral mucositis

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Area of Science:

  • Ophthalmology
  • Neurology

Background:

  • Neuro-ophthalmic emergencies can cause irreversible vision loss and significant morbidity.
  • Timely diagnosis and intervention are critical for favorable patient outcomes.

Purpose of the Study:

  • To provide a framework for evaluating patients presenting with neuro-ophthalmic symptoms.
  • To review the presentation, evaluation, and management of emergent neuro-ophthalmic conditions.

Main Methods:

  • Literature review of emergent neuro-ophthalmic conditions.
  • Discussion of diagnostic and treatment strategies for selected emergent causes.

Main Results:

  • Framework for approaching patients with neuro-ophthalmic symptoms.
  • Review of emergent causes including blurry vision, transient vision loss, papilledema, and diplopia.
  • Specific conditions discussed: giant cell arteritis, cardioembolic disease, aggressive infections.

Conclusions:

  • Effective management of neuro-ophthalmic emergencies requires prompt recognition and appropriate treatment.
  • Understanding emergent conditions is vital for ophthalmologists and neurologists.