Neuro-OphthalmologyPub Date : 2021-08-11eCollection Date: 2021-01-01DOI: 10.1080/01658107.2021.1947324
Leah N Kim, Dennis Cordato, Alan McDougall, Clare Fraser
{"title":"Pilot Study: The Queen Square Screening Test for Visual Deficits in Dementia.","authors":"Leah N Kim, Dennis Cordato, Alan McDougall, Clare Fraser","doi":"10.1080/01658107.2021.1947324","DOIUrl":"https://doi.org/10.1080/01658107.2021.1947324","url":null,"abstract":"<p><p>The Queen Square Screening Test for Visual Deficits (QS test) screens for changes in visual processing. Our pilot study aimed to review the applicability of the QS test in individuals with dementia compared with those with normal cognition. Participants with major and minor neurocognitive disorder scored 50/71 (n=12) and 61/71 (n=10) respectively on the QS test, compared to 65/71 for age-matched healthy controls (n=11). The QS test score correlated with cognitive impairment as measured using the Rowland Universal Dementia Assessment Scale (r = 0.74). The QS test is an affordable and easy bedside screening test for visual processing changes.</p>","PeriodicalId":19257,"journal":{"name":"Neuro-Ophthalmology","volume":"45 6","pages":"380-385"},"PeriodicalIF":0.8,"publicationDate":"2021-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8555542/pdf/IOPH_45_1947324.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39578389","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Atypical Blepharospasm with Oromandibular Dystonia Associated with Cerebral Amyloid Angiopathy","authors":"A. Carey, N. Miller","doi":"10.1080/01658107.2021.1958871","DOIUrl":"https://doi.org/10.1080/01658107.2021.1958871","url":null,"abstract":"ABSTRACT A case of atypical blepharospasm with oromandibular dystonia is presented in a patient found to have cerebral amyloid angiopathy on magnetic resonance imaging and a shared mechanism is discussed.","PeriodicalId":19257,"journal":{"name":"Neuro-Ophthalmology","volume":"11 1","pages":"178 - 181"},"PeriodicalIF":0.8,"publicationDate":"2021-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75329747","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
D. Bellows, N. Chan, John J. Chen, Hui-Chen Cheng, J. N. Nij Bijvank, M. Vaphiades, K. Weber, S. Wong, Xiaojun Zhang
{"title":"Neuro-Ophthalmic Literature Review","authors":"D. Bellows, N. Chan, John J. Chen, Hui-Chen Cheng, J. N. Nij Bijvank, M. Vaphiades, K. Weber, S. Wong, Xiaojun Zhang","doi":"10.1080/01658107.2021.1957604","DOIUrl":"https://doi.org/10.1080/01658107.2021.1957604","url":null,"abstract":"Greater attenuation of retinal atrophy may occur after 12 months of rituximab treatment, following which time GCIPL atrophy rates are similar to those observed among natalizumab-treated patients with RRMS and HCs. I Xiaojun Zhang i Visuomotor performance as the proxy of training-related function recovery in patients with mu... Lipp I, Foster C, Stickland R, Sgarlata E, Tallantyre EC, Davidson AE, Robertson NP, Jones DK, Wise RG, Tomassini V. Predictors of training-related improvement in visuomotor performance in patients with multiple sclerosis: A behavioural and MRI study. I Michael S. Vaphiades i Modulation of retinal atrophy with rituximab in multiple sclerosis Lambe J, Risher H, Filippatou AG, Murphy OC, Sotirchos ES, Ehrhardt H, Ogbuokiri E, Pellegrini N, Toliver B, Luciano NJ, Davis S, Fioravante N, Kwakyi O, Prince JL, Calabresi PA, Fitzgerald KC, Saidha S. Modulation of Retinal Atrophy With Rituximab in Multiple Sclerosis. This study conducted by a British multidisciplinary group of researchers chose visuo-motor performance as the proxy of functional recovery of multiple sclerosis (MS) patients after undergoing a 4-weeks homebased training session, combing demographic with baseline clinical features and magnetic resonance imaging (MRI) measures to predict function recovery of MS patients. [Extracted from the article] Copyright of Neuro-Ophthalmology is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)","PeriodicalId":19257,"journal":{"name":"Neuro-Ophthalmology","volume":"118 1","pages":"350 - 359"},"PeriodicalIF":0.8,"publicationDate":"2021-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79399416","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
C. Hemptinne, A. Coche, T. Duprez, P. Demaerel, C. Raftopoulos, A. Boschi
{"title":"Optic Neuropathy Revealing Severe Superficial Siderosis in the Setting of Long-standing Low-grade Intracranial Neoplasm","authors":"C. Hemptinne, A. Coche, T. Duprez, P. Demaerel, C. Raftopoulos, A. Boschi","doi":"10.1080/01658107.2021.1958870","DOIUrl":"https://doi.org/10.1080/01658107.2021.1958870","url":null,"abstract":"ABSTRACT Two cases of optic neuropathy due to superficial siderosis (SS) are reported in two patients, aged 29 and 38 years, operated for intracranial neoplasms, the first one with a desmoplasic infantile ganglioglioma excised in 1991, and the other one with a pilocytic astrocytoma, operated on in 1997, 1998 and 2016. Both patients presented with progressive loss of visual acuity, as a result of bilateral optic nerve atrophy, as well as unsteadiness, ataxic gait and hearing loss. Magnetic resonance imaging (MRI) of the brain and spine, including gradient echo (GRE) T2-weighted acquisitions, revealed thin optic nerves and strong hypointensity with susceptibility artefacts corresponding to haemosiderin deposits within the meningeal layers of the spine, the infra- and supratentorial spaces of the brain and the peri-optic sheaths in both patients. The cerebrospinal fluid (CSF) was macroscopically haemorrhagic in one patient, who underwent a dynamic myelography, which failed to reveal any trans-dural CSF leakage. Neuro-ophthalmological symptoms due to SS, such as visual acuity loss, have been scarcely reported. MRI using GRE T2-weighted sequences highlighting the presence of haemosiderin deposits plays a key role in the diagnosis of this condition. Treatment should aim at preventing haemosiderin deposition by treating the cause of the subarachnoid bleeding.","PeriodicalId":19257,"journal":{"name":"Neuro-Ophthalmology","volume":"20 1","pages":"171 - 177"},"PeriodicalIF":0.8,"publicationDate":"2021-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79240403","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Neuro-OphthalmologyPub Date : 2021-07-30eCollection Date: 2021-01-01DOI: 10.1080/01658107.2021.1959619
Haaris M Khan, Julian Lo, Marinko V Sarunic, Peter A Gooderham, Samuel Yip, Claire A Sheldon, Magdalena A Wirth
{"title":"Quantitative Optical Coherence Tomography Angiography in Patients with Moyamoya Vasculopathy: A Pilot Study.","authors":"Haaris M Khan, Julian Lo, Marinko V Sarunic, Peter A Gooderham, Samuel Yip, Claire A Sheldon, Magdalena A Wirth","doi":"10.1080/01658107.2021.1959619","DOIUrl":"https://doi.org/10.1080/01658107.2021.1959619","url":null,"abstract":"<p><p>Moyamoya (MM) disease is a chronic cerebrovascular disease that can lead to progressive stenosis of the terminal portions of the internal carotid arteries and their proximal branches. We sought to investigate and quantify retinal vascular changes in patients with MM vasculopathy (MMV) using optical coherence tomography angiography (OCTA) compared to healthy controls. Our findings reveal retinal microvascular changes in patients with MMV and highlights the potential of OCTA imaging for the detection of subclinical retinal pathology.</p>","PeriodicalId":19257,"journal":{"name":"Neuro-Ophthalmology","volume":"45 6","pages":"386-390"},"PeriodicalIF":0.8,"publicationDate":"2021-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/01658107.2021.1959619","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39578390","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Aishwarya Sriram, S. Lessen, K. Hsu, Cheng C Zhang
{"title":"Lyme Neuroborreliosis Presenting as Multiple Cranial Neuropathies","authors":"Aishwarya Sriram, S. Lessen, K. Hsu, Cheng C Zhang","doi":"10.1080/01658107.2021.1951769","DOIUrl":"https://doi.org/10.1080/01658107.2021.1951769","url":null,"abstract":"ABSTRACT Neuroborreliosis can manifest with cranial nerve (CN) palsies, commonly CN VII. Rarely have isolated or multiple palsies been reported. We describe a case of a young female from a Lyme endemic region who presented with bilateral CN VI palsies and a dilated right pupil, possibly a partial CN III palsy. She later developed CN VII palsy and bilateral enhancement of multiple cranial nerves on neuroimaging. She was diagnosed with Lyme disease by serological testing, with gradual improvement on antibiotics. Our case illustrates that neuroborreliosis can present as any or multiple CN palsies, and should be considered particularly in endemic areas.","PeriodicalId":19257,"journal":{"name":"Neuro-Ophthalmology","volume":"8 1","pages":"131 - 135"},"PeriodicalIF":0.8,"publicationDate":"2021-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85267337","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Strabismus Surgery","authors":"Veeral S. Shah","doi":"10.1080/01658107.2021.1951770","DOIUrl":"https://doi.org/10.1080/01658107.2021.1951770","url":null,"abstract":"During my paediatric ophthalmology fellowship, I commonly turned to the perennial Wright’s “Color Atlas of Strabismus Surgery”. While it continues to serve as a traditional reliable source for trainees and practising ophthalmologists to understand strabismus patterns and deviations, it lacks some of the current methodology and clinical experiential details for complex strabismus. Dr Ludwig’s Strabismus Surgery book is a refreshing unique manual that addresses strabismus patterns with regards to the underlying mechanisms. This unconventional organisation includes 36 chapters in which strabismus topics are addressed by clinical experts with relevant clinical pearls, representative cases, and overall editor comments. In addition, a clear strength of this book is that these well-written chapters are supplemented by 636 germane illustrations, and 91 effective strabismus videos. In particular, the strabismus diagnosis and surgical treatment section includes excellent and distinctive chapters on collagen and healing, injection of eye muscles to treat Strabismus, and Strabismus related to central nervous system disorders (Duane’s syndrome, nystagmus surgery, disassociated vertical deviations and cranial nerve palsies). For the surgeon’s appetite, the following chapters of advanced techniques include pulley surgeries, injection techniques, adjustable sutures/hang-back suture techniques, miniprocedures/compartmental surgery for small angle strabismus, and transpositions are quite satiating. Dr Ludwig’s book has a comprehensive approach to strabismus surgery and discussion in terms of surgical decision making that not only caters to trainees in terms of resident and paediatric ophthalmology fellows, but addresses issues that veteran strabismus surgeons would find applicable, especially the botulinum toxin and traumatic strabismus sections. After reviewing the book, I had my paediatric ophthalmology fellow look at the book and who favourably noted that this book would be “great for paediatric ophthalmology fellows”. While the clear strength of this book is the involvement of numerous clinical experts, there are several presented topics that are controversial, and as editor, Dr Ludwig admirably balances her comments with these diverse points of views. Overall, this is an excellent strabismus surgery book with up-to-date illustrations and videos, that will prove useful to any future and current strabismus surgeons.","PeriodicalId":19257,"journal":{"name":"Neuro-Ophthalmology","volume":"26 1","pages":"207 - 207"},"PeriodicalIF":0.8,"publicationDate":"2021-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80423240","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
D. Bellows, N. Chan, John J. Chen, Hui-Chen Cheng, P. Macintosh, J. N. Nij Bijvank, M. Vaphiades, K. Weber, S. Wong
{"title":"Neuro-Ophthalmic Literature Review","authors":"D. Bellows, N. Chan, John J. Chen, Hui-Chen Cheng, P. Macintosh, J. N. Nij Bijvank, M. Vaphiades, K. Weber, S. Wong","doi":"10.1080/01658107.2021.1947658","DOIUrl":"https://doi.org/10.1080/01658107.2021.1947658","url":null,"abstract":"Neuro-Ophthalmic Literature Review David A. Bellows, Noel C.Y. Chan, John J. Chen , Hui-Chen Cheng, Peter W. MacIntosh, Jenny A. Nij Bijvank, Michael S. Vaphiades, Konrad P. Weber, and Sui H. Wong Clinical characteristics of idiopathic intracranial hypertension in patients over 50 years of age: A multicenter clinical cohort study Downie, PA, Chen JJ, Bhatti MT, Melson AT, Van Stavern GP, McClelland CM, Lindgre BR, Sharieff JA, Lee MS. Clinical Characteristics of Idiopathic Intracranial Hypertension in Patients Over 50 Years of Age: A multicenter clinical cohort study. Am Journal Ophthalmol. 2021;224: 96–101. This multicenter study analysed the clinical characteristics of 65 patients over the age of 50 years (median age 54 years) with idiopathic intracranial hypertension (IIH) and compared these to a control group of patients with IIH who were under the age of 50 years (median age 30 years). There were several significant characteristics that distinguish the two groups including sex distribution, symptoms, cerebrospinal fluid pressure, comorbidities, and outcomes. The older age group showed a lower preponderance of females (78.5% vs. 92.3%). In regards to symptoms the older group of patients had fewer headaches (50.8% vs. 80%). However, the incidence of other symptoms such as pulse-synchronous tinnitus, vision changes, transient visual obscurations, and diplopia were similar in both cohorts. The older age group had a higher rate of comorbidities (hypertension, diabetes, and thyroid disease) but there was no difference between the groups in the rates of sleep apnoea, anaemia, or polycystic ovarian syndrome. Older patients were less likely to be on cycline-type antibiotics (0% vs. 10.8%). Interestingly, an older age was not found to be associated with a worse outcome as determined by mean deviation on perimetry or need for surgical intervention. David A. Bellows Titre matters when interpreting MOG-IgG! Sechi E, Buciuc M, Pittock SJ, Chen JJ, Fryer JP, Jenkins SM, Budhram A, Weinshenker BG, LopezChiriboga AS, Tillema J-M, McKeon A, Mills JR, Tobin WO, Flanagan EP. Positive Predictive Value of Myelin Oligodendrocyte Glycoprotein Autoantibody Testing. JAMA Neurol. 2021;78(6):741–746. doi:10.1001/jamaneurol.2021.0912 In the recent decade, neuroinflammatory or demyelinating diseases such as neuromyelitis optica (NMO) and myelin oligodendrocyte glycoprotein (MOG)IgG1 associated disorder (MOGAD) had gained more attention from neurologists and neuroophthalmologists with an increased popularity and acceptance in early testing of related antibodies. The change in ordering practice is understandable given the distinct nature and different managements required for these disorders. However, false-positive results can occur and it might be about time to evaluate the positive predictive value (PPV) of these tests in the real world. In this study, patients who were consecutively tested for MOG-IgG1 by live cell-based flow cytometry during their diagnostic workup in","PeriodicalId":19257,"journal":{"name":"Neuro-Ophthalmology","volume":"15 11 1","pages":"283 - 291"},"PeriodicalIF":0.8,"publicationDate":"2021-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86665788","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Neuro-OphthalmologyPub Date : 2021-06-18eCollection Date: 2021-01-01DOI: 10.1080/01658107.2021.1937231
Stephen A Madill
{"title":"Transient Visual Loss in Young Females with Crowded Optic Discs: A Proposed Aetiology.","authors":"Stephen A Madill","doi":"10.1080/01658107.2021.1937231","DOIUrl":"https://doi.org/10.1080/01658107.2021.1937231","url":null,"abstract":"<p><p>I present four cases of transient visual loss (TVL) in young females with crowded optic discs. One patient had asymmetrical cup-to-disc ratios and only experienced TVL in the eye with the more crowded disc. I review the evidence for blood flow autoregulatory dysfunction within crowded optic discs in combination with reduced ocular perfusion pressure to propose a possible aetiology for both unilateral and bilateral TVL in young females with crowded optic discs.</p>","PeriodicalId":19257,"journal":{"name":"Neuro-Ophthalmology","volume":"45 6","pages":"372-379"},"PeriodicalIF":0.8,"publicationDate":"2021-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/01658107.2021.1937231","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39578388","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
J. P. Luckett, H. Sotoudeh, B. E. Tabibian, J. Markert, L. Kline
{"title":"Cerebral Venous Sinus Thrombosis following Ventriculoperitoneal Shunting for Idiopathic Intracranial Hypertension","authors":"J. P. Luckett, H. Sotoudeh, B. E. Tabibian, J. Markert, L. Kline","doi":"10.1080/01658107.2021.1931351","DOIUrl":"https://doi.org/10.1080/01658107.2021.1931351","url":null,"abstract":"ABSTRACT A 30-year-old woman with idiopathic intracranial hypertension experienced worsening headaches and decreasing vision in her left eye. She underwent an uncomplicated ventriculoperitoneal shunt procedure but the following day was found to have cerebral venous sinus thrombosis. Treatment included venous sinus thrombectomy and anticoagulation. She had a favourable clinical outcome. Extensive evaluation including testing for thrombophilia was unremarkable. Potential causes for this rare association are discussed.","PeriodicalId":19257,"journal":{"name":"Neuro-Ophthalmology","volume":"18 1","pages":"91 - 94"},"PeriodicalIF":0.8,"publicationDate":"2021-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83705045","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}