CONTINUUM Lifelong Learning in Neurology最新文献

Symptomatic Treatment of Neuro-ophthalmic Visual Disturbances. 神经眼科视力障碍的对症治疗。

CONTINUUM Lifelong Learning in Neurology Pub Date : 2025-04-01 DOI: 10.1212/CON.0000000000001562

Sachin Kedar

{"title":"Symptomatic Treatment of Neuro-ophthalmic Visual Disturbances.","authors":"Sachin Kedar","doi":"10.1212/CON.0000000000001562","DOIUrl":"10.1212/CON.0000000000001562","url":null,"abstract":"Objective: Neuro-ophthalmic deficits can significantly impair quality of life. This article reviews neuro-ophthalmic symptoms and their impact on activities of daily living and discusses therapies that can improve quality of life.Latest developments: Loss of central vision, peripheral visual field deficits, and diplopia can result in loss of driving privileges, restricted ambulation, impaired reading, and poor social interaction. Poor vision is associated with worse cognition and mental health deterioration in older patients, which can be reversed by ophthalmic interventions such as cataract surgery. Ophthalmic conditions such as dry eye syndrome and convergence insufficiency are common in patients with neurologic diseases such as Parkinson disease and can affect daily activities such as reading and watching television. Low-vision occupational therapy can improve quality of life by helping patients adjust to visual disturbances from neuro-ophthalmic disorders. Vision-related quality of life is an important outcome measure in studies of neuro-ophthalmic diseases. It is most frequently measured using the National Eye Institute Visual Function Questionnaire.Essential points: Neurologists should screen vision, visual symptoms, and vision-related quality of life when managing patients with neurologic diseases. Patients must be encouraged to consult an eye care provider to manage common ophthalmic conditions such as refractive error, dry eyes, and cataracts. Neurologists should partner with low-vision occupational therapy services to improve vision, cognition, mental health, and quality of life in patients with these conditions.","PeriodicalId":52475,"journal":{"name":"CONTINUUM Lifelong Learning in Neurology","volume":"31 2","pages":"566-582"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143781878","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}

引用次数: 0

Postreading Self-Assessment and CME Test. 读后自我评估和继续医学教育测试。

CONTINUUM Lifelong Learning in Neurology Pub Date : 2025-04-01 DOI: 10.1212/CON.0000000000001547

Douglas J Gelb, Adam Kelly

引用次数: 0

Key Points for Issue. 问题要点。

CONTINUUM Lifelong Learning in Neurology Pub Date : 2025-04-01 DOI: 10.1212/01.cont.0001110764.63401.62

引用次数: 0

Postreading Self-Assessment and CME Test-Preferred Responses. 读后自我评估和继续医学教育测试首选答案。

CONTINUUM Lifelong Learning in Neurology Pub Date : 2025-04-01 DOI: 10.1212/CON.0000000000001548

Douglas J Gelb, Adam Kelly

引用次数: 0

Ocular Imaging and Electrophysiology. 眼部成像与电生理学。

CONTINUUM Lifelong Learning in Neurology Pub Date : 2025-04-01 DOI: 10.1212/CON.0000000000001543

Robert M Mallery

{"title":"Ocular Imaging and Electrophysiology.","authors":"Robert M Mallery","doi":"10.1212/CON.0000000000001543","DOIUrl":"10.1212/CON.0000000000001543","url":null,"abstract":"Objective: This article describes how ocular imaging techniques and electrophysiology studies aid in the localization, diagnosis, and management of disorders affecting vision.Latest development: The retina and optic nerve are functionally and embryologically part of the central nervous system, and they are the exceptional parts of the brain that can be directly examined by the neurologist or ophthalmologist (through the fundus examination). Ocular imaging techniques including fundus photography, optical coherence tomography (OCT), retinal angiography, and orbital ultrasound allow more detailed assessments of the retina and optic nerve. In some settings, nonmydriatic fundus photography can provide more accurate assessments than direct ophthalmoscopy. OCT allows high-resolution imaging of retinal and optic nerve structures. Combined with automated segmentation algorithms to allow for the measurement of retinal nerve fiber layer and macular ganglion cell layer thicknesses, clinicians and investigators can determine how these layers are affected in optic neuropathies and some neurodegenerative disorders. Electrophysiologic studies provide complementary information to ocular imaging modalities. Electroretinography assesses the function primarily of photoreceptor rods and cones, whereas visual evoked potentials assess primarily optic nerve function.Essential points: Ocular imaging and electrophysiology techniques aid in diagnosing and managing neuro-ophthalmic disorders and are increasingly accessible to neurologists.","PeriodicalId":52475,"journal":{"name":"CONTINUUM Lifelong Learning in Neurology","volume":"31 2","pages":"356-380"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143781825","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}

引用次数: 0

Papilledema. 脑膜水肿

CONTINUUM Lifelong Learning in Neurology Pub Date : 2025-04-01 DOI: 10.1212/CON.0000000000001556

Susan P Mollan

{"title":"Papilledema.","authors":"Susan P Mollan","doi":"10.1212/CON.0000000000001556","DOIUrl":"10.1212/CON.0000000000001556","url":null,"abstract":"Objective: This article describes the recognition, investigation, and management of papilledema.Latest developments: Papilledema describes optic disc swelling (usually bilateral) arising from raised intracranial pressure. Due to the serious nature of papilledema, there is a fear of underdiagnosis and hence one of the major stumbling points is the correct identification of papilledema. While there has been a stepwise increase in the incidence and prevalence of idiopathic intracranial hypertension due to the worldwide epidemic of people living with obesity, secondary causes such as cerebral venous sinus thrombosis, intracranial masses, and infections must not be missed. Our ability to image the optic nerve has been greatly enhanced by the directed use of optical coherence tomography, with recent studies observing novel imaging findings that can help distinguish pseudopapilledema from papilledema. The structured investigation of papilledema is now routine and research into the management of CSF disorders is finding new avenues for targeted treatments.Essential points: Confirmation of papilledema typically requires a thorough ocular examination including visual field testing. Ocular imaging such as color fundus photographs and optical coherence tomography are useful. Joint care between ophthalmologists and neurologists is key to treating the underlying condition and managing any visual dysfunction and headache.","PeriodicalId":52475,"journal":{"name":"CONTINUUM Lifelong Learning in Neurology","volume":"31 2","pages":"436-462"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143781873","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}

引用次数: 0

List of Abbreviations. 缩略语列表。

CONTINUUM Lifelong Learning in Neurology Pub Date : 2025-04-01 DOI: 10.1212/01.cont.0001110772.40746.a1

引用次数: 0

The Eyes Have It. 眼见为实

CONTINUUM Lifelong Learning in Neurology Pub Date : 2025-04-01 DOI: 10.1212/cont.0000000000001588

Lyell K Jones

引用次数: 0

Supranuclear Disorders of Eye Movements. 核上性眼球运动障碍。

CONTINUUM Lifelong Learning in Neurology Pub Date : 2025-04-01 DOI: 10.1212/CON.0000000000001558

Gregory P Van Stavern

引用次数: 0

SELF-ASSESSMENT AND CME. 自我评估和 CME。

CONTINUUM Lifelong Learning in Neurology Pub Date : 2025-04-01 DOI: 10.1212/CON.0000000000001549

引用次数: 0