Eye Movement Disorders in Clinical Practice: Signs and Syndromes

Hardcover | February 10, 2014

byShirley H. Wray

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In Eye Movement Disorders in Clinical Practice, a leading expert with over thirty years of teaching experience in neurology and neuro-ophthalmology offers comprehensive instruction on the diagnosis and treatment of all varieties of eye movement disorders. This important new text reflects theimportance of correlating clinical signs of disorders in the oculomotor system with their neuroanatomic and neurophysiologic architecture. With its focus on signs and symptoms, the book advances lesion localization of eye movement disorders as the central clinical concern. The reader is alsopresented with a fresh review of bedside examination techniques in the ER, ICU, and walk-in clinic; productive ways of taking a clinical history; sign interpretation; source lesion localization; and, where appropriate, therapy.Unlike most of the titles on eye movement disorders, this book's chapters are arranged according to objective signs - like ptosis, neuromuscular syndromes, dizziness, vertigo, and syndromes of the medulla - rather than disease entities. This emphasis on the topographic analysis of symptoms and signsis contrary to the prevailing clinical approach in which responsibility for therapy typically drives the clinician to arrive at an etiological diagnosis as rapidly as possible. At risk in this process is nothing less than the art of clinical medicine. One of the aims of this book is to reverse thisprocess, and move clinicians back to the observation and interpretation of signs. The text features over 100 clinical cases, each one challenging the reader to determine the neuroanatomical location of the patient's lesion. This exercise provides the anatomical guidance needed to make critical diagnostic and management decisions in patients who often present with abnormal eyemovements. Dynamic and intellectually stimulating, Eye Movement Disorders in Clinical Practice is essential for any reader wanting to better understand eye movement disorders.

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In Eye Movement Disorders in Clinical Practice, a leading expert with over thirty years of teaching experience in neurology and neuro-ophthalmology offers comprehensive instruction on the diagnosis and treatment of all varieties of eye movement disorders. This important new text reflects theimportance of correlating clinical signs of d...

Shirley H. Wray, MD, PhD, FRCP is Professor of Neurology at Harvard Medical School and Director of the Unit for Neurovisual Disorders in the Department of Neurology at Massachusetts General Hospital, Boston, MA.
Format:HardcoverDimensions:432 pages, 10 × 7 × 0.98 inPublished:February 10, 2014Publisher:Oxford University PressLanguage:English

The following ISBNs are associated with this title:

ISBN - 10:0199921806

ISBN - 13:9780199921805

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Table of Contents

1. How the Brain Moves the Eyes2. The Eyelid and its Signs3. PTOSIS and Neuromuscular Syndromes4. The Extraocular Muscles and Diplopia5. Cranial Nerves Three, Four, Six and Their Syndromes6. Horizontal Gaze and Syndromes of the Pons7. Vertical Gaze and Syndromes of the Midbrain8. Dizziness, Vertigo and Syndromes of the Medulla9. The Cerebellum and its Syndromes10. Oscillopsia, Nystagmus, Saccadic Oscillations and Intrusions