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Journal of Neuro-Ophthalmology最新文献

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Skew Deviation After Subarachnoid Hemorrhage and Hydrocephalus. 蛛网膜下腔出血和脑积水后的偏斜。
IF 2 4区 医学 Q3 CLINICAL NEUROLOGY Pub Date : 2024-09-01 Epub Date: 2023-01-25 DOI: 10.1097/WNO.0000000000001809
Matthew N Parvus, Noor A Laylani, Pamela A Davila, Andrew G Lee
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引用次数: 0
Myelin Oligodendrocyte Glycoprotein-Related Optic Neuritis and Chiasmitis Mimicking Nonarteritic Anterior Ischemic Optic Neuropathy. 髓鞘寡突胶质细胞糖蛋白相关性视神经炎和假性角膜炎模拟非动脉炎性前部缺血性视神经病变
IF 2 4区 医学 Q3 CLINICAL NEUROLOGY Pub Date : 2024-09-01 Epub Date: 2023-08-07 DOI: 10.1097/WNO.0000000000001962
Armin Handzic, Natalie Brossard-Barbosa, Edward Margolin
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引用次数: 0
The Visual Threat of Intracranial Hypertension After Superior Sagittal Sinus Injury. 上矢状窦损伤后颅内高压的视觉威胁
IF 2 4区 医学 Q3 CLINICAL NEUROLOGY Pub Date : 2024-09-01 Epub Date: 2023-05-11 DOI: 10.1097/WNO.0000000000001868
Federico Maestri, Etienne Lefevre, Ilyes Krifa, Valérie Touitou
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引用次数: 0
Sustained Remission From Idiopathic Intracranial Hypertension After Shunt Removal. 分流术后特发性颅内高压持续缓解
IF 2 4区 医学 Q3 CLINICAL NEUROLOGY Pub Date : 2024-09-01 Epub Date: 2023-05-12 DOI: 10.1097/WNO.0000000000001875
Brendan K Tao, Jonathan A Micieli
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引用次数: 0
Curriculum in Neuro-Ophthalmic Principles for National Football League Game Officials: Comparison of Pretraining and Posttraining Ratings of Knowledge. 全国橄榄球联盟比赛官员的神经眼科原理课程:培训前和培训后的知识评级比较。
IF 2 4区 医学 Q3 CLINICAL NEUROLOGY Pub Date : 2024-09-01 Epub Date: 2023-07-13 DOI: 10.1097/WNO.0000000000001926
Ashtyn Z Vogt, Matthew Brent Woodland, Michael J Carter, Andrew G Lee

Background: We hypothesize that creation of a structured curriculum in neuro-ophthalmology principles might improve self-rated learner satisfaction and knowledge base of National Football League (NFL) game officials. Our initial objective is to create the said curriculum in coordination with game official experts and staff at the NFL to increase levels of understanding of neuro-ophthalmology principles. We reviewed the prior published literature on applicable neuro-ophthalmic principles in professional sports. Major neuro-ophthalmic principles reviewed include both the efferent (e.g., saccadic and pursuit eye movements and vestibulo-ocular reflex) and afferent (visual field, dynamic visual acuity during body movement, and selective attention deficits).

Methods: A 6-question survey pertaining to levels of understanding, future applicability, relevance, satisfaction, and interest in additional training was then given to 26 individuals before and after a lecture given by Dr. Andrew Lee in Plano, TX. The primary outcome measure was the creation of the curriculum followed by real-world testing for face and content validity and ending with a self-rated assessment.

Results: Twenty-one individuals completed the prelecture and postlecture survey out of 26 individuals who attended. Prelecture means for the level of understanding of oculomotor terms and the likelihood of using said terms were 3.4 and 3.2, respectively. Postlecture means were 8.9 and 8.8, respectively. The lecture was rated 9.2 of 10 for relevance to coaching and teaching officials, and individuals rated their interest in further content as 9.4 of 10.

Conclusions: This study found that NFL game officials are interested in learning more about the science behind play-calling in terms of neuro-ophthalmology principles and practices. In addition, from our pilot survey, it is evident that even one lecture can improve participants' level of understanding and likelihood of learning more about neuro-ophthalmic principles.

背景:我们假设,创建一个有关神经眼科原理的结构化课程可能会提高学习者的自评满意度和美国国家橄榄球联盟(NFL)比赛官员的知识基础。我们的初步目标是与 NFL 的比赛官员专家和工作人员合作创建上述课程,以提高对神经眼科学原理的理解水平。我们回顾了之前出版的有关职业体育中适用的神经眼科原理的文献。回顾的主要神经眼科原理包括传出(如眼球回转和追视运动以及前庭眼反射)和传入(视野、身体运动时的动态视敏度以及选择性注意力缺陷):在安德鲁-李博士(Dr. Andrew Lee)于德克萨斯州普莱诺市(Plano)举办讲座之前和之后,对 26 人进行了 6 个问题的调查,内容涉及理解程度、未来适用性、相关性、满意度以及对其他培训的兴趣。主要的结果测量是课程的创建,然后是对表面和内容有效性的实际测试,最后是自我评估:在参加讲座的 26 人中,有 21 人完成了讲座前和讲座后的调查。对眼球运动术语的理解程度和使用这些术语的可能性的课前平均值分别为 3.4 和 3.2。讲座后的平均值分别为 8.9 和 8.8。讲座与教练和教学官员的相关性被评为 9.2 分(满分 10 分),个人对进一步内容的兴趣被评为 9.4 分(满分 10 分):本研究发现,NFL 比赛官员有兴趣从神经眼科原理和实践方面了解更多有关比赛指挥背后的科学知识。此外,从我们的试点调查中可以看出,即使是一次讲座也能提高参与者对神经眼科原理的理解水平和学习更多知识的可能性。
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引用次数: 0
Optometric Practice Patterns for Acute Central and Branch Retinal Artery Occlusion. 急性视网膜中央动脉和分支动脉闭塞的验光实践模式。
IF 2 4区 医学 Q3 CLINICAL NEUROLOGY Pub Date : 2024-09-01 Epub Date: 2023-09-21 DOI: 10.1097/WNO.0000000000001915
Kelsey M Mileski, Valérie Biousse, Nancy J Newman, Alexis M Flowers, Wesley Chan, Michael Dattilo

Background: Optometrists are often the first providers to evaluate patients with acute vision loss and are often the first to diagnose a central retinal artery occlusion (CRAO). How quickly these patients present to the optometrist, are diagnosed, and referred for evaluation are major factors influencing the possibility of acute therapeutic intervention. Our aim was to survey the U.S. optometric community to determine current optometric practice patterns for management of CRAO.

Methods: An anonymous seven-question survey was emailed in 2020 to the 5,101 members of the American Academy of Optometry and the 26,502 members of the American Optometric Association.

Results: Of 31,603 optometrists who were sent the survey, 1,926 responded (6.1%). Most respondents (1,392/1,919, 72.5%) worked in an optometry-predominant outpatient clinic and were less than 30 minutes from a certified stroke center (1,481/1,923, 77.0%). Ninety-eight percent (1,884/1,922) of respondents had diagnosed less than 5 CRAOs in the previous year, and 1,000/1,922 (52.0%) had not diagnosed a CRAO in the prior year. Of the optometrists who diagnosed at least one CRAO in the previous year, 661/922 (71.7%) evaluated these patients more than 4 hours after the onset of vision loss. Optometrists who diagnosed a CRAO or branch retinal artery occlusion referred patients to an emergency department (ED) affiliated with a certified stroke center (844/1,917, 44.0%), an outpatient ophthalmology clinic (764/1,917, 39.9%), an ED without a stroke center (250/1,917, 13.0%), an outpatient neurology clinic (20/1,917, 1.0%), or other (39/1,917, 2.0%); most (22/39, 56.4%) who responded "other" would refer to a primary care physician.

Conclusions: Optometrists are likely the first providers to evaluate patients with acute vision loss, including from a retinal artery occlusion. However, only 6.1% of optometrists responded to our survey despite 2 reminder emails, likely reflecting the lack of exposure to acute retinal artery occlusions, and a potential lack of interest of optometrists in participating in research. Of the optometrists who reported evaluating a CRAO in the previous year, less than 29% saw the patient within 4 hours of vision loss. In addition, a large portion of optometrists are referring acute CRAO patients to outpatient ophthalmology clinics, delaying appropriate acute management. Therefore, it is imperative that optometrists and ophthalmologists are educated to view acute retinal arterial ischemia as an acute stroke and urgently refer these patients to an ED affiliated with a stroke center. The delay in patient presentation and these referral patterns make future clinical trials for acute CRAO challenging.

背景:验光师通常是第一个评估急性视力丧失患者的提供者,也是第一个诊断视网膜中央动脉阻塞(CRAO)的提供者。这些患者向验光师就诊、诊断和转诊评估的速度是影响急性治疗干预可能性的主要因素。我们的目的是调查美国验光界,以确定CRAO管理的当前验光实践模式。方法:2020年,通过电子邮件向美国验光学会的5101名成员和美国验光协会的26502名成员发送了一份匿名的七个问题的调查。结果:在收到调查的31603名验光师中,1926人回答(6.1%)。大多数受访者(1392/1919,72.5%)在以验光为主的门诊诊所工作,距离认证的中风中心不到30分钟(1481/1923,77.0%)。98%(1884/1922)的受访者在前一年诊断出的CRAO少于5例,1000/1922(52.0%)在前一年度没有诊断出CRAO。在前一年诊断出至少一例CRAO的验光师中,661/922(71.7%)在视力下降发作后4小时以上对这些患者进行了评估。诊断为CRAO或视网膜分支动脉闭塞的验光师将患者转诊至有认证中风中心的急诊科(ED)(844/1917,44.0%)、门诊眼科诊所(764/1917,39.9%)、没有中风中心的ED(250/1917,13.0%)、门诊神经科诊所(20/1917,1.0%)或其他(39/1917,2.0%);大多数(22/39,56.4%)回答“其他”的人会去看初级保健医生。结论:验光师可能是第一批评估急性视力丧失患者的提供者,包括视网膜动脉阻塞患者。然而,尽管有2封提醒电子邮件,但只有6.1%的验光师对我们的调查做出了回应,这可能反映出他们没有接触到急性视网膜动脉闭塞,而且验光师可能对参与研究缺乏兴趣。在前一年报告评估CRAO的验光师中,只有不到29%的人在视力下降的4小时内看到了患者。此外,大部分验光师将急性CRAO患者转诊至眼科门诊,延误了适当的急性治疗。因此,验光师和眼科医生必须接受教育,将急性视网膜动脉缺血视为急性中风,并紧急将这些患者转诊至中风中心附属的急诊室。患者就诊的延迟和这些转诊模式使未来的急性CRAO临床试验具有挑战性。
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引用次数: 0
Dynamic Changes in Metabolic Status Are Associated With Risk of Ocular Motor Cranial Nerve Palsies. 代谢状态的动态变化与眼球运动性颅神经麻痹的风险有关。
IF 2 4区 医学 Q3 CLINICAL NEUROLOGY Pub Date : 2024-09-01 Epub Date: 2023-08-31 DOI: 10.1097/WNO.0000000000001978
Daye Diana Choi, Kyung-Ah Park, Kyungdo Han, Sei Yeul Oh

Background: To investigate whether recovery from or development of metabolic syndrome (MetS) in a population is associated with an altered risk for ocular motor cranial nerve palsy (CNP).

Methods: This cohort study included 4,233,273 adults without a history of ocular motor cranial nerve palsy (ocular motor CNP) who underwent 2 consecutive biennial health screenings provided by the Korean National Health Insurance System between 2009 and 2011. They were followed up until December 31, 2018. Participants were categorized into a MetS-free, MetS-developed, MetS-recovered, or MetS-chronic group. A multivariable Cox proportional hazard regression model was used. Model 3 was adjusted for age, sex, smoking status, alcohol consumption, and physical activity.

Results: Compared with the MetS-free group, the MetS-chronic group had the highest risk of ocular motor CNP (hazard ratio [HR]: 1.424; 95% confidential interval [CI]: 1.294-1.567, Model 3), followed by the MetS-developed group (HR: 1.198, 95% CI: 1.069-1.343), and the MetS-recovered group (HR: 1.168, 95% CI: 1.026-1.311) after adjusting for potential confounders. The hazard ratio of ocular motor CNP in men with chronic MetS was 1.566 (95% CI, 1.394-1.761) while that of women with chronic MetS was 1.191 (95% CI, 1.005-1.411). Among age groups, those in their 30s and 40s showed the highest association between dynamic MetS status and ocular motor CNP.

Conclusions: In our study, recovering from MetS was associated with a reduced risk of ocular motor CNP compared with chronic MetS, suggesting that ocular motor CNP risk could be managed by changing MetS status.

背景:研究人群中代谢综合征(MetS)的恢复或发展是否与眼部运动性颅神经麻痹(CNP)风险的改变有关:研究人群中代谢综合征(MetS)的恢复或发展是否与眼球运动性颅神经麻痹(CNP)风险的改变有关:这项队列研究纳入了 4233273 名无眼球运动性颅神经麻痹(眼球运动性颅神经麻痹)病史的成年人,他们在 2009 年至 2011 年间连续两次接受了韩国国民健康保险系统提供的两年一次的健康检查。对他们进行了随访,直至 2018 年 12 月 31 日。参与者被分为无 MetS 组、MetS 发展组、MetS 恢复组和 MetS 慢性组。采用多变量考克斯比例危险回归模型。模型3对年龄、性别、吸烟状况、饮酒量和运动量进行了调整:结果:与无 MetS 组相比,MetS 慢性组患眼球运动性 CNP 的风险最高(危险比 [HR]:1.424;95% 置信度 [HR]:1.424;95% 置信度 [HR] :1.424):1.424;95% 置信区间 [CI]:模型 3),其次是 MetS 发展组(HR:1.198,95% 置信区间 [CI]:1.069-1.343)和 MetS 恢复组(HR:1.168,95% 置信区间 [CI]:1.026-1.311)。慢性 MetS 男性患者的眼部运动神经元高压危险比为 1.566(95% CI,1.394-1.761),而慢性 MetS 女性患者的危险比为 1.191(95% CI,1.005-1.411)。在各年龄组中,30 多岁和 40 多岁人群的动态 MetS 状态与眼球运动性 CNP 的关联度最高:在我们的研究中,与慢性 MetS 相比,恢复期 MetS 与眼球运动性 CNP 风险降低相关,这表明眼球运动性 CNP 风险可通过改变 MetS 状态来控制。
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引用次数: 0
Symptomatic Herniation of Orbital Fat Through the Inferior Orbital Fissure. 有症状的眼眶脂肪通过眼眶下裂疝出。
IF 2 4区 医学 Q3 CLINICAL NEUROLOGY Pub Date : 2024-09-01 Epub Date: 2023-06-30 DOI: 10.1097/WNO.0000000000001920
Chase E Paulson, David M Sawyer, David C Dries, Douglas P Marx, Blair A Winegar, Judith E A Warner
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引用次数: 0
Clues From Parinaud: Diagnostic Approaches in Neuro-Ophthalmology. 帕里诺德的线索:神经眼科的诊断方法。
IF 2 4区 医学 Q3 CLINICAL NEUROLOGY Pub Date : 2024-09-01 Epub Date: 2023-08-04 DOI: 10.1097/WNO.0000000000001966
Daniel N de Souza, Carter A Bell, Zachary P Elkin, Scott N Grossman
{"title":"Clues From Parinaud: Diagnostic Approaches in Neuro-Ophthalmology.","authors":"Daniel N de Souza, Carter A Bell, Zachary P Elkin, Scott N Grossman","doi":"10.1097/WNO.0000000000001966","DOIUrl":"10.1097/WNO.0000000000001966","url":null,"abstract":"","PeriodicalId":16485,"journal":{"name":"Journal of Neuro-Ophthalmology","volume":" ","pages":"e455-e456"},"PeriodicalIF":2.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9948613","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Inferior Oblique Palsy After Cosmetic Botox Injection for Glabellar Lines: A Case Report. 注射肉毒杆菌毒素治疗法令纹后出现下斜肌麻痹:病例报告。
IF 2 4区 医学 Q3 CLINICAL NEUROLOGY Pub Date : 2024-09-01 Epub Date: 2023-03-01 DOI: 10.1097/WNO.0000000000001816
Aidan A Pucchio, Matthew P Quinn
{"title":"Inferior Oblique Palsy After Cosmetic Botox Injection for Glabellar Lines: A Case Report.","authors":"Aidan A Pucchio, Matthew P Quinn","doi":"10.1097/WNO.0000000000001816","DOIUrl":"10.1097/WNO.0000000000001816","url":null,"abstract":"","PeriodicalId":16485,"journal":{"name":"Journal of Neuro-Ophthalmology","volume":" ","pages":"e427-e428"},"PeriodicalIF":2.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10806970","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
Journal of Neuro-Ophthalmology
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