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In-Clinic Detection of Optic Disc Drusen Using Hand-Held Ultrasound Technology 利用手持式超声波技术在临床上检测视盘色素沉着
IF 0.8 Q4 CLINICAL NEUROLOGY Pub Date : 2023-12-04 DOI: 10.1080/01658107.2023.2290543
Casey Judge, Collin McClelland, Michael S. Lee
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引用次数: 0
List of Reviewers for Volume 47. 第 47 卷审稿人名单。
IF 0.8 Q4 CLINICAL NEUROLOGY Pub Date : 2023-12-04 eCollection Date: 2023-01-01 DOI: 10.1080/01658107.2023.2278984
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引用次数: 0
The Neuro-Ophthalmology of Tuberculosis 结核病的神经眼科学
IF 0.8 Q4 CLINICAL NEUROLOGY Pub Date : 2023-11-27 DOI: 10.1080/01658107.2023.2281435
R. Shree, K. Mahesh, A. Takkar, Manish Modi, Manoj Goyal, Vivek Lal
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引用次数: 0
The Impact of Valsalva Manoeuvres and Exercise on Intracranial Pressure and Cerebrovascular Dynamics in Idiopathic Intracranial Hypertension 瓦尔萨尔瓦动作和运动对特发性颅内高压症患者颅内压和脑血管动力学的影响
IF 0.8 Q4 CLINICAL NEUROLOGY Pub Date : 2023-11-22 DOI: 10.1080/01658107.2023.2281433
A. Yiangou, Samuel R. C. Weaver, Mark Thaller, J. Mitchell, H. Lyons, Georgios Tsermoulas, Susan P. Mollan, S. J. Lucas, Alex J Sinclair
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引用次数: 0
Optical Coherence Tomography Angiographic Follow-Up in a Case of Subacute Sclerosing Panencephalitis and Unilateral Necrotising Retinitis. 亚急性硬化性泛脑炎和单侧坏死性视网膜炎病例的光学相干断层血管造影随访。
IF 0.8 Q4 CLINICAL NEUROLOGY Pub Date : 2023-11-22 eCollection Date: 2024-01-01 DOI: 10.1080/01658107.2023.2284914
Seher Köksaldı, Rahmi Tumay Ala, Ibrahim Oztura, Emre Emirbayer, Gulden Akdal, Sinan Emre, Ilknur Tugal-Tutkun, Ali Osman Saatci

We present a 20-year-old woman who was diagnosed with subacute sclerosing panencephalitis (SSPE) 20 months after presenting with unilateral retinitis. At presentation, the patient had two inferotemporal macular lesions in her left eye. Corresponding to these areas, optical coherence tomography (OCT) showed hyporeflective spaces with loss of nearly all of the retinal layers. OCT-angiography (OCTA) demonstrated some flow deficit areas with a reduction in the vessel density. Her serum measles antibody titre was high (IgG >5000.0 mIU/ml). Twenty months later the macular lesions had diminished in size, and there was some focal retinal thinning with interruption of the ellipsoid zone. OCTA showed that the flow deficit areas were diminished in size together with the relatively improved perfusion density. Neurological examination disclosed myoclonic jerks. Neuropsychological assessment demonstrated impaired executive function, attention, and narrowed lexical fluency. Measles IgG antibody was high in the cerebrospinal fluid (>230.0 U/ml). Brain magnetic resonance imaging demonstrated bilateral, non-specific, small foci of T2 hyperintensity in the frontoparietal subcortical white matter and centrum semiovale. The present case is the first where OCTA findings of SSPE-related retinal lesions have been described.

我们为您介绍一名 20 岁女性患者,她在出现单侧视网膜炎 20 个月后被诊断为亚急性硬化性泛脑炎(SSPE)。发病时,患者左眼有两个颞下部黄斑病变。与这些区域相对应,光学相干断层扫描(OCT)显示出低反射空间,几乎所有视网膜层都缺失。光学相干断层扫描血管造影(OCTA)显示出一些血流不畅的区域,血管密度降低。她的血清麻疹抗体滴度很高(IgG >5000.0 mIU/ml)。20 个月后,黄斑病变缩小,视网膜局灶变薄,椭圆形区中断。OCTA 显示,血流缺失区的面积缩小了,灌注密度也相对提高了。神经系统检查显示患者有肌阵挛抽搐。神经心理评估显示,患者的执行功能、注意力受损,词汇流畅性降低。脑脊液中麻疹 IgG 抗体较高(>230.0 U/ml)。脑磁共振成像显示,在额顶叶皮质下白质和半卵圆心有双侧非特异性、小的T2高密度灶。本病例是首次通过 OCTA 发现 SSPE 相关视网膜病变的病例。
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引用次数: 0
Septo-Optic Dysplasia: A Case Series of 33 Patients 隔光发育不良:33 例患者的病例系列
IF 0.8 Q4 CLINICAL NEUROLOGY Pub Date : 2023-11-16 DOI: 10.1080/01658107.2023.2276187
R. Nalawade, M. Bhate
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引用次数: 0
Ophthalmologic Findings in Children with Neurofibromatosis Type 1 1型神经纤维瘤病患儿的眼科表现
Q4 CLINICAL NEUROLOGY Pub Date : 2023-11-07 DOI: 10.1080/01658107.2023.2276189
Caroline Maria Zimmermann, Shonar Singh, Nur Cardakli, Courtney Lynn Kraus
ABSTRACTThe purpose of this study was to evaluate the ophthalmologic findings in children with neurofibromatosis type 1 (NF1) and compare these findings in eyes with and without optic pathway gliomas (OPGs). We carried out a retrospective chart review of children with NF1. We recorded demographic characteristics, clinical manifestations of disease, and ophthalmologic findings including visual acuity, intraocular pressure, cup-to-disc ratio, visual field testing, and optical coherence tomography findings. Ophthalmologic findings were examined for the cohort for initial and final appointments. These findings were also compared between eyes with and without OPGs. The study included 119 participants with 238 total eyes. The most common clinical manifestations of NF1 in this cohort were café au lait macules (98%), axillary or inguinal freckling (91%), Lisch nodules (66%), and cutaneous neurofibromas (57%). Thirty-seven participants had imaging that allowed evaluation for choroidal abnormalities, and 28 (76%) had choroidal lesions. Twenty-seven participants (23%) had OPGs, and 44 eyes were affected. On initial assessment, eyes with OPGs had worse visual acuity. On final examination, eyes with OPGs were more likely to have a worse visual acuity and a thinner generalised retinal nerve fibre layer (RNFL) thickness, inferior RNFL thickness, and temporal RNFL thickness. This study provides longitudinal follow-up of children affected by NF1 with and without OPGs. Eyes with OPGs were found to be associated with worse visual acuity and thinner RNFLs overall on final testing.KEYWORDS: Neurofibromatosis type 1optic pathway gliomapaediatricoptical coherence tomographymagnetic resonance imaging Disclosure statementNo potential conflict of interest was reported by the authors.Additional informationFundingThe authors reported that there is no funding associated with the work featured in this article.
摘要本研究的目的是评估1型神经纤维瘤病(NF1)患儿的眼科表现,并比较有无视神经通路胶质瘤(OPGs)患儿的眼科表现。我们对NF1患儿进行了回顾性图表回顾。我们记录了人口统计学特征、疾病的临床表现和眼科检查结果,包括视力、眼压、杯盘比、视野测试和光学相干断层扫描结果。在初次和最后预约时检查队列的眼科检查结果。这些发现也在有和没有opg的眼睛之间进行了比较。这项研究包括119名参与者,总共238只眼睛。在该队列中,NF1最常见的临床表现是caf aulait斑(98%),腋窝或腹股沟雀斑(91%),Lisch结节(66%)和皮肤神经纤维瘤(57%)。37名参与者进行了脉络膜异常的影像学检查,28名(76%)有脉络膜病变。27名参与者(23%)有OPGs, 44只眼睛受到影响。在初步评估中,OPGs患者的视力较差。在期末检查中,OPGs的眼睛更可能有较差的视力和较薄的广义视网膜神经纤维层(RNFL)厚度,下RNFL厚度和颞部RNFL厚度。本研究对伴有和不伴有OPGs的NF1患儿进行了纵向随访。在最终的测试中,发现有OPGs的眼睛与较差的视力和较薄的rnfl有关。关键词:1型神经纤维瘤病视神经胶质瘤医学光学相干断层扫描磁共振成像披露声明作者未报告潜在利益冲突。附加信息资金:作者报告说,没有与本文所述工作相关的资金。
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引用次数: 0
Isolated Inferior Division Oculomotor Nerve Palsy as the First Manifestation of Human Immunodeficiency Virus and Syphilis Co-Infection: A Rare Case Report 孤立性下切动眼神经麻痹作为人类免疫缺陷病毒和梅毒合并感染的第一表现:一个罕见的病例报告
Q4 CLINICAL NEUROLOGY Pub Date : 2023-11-03 DOI: 10.1080/01658107.2023.2276183
Pelin Kiyat, Dilek Top Karti, Omer Karti
ABSTRACTHuman immunodeficiency virus (HIV) and syphilis are two sexually transmitted diseases that continue to pose significant public health challenges globally. HIV and syphilis can be seen together; individuals with one of these infections are at risk of developing the other. Sharing common risk factors such as sexual transmission or intravenous drug use makes their coincidence likely. Syphilis, an infection caused by a spirochaete (Treponema pallidum), is a great mimicker and can present with a wide variety of clinical manifestations. Syphilis can cause various neurological symptoms including complete oculomotor nerve palsy; however, it is not a common manifestation. Here, we report for the first time a case of persistent incomplete oculomotor nerve palsy with pupillary involvement caused by the involvement of the inferior division of the oculomotor nerve, secondary to HIV and syphilis co-infection.KEYWORDS: Diplopiahuman immunodeficiency virussyphilisoculomotor nerve palsymagnetic resonance imaging Disclosure statementNo potential conflict of interest was reported by the authors.Author contributionsAll authors contributed significantly to the creation of this manuscript; each fulfilled criteria as established by the ICMJE.Additional informationFundingThe authors reported that there is no funding associated with the work featured in this article.
人类免疫缺陷病毒(HIV)和梅毒是两种性传播疾病,在全球范围内继续构成重大的公共卫生挑战。艾滋病毒和梅毒可以同时出现;患有其中一种感染的个体有发展为另一种感染的风险。有共同的危险因素,如性传播或静脉注射毒品,使他们的巧合成为可能。梅毒是一种由螺旋体(梅毒螺旋体)引起的感染,是一种伟大的模仿者,可以呈现各种各样的临床表现。梅毒可引起各种神经系统症状,包括完全性动眼神经麻痹;然而,这并不是一种常见的表现。在此,我们首次报告一例持续性不完全动眼神经麻痹并瞳孔受累,由动眼神经下段受累引起,继发于HIV和梅毒合并感染。关键词:双眼皮;人类免疫缺陷病毒;梅毒等眼运动神经;作者的贡献所有作者都对这份手稿的创作做出了重大贡献;每一个都符合国际医学专家委员会制定的标准。附加信息资金:作者报告说,没有与本文所述工作相关的资金。
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引用次数: 0
A Feasibility Study on a Portable Vision Device for Patients with Stroke and Brain Tumours 脑卒中及脑肿瘤患者便携式视觉设备的可行性研究
Q4 CLINICAL NEUROLOGY Pub Date : 2023-11-03 DOI: 10.1080/01658107.2023.2273471
Arina Nisanova, Laurel Barrios, Tanvi Chokshi, Mark Mannis, Orin Bloch, Yin Allison Liu
This prospective, single-centre cohort study aimed to evaluate the impact of a portable vision reading device, OrCam Read, on vision-related quality-of-life and independent functional status in patients with low vision due to stroke or brain tumours. Six patients with poor visual acuity or visual field defects due to a stroke or a brain tumour were enrolled at a U.S. Ophthalmology Department. Participants were trained to use OrCam Read and given a loaner device for the 1 month duration of the study. Various assessments, including daily function tests, the National Eye Institute Visual Function Questionnaire-25, and the 10-item neuro-ophthalmic supplement, were administered at the first and last visits. Patients’ experience with the device was evaluated with weekly telephone and end-of-study satisfaction surveys. The main outcome measures were the patient satisfaction with OrCam and the mean assessment scores between enrolment and final visits. The intervention with OrCam significantly improved patients’ ability to complete daily tasks and participants reported good satisfaction with the device. The results also show non-significant improvement with distant activities, dependency, and role difficulties. Our findings demonstrate the feasibility of studying vision-related quality-of-life using a portable vision device in this patient population and pave the way for a larger study to validate the results of this study.
本前瞻性单中心队列研究旨在评估便携式视力阅读设备OrCam Read对脑卒中或脑肿瘤所致低视力患者视力相关生活质量和独立功能状态的影响。6例因中风或脑肿瘤导致的视力低下或视野缺损患者在美国眼科登记。在为期1个月的研究期间,参与者接受了使用OrCam Read的培训,并获得了一个外借设备。在第一次和最后一次就诊时进行了各种评估,包括日常功能测试、国家眼科研究所视觉功能问卷-25和10项神经眼科补充。通过每周一次的电话和研究结束时的满意度调查来评估患者使用该设备的体验。主要结局指标为患者对OrCam的满意度和入组至终诊期间的平均评估得分。OrCam的干预显著提高了患者完成日常任务的能力,参与者对该设备的满意度很高。结果还显示,在远距离活动、依赖性和角色困难方面没有显著的改善。我们的研究结果证明了在该患者群体中使用便携式视力设备研究视力相关生活质量的可行性,并为验证本研究结果的更大规模研究铺平了道路。
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引用次数: 0
Hypoglossal Canal Dural Arteriovenous Fistula: A Rare Cause of Ocular Proptosis 舌下管硬脑膜动静脉瘘:眼球突出的一个罕见原因
Q4 CLINICAL NEUROLOGY Pub Date : 2023-10-31 DOI: 10.1080/01658107.2023.2267125
Laurence Cox, Stella Hristova, Maria Filyridou, Anastasia Pilat
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引用次数: 0
期刊
Neuro-Ophthalmology
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