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Diagnostic Test Basics: A Primer for Neuro-Ophthalmologists
Nolan-Kenney, Rachel C.; Wang, Yuyan; Liu, Mengling
doi : 10.1097/WNO.0000000000001149
Journal of Neuro-Ophthalmology. 40(4):445-449, December 2020.
Temporal Artery Biopsy in the Workup of Giant Cell Arteritis: Diagnostic Considerations in a Veterans Administration Cohort
Selby, Laura D.; Park-Egan, Brenna A. M.; Winges, Kimberly M.
doi : 10.1097/WNO.0000000000001040
Journal of Neuro-Ophthalmology. 40(4):450-456, December 2020.
Giant cell arteritis (GCA) is the most common systemic vasculitis in the American population older than 50 years and is a sight-threatening and life-threatening disease. It is definitively diagnosed with a temporal artery biopsy.
Real-World Clinical Experience With Idebenone in the Treatment of Leber Hereditary Optic Neuropathy
Catarino, Claudia B.; von Livonius, Bettina; Priglinger, Claudia; Banik, Rudrani; Matloob, Selma; Tamhankar, Madhura A.; Castillo, Lorena; Friedburg, Christoph; Halfpenny, Christopher A.; Lincoln, John A.; Traber, Ghislaine L.; Acaroglu, G?lge; Black, Graeme C. M.; Doncel, Carlos; Fraser, Clare L.; Jakubaszko, Joanna; Landau, Klara; Langenegger, Stefan J.; Mu?oz-Negrete, Francisco J.; Newman, Nancy J.; Poulton, Joanna; Scoppettuolo, Elisabetta; Subramanian, Prem; Toosy, Ahmed T.; Vidal, Mariona; Vincent, Andrea L.; Votruba, Marcela; Zarowski, Marcin; Zermansky, Adam; Lob, Felice; Rudolph, Günther; Mikazans, Oskars; Silva, Magda; Ll?ria, Xavier; Metz, Günther; Klopstock, Thomas
doi : 10.1097/WNO.0000000000001023
Journal of Neuro-Ophthalmology. 40(4):558-565, December 2020.
Leber hereditary optic neuropathy (LHON) leads to bilateral central vision loss. In a clinical trial setting, idebenone has been shown to be safe and to provide a trend toward improved visual acuity, but long-term evidence of effectiveness in real-world clinical practice is sparse.
Cerebral Venous Sinus Thrombosis in the COVID-19 Pandemic
Medicherla, Chaitanya B.; Pauley, Rachel A.; de Havenon, Adam; Yaghi, Shadi; Ishida, Koto; Torres, Jose L.
doi : 10.1097/WNO.0000000000001122
Journal of Neuro-Ophthalmology. 40(4):457-462, December 2020.
Recent studies have noted concern for increased thromboembolic events in the setting of Coronavirus Disease 2019 (COVID-19). Cerebral venous sinus thrombosis (CVST) is a form of thromboembolism that has been observed as a neuro-ophthalmologic complication of COVID-19.
Secondary Stroke Prevention and Management for the Neuro-Ophthalmologist
Abdul Rahman, Line; Wabnitz, Ashley M.; Turan, Tanya N.
doi : 10.1097/WNO.0000000000001133
Journal of Neuro-Ophthalmology. 40(4):463-471, December 2020.
This article will serve as a comprehensive review of secondary prevention of ischemic stroke and central and branch retinal artery ischemia, which are closely linked pathologically and can be managed similarly to prevent further reoccurrence.
Acute Care and Treatment of Migraine
Konstantinos, Spingos; Vikelis, Michail; Rapoport, Alan
doi : 10.1097/WNO.0000000000001053
Journal of Neuro-Ophthalmology. 40(4):472-484, December 2020.
Migraine is a chronic neurological disease involving the brain and its vasculature, typically characterized by recurrent attacks of moderate or severe throbbing headache, accompanied by sensitivity to light and sound, and associated with nausea, vomiting, and inability to move due to worsening of pain
Referral Patterns in Neuro-Ophthalmology
Stunkel, Leanne; Mackay, Devin D.; Bruce, Beau B.; Newman, Nancy J.; Biousse, Valérie
doi : 10.1097/WNO.0000000000000846
Journal of Neuro-Ophthalmology. 40(4):485-493, December 2020.
Neuro-ophthalmologists specialize in complex, urgent, vision- and life-threatening problems, diagnostic dilemmas, and management of complex work-ups.
Variability of Consecutive Lumbar Puncture Opening Pressures
Kilgore, Khin P.; Bhatti, M. Tariq; Cutsforth-Gregory, Jeremy K.; Hodge, David O.; Chen, John J.
doi : 10.1097/WNO.0000000000000834
Journal of Neuro-Ophthalmology. 40(4):494-497, December 2020.
Lumbar puncture (LP) opening pressures (OPs) are known to fluctuate based on diurnal, environmental, and pathologic conditions. Despite their dynamic nature, single OPs are often deemed sufficient for diagnosis of elevated intracranial pressures (ICPs) in nonspecialists' hands.
Enhanced Depth Imaging Optical Coherence Tomography of Optic Nerve Head Drusen in Children
Sim, Peng Yong; Soomro, Hibba; Karampelas, Michael; Barampouti, Faye
doi : 10.1097/WNO.0000000000000845
Journal of Neuro-Ophthalmology. 40(4):498-503, December 2020.
To assess the utility of enhanced depth imaging optical coherence tomography (EDI-OCT), compared with other conventional imaging modalities, for detecting and characterizing optic nerve head drusen (ONHD) in children.
Postoperative Horner Syndrome After Lung Transplantation
Go, Jonathan A.; Vickers, Aroucha; Kaleekal, Thomas S.; Beaver, Hilary A.; Lee, Andrew G.
doi : 10.1097/WNO.0000000000000848
Journal of Neuro-Ophthalmology. 40(4):504-506, December 2020.
Horner syndrome arises from a disruption along the oculosympathetic efferent chain and can be caused by a variety of pathological and iatrogenic etiologies. We present 3 cases of postoperative Horner syndrome after bilateral lung transplantation.
Catastrophic Allergic Fungal Sinusitis: A Report of Two Cases
Walter, Eyal; McKean, Erin L.; Camelo-Piragua, Sandra I.; Parmar, Hemant A.; Trobe, Jonathan D.
doi : 10.1097/WNO.0000000000000833
Journal of Neuro-Ophthalmology. 40(4):507-513, December 2020.
Allergic fungal rhinosinusitis (AFRS) is a common condition in which sinusitis develops as an IgE-mediated response to common sinonasal fungal organisms. If that response leads to blockage of sinus ostia, bone expansion and erosion by expansive cysts containing dense inspissated debris may occur with the potential for critical neurovascular compression including damage to the anterior visual pathway.
Validity of International Classification of Diseases Codes for Identifying Neuro-Ophthalmic Disease in Large Data Sets: A Systematic Review
Hamedani, Ali G.; De Lott, Lindsey B.; Deveney, Tatiana; Moss, Heather E.
doi : 10.1097/WNO.0000000000000971
Journal of Neuro-Ophthalmology. 40(4):514-519, December 2020.
Administrative health claims data have been used for research in neuro-ophthalmology, but the validity of International Classification of Diseases (ICD) codes for identifying neuro-ophthalmic conditions is unclear.
Visual Outcomes in Leber Hereditary Optic Neuropathy Patients With the m.11778G>A (MTND4) Mitochondrial DNA Mutation
Newman, Nancy J.; Carelli, Valerio; Taiel, Magali; Yu-Wai-Man, Patrick
doi : 10.1097/WNO.0000000000001045
Journal of Neuro-Ophthalmology. 40(4):547-557, December 2020.
Leber hereditary optic neuropathy (LHON) is a maternally inherited bilaterally blinding optic neuropathy, predominantly affecting otherwise healthy young individuals, mostly men. The visual prognosis is generally poor, with most patients worsening to at least 20/200 visual acuity.
Isolated Cranial Nerve 6 Palsy in 6 Patients With COVID-19 Infection
Greer, Christine E.; Bhatt, Jaydeep M.; Oliveira, Cristiano A.; Dinkin, Marc J.
doi : 10.1097/WNO.0000000000001146
Journal of Neuro-Ophthalmology. 40(4):520-522, December 2020.
Hallucinatory Palinopsia in COVID-19-Induced Posterior Reversible Encephalopathy Syndrome
Ghosh, Ritwik; Lahiri, Durjoy; Dubey, Souvik; Ray, Biman K.; Benito-Le?n, Juli?n
doi : 10.1097/WNO.0000000000001135
Journal of Neuro-Ophthalmology. 40(4):523-526, December 2020.
Novel Mutations of mtDNA m.14568G>A/m.14568C>T in MT-ND6 and m.7299A>G in MT-CO1: Evidence of Pathogenicity in Leber Hereditary Optic Neuropathy
Rizk, Maria; Dunya, Ibrahim; Azar, Georges; Seif, Roland; Megarbane, Andre; Sadaka, Ama
doi : 10.1097/WNO.0000000000000973
Journal of Neuro-Ophthalmology. 40(4):566-568, December 2020.
Variable Presentation of Leber Hereditary Optic Neuropathy in Children of a Family Harboring a Rare m.13051G>A mtDNA Mutation
Smirnov, Vasily M.; Cuisset, Jean-Marie; Marks, Caroline; Debruyne, Philippe; Dhaenens, Claire-Marie; Defoort-Dhellemmes, Sabine
doi : 10.1097/WNO.0000000000001083
Journal of Neuro-Ophthalmology. 40(4):569-571, December 2020.
Application of Hemifield Visual Electrophysiology to Diagnose Functional Vision Loss
Moss, Heather E.; Jabbehdari, Sayena
doi : 10.1097/WNO.0000000000000882
Journal of Neuro-Ophthalmology. 40(4):527-529, December 2020.
Neuro-ophthalmologists frequently see patients who are experiencing vision loss not accounted for by a neuro-ophthalmic disorder. In this article, we describe a case of binasal hemianopia in an otherwise healthy 65-year-old woman who was initially diagnosed with glaucoma but ultimately proved to have functional visual loss. This diagnosis was made by confirming by confirming normal visual pathway function using hemifield visual-evoked potential studies.
Arteritic Orbital Ischemia Producing Afferent and Efferent Pupillary Defects
Hussain, Mariam; Kini, Ashwini; Al Othman, Bayan; Ponce, Claudia Prospero; Li, Helen; Lee, Andrew G.
doi : 10.1097/WNO.0000000000000838
Journal of Neuro-Ophthalmology. 40(4):530-532, December 2020.
A 67-year-old woman presented with acute loss of vision to no light perception (NLP), a right afferent pupillary defect, and anisocoria with a nonreactive and dilated pupil in the right eye. Fundus examination showed pallid optic disc edema and a central retinal artery occlusion (CRAO) in the right eye. A temporal artery biopsy showed giant cell arteritis (GCA). Orbital involvement in GCA has been reported previously. However the combination of an afferent and efferent pupillary defect, NLP vision, pallid disc edema, and a CRAO in an elderly patient is likely a unique clinical combination that should strongly suggest GCA. Clinicians should be aware of the myriad presentations of GCA, including orbital ischemia.
A 26-Year-Old Woman With Diplopia and Nystagmus
Anderson, William J.; Sharma, Aseem; Guzman, Miguel A.; Chung, Sophia M
doi : 10.1097/WNO.0000000000000959
Journal of Neuro-Ophthalmology. 40(4):533-537, December 2020.
A 26-year-old woman presented for a routine contact lens evaluation but was found to have a subtle right sixth nerve paresis and adducting nystagmus of the left eye. She reported horizontal diplopia on far right gaze as well as subjective right-sided weakness and poor balance for 1 year. Brain and spinal MRI revealed multiple cystic lesions with variable enhancement throughout the posterior fossa and cervical spinal cord.
Should Patients With Optic Disc Drusen Be Treated With Intraocular Pressure–Lowering Medications?
Falardeau, Julie M.; Pineles, Stacy L.; Van Stavern, Gregory P.; Lee, Andrew G.
doi : 10.1097/WNO.0000000000000929
Journal of Neuro-Ophthalmology. 40(4):538-543, December 2020.
A Tribute to Dr. John R. Guy
Bhatti, M. Tariq
doi : 10.1097/WNO.0000000000001097
Journal of Neuro-Ophthalmology. 40(4):544-546, December 2020.
Literature Commentary
doi : 10.1097/WNO.0000000000001147
Journal of Neuro-Ophthalmology. 40(4):572-577, December 2020.
In this issue of Journal of Neuro-Ophthalmology, M. Tariq Bhatti, MD, and Mark L. Moster, MD will discuss the following 6 articles
Dr. Norman Schatz
Seay, Meagan D.; Digre, Kathleen B.; Galetta, Steven L.
doi : 10.1097/WNO.0000000000001042
Journal of Neuro-Ophthalmology. 40(4):e65-e73, December 2020.
