This book combines the complexities of neuro-ophthalmologic and neuro-otologic disorders into one concise guidebook. It focuses on the basics of these two challenging subspecialties, encountered by the neurologist, ophthalmologist, otolaryngologist, neurosurgeon, emergency medicine provider, and others.

Comprehensive and succinct, the book contains chapters examining representative case vignettes that highlight typical historical elements and exam findings that aid in diagnosing a specific disease, disorder, or syndrome. Before each heading, chapters offer a brief review of relevant anatomy, physiology, and examination techniques. Additionally, symptom-based tables guide the practitioner to a focused history and examination for rapid real-time triage and diagnosis.

Practical and case-based, Neuro-Ophthalmology and Neuro-Otology is an invaluable resource for practitioners, trainees, and residents in various fields.

Daniel Gold, D.O.

Division of Neuro-Visual & Vestibular Disorders

Associate Professor of Neurology, Ophthalmology, Neurosurgery, Otolaryngology - Head & Neck Surgery, Emergency Medicine

The Johns Hopkins Hospital

Baltimore, MD 21287

SECTION 1 PUPILS, EYELID, ORBIT, VISUAL PATHWAYS

1) Pupil

i. Anatomy, physiology, examination techniques

ii. Horner syndrome

iii. 3rd nerve palsy

iv. Tonic pupil

2) Eyelid              

i. Anatomy, physiology, examination techniques

ii. Myasthenia gravis

iii. Neurologic eyelid retraction (dorsal midbrain syndrome)

iv. Eyelid spasms

3) Orbit/globe

ii. Thyroid eye disease

iii. Eye pain (angle closure)

iv. Red eye (CCF)

4) Retina

i. Anatomy, physiology, examination techniques

ii. Central retinal artery occlusion

iii. Photopsias

5) Optic nerve

i. Anatomy, physiology, examination techniques

ii. NAION

iii. Giant cell arteritis

iv. Optic neuritis

v. Papilledema

6) Chiasm

ii. Apoplexy

iii. Pituitary tumor

7) Retro-chiasmal

i. Anatomy, physiology, examination techniques

ii. Optic tract

iii. Lateral geniculate nucleus

iv. Optic radiations

v. Occipital lobe

8) Higher cortical visual disorders

i. Posterior cortical atrophy

ii. Hallucinations

iii. Cortical blindness

SECTION 2 MOTILITY & OCULAR MOTOR DISORDERS

9) Subarachnoid space, cavernous sinus, orbital apex

i. Subarachnoid space (multiple neoplastic cranial neuropathies)

ii. Cavernous sinus (Tolosa Hunt)

iii. Orbital apex (infectious)

10) Medulla

i. Wallenberg syndrome

ii. Chiari

11) Pons

i. MLF

ii. One-and-a-half syndrome

iii. 6th nerve

12) Midbrain 

i. Parinaud syndrome

ii. Nuclear 3rd nerve palsy

iii. 4th nerve

13) Basal ganglia

i. Progressive Supranuclear Palsy

ii.Parkinson's disease and convergence insufficiency

iii. Huntington's disease

14) Cerebellum

i. Paraneoplastic (opsoclonus)

ii.Spinocerebellar ataxia (downbeat nystagmus)

SECTION 3 VESTIBULAR DISORDERS

15) Acute vestibular syndrome - Anatomy, physiology, examination techniques

i. Vestibular neuritis

ii. Stroke

16) BPPV - Anatomy, physiology, examination techniques

i. Posterior Canal

ii. Horizontal Canal

iii. Central Positional

17) Vestibular Migraine

i. Dissection mimic

18) Ménière

i. AICA mimic

19) Chronic vestibular

i. Persistent Postural Perceptual Dizziness

ii. Mal de Debarquement Syndrome

20) Episodic vestibular

i. Superior Canal Dehiscence Syndrome

ii. Vestibular paroxysmia

iii. TIA

21) Anatomy, physiology, examination techniques

22) Nystagmus

i. Downbeat nystagmus

ii. Upbeat Nystagmus

iii. Periodic Alternating Nystagmus

iv. Oculopalatal Tremor

v. Multiple Sclerosis-related Pendular

vi. Gaze-evoked versus physiologic end point nystagmus

23) Saccadic intrusions

i. Square Wave Jerks

ii. Opsoclonus/Ocular Flutter

24) Oscillopsia

i. Bilateral Vestibular Loss

ii.Nystagmus/oscillations

SECTION 5 HELP ME NOW! A SYMPTOM BASED APPROACH

25) Vision loss

26) Anisocoria/fixed dilated...