Neuro-ophthalmic presentation of neurosurgical disease in children
© Springer Science+Business Media New York 2017.The neuro-ophthalmic examination is an invaluable tool that opens a window on diseases of the brain. In the pediatric population in particular, patients may be too young to communicate effectively, or may be completely nonverbal. As a result, children will often not be able to explain symptoms or neurologic difficulties that they are experiencing. Therefore, the objective signs found through analysis of eye movements, visual fields, and visualization of the optic nerve head may be the only evidence of pathology in the central nervous system. With a careful screening of neuro-ophthalmic function, a determination of which patients require neuroimaging and ultimately, referral to the neurosurgeon is more easily made. This chapter reviews the most salient neuro-ophthalmic symptoms and signs and the appropriate management of each.
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