Neuro-Ophthalmic Manifestations of Head Trauma
OBJECTIVETo describe the neuro-ophthalmic findings in a group of patients with head trauma. MATERIALS AND METHODSA retrospective chart review of all patients given a diagnosis code of head trauma in the neuro-ophthalmology unit at Emory University between 1991 and 1999. RESULTSA total of 326 consecu...
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| Veröffentlicht in: | Journal of neuro-ophthalmology 2001-06, Vol.21 (2), p.112-117 |
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| container_title | Journal of neuro-ophthalmology |
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| creator | Van Stavern, Gregory P Biousse, Valérie Lynn, Michael J Simon, Deborah J Newman, Nancy J |
| description | OBJECTIVETo describe the neuro-ophthalmic findings in a group of patients with head trauma.
MATERIALS AND METHODSA retrospective chart review of all patients given a diagnosis code of head trauma in the neuro-ophthalmology unit at Emory University between 1991 and 1999.
RESULTSA total of 326 consecutive patients were reviewed (203 [63%] men and 123 [37.0%] women). Age ranged from 2 to 86 years, with a mean of 30 years. Motor vehicle accident was the most common cause of head trauma, occurring in 195 (59.8%) patients. An abnormal neuro-ophthalmic examination was noted in 185 of 326 patients (56.7%). Loss of consciousness was not associated with any outcome, but the presence of a neuroimaging abnormality, particularly intracranial hemorrhage, was significantly associated with specific neuro-ophthalmic deficits.
CONCLUSIONSHead trauma causes a number of neuro-ophthalmic manifestations. The afferent and efferent pathways are vulnerable to traumatic injury, although the efferent system is more commonly affected. Loss of consciousness may not be a reliable predictor of specific neuro-ophthalmic outcomes, but neuroimaging abnormalities may. |
| doi_str_mv | 10.1097/00041327-200106000-00012 |
| format | Article |
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MATERIALS AND METHODSA retrospective chart review of all patients given a diagnosis code of head trauma in the neuro-ophthalmology unit at Emory University between 1991 and 1999.
RESULTSA total of 326 consecutive patients were reviewed (203 [63%] men and 123 [37.0%] women). Age ranged from 2 to 86 years, with a mean of 30 years. Motor vehicle accident was the most common cause of head trauma, occurring in 195 (59.8%) patients. An abnormal neuro-ophthalmic examination was noted in 185 of 326 patients (56.7%). Loss of consciousness was not associated with any outcome, but the presence of a neuroimaging abnormality, particularly intracranial hemorrhage, was significantly associated with specific neuro-ophthalmic deficits.
CONCLUSIONSHead trauma causes a number of neuro-ophthalmic manifestations. The afferent and efferent pathways are vulnerable to traumatic injury, although the efferent system is more commonly affected. Loss of consciousness may not be a reliable predictor of specific neuro-ophthalmic outcomes, but neuroimaging abnormalities may.</description><identifier>ISSN: 1070-8022</identifier><identifier>EISSN: 1536-5166</identifier><identifier>DOI: 10.1097/00041327-200106000-00012</identifier><identifier>PMID: 11450900</identifier><identifier>CODEN: JNEOEK</identifier><language>eng</language><publisher>Hagerstown, MD: Lippincott Williams & Wilkins, Inc</publisher><subject>Adolescent ; Adult ; Aged ; Aged, 80 and over ; Biological and medical sciences ; Blindness - etiology ; Brain Injuries - complications ; Brain Injuries - diagnosis ; Child ; Child, Preschool ; Diplopia - etiology ; Eye Diseases - diagnosis ; Eye Diseases - etiology ; Female ; Humans ; Injuries of the nervous system and the skull. Diseases due to physical agents ; Male ; Medical sciences ; Middle Aged ; Nervous System Diseases - diagnosis ; Nervous System Diseases - etiology ; Retrospective Studies ; Risk Factors ; Traumas. Diseases due to physical agents</subject><ispartof>Journal of neuro-ophthalmology, 2001-06, Vol.21 (2), p.112-117</ispartof><rights>2001 Lippincott Williams & Wilkins, Inc.</rights><rights>2001 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4692-867d15d3a16d9eb0bf9e1642da8f0b40ab15c054449ac9cdff0c90eb876431713</citedby><cites>FETCH-LOGICAL-c4692-867d15d3a16d9eb0bf9e1642da8f0b40ab15c054449ac9cdff0c90eb876431713</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttp://ovidsp.ovid.com/ovidweb.cgi?T=JS&NEWS=n&CSC=Y&PAGE=fulltext&D=ovft&AN=00041327-200106000-00012$$EHTML$$P50$$Gwolterskluwer$$H</linktohtml><link.rule.ids>314,776,780,4595,27903,27904,65209</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=1057800$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11450900$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Van Stavern, Gregory P</creatorcontrib><creatorcontrib>Biousse, Valérie</creatorcontrib><creatorcontrib>Lynn, Michael J</creatorcontrib><creatorcontrib>Simon, Deborah J</creatorcontrib><creatorcontrib>Newman, Nancy J</creatorcontrib><title>Neuro-Ophthalmic Manifestations of Head Trauma</title><title>Journal of neuro-ophthalmology</title><addtitle>J Neuroophthalmol</addtitle><description>OBJECTIVETo describe the neuro-ophthalmic findings in a group of patients with head trauma.
MATERIALS AND METHODSA retrospective chart review of all patients given a diagnosis code of head trauma in the neuro-ophthalmology unit at Emory University between 1991 and 1999.
RESULTSA total of 326 consecutive patients were reviewed (203 [63%] men and 123 [37.0%] women). Age ranged from 2 to 86 years, with a mean of 30 years. Motor vehicle accident was the most common cause of head trauma, occurring in 195 (59.8%) patients. An abnormal neuro-ophthalmic examination was noted in 185 of 326 patients (56.7%). Loss of consciousness was not associated with any outcome, but the presence of a neuroimaging abnormality, particularly intracranial hemorrhage, was significantly associated with specific neuro-ophthalmic deficits.
CONCLUSIONSHead trauma causes a number of neuro-ophthalmic manifestations. The afferent and efferent pathways are vulnerable to traumatic injury, although the efferent system is more commonly affected. Loss of consciousness may not be a reliable predictor of specific neuro-ophthalmic outcomes, but neuroimaging abnormalities may.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biological and medical sciences</subject><subject>Blindness - etiology</subject><subject>Brain Injuries - complications</subject><subject>Brain Injuries - diagnosis</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Diplopia - etiology</subject><subject>Eye Diseases - diagnosis</subject><subject>Eye Diseases - etiology</subject><subject>Female</subject><subject>Humans</subject><subject>Injuries of the nervous system and the skull. Diseases due to physical agents</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Nervous System Diseases - diagnosis</subject><subject>Nervous System Diseases - etiology</subject><subject>Retrospective Studies</subject><subject>Risk Factors</subject><subject>Traumas. Diseases due to physical agents</subject><issn>1070-8022</issn><issn>1536-5166</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2001</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kUtPwzAMgCMEYjD4C6gHxK3DbtO0OaIJGNJgl3GO3DRRC-06klYT_57uwePCwYotfY6tz4wFCBMEmd4CAMc4SsMIAEEMZTgERkfsDJNYhAkKcTzkkEKYQRSN2Ln3bwMSQyRP2QiRJyABztjkxfSuDRfrsiupbiodPNOqssZ31FXtygetDWaGimDpqG_ogp1Yqr25PLxj9vpwv5zOwvni8Wl6Nw81FzIKM5EWmBQxoSikySG30qDgUUGZhZwD5ZhoSDjnkrTUhbWgJZg8SwWPMcV4zG72_65d-9EP26im8trUNa1M23uVIoBEvgWzPahd670zVq1d1ZD7VAhq60p9u1I_rtTO1dB6dZjR540pfhsPcgbg-gCQ11RbRytd-T8DkjTbYXyPbdq6M86_1_3GOFUaqrtS_Xeq-AtOgH5_</recordid><startdate>200106</startdate><enddate>200106</enddate><creator>Van Stavern, Gregory P</creator><creator>Biousse, Valérie</creator><creator>Lynn, Michael J</creator><creator>Simon, Deborah J</creator><creator>Newman, Nancy J</creator><general>Lippincott Williams & Wilkins, Inc</general><general>Lippincott Williams & Wilkins</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200106</creationdate><title>Neuro-Ophthalmic Manifestations of Head Trauma</title><author>Van Stavern, Gregory P ; Biousse, Valérie ; Lynn, Michael J ; Simon, Deborah J ; Newman, Nancy J</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4692-867d15d3a16d9eb0bf9e1642da8f0b40ab15c054449ac9cdff0c90eb876431713</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2001</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Biological and medical sciences</topic><topic>Blindness - etiology</topic><topic>Brain Injuries - complications</topic><topic>Brain Injuries - diagnosis</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Diplopia - etiology</topic><topic>Eye Diseases - diagnosis</topic><topic>Eye Diseases - etiology</topic><topic>Female</topic><topic>Humans</topic><topic>Injuries of the nervous system and the skull. Diseases due to physical agents</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Nervous System Diseases - diagnosis</topic><topic>Nervous System Diseases - etiology</topic><topic>Retrospective Studies</topic><topic>Risk Factors</topic><topic>Traumas. Diseases due to physical agents</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Van Stavern, Gregory P</creatorcontrib><creatorcontrib>Biousse, Valérie</creatorcontrib><creatorcontrib>Lynn, Michael J</creatorcontrib><creatorcontrib>Simon, Deborah J</creatorcontrib><creatorcontrib>Newman, Nancy J</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of neuro-ophthalmology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Van Stavern, Gregory P</au><au>Biousse, Valérie</au><au>Lynn, Michael J</au><au>Simon, Deborah J</au><au>Newman, Nancy J</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Neuro-Ophthalmic Manifestations of Head Trauma</atitle><jtitle>Journal of neuro-ophthalmology</jtitle><addtitle>J Neuroophthalmol</addtitle><date>2001-06</date><risdate>2001</risdate><volume>21</volume><issue>2</issue><spage>112</spage><epage>117</epage><pages>112-117</pages><issn>1070-8022</issn><eissn>1536-5166</eissn><coden>JNEOEK</coden><abstract>OBJECTIVETo describe the neuro-ophthalmic findings in a group of patients with head trauma.
MATERIALS AND METHODSA retrospective chart review of all patients given a diagnosis code of head trauma in the neuro-ophthalmology unit at Emory University between 1991 and 1999.
RESULTSA total of 326 consecutive patients were reviewed (203 [63%] men and 123 [37.0%] women). Age ranged from 2 to 86 years, with a mean of 30 years. Motor vehicle accident was the most common cause of head trauma, occurring in 195 (59.8%) patients. An abnormal neuro-ophthalmic examination was noted in 185 of 326 patients (56.7%). Loss of consciousness was not associated with any outcome, but the presence of a neuroimaging abnormality, particularly intracranial hemorrhage, was significantly associated with specific neuro-ophthalmic deficits.
CONCLUSIONSHead trauma causes a number of neuro-ophthalmic manifestations. The afferent and efferent pathways are vulnerable to traumatic injury, although the efferent system is more commonly affected. Loss of consciousness may not be a reliable predictor of specific neuro-ophthalmic outcomes, but neuroimaging abnormalities may.</abstract><cop>Hagerstown, MD</cop><pub>Lippincott Williams & Wilkins, Inc</pub><pmid>11450900</pmid><doi>10.1097/00041327-200106000-00012</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; Journals@Ovid LWW Legacy Archive; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Journals@Ovid Complete |
| subjects | Adolescent Adult Aged Aged, 80 and over Biological and medical sciences Blindness - etiology Brain Injuries - complications Brain Injuries - diagnosis Child Child, Preschool Diplopia - etiology Eye Diseases - diagnosis Eye Diseases - etiology Female Humans Injuries of the nervous system and the skull. Diseases due to physical agents Male Medical sciences Middle Aged Nervous System Diseases - diagnosis Nervous System Diseases - etiology Retrospective Studies Risk Factors Traumas. Diseases due to physical agents |
| title | Neuro-Ophthalmic Manifestations of Head Trauma |
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