Clinical Use of OCT and MSON Mimics

May 25, 2017 by in NEUROLOGY Comments Off on Clinical Use of OCT and MSON Mimics

Differential diagnosis Clinical features MSON Mostly good recovery within 2 months ION Isolated ON RION Isolated ON with spontaneous relapses CRION Relapses on steroid withdrawal, poor recovery NMO-ON Relapses, poor…

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Optical Coherence Tomography (OCT)

May 25, 2017 by in NEUROLOGY Comments Off on Optical Coherence Tomography (OCT)

Fig. 3.1 The setup should allow for good OCT examination conditions. Patients may require wheelchair access and additional help during the assessment for which there needs to be sufficient space….

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Retrograde Maculopathy

May 25, 2017 by in NEUROLOGY Comments Off on Retrograde Maculopathy

Fig. 10.1 Typical example of a microcystic macular edema (MME) in a patient with a compressive optic neuropathy. Thickness maps of ganglion cell layer (GCL) and inner nuclear layer (INL)…

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MS-Associated Optic Neuritis (MSON)

May 25, 2017 by in NEUROLOGY Comments Off on MS-Associated Optic Neuritis (MSON)

  Disease-free controls All MS MS, no history of MSON MS, history of MSON High-contrast visual acuity (VA), ETDRS, number of letters correct 59 ± 6 (n = 52 eyes) 53 ± 10 (n = 559 eyes) 55 ± 7…

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Progressive Multiple Sclerosis (SP and PP MS)

May 25, 2017 by in NEUROLOGY Comments Off on Progressive Multiple Sclerosis (SP and PP MS)

Fig. 9.1 Progressive multiple sclerosis nomenclature. Progressive MS nomenclature according to the current criteria [2] Prior to the 2013 MS disease course revision, the phenotype of a patient with primary…

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Role of the OCT Reading Center

May 25, 2017 by in NEUROLOGY Comments Off on Role of the OCT Reading Center

Fig. 13.1 Flowchart showing the three major phases of a study and the involvement of the RC in each of these phases During the execution phase, the RC supports several…

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Drug Trials in Neuroprotection

May 25, 2017 by in NEUROLOGY Comments Off on Drug Trials in Neuroprotection

Trial (phase) Goal Drug Indication Primary outcome Secondary outcomes Alpha error Power Effect size Sample per arm Status Ref/NCT ACTION (RCT Phase II) Primary neuroprotection I: Amiloride C: Placebo iAON…

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Monitoring Treatment in Multiple Sclerosis

May 25, 2017 by in NEUROLOGY Comments Off on Monitoring Treatment in Multiple Sclerosis

Fig. 11.1 This is a spectral domain OCT analysis of peripapillary retinal nerve fiber layer (RNFL) thickness in a multiple sclerosis patient with prior left MSON. The RNFL thickness in…

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