The pupil.

Abstract:

PURPOSE OF REVIEW:To give an overview on topics of pupillary function selected according to their relevance in clinical neurology. Mainly publications of the last 3 years have been considered. RECENT FINDINGS:The discovery of photosensitive retinal ganglion cells not serving vision, but serving circadian rhythm and the pupil initiated many studies. There is evidence that pupil reaction to light might be preserved even if all rods and cones are lost. Spontaneous pupillary contractions in darkness occur in sleepy subjects and have been used to quantify the state of alertness. Apraclonidine eye drops have been suggested to diagnose Horner syndrome. Iatrogenic cause and carotid artery dissection are the most frequently reported underlying causes of Horner syndrome. Anti-Hu antibodies may be associated with tonic pupils. SUMMARY:Pupil studies in blind patients may give new insights into the function of the pupillary system. Testing for sleepiness by means of pupillography might be used more frequently. Testing for Horner syndrome still needs to be done with cocaine eye drops. Clinical evaluation has to be focused on detecting additional signs and symptoms. Unknown malignancy is very rare. In the tonic pupil (Adie syndrome) autoantibodies may play a role, in exceptional cases it might represent a paraneoplastic disorder.

journal_name

Curr Opin Neurol

authors

Wilhelm H

doi

10.1097/WCO.0b013e3282f39173

subject

Has Abstract

pub_date

2008-02-01 00:00:00

pages

36-42

issue

1

eissn

1350-7540

issn

1473-6551

pii

00019052-200802000-00008

journal_volume

21

pub_type

杂志文章
  • New potential leads in the biology and treatment of attention deficit-hyperactivity disorder.

    abstract:PURPOSE OF REVIEW:This review highlights recent neuroimaging and genetic studies of attention deficit-hyperactivity disorder that may inform biologically targeted interventions and treatments. RECENT FINDINGS:The findings suggest that attention deficit-hyperactivity disorder is characterized by specific learning and c...

    journal_title:Current opinion in neurology

    pub_type: 杂志文章,评审

    doi:10.1097/WCO.0b013e3280a02f78

    authors: Casey BJ,Nigg JT,Durston S

    更新日期:2007-04-01 00:00:00

  • Surgical treatment of Parkinson's disease.

    abstract::Ablative surgery and deep brain stimulation for Parkinson's disease can be performed in the thalamus, the pallidum and the subthalamic nucleus. The efficacy and safety of unilateral pallidotomy is well established. Deep brain stimulation has a lower morbidity and is preferred for bilateral surgery. The subthalamic nuc...

    journal_title:Current opinion in neurology

    pub_type: 杂志文章,评审

    doi:10.1097/00019052-199908000-00008

    authors: Krack P,Hamel W,Mehdorn HM,Deuschl G

    更新日期:1999-08-01 00:00:00

  • Psychogenic nonepileptic seizures.

    abstract:PURPOSE OF REVIEW:This review summarizes the recent studies assessing patients with psychogenic nonepileptic seizures and developments in treatment. RECENT FINDINGS:The misdiagnosis of nonepileptic seizure is costly to patients, the healthcare system, and to society. Patients with nonepileptic seizures are prescribed ...

    journal_title:Current opinion in neurology

    pub_type: 杂志文章,评审

    doi:10.1097/WCO.0b013e3282f7008f

    authors: LaFrance WC Jr

    更新日期:2008-04-01 00:00:00

  • The latest on functional imaging studies of aphasic stroke.

    abstract:PURPOSE OF REVIEW:Functional neuro-imaging studies of aphasic stroke offer the potential for a better understanding of the neuronal mechanisms that sustain language recovery. Conclusions, however, have been hampered by a set of unexpected challenges related to experimental design and interpretation. In this review of s...

    journal_title:Current opinion in neurology

    pub_type: 杂志文章,评审

    doi:10.1097/01.wco.0000168081.76859.c1

    authors: Price CJ,Crinion J

    更新日期:2005-08-01 00:00:00

  • Stimulation of N-methyl-D-aspartate receptors by exogenous and endogenous ligands improves outcome of brain injury.

    abstract:PURPOSE OF REVIEW:The failure of N-methyl-D-aspartate receptor (NMDAR) antagonists as a treatment for human traumatic brain injury (TBI) and stroke, along with preclinical findings of a persistent hypofunctional state of these receptors after brain injury, resulted in a new focus on NMDAR agonists, specifically those a...

    journal_title:Current opinion in neurology

    pub_type: 杂志文章,评审

    doi:10.1097/WCO.0000000000000612

    authors: Biegon A,Liraz-Zaltsman S,Shohami E

    更新日期:2018-12-01 00:00:00

  • Microbiota and neurodegenerative diseases.

    abstract:PURPOSE OF REVIEW:Despite the extensive research carried out in the past decades, the current pathophysiological notions of neurodegenerative disease as well as effective treatments to reduce their progression are largely unknown. Alterations of the human microbiota, the plethora of different microscopic organisms that...

    journal_title:Current opinion in neurology

    pub_type: 杂志文章,评审

    doi:10.1097/WCO.0000000000000496

    authors: Marizzoni M,Provasi S,Cattaneo A,Frisoni GB

    更新日期:2017-12-01 00:00:00

  • Targeting DNA repair in gliomas.

    abstract:PURPOSE OF REVIEW:Gliomas represent a disparate group of malignancies with varying clinical outcomes despite a tremendous amount of time, effort, and resources dedicated to their management and understanding. The most aggressive entity, glioblastoma, has a dismal prognosis with poor local control despite intense local ...

    journal_title:Current opinion in neurology

    pub_type: 杂志文章,评审

    doi:10.1097/WCO.0000000000000760

    authors: Beckta JM,Bindra RS,Chalmers AJ

    更新日期:2019-12-01 00:00:00

  • The clinical and pathologic hallmarks of progressive supranuclear palsy.

    abstract::This article reviews recent studies evaluating the clinicopathologic markers of progressive supranuclear palsy, which have helped establish standardized clinical and pathologic diagnostic criteria. Although these criteria increase diagnostic accuracy, the clinical and pathologic overlap between progressive supranuclea...

    journal_title:Current opinion in neurology

    pub_type: 杂志文章,评审

    doi:10.1097/00019052-199708000-00011

    authors: Litvan I

    更新日期:1997-08-01 00:00:00

  • Cervicogenic causes of vertigo.

    abstract:PURPOSE OF REVIEW:Herein we discuss the recent literature concerning cervicogenic vertigo including vertigo associated with rotational vertebral artery syndrome, as well as whiplash and degenerative disturbances of the cervical spine. We conclude with a summary of progress regarding diagnostic methods for cervicogenic ...

    journal_title:Current opinion in neurology

    pub_type: 杂志文章,评审

    doi:10.1097/WCO.0000000000000161

    authors: Hain TC

    更新日期:2015-02-01 00:00:00

  • Which patients with asymptomatic carotid stenosis benefit from revascularization?

    abstract:PURPOSE OF REVIEW:To summarize why there are polarized opinions regarding the management of patients with asymptomatic carotid disease and whether it is possible to identify patients who might benefit from carotid interventions. RECENT FINDINGS:Carotid Revascularization Endarterectomy Versus Stenting Trial and Asympto...

    journal_title:Current opinion in neurology

    pub_type: 杂志文章,评审

    doi:10.1097/WCO.0000000000000408

    authors: Naylor AR

    更新日期:2017-02-01 00:00:00

  • The natural history of B cells.

    abstract::Multiple sclerosis is a common neurological disorder that represents a significant source of disability. B cells have recently emerged as a novel therapeutic target for multiple sclerosis. The natural development of B cells is characterized by an antigen-independent phase that occurs in the bone marrow and an antigen-...

    journal_title:Current opinion in neurology

    pub_type: 杂志文章,评审

    doi:10.1097/01.wco.0000313358.53553.c7

    authors: Monson NL

    更新日期:2008-04-01 00:00:00

  • Herpes simplex virus encephalitis: new infection or reactivation?

    abstract:PURPOSE OF REVIEW:This review describes the pathogenesis, clinical presentation, course, and therapy of herpes simplex encephalitis (HSE), the most fatal viral encephalitis, in which prognosis is dependent on early diagnosis and effective therapy. RECENT FINDINGS:Herpes simplex viruses types 1 and 2 (HSV-1 and HSV-2) ...

    journal_title:Current opinion in neurology

    pub_type: 杂志文章,评审

    doi:10.1097/WCO.0b013e328346be6f

    authors: Steiner I

    更新日期:2011-06-01 00:00:00

  • Neuroimaging of drug resistance in epilepsy.

    abstract:PURPOSE OF REVIEW:Drug resistance is an important clinical problem: it is associated with higher rates of somatic and psychiatric comorbidities and cognitive/memory decline, with seizures being just the 'tip of the iceberg'. This review summarizes recent developments in imaging research, focusing specifically on the fu...

    journal_title:Current opinion in neurology

    pub_type: 杂志文章,评审

    doi:10.1097/WCO.0000000000000072

    authors: Koepp MJ

    更新日期:2014-04-01 00:00:00

  • Assessment of subjective health and health-related quality of life in persons with acquired or degenerative brain injury.

    abstract:PURPOSE OF REVIEW:Health-related quality of life is a new outcome variable in neurology. Several generic measures aim at assessing this variable in adults with neurological diseases. Disease-specific measures are still rare; however, individuals with neurological diseases frequently suffer from cognitive impairment, ye...

    journal_title:Current opinion in neurology

    pub_type: 杂志文章,评审

    doi:10.1097/01.wco.0000194140.56429.75

    authors: von Steinbuechel N,Richter S,Morawetz C,Riemsma R

    更新日期:2005-12-01 00:00:00

  • Rehabilitation of hemianopia.

    abstract:PURPOSE OF REVIEW:Homonymous hemianopia is the commonest form of acquired homonymous visual field defect; the usual causes are stroke, head injury and intracranial tumours. This impairment can affect a variety of cognitive visual functions, including visual search, safe navigation through changing environments and read...

    journal_title:Current opinion in neurology

    pub_type: 杂志文章,评审

    doi:10.1097/WCO.0b013e32831f1b2c

    authors: Schofield TM,Leff AP

    更新日期:2009-02-01 00:00:00

  • Multifocal motor neuropathy and chronic inflammatory demyelinating polyradiculoneuropathy.

    abstract::In multifocal motor or sensorimotor neuropathy with persistent conduction block, most of the recent research has concerned treatment. Open trials show that intravenous immunoglobulin is effective, providing a rapid and often marked clinical improvement, accompanied by a significant reduction of conduction block in som...

    journal_title:Current opinion in neurology

    pub_type: 杂志文章,评审

    doi:10.1097/00019052-199510000-00006

    authors: Léger JM

    更新日期:1995-10-01 00:00:00

  • Diagnosis of natalizumab-associated progressive multifocal leukoencephalopathy using MRI.

    abstract:PURPOSE OF REVIEW:This review describe the role and advancements of MRI in the diagnosis and monitoring of progressive multifocal leukoencephalopathy (PML) in multiple sclerosis patients treated with natalizumab. RECENT FINDINGS:MRI is the most sensitive paraclinical tool in the detection of PML lesions in natalizumab...

    journal_title:Current opinion in neurology

    pub_type: 杂志文章,评审

    doi:10.1097/WCO.0000000000000099

    authors: Wattjes MP,Barkhof F

    更新日期:2014-06-01 00:00:00

  • Defective glycosylation in congenital muscular dystrophies.

    abstract:PURPOSE OF REVIEW:The recent identification of mutations in five genes coding for proteins with putative or demonstrated glycosyltransferase activity has shed light on a novel mechanism responsible for muscular dystrophy. Abnormal glycosylation of alpha-dystroglycan appears to be a common finding in all these condition...

    journal_title:Current opinion in neurology

    pub_type: 杂志文章,评审

    doi:10.1097/00019052-200404000-00020

    authors: Muntoni F,Brockington M,Torelli S,Brown SC

    更新日期:2004-04-01 00:00:00

  • Mechanisms of cell death in neurodegenerative and retinal diseases: common pathway?

    abstract::The review intends to draw the attention of researchers working in retinal degenerations on the fact that classical apoptosis, for example, apoptosis triggering caspase activation, may not be the main pathway of cellular demise in this tissue.Former work already showed the difficulty of proving the activation of apopt...

    journal_title:Current opinion in neurology

    pub_type: 杂志文章,评审

    doi:10.1097/WCO.0000000000000272

    authors: Torriglia A,Jaadane I,Lebon C

    更新日期:2016-02-01 00:00:00

  • Treatment of early Parkinson's disease.

    abstract:PURPOSE OF REVIEW:This review summarizes currently available treatment options and treatment strategies, investigational treatments, and the importance of exercise for early Parkinson's disease. RECENT FINDINGS:The available treatment options for early Parkinson's disease have changed little in the past decade and inc...

    journal_title:Current opinion in neurology

    pub_type: 杂志文章,评审

    doi:10.1097/WCO.0000000000000113

    authors: Pahwa R,Lyons KE

    更新日期:2014-08-01 00:00:00

  • Prevention and management of medication overuse headache.

    abstract:PURPOSE OF REVIEW:This review provides an update on our knowledge regarding prevention and management of medication overuse headache (MOH). RECENT FINDINGS:The prevalence of MOH is 1-2% in the general population worldwide, and because of the tremendous socio-economic cost, it is likely to be the most costly neurologic...

    journal_title:Current opinion in neurology

    pub_type: 杂志文章,评审

    doi:10.1097/WCO.0b013e328352c431

    authors: Russell MB,Lundqvist C

    更新日期:2012-06-01 00:00:00

  • Genetic treatments in muscular dystrophies.

    abstract:PURPOSE OF REVIEW:The search for a cure for Duchenne muscular dystrophy and other muscular dystrophies is progressing rapidly despite significant challenges posed by some genes and the complexity of targeting all skeletal muscles. This review focuses on three areas in which experimental clinical studies are in progress...

    journal_title:Current opinion in neurology

    pub_type: 杂志文章,评审

    doi:10.1097/WCO.0b013e3282efc157

    authors: Muntoni F,Wells D

    更新日期:2007-10-01 00:00:00

  • Approaches permitting and enhancing motoneuron regeneration after spinal cord, ventral root, plexus and peripheral nerve injuries.

    abstract::The motoneuron has a strong ability to regenerate after injury. However, the problems of nerve cell survival after a proximal axotomy, difficulty in axonal elongation after intraspinal lesion and the lack of target specificity during nerve fibre regrowth interfere with a good functional restitution. Current research h...

    journal_title:Current opinion in neurology

    pub_type: 杂志文章,评审

    doi:10.1097/00019052-200012000-00012

    authors: Carlstedt T

    更新日期:2000-12-01 00:00:00

  • Tremor entities and their classification: an update.

    abstract:PURPOSE OF REVIEW:This review focuses on important new findings in the field of tremor and illustrates the consequences for the current definition and classification of tremor. RECENT FINDINGS:Since 1998 when the consensus criteria for tremor were proposed, new variants of tremors and new diagnostic methods were disco...

    journal_title:Current opinion in neurology

    pub_type: 杂志文章,评审

    doi:10.1097/WCO.0000000000000211

    authors: Gövert F,Deuschl G

    更新日期:2015-08-01 00:00:00

  • Neurosteroids and epilepsy.

    abstract:PURPOSE OF REVIEW:Neurosteroids are a family of compounds synthesized directly in the brain by transforming cholesterol into pregnenolone, which is then converted to compounds such as allopregnanolone and allotetrahydrodeoxycorticosterone. In view of their ability to modulate neurotransmission, neurosteroids may influe...

    journal_title:Current opinion in neurology

    pub_type: 杂志文章,评审

    doi:10.1097/WCO.0b013e32833735cf

    authors: Biagini G,Panuccio G,Avoli M

    更新日期:2010-04-01 00:00:00

  • Radiation injury to the nervous system.

    abstract::This article reviews the current knowledge with regard to neurotoxicity of conventional radiation, including recent understanding of the pathophysiology, molecular biology, diagnostic evaluation and clinical presentations, as well as proposed treatment modalities and possible protective agents. ...

    journal_title:Current opinion in neurology

    pub_type: 杂志文章,评审

    doi:10.1097/00019052-200112000-00008

    authors: New P

    更新日期:2001-12-01 00:00:00

  • Genetics of Parkinson's disease.

    abstract:PURPOSE OF REVIEW:Parkinson's disease is the second most common neurodegenerative disorder and affects 2% of the population over the age of 60 years. Due to the increasing proportion of elderly individuals in developed countries, Parkinson's disease and related neurodegenerative disorders represent a growing burden on ...

    journal_title:Current opinion in neurology

    pub_type: 杂志文章,评审

    doi:10.1097/01.wco.0000170951.08924.3d

    authors: Gasser T

    更新日期:2005-08-01 00:00:00

  • What's new in new technologies for upper extremity rehabilitation?

    abstract:PURPOSE OF REVIEW:The field of new technologies for upper-limb rehabilitation is exploding. The review presents new trends and studies of effectiveness from recent literature regarding robots, virtual reality and telerehabilitation for neurorehabilitation of the upper limb. RECENT FINDINGS:There appears to be a greate...

    journal_title:Current opinion in neurology

    pub_type: 杂志文章,评审

    doi:10.1097/WCO.0b013e32833f61ce

    authors: Brochard S,Robertson J,Médée B,Rémy-Néris O

    更新日期:2010-12-01 00:00:00

  • The unique role of the trigeminal autonomic reflex and its modulation in primary headache disorders.

    abstract:PURPOSE OF REVIEW:The trigeminal autonomic reflex is a physiological reflex with an important protective function which also plays a role in pathophysiological conditions, such as primary headache. It is not understood whether the autonomic symptoms in trigeminal autonomic cephalalgias and migraine are the consequence ...

    journal_title:Current opinion in neurology

    pub_type: 杂志文章,评审

    doi:10.1097/WCO.0000000000000691

    authors: Möller M,May A

    更新日期:2019-06-01 00:00:00

  • Metabolic imaging in the diagnosis of brain tumors.

    abstract::Positron emission tomography, single photon emission computed tomography and magnetic resonance spectroscopy provide distinct, uncorrelated and sensitive indicators of brain tumors which can be used to improve differential diagnosis, biopsy guidance or therapy monitoring. New findings, including conflicting ethyl-cyst...

    journal_title:Current opinion in neurology

    pub_type: 杂志文章,评审

    doi:10.1097/00019052-199612000-00006

    authors: Slosman DO,Lazeyras F

    更新日期:1996-12-01 00:00:00