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 reading. A number of rehabilitative techniques have been tried with varying degrees of success. They broadly fall into three main groups: optical therapies, in which the damaged visual field is brought into view by the use of optical devices; eye movement-based therapies, in which the damaged visual field is more effectively sampled with compensatory or adaptive eye movements; and visual field restitution therapies, in which vision in the damaged field is itself improved. These techniques all rely on mass practice. This review provides an up-to-date summary of these approaches. RECENT FINDINGS:All of the three main approaches to rehabilitation of homonymous visual field defect have been pursued in recent years and all appear capable of providing a moderate amount of 'real-world' improvement to patients. Controversy still reigns over the mechanism of action of all but the optical methods. Patients have to practice for many hours to feel the benefit of all of these techniques, with the eye movement-based therapies requiring the least amount of exposure. SUMMARY:The evidence base for these types of behavioural therapy is getting stronger all the time. Future studies that take on the difficult task of controlling for placebo effects will allow patients' subjective ratings of success to be used as a convincing outcome measure. Without doubt, the literature would also benefit from bigger studies that include more patients; however, one could argue that given the clear negative effect that homonymous visual field defect has on patients' lives, these therapies should be more widely available already.
journal_name
Curr Opin Neuroljournal_title
Current opinion in neurologyauthors
Schofield TM,Leff APdoi
10.1097/WCO.0b013e32831f1b2csubject
Has Abstractpub_date
2009-02-01 00:00:00pages
36-40issue
1eissn
1350-7540issn
1473-6551pii
00019052-200902000-00007journal_volume
22pub_type
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journal_title:Current opinion in neurology
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abstract:PURPOSE OF REVIEW:This article reviews the most significant advances concerning the neural correlates of decision-making with emphasis on those imaging studies investigating the neural implementation of evaluative judgment processes. This is done against the background of current concepts from the field of judgment and...
journal_title:Current opinion in neurology
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journal_title:Current opinion in neurology
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journal_title:Current opinion in neurology
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doi:10.1097/00019052-199404000-00011
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abstract:PURPOSE OF REVIEW:Recent progress in serological screening for paraneoplastic autoantibodies and diagnostic imaging techniques to detect malignancies has resulted in a broadening of the concept of paraneoplastic neurologic syndromes through the characterization of nonclassical clinical features. The goal of this articl...
journal_title:Current opinion in neurology
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doi:10.1097/WCO.0b013e32834a87b7
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abstract:PURPOSE OF REVIEW:Ten years of intensive research are now beginning to bring candidate neuroprotective therapies to clinical trials. This review describes recent progress in basic, preclinical, and clinical research that underlies current and potential neuroprotective trials. RECENT FINDINGS:Basic research continues t...
journal_title:Current opinion in neurology
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更新日期:2003-08-01 00:00:00
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journal_title:Current opinion in neurology
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更新日期:2002-02-01 00:00:00
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journal_title:Current opinion in neurology
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更新日期:2017-06-01 00:00:00
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journal_title:Current opinion in neurology
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更新日期:2009-06-01 00:00:00
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journal_title:Current opinion in neurology
pub_type: 杂志文章,评审
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更新日期:2000-12-01 00:00:00
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journal_title:Current opinion in neurology
pub_type: 杂志文章,评审
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更新日期:2017-10-01 00:00:00
abstract:PURPOSE OF REVIEW:There is an urgent need for effective therapies to restore neurologic function and decrease disability following traumatic brain injury (TBI). Here, emerging findings on the mechanisms of post-TBI neural repair and regeneration, as well as therapeutic implications, are selectively reviewed. RECENT FI...
journal_title:Current opinion in neurology
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doi:10.1097/WCO.0000000000000265
更新日期:2015-12-01 00:00:00
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journal_title:Current opinion in neurology
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更新日期:2006-06-01 00:00:00
abstract::Primary germ-cell tumors of the central nervous system are rare neoplasms that are seen primarily in the pediatric age group. Because of their frequent location in the pituitary and suprasellar regions, they present with typical neuro-ophthalmologic and neuroendocrine symptoms. Sophisticated imaging and surgical biops...
journal_title:Current opinion in neurology
pub_type: 杂志文章,评审
doi:10.1097/00019052-199912000-00006
更新日期:1999-12-01 00:00:00
abstract:PURPOSE OF REVIEW:Precise localization of the epileptogenic zone is imperative for the success of resective surgery of drug-resistant epileptic patients. To decrease the number of surgical failures, clinical research has been focusing on finding new biomarkers. For the past decades, high-frequency oscillations (HFOs, 8...
journal_title:Current opinion in neurology
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更新日期:2019-04-01 00:00:00
abstract:PURPOSE OF REVIEW:Recent advances in survival for patients with newly diagnosed and recurrent brain tumors, combined with the development of an ever-increasing number of potential treatments, has led to significant growth in the number of clinical trials for patients with brain tumors. Suitable clinical trial design an...
journal_title:Current opinion in neurology
pub_type: 杂志文章,评审
doi:10.1097/WCO.0b013e328359b45e
更新日期:2012-12-01 00:00:00
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journal_title:Current opinion in neurology
pub_type: 杂志文章,评审
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更新日期:2019-02-01 00:00:00
abstract:PURPOSE OF REVIEW:The relative influence of genes and environment on the liability to neurodevelopmental disorders (NDDs) can be investigated using a twin design. This review highlights the results of the most recent twin studies of NDDs. RECENT FINDINGS:Recent twin studies have confirmed that NDDs show moderate-to-hi...
journal_title:Current opinion in neurology
pub_type: 杂志文章,评审
doi:10.1097/WCO.0b013e32835f19c3
更新日期:2013-04-01 00:00:00
abstract:PURPOSE OF REVIEW:This review highlights recent advances in cochlear gene therapy over the past several years. Cochlear gene therapy has undergone tremendous advances over the past decade. Beginning with some groundbreaking work in 2005 documenting hair cell regeneration using virally mediated delivery of the mouse ato...
journal_title:Current opinion in neurology
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更新日期:2012-02-01 00:00:00
abstract:PURPOSE OF REVIEW:Most patients suffering from muscular dystrophies can now obtain a precise diagnosis of their underlying molecular defect, but no efficient treatment to prevent disability and death. This review summarizes recent progress towards developing efficient treatments for these severe diseases. RECENT FINDI...
journal_title:Current opinion in neurology
pub_type: 杂志文章,评审
doi:10.1097/00019052-200210000-00007
更新日期:2002-10-01 00:00:00
abstract:PURPOSE OF REVIEW:The influence of anxiety on ocular motor control and gaze has received less research attention than its effects on postural control and locomotion. This review summarizes research on trait anxiety, state anxiety, anxiety disorders, ocular motor reflexes, and gaze. It applies these findings to clinical...
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pub_type: 杂志文章,评审
doi:10.1097/WCO.0000000000000055
更新日期:2014-02-01 00:00:00
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journal_title:Current opinion in neurology
pub_type: 杂志文章,评审
doi:10.1097/WCO.0b013e3281fbd3dd
更新日期:2007-08-01 00:00:00
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journal_title:Current opinion in neurology
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更新日期:2019-06-01 00:00:00
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journal_title:Current opinion in neurology
pub_type: 杂志文章,评审
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更新日期:2013-12-01 00:00:00
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journal_title:Current opinion in neurology
pub_type: 杂志文章,评审
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更新日期:1998-04-01 00:00:00
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journal_title:Current opinion in neurology
pub_type: 杂志文章,评审
doi:10.1097/WCO.0b013e3283168e03
更新日期:2008-12-01 00:00:00
abstract:PURPOSE OF REVIEW:Migraine has traditionally been categorized as a pain disorder, focusing on headache as its central feature. This narrow view does not account for the complex array of premonitory and postrdromal symptoms that occur in the hours before and after headache. This review outlines evidence that supports a ...
journal_title:Current opinion in neurology
pub_type: 杂志文章,评审
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更新日期:2013-06-01 00:00:00
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journal_title:Current opinion in neurology
pub_type: 杂志文章,评审
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更新日期:2008-04-01 00:00:00
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journal_title:Current opinion in neurology
pub_type: 杂志文章,评审
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更新日期:2011-10-01 00:00:00
abstract:PURPOSE OF REVIEW:Understanding the mechanisms and abnormalities of respiratory function in neuromuscular disease is critical to supporting the patient and maintaining ventilation in the face of acute or chronic progressive impairment. RECENT FINDINGS:Retrospective clinical studies reviewing the care of patients with ...
journal_title:Current opinion in neurology
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更新日期:2016-10-01 00:00:00