Neuro-ophthalmologic disorders following concussion

Julie Debacker, Rachel Ventura, Steven L. Galetta, Laura J. Balcer, Janet C. Rucker

Research output: Chapter in Book/Report/Conference proceedingChapterpeer-review

20 Scopus citations

Abstract

Visual symptoms, such as photophobia and blurred vision, are common in patients with concussion. Such symptoms may be accompanied by abnormalities of specific eye movements, such as saccades and convergence, or accommodation deficits. The high frequency of visual involvement in concussion is not surprising, since more than half of the brain's pathways are dedicated to vision and eye movement control. These areas include many that are most vulnerable to head trauma, including the frontal and temporal lobes. Vision and eye movement testing is important at the bedside and on the sidelines of athletic events, where brief performance measures that require eye movements, such as rapid number naming, are reliable and sensitive measures for concussion detection. Tests of vision and eye movements are also being explored clinically to identify and monitor patients with symptoms of both sport- and nonsport-related concussion. Evaluation of vision and eye movements can assist in making important decisions after concussion, including the prognosis for symptom recovery, and to direct further visual rehabilitation as necessary.

Original languageEnglish
Title of host publicationHandbook of Clinical Neurology
PublisherElsevier B.V.
Pages145-152
Number of pages8
DOIs
StatePublished - 1 Jan 2018
Externally publishedYes

Publication series

NameHandbook of Clinical Neurology
Volume158
ISSN (Print)0072-9752
ISSN (Electronic)2212-4152

Keywords

  • MULES
  • concussion
  • convergence insufficiency
  • eye movements
  • neuro-ophthalmic disorders
  • rapid number naming
  • saccades
  • video-oculography

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