A six-year review of referral cases to neurosurgeons Emi Sakamoto 1 , Osamichi Nishikiori 1 , Gyoko Shirai 1 , Kohta Matsubayashi 2 , Akio Tabuchi 3 1Shirai Eye Hosp 2Matsubayashi Eye Clinic 3Dept of Ophthalmol, Kawasaki Med Sch pp.400-404
Published Date 1999/3/15
DOI https://doi.org/10.11477/mf.1410906248
  • Abstract
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We reviewed a series of 72 cases referred from our eye hospital to neurosurgeons during the foregoing 6-year period. The major reasons of referral were eye motility disorders, visual loss, ocular pain, headache, and visual field defect in the descending order. Neurological disorders were detected in 22 cases (31%), including cerebral infarction 9 cases and brain tumor 4 cases. Eye motility disorders were most frequent in cases of cerebral infarction aged 60 years or over. Pituitary adenoma was one of the causes of visual loss with visual field defects. The findings show that cerebral infarction is a frequent cause of eye motility disorders in aged persons and that brain tumor may underlie in the presence of visual loss without ocular lesions, suggesting the need of visual field examination.

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