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Vol. 60. Issue 3.
Pages 190-207 (May - June 2018)
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Vol. 60. Issue 3.
Pages 190-207 (May - June 2018)
Update in Radiology
Diagnostic imaging in neuro-ophthalmology
Diagnóstico por la imagen en neuroftalmología
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30
A.C. Vela Marín
Corresponding author
acvela@salud.aragon.es

Corresponding author.
, P. Seral Moral, C. Bernal Lafuente, B. Izquierdo Hernández
Servicio de Radiodiagnóstico, Hospital Universitario Miguel Servet, Zaragoza, Spain
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Tables (6)
Table 1. Scheme-summary of the direction of the visual pathways.
Table 2. CT scan and MRI protocols in the neuro-ophtalmology unit at the Hospital Universitario Miguel Servet, Zaragoza, Spain.
Table 3. Indications of the imaging modalities in neuro-ophthalmology based on anatomical areas and pathology.
Table 4. Causes for compressive optic neuropathy (orbit).
Table 5. Causes for diplopia.
Table 6. Causes for hemianopsia.
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Abstract

Neuro-ophthalmology is a field combining neurology and ophthalmology that studies diseases that affect the visual system and the mechanisms that control eye movement and pupil function. Imaging tests make it possible to thoroughly assess the relevant anatomy and disease of the structures that make up the visual pathway, the nerves that control eye and pupil movement, and the orbital structures themselves. This article is divided into three sections (review of the anatomy, appropriate imaging techniques, and evaluation of disease according to clinical symptoms), with the aim of providing useful tools that will enable radiologists to choose the best imaging technique for the differential diagnosis of patients’ problems to reach the correct diagnosis of their disease.

Keywords:
Orbit
Visual pathways
Ophthalmologic imaging techniques
Ocular diseases
Resumen

La neuroftalmología es la parte de la neurología y la oftalmología que se encarga del estudio de las enfermedades que afectan al sistema visual y a los mecanismos que controlan la motilidad ocular y la función pupilar. Las pruebas de imagen permiten realizar una adecuada valoración anatómica y patológica de las estructuras que conforman la vía visual, los nervios que controlan la motilidad ocular y pupilar, y las propias estructuras orbitarias. Este artículo se divide en tres apartados (recuerdo anatómico, técnicas de imagen apropiadas y valoración patológica en función de la sintomatología clínica) con el propósito de proporcionar herramientas útiles que permitan al radiólogo elegir en cada momento la técnica de imagen más adecuada para el correcto diagnóstico de las enfermedades y un ajustado diagnóstico diferencial.

Palabras clave:
Órbita
Vías visuales
Técnicas de imagen oftalmológicas
Enfermedades oculares

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