2020–2021 BCSC Basic and Clinical Science Course™
5 Neuro-Ophthalmology
Chapter 2: Neuroimaging in Neuro-Ophthalmology
Negative Study Results
When an imaging study fails to demonstrate the expected pathology in relation to the clinical presentation, the clinician’s first step is to reexamine the study parameters, ideally with a neuroradiologist. Several questions to keep in mind are:
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Were the appropriate studies performed, including required sequences and orientations?
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Was the area of interest adequately imaged (Fig 2-15)?
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Are the study results truly negative (Fig 2-16)?
Even if the ophthalmologist cannot personally review the studies, speaking directly with the radiologist may prevent certain lesions from being overlooked and can provide the clinical information required to enhance the radiographic report’s accuracy and usefulness.
Excerpted from BCSC 2020-2021 series: Section 5 - Neuro-Ophthalmology. For more information and to purchase the entire series, please visit https://www.aao.org/bcsc.