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Telemedicine in neuro-ophthalmology
Purpose of review The COVID-19 public health emergency accelerated the adoption of telemedicine in neuro-ophthalmology. This review surveys the current telemedicine landscape and discusses associated limitations and opportunities. Recent findings Logistic considerations and regulatory changes related to the COVID-19 pandemic have spurred a proliferation of tele-neuro-ophthalmic practice. One significant benefit of telemedicine is increased access to the limited number of neuro-ophthalmologists in the country. Certain elements of the neuro-ophthalmic examination can be ascertained during a video visit or through ...
Source: Current Opinion in Ophthalmology - October 13, 2021 Category: Opthalmology Tags: NEURO-OPHTHALMOLOGY: Edited by Dean M. Cestari Source Type: research

Diagnosis of Acute Promyelocytic Leukemia After Presentation to Neuro-Ophthalmology
Conclusion: Neuro-ophthalmologic symptoms may be the first manifestations of APML, and a complete blood count is an essential test in patients presenting with optic disc edema, especially if hemorrhagic.
Source: Journal of Neuro-Ophthalmology - February 25, 2022 Category: Opthalmology Tags: Original Contribution Source Type: research

The burden of a brain tumor: guiding patient centric care in neuro-oncology
ConclusionsIt is imperative that we include the patient perspective in the development of neuro-oncology programs; considering thequality of survival in addition to quantity. Neuro-oncology quality care themes identified were relational concerns, navigating interdisciplinary care, neurobehavioral impact, emotional response to stressors, existential concerns, and caregiver support. A paramount concentration for comprehensive neuro-oncology programs must include patients ’ quality needs.
Source: Journal of Neuro-Oncology - April 8, 2022 Category: Cancer & Oncology Source Type: research

Patient Personality and Illness Perceptions in Relation to Follow-Up Appointment Adherence in Neuro-Ophthalmology
Background: Improving patient attendance at medical follow-up visits may have a notable impact on disease and overall health outcomes. Understanding factors contributing to poor attendance is important for identifying at-risk patients and designing interventions to improve clinical outcomes. Our objective was to identify personality and illness perception factors associated with attendance at recommended follow-up visits in a neuro-ophthalmology practice. Methods: New or established patients (≥18 years) with scheduled neuro-ophthalmology (study) or glaucoma (comparison) appointments at a tertiary care academic...
Source: Journal of Neuro-Ophthalmology - May 27, 2022 Category: Opthalmology Tags: Original Contribution Source Type: research

Patient satisfaction and cost savings analysis of the telemedicine program within a neuro-oncology department
ConclusionTelemedicine yields equivalent patient satisfaction when employed in surgical as compared to medical Neuro-Oncology patients with the potential to lessen the financial and time burden on neuro-oncology patients.
Source: Journal of Neuro-Oncology - November 11, 2022 Category: Cancer & Oncology Source Type: research

Neuro-Ophthalmology of Space Flight
Conclusions: We previously hypothesized that the optic nerve and ocular changes that we described in astronauts may be the result of orbital and cranial cephalad fluid shifts brought about by prolonged microgravity exposure. The findings we reported previously and continue to see in astronauts may represent parts of a spectrum of ocular and cerebral responses to extended microgravity exposure. Future investigations hopefully will lead to countermeasures that can be used to eliminate or lessen the magnitude of these potentially harmful findings before long-duration space flight including the possibility of a manned mission to Mars.
Source: Journal of Neuro-Ophthalmology - February 19, 2016 Category: Opthalmology Tags: State-of-the-Art Review Source Type: research

Gent-29. clinical experience of glioma surgery using "tailed bullet": overcoming the limitations of conventional neuro-navigation guided surgery
Although conventional neuro-navigation is a useful tool for image-guided glioma surgery, there are several limitations, such as brain shift. We introduce our methods using an identifiable marker, a "tailed bullet", to overcome the limitation of conventional neuro-navigation. A tailed bullet is an identifiable marker that determines the extent of a resection and we introduce our technique and reviewed the clinical results. Tailed bullet resections were carried out for 110 glioma cases (WHO grade 2, 3 and 4 glioma was 14, 36 and 60 cases, respectively). We achieved a gross total resection (GTR) in 71 patients (64.5%), s...
Source: Neuro-Oncology - November 6, 2016 Category: Cancer & Oncology Authors: Cho, J. M., Cho, K., Kim, S. H. Tags: GENETICS AND EPIGENETICS Source Type: research

Codman Neuro acquires Neuravi
Johnson & Johnson (NYSE:JNJ) business unit Codman Neuro said today it acquired Neuravi and its portfolio of neurovascular therapy technology for an undisclosed amount. Neuravi produces the EmboTrap and EmboTrap II revascularization platforms designed capture clots and allow blood flow to resume immediately after the clot has been secured in patients who have experienced a stroke. J&J’s Codman Neuro said that the acquisition, along with its recent Pulsar Vascular buy, demonstrates the company’s “strong commitment to delivering innovative products for stroke therapy,” according to a press ...
Source: Mass Device - April 10, 2017 Category: Medical Equipment Authors: Fink Densford Tags: Business/Financial News Mergers & Acquisitions Neurological Codman Neuro Neuravi Limited Source Type: news

Hemodynamic neuro-ophthalmic complications from hemodialysis (P5.191)
Conclusions:Hemodialysis patients have complex hemodynamic issues rarely seen in other populations. Right sided AV fistulas may raise the central venous pressure and result in elevated intracranial pressure particularly with coexistent venous pathology. In addition, dialysis patients often have widespread vascular disease and auto regulatory dysfunction being more sensitive to hypotensive complications from ultrafiltration. Clinicians should be aware of the neuro-ophthalmic complications specific to this population in order to diagnose and manage such complications effectively.Disclosure: Dr. Rasool has nothing to disclose...
Source: Neurology - April 17, 2017 Category: Neurology Authors: Rasool, N., Meyers, P., Cestari, D., Rostanski, S., Nowygrod, R., Moazami, G., Odel, J., Patel, A., Gallagher, B. Tags: Neuro-ophthalmology/Neuro-otology I Source Type: research

Development of the CNS TAP tool for the selection of precision medicine therapies in neuro-oncology
AbstractThe number of targeted therapies utilized in precision medicine are rapidly increasing. Neuro-oncology offers a unique challenge due to the varying blood brain barrier (BBB) penetration of each agent. Neuro-oncologists face a difficult task weighing the growing number of potential targeted therapies and their likelihood of BBB penetration. We developed the CNS TAP Working Group and performed an extensive literature review for the evidence-based creation of the CNS TAP tool, which was retrospectively validated by analyzing brain tumor patients who underwent therapy targeted based on genomic results from an academic ...
Source: Journal of Neuro-Oncology - December 12, 2017 Category: Cancer & Oncology Source Type: research

Neuro-ophthalmic manifestations of the phakomatoses
Purpose of review The phakomatoses are a group of inherited disorders with variable clinical manifestations that are characterized by brain, cutaneous, ocular and other distinct lesions in multiple organs. Correctly recognizing the neuro-ophthalmic signs and symptoms can lead to early diagnosis and treatment. The group is composed of neurofibromatosis (type 1 and 2), tuberous sclerosis complex, von Hippel–Lindau, ataxia–telangiectasia and Sturge–Weber syndromes. However, more than 60 syndromes have been described in the medical literature. This review provides an update on the diagnosis and management of phakomatos...
Source: Current Opinion in Ophthalmology - October 4, 2019 Category: Opthalmology Tags: NEURO-OPHTHALMOLOGY: Edited by Dean M. Cestari Source Type: research

Survey of Telehealth Adoption by Neuro-ophthalmologists During the COVID-19 Pandemic: Benefits, Barriers, and Utility
Background: During the COVID-19 pandemic, telehealth modalities have come to prominence as a strategy for providing patient care when in-person care provision opportunities are limited. The degree of adoption by neuro-ophthalmologists has not been quantified. Methods: Telehealth utilization pre–COVID-19 and peri–COVID-19 was surveyed among practicing neuro-ophthalmologists in and outside the United States using an online platform. Demographics, perceived benefits, barriers, and utility for different neuro-ophthalmic conditions were collected. Data collection occurred over a 2-week period in May 2020. Results: T...
Source: Journal of Neuro-Ophthalmology - August 25, 2020 Category: Opthalmology Tags: Original Contribution Source Type: research

Neuro-Ophthalmic Features of Autoimmune Encephalitides
Conclusions: The novel cell-surface protein-directed autoimmune encephalitis group can present with a wide range of afferent and efferent neuro-ophthalmic manifestations. Neuro-ophthalmologists should be familiar with these antibody-associated syndromes, which are treatable and often require a high index of suspicion for diagnosis.
Source: Journal of Neuro-Ophthalmology - August 25, 2020 Category: Opthalmology Tags: State-of-the-Art Review Source Type: research

US Food and Drug Administration regulatory updates in neuro-oncology
ConclusionsDespite the challenges of the past year brought on by the COVID-19 pandemic, progress continues to be made in neuro-oncology. These include first-of-their-kind FDA approvals and Guidances that are relevant to the management of patients with nervous system tumors.
Source: Journal of Neuro-Oncology - June 22, 2021 Category: Cancer & Oncology Source Type: research

Current state of therapeutic focused ultrasound applications in neuro-oncology
ConclusionsFocused ultrasound is a promising and actively expanding therapeutic modality for diverse neuro-oncological diseases.
Source: Journal of Neuro-Oncology - October 18, 2021 Category: Cancer & Oncology Source Type: research