Fundus photographs showing pale discs and retinal vessel attenuation.

Slides:



Advertisements
Similar presentations
Fig. 2. Angiographic findings of a hyaluronic acid-injected patient
Advertisements

ECG showing appearances of polymorphic ventricular complexes on exercise testing in a patient who is β-blocked and known to have catecholaminergic polymorphic.
Various lower limb ankle orthoses used in the management of distal lower limb muscle weakness in patients with inherited neuropathies. Various lower limb.
OCT left eye (case 3). OCT showed bilateral foveal atrophy (white arrows), with an island of preserved retina in the left fovea (yellow arrow; only left.
Typical MRI features of Creutzfeldt-Jakob disease (CJD).
The MR scan of brain of our case vignette patient showing significant occipital lobe atrophy (especially left sided) with parietal lobe involvement as.
Fundal photograph (A) and autofluorescence (B) (Case 1)
Typical imaging findings.
Incidentalomas. Incidentalomas. T1W sagittal (A) and T2W coronal (B) MRIs show a small slightly T2 hypointense lesion (B, arrow) in the left anterior pituitary.
(case 6)  (A) Fundus photography showing subtle discrete areas of RPE atrophy (green areas). (case 6)  (A) Fundus photography showing subtle discrete areas.
‘Poppers’ retinopathy.
Case one: (A and B) Right and left colour fundus photographs of the optic nerve head showing small crowded discs with anomalous branching of the blood.
Photograph of the legs of a patient with inherited erythromelalgia, showing erythema to the level of the mid-calf. Photograph of the legs of a patient.
MRI scans show coronal sections of the brain and right hippocampus at baseline, 9 months, 2 years (when he was diagnosed with mild cognitive impairment)
Cloverleaf pattern on Humphrey visual fields.
Schematic representation of hepatitis E virus (HEV) genotype 3 in developed countries. Schematic representation of hepatitis E virus (HEV) genotype 3 in.
Single colour fundus photographs of patients with disc swelling secondary to raised intracranial pressure (papilloedema). Single colour fundus photographs.
Stages of B-cell development and expression of B-cell surface markers.
Case 2—Urgent CSF divergence surgery restored visual function.
Confocal images of skin biopsies taken from the legs of a control subject (A) and a patient with small fibre neuropathy secondary to HIV (B) showing PGP.
Single colour fundus photographs of pseudopapilloedema in patients initially thought to have IIH. (A) Elevated, lumpy disc with anomalous vascular pattern.
Optical coherence tomography showing thinning of the retinal nerve fibre layer (RNFL) 1 month postquinine overdose.  OU, oculus uterque (both eyes); OD,
Goldmann visual fields of a patient with ‘stacked isopters’.
Photograph of the legs of a patient with inherited erythromelalgia, showing erythema to the level of the mid-calf. Photograph of the legs of a patient.
Indocyanine green angiography (ICG) and fluorescein angiography (FA) of the right eye (case 8). Indocyanine green angiography (ICG) and fluorescein angiography.
Confocal images of skin biopsies taken from the legs of a control subject (A) and a patient with small fibre neuropathy secondary to HIV (B) showing PGP.
Injection sites for greater occipital nerve (GON) block.
Page 1 of a fact sheet available at www. neurosymptoms. org
Schematic representation of the visual pathway and the location of lesion leading to the temporal crescent syndrome. Schematic representation of the visual.
Goldmann machine. Goldmann machine. The patient's eye is positioned at the centre of a white hemispheric bowl, with the examiner looking through an eyepiece.
Humphrey perimetry (SITA-Standard 24–2): (A) 1 month postquinine overdose, showing marked constriction of the visual field; (B) 6 months postquinine overdose,
Suggested algorithm for genetic testing in Charcot–Marie–Tooth disease (CMT) and related disorders in the age of disease-specific gene panels. *Motor nerve.
An artistic rendering of how patients with simultanagnosia perceive a visual scene. An artistic rendering of how patients with simultanagnosia perceive.
Autofluorescence left eye (case 3)
(A) Axial CT scan of head at presentation, showing a right occipital hypodense lesion. (A) Axial CT scan of head at presentation, showing a right occipital.
Star cancellation task from the behavioural inattention test
After 4 s of raw magnetoencephalography data (two channels contain obvious artefacts), the door to the magnetically shielded room is opened during recording.
Optical coherence tomography showing thinning of the retinal nerve fibre layer (RNFL) 1 month postquinine overdose.  OU, oculus uterque (both eyes); OD,
Headache frequency after medication withdrawal in medication-overuse headache. Headache frequency after medication withdrawal in medication-overuse headache.
Tunnel vision: functional (ie, tubular field) versus physiological.
(A) Frontalis test: unilateral injection of the frontalis muscle with botulinum toxin (BoNT). (A) Frontalis test: unilateral injection of the frontalis.
Chondrosarcoma: T2W axial (A and B) and fast fluid-attenuated inversion recovery coronal images show a large T2 hyperintense left cavernous sinus mass,
Sagittal T2-weighted MR scan of spine of case 1 (A) and case 2 (C), showing intramedullary signal hyperintensity at T11/12 in case 2 (C). Sagittal T2-weighted.
Functional tremor. (A) The tremor affects both hands but there is variation in amplitude and frequency between the right and left spirals. Functional tremor. (A)
Real-time quaking-induced conversion reactions seeded with cerebrospinal fluid from a patient with sporadic Creutzfeldt-Jakob disease (sCJD) (red) and.
(A) Pupillary responses by age (from Meisami et al)
The organisation of cortical microcolumns within the sulcal bank, tangentially orientated to the skull, allows their detection with magnetoencephalography.
Papilloedema in a patient with idiopathic intracranial hypertension.
The organisation of cortical microcolumns within the sulcal bank, tangentially orientated to the skull, allows their detection with magnetoencephalography.
Receiver operating characteristics curves showing discrimination between patients with dementia of the Alzheimer type (at time of diagnosis) and non-demented.
Fundus photograph of the right eye of patient 3 taken methotrexate 6 months after surgery. Fundus photograph of the right eye of patient 3 taken methotrexate.
Constructive interference in the steady state (CISS) axial (A and B) and gadolinium-enhanced T1W axial (C and D) and coronal (E) MRI show a right-sided.
(A) MR scan of brain from an 82-year-old woman who presented with recurrent episodes of sudden onset needles affecting the face, gum and hand, with facial.
General Medical Council’s (GMC) National Training Survey results for average clinic attendance per week at 33 sites across the UK in General Medical.
Fundus photograph (left) and early-phase fluorescein angiogram (right) of a 37-year-old woman who previously presented with lupus retinal vasculitis and.
Fundus photograph of the left eye of patient 2 taken methotrexate 14 months after surgery. Fundus photograph of the left eye of patient 2 taken methotrexate.
 Progression of autonomic symptoms including hypohidrosis (A), faintness (B), syncope (C), constipation (D), urinary dysfunction (E), and respiratory disturbance.
Case 10: (A) slit lamp photograph 1 day postoperatively after phacoemulsification and hydrophilic IOL implantation combined with pars plana vitrectomy.
 Histograms showing periods until an improvement of one Hughes grade from onset.  Histograms showing periods until an improvement of one Hughes grade from.
Kaplan-Meier table analysis of patients with corticobasal degeneration after onset of symptoms; the y axis refers to proportion of patients who are alive.
Conceptual diagram of dopaminergic system and disease and drug effects
(A) Patient with acute PFP on the 4th day showed an abnormal dyphagia limit of 5 ml from paretic left sided swallowing (arrows denote second swallows).
 Ocular abnormalities.  Ocular abnormalities. (A) Anterior ischaemic optic neuropathy—note swelling of the optic disc. (B) Acute central retinal artery.
MR scan of brain fluid-attenuated inversion recovery (FLAIR) (A) and short tau inversion recovery (STIR) (B, C) showing asymmetrical hyperintensities affecting.
MR scans of brain and spine: (A) sagittal T2 image showing signal change in the posterior spinal cord between C3 and T6. MR scans of brain and spine: (A)
 Axial magnetic resonance imaging (MRI) of a 30 year old man with relapsing remitting multiple sclerosis (MS) showing multiple periventricular lesions:
MR scan of brain (coronal sections of fluid attenuation inversion recovery (FLAIR) sequences) in a patient with corticobasal syndrome, showing generalised.
(A) Clinical selection of scapular muscles depending on the side of the elevation of the shoulder in a patient with dystonic head rotation. (A) Clinical.
Pituitary apoplexy. Pituitary apoplexy. T1W sagittal and T1W coronal images of the pituitary fossa show a pituitary mass, almost certainly a macroadenoma,
Right-angled vessels (RAVs) are present in early disease stages as shown by optical coherence tomography angiography (OCT-A) before they are visible in.
Presentation transcript:

Fundus photographs showing pale discs and retinal vessel attenuation. Fundus photographs showing pale discs and retinal vessel attenuation. The patient’s fundus appearance was unremarkable in the early stages; the changes seen here were seen from 1 month postoverdose and are secondary to the widespread quinine-induced retinal toxicity. These photographs were taken at 6 months, at which point there had been some recovery of the visual function but no further change to the funduscopic appearance. Hildegard Nikki Hall, and Andrew J Tatham Pract Neurol 2017;17:469-471 ©2017 by BMJ Publishing Group Ltd