Feasibility of a Nonmydriatic Ocular Fundus Camera in an Outpatient Neurology Clinic

AbstractHot water epilepsy (HWE) is a subtype of reflex epilepsy in which seizures are triggered by the head being immersed in hot water. Hot water or bathing epilepsy is the type of reflex epilepsy most frequently encountered in our clinic. We describe our patients with HWE and also discuss the clinical features, therapeutic approaches, and prognosis. Eleven patients (10 boys, 1 girl), aged 12 months to 13 years, admitted to the pediatric neurology clinic between January 2018 and August 2019, and diagnosed with HWE or bathing epilepsy based on International League Against Epilepsy (ILAE)-2017, were followed up prospectively for ∼18 months. Patients' clinical and electroencephalography (EEG) findings and treatment details were noted. All 11 patients' seizures were triggered by hot water. Age at first seizure was between 2 months and 12 years. Seizure types were generalized motor seizures, absence, and atonic. EEG was normal in two patients, but nine patients had epileptiform discharges. Magnetic resonance imaging of the brain was performed and reported as normal (except in one case). Histories of prematurity were present in two patients, unprovoked seizures in one, and low birth weight and depressed birth in the other. Patients with HWE have normal neuromuscular development and neurological examination results, together with prophylaxis or seizure control with a single antiepileptic drug, suggesting that it is a self-limited reflex epilepsy.

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The relationship between psychosocial trauma type and conversion (functional neurological) disorder symptoms: a cross-sectional study

Australasian Psychiatry ◽

10.1177/10398562211009247 ◽

2021 ◽

pp. 103985622110092

Author(s):

Shimaa K. Morsy ◽

Daniela Huepe-Artigas ◽

Ahmed M. Kamal ◽

Maha Ali Hassan ◽

Nashaat Adel Abdel-Fadeel ◽

...

Keyword(s):

Neurological Disorder ◽

Conversion Disorder ◽

Cross Sectional Study ◽

Cross Sectional ◽

Trauma Symptom ◽

Functional Symptoms ◽

Neurology Clinic ◽

The Relationship ◽

Trauma Type ◽

Functional Neurological Disorder

Objective: Psychosocial trauma was associated with developing conversion disorder (also known as functional neurological disorder) before Freud, though why a particular symptom should arise is unknown. We aimed to determine if there was a relationship between trauma type and symptom. Methods: We retrospectively reviewed the medical records of patients attending Australia’s first functional neurology clinic, including referral, clinic letters and a clinic questionnaire. Results: There were 106 females, 43 males and five transgender patients. Sensory (51%), motor (47%) and seizures (39%) were the commonest functional symptoms. Most patients (92%) reported stressors associated with symptom onset. Multiple trauma/symptom type associations were found: patients with in-law problems experienced more cognitive symptoms ( p = .036), for example, while expressive speech problems more commonly followed relationship difficulties ( p = .021). Conclusion: Associations were found between type of traumatic events and type of symptoms in conversion disorder. This will require verification in a larger sample.

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Arteriolar sclerosis of ocular fundus in patients with atrophic gastritis

The American Journal of Gastroenterology ◽

10.1016/s0002-9270(03)01456-4 ◽

2003 ◽

Vol 98 (9) ◽

pp. S226

Author(s):

Y URITA

Keyword(s):

Atrophic Gastritis ◽

Ocular Fundus

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Predictors for the progression of geographic atrophy in patients with age-related macular degeneration: fundus autofluorescence study with modified fundus camera

Eye ◽

10.1038/eye.2013.275 ◽

2014 ◽

Vol 28 (2) ◽

pp. 209-218 ◽

Cited By ~ 13

Author(s):

Y J Jeong ◽

I H Hong ◽

J K Chung ◽

K L Kim ◽

H K Kim ◽

...

Keyword(s):

Macular Degeneration ◽

Fundus Autofluorescence ◽

Geographic Atrophy ◽

Age Related Macular Degeneration ◽

Fundus Camera ◽

Age Related

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Motion estimation of ocular fundus images

Proceedings of 3rd IEEE International Conference on Image Processing ◽

10.1109/icip.1996.560756 ◽

2002 ◽

Cited By ~ 2

Author(s):

B.L. Petrig ◽

J. Bigun ◽

M.G. Curchod

Keyword(s):

Motion Estimation ◽

Fundus Images ◽

Ocular Fundus

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Detailed Morphological Changes of Foveoschisis in Patient with X-Linked Retinoschisis Detected by SD-OCT and Adaptive Optics Fundus Camera

Case Reports in Ophthalmological Medicine ◽

10.1155/2015/432782 ◽

2015 ◽

Vol 2015 ◽

pp. 1-8

Author(s):

Keiichiro Akeo ◽

Shuhei Kameya ◽

Kiyoko Gocho ◽

Daiki Kubota ◽

Kunihiko Yamaki ◽

...

Keyword(s):

Adaptive Optics ◽

Morphological Changes ◽

Fundus Photography ◽

Foveal Thickness ◽

Functional Changes ◽

Fundus Camera ◽

Fundus Photographs ◽

Topical Dorzolamide ◽

Retinal Folds ◽

Sd Oct

Purpose. To report the morphological and functional changes associated with a regression of foveoschisis in a patient with X-linked retinoschisis (XLRS).Methods. A 42-year-old man with XLRS underwent genetic analysis and detailed ophthalmic examinations. Functional assessments included best-corrected visual acuity (BCVA), full-field electroretinograms (ERGs), and multifocal ERGs (mfERGs). Morphological assessments included fundus photography, spectral-domain optical coherence tomography (SD-OCT), and adaptive optics (AO) fundus imaging. After the baseline clinical data were obtained, topical dorzolamide was applied to the patient. The patient was followed for 24 months.Results. A reportedRS1gene mutation was found (P203L) in the patient. At the baseline, his decimal BCVA was 0.15 in the right and 0.3 in the left eye. Fundus photographs showed bilateral spoke wheel-appearing maculopathy. SD-OCT confirmed the foveoschisis in the left eye. The AO images of the left eye showed spoke wheel retinal folds, and the folds were thinner than those in fundus photographs. During the follow-up period, the foveal thickness in the SD-OCT images and the number of retinal folds in the AO images were reduced.Conclusions. We have presented the detailed morphological changes of foveoschisis in a patient with XLRS detected by SD-OCT and AO fundus camera. However, the findings do not indicate whether the changes were influenced by topical dorzolamide or the natural history.

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