Computerized Tomography in Neuro-Ophthalmology

  • Ch. B. Ostertag
  • R. Unsöld
  • F. Mundinger


Soon after the original description of the first CT scanner by AMBROSE and HOUNSFIELD in 1972 the diagnostic value of CT inneuro-ophthalmology was emphasized (AMBROSE etal., 1974; CALA and MASTAGLIA, 1976; CHU etal., 1976; DAILY etal., 1976; ENZMANN etal., 1976; GAWLER etal., 1974; LAMPERT etal., 1974; SANDERS and GAWLER, 1975; TROKEL and HILAL, 1976; WRIGHT etal., 1975). After the installation of a CT scanner at Freiburg (EMI, 160x160 matrix) we started a series which put CT in the first position of diagnostic procedures after clinical, plain x-ray, and ultrasonographic (A-scan) examination when a neur-ophthalmologic question was present. Primary questions were the cause of uni-orbilateral exophthalmus, papilledema oratrophy, visual field defects, loss of vision, and disorders of ocular motility. Out of 91 patients examined, we found 43 lesions of the orbit and 45 cerebral lesions (Table1).


Pituitary Adenoma Visual Field Defect Optic Chiasm Extraocular Muscle Pineal Region 
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  1. AMBROSE, J.A.E., LLOYD, G.A.S., WRIGHT, J.E.: A preliminary evaluation of fine matrix computerized axial tomography (Emiscan) in the diagnosis of orbital space-occupying lesions. Brit. J. Radiol. 47, 747–751 (1974).PubMedCrossRefGoogle Scholar
  2. GALA, L.A., MASTAGLIA, F.L.: Computerised axial tomography in multiples clerosis. Lancet 689 (1976).Google Scholar
  3. CHU, F.C., HUANG, H.K., LEDLEY, R.S., EVANS, P.Y.: Computerized Tomography in Ophthalmic Diagnosis. 5th Kongr. Europ. Ophthalmol. Ges. Hamburg,5th-9th April 1976.Google Scholar
  4. Daily, M.J., Smith, J.L., Dickens, W.: Giant drusen (astrocytichamartoma) of the optic nerve seen with computerized axial tomography. Amer. J. Ophthal. 81,100–101(1976).PubMedGoogle Scholar
  5. ENZMANN, D., MARSHALL, Jr., W.H., ROSENTHAL, A.R., KRISS, J.P.: Computed tomography in Graves’ ophthalmopathy. Radiology 118, 615–620 (1976).PubMedGoogle Scholar
  6. GAWLER, J. SANDERS, M.D., BULL, J.W.D., DUBOULAY, G., MARSHALL, J.: Computer assisted tomography in orbital disease. Brit. J. Ophthal. 58, 571–587 (1974).PubMedCrossRefGoogle Scholar
  7. Lampert, V.L., Zelch, J.V., Cohen, D.N.: Computed tomography of the orbits. Radiology 113, 351–354 (1974).PubMedGoogle Scholar
  8. Sanders, M.D., Gawler, J.: Computerized tomography scanning (EMIscan) in neuro-ophthalmology. Trans, ophthal. Soc. U.K. 95, 237–245 (1975).Google Scholar
  9. TROKEL, S.L., HILAL, S.K.: High resolution computerized tomography of the orbit. 5th Kongr. Europ. Ophthalmol. Ges. Hamburg, 5th-9th April 1976.Google Scholar
  10. WRIGHT, J.E., LLOYD, G.A.S., AMBROSE, J.: Computerized axial tomography in the detection of orbital space-occupying lesions. Amer. J. Ophthal. 80, 78–84, 1975.PubMedGoogle Scholar

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© Springer-Verlag Berlin Heidelberg 1976

Authors and Affiliations

  • Ch. B. Ostertag
  • R. Unsöld
  • F. Mundinger

There are no affiliations available

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