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Questions discussed in this category

Is there any benefit from oral vs topical steroids in herpes zoster opthalmicus?
Would the management change if there were complications with optic neuritis?
1 Answer available
How would you approach the upfront management of a patient with acute unilateral vision loss with strong clinical risk factors for both cardioembolic stroke and GCA if an expedited MRI is not possible due to the presence of an AICD?
2 Answers available
What brain imaging findings do you find reliable to help support a diagnosis of idiopathic intracranial hypertension?
1 Answer available
What would you recommend for long term management of extensive dural venous sinus thrombosis (CVST) in young females when the only provoking risk factor is combined OCP?
Thrombophilia testing, including JAK2 is negative. When would you stop anticoagulation?
4 Answers available
What criteria do you use to decide the duration of IV steroids in patients with optic neuritis?
Is it necessary to do a taper afterward and what would be the recommended tapering schedule/duration? 
1 Answer available
When do you use GLP-1 receptor agonists for the management of patients with idiopathic intracranial hypertension (IIH)?
1 Answer available
How do you utilize Diamox in patients with cerebral venous sinus thrombosis and vision symptoms who do not undergo thrombectomy/recanalization?
3 Answers available
Do you utilize thrombolytic therapy in patients with CRAO?
2 Answers available
What baseline visual testing, if any, do you recommend at diagnosis for patients with multiple sclerosis who deny visual complaints?
1 Answer available
What is your approach to the treatment of visual snow syndrome?
1 Answer available
How do you use optical coherence tomography in the diagnosis and management of patients with multiple sclerosis and related diseases?
2 Answers available
Do you routinely obtain baseline vascular imaging (CTA, MRA, PET) in patients with suspected GCA, but negative temporal artery biopsy?
Per 2021 GCA Vasculitis Guidelines: low evidence, but conditional recommendation for CTA neck, chest, abd/pelvis. Is anybody following this or do you ...
2 Answers available
How do you manage a patient with giant cell arteritis treated with weekly tocilizumab and low dose glucocorticoid who develops sudden vision loss?
2 Answers available
How do you evaluate asymptomatic patients referred for benign intracranial hypertension?
If patients are asymptomatic, what work up do you typically proceed with?
3 Answers available
Can giant cell arteritis present with a partial cranial neuropathy?
3 Answers available
Would you recommend medical therapy for asymptomatic idiopathic intracranial hypertension with completely normal visual field testing?
2 Answers available
How do you approach the management of patients with one clinical demyelinating event and MOG+ antibody status?
Do you wait for a second clinical event or start immunomodulatory therapy right away?
3 Answers available
How do you approach the management of acute attacks of MOGAD-associated optic neuritis?
Specifically, what do you do if there is minimal improvement with IV steroids and/or IVIG?
2 Answers available
How to you treat pregnant women who develop Bell's Palsy?
1 Answer available
Which method do you prefer to assess for stigmata of old optic neuropathy?
Ex. optical coherence tomography, visual-evoked potentials
1 Answer available
What is your steroid-sparing agent of choice to treat GCA given the current tocilizumab shortage?
Thoughts on sarilumab vs methotrexate, or just treat with steroids alone
1 Answer available


Papers discussed in this category

Mult Scler Relat Disord, 2020 Dec 16
Interleukin-6 inhibition with tocilizumab for relapsing MOG-IgG associated disorder (MOGAD): A case-series and review.
Neurology(R) neuroimmunology & neuroinflammation, 2017-07
Optical coherence tomography and visual evoked potentials in pediatric MS.
J Med Life,
Optical coherence tomography versus visual evoked potentials in detecting subclinical visual impairment in multiple sclerosis.
J Clin Neurol, 2018 Feb 28
Optical Coherence Tomography versus Visual Evoked Potentials for Detecting Visual Pathway Abnormalities in Patients with Neuromyelitis Optica Spectrum Disorder.
Mult Scler, 2014 Mar 03
Optical coherence tomography and visual evoked potentials: which is more sensitive in multiple sclerosis?
Mult Scler Relat Disord, 2016 Dec 23
Sensitivity of visual evoked potentials and spectral domain optical coherence tomography in early relapsing remitting multiple sclerosis.
N Engl J Med,
Trial of Tocilizumab in Giant-Cell Arteritis.
Lancet, 2016 Mar 04
Tocilizumab for induction and maintenance of remission in giant cell arteritis: a phase 2, randomised, double-blind, placebo-controlled trial.
Arthritis Rheum,
Adjunctive methotrexate for treatment of giant cell arteritis: an individual patient data meta-analysis.
Obstet Gynecol Surv,
Bell's Palsy in Pregnancy.
Arthritis Res Ther, 2021 Mar 22
Vision loss in patients with giant cell arteritis treated with tocilizumab.
JAMA Neurol,
The Dilemma of Diagnosing Idiopathic Intracranial Hypertension Without Papilledema in Patients With Chronic Migraine.
JAMA Neurol,
Prevalence of Incidentally Detected Signs of Intracranial Hypertension on Magnetic Resonance Imaging and Their Association With Papilledema.
European journal of neurology, 2013 Mar 29
Safety of lumbar puncture in patients with cerebral venous thrombosis.
Rheumatology (Oxford, England), 2015-03
Large-vessel giant cell arteritis: a cohort study.
Archives of ophthalmology (Chicago, Ill. : 1960), 2008 Jul
Treatment of acute optic neuritis: a summary of findings from the optic neuritis treatment trial.
Stroke, 2023 Sep 07
Study of Rivaroxaban for Cerebral Venous Thrombosis: A Randomized Controlled Feasibility Trial Comparing Anticoagulation With Rivaroxaban to Standard-of-Care in Symptomatic Cerebral Venous Thrombosis.
Stroke, 2024 Jan 29
Diagnosis and Management of Cerebral Venous Thrombosis: A Scientific Statement From the American Heart Association.
Journal of neuro-ophthalmology : the official journal of the North American Neuro-Ophthalmology Society, 2015 Dec
Brain Imaging in Idiopathic Intracranial Hypertension.
Neurology, 2013 Aug 21
Revised diagnostic criteria for the pseudotumor cerebri syndrome in adults and children.

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