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Frontal Lobe RYHUDOO ی PDOLJQDQW ی YHUDJHDJH\HDUVROG$ ی UHDWHVWLQFLGHQFHLV!\HDUVROG* ی NEURO-OPTOMETRY NEURO Who Gets Brain Tumors and Why ONCOLOGY OPTOMETRY Ŷ *HQHV*HQHWLFSUHGLVSRVLWLRQLVOHVVWKDQPRVW Ŷ RIDOOSDWLHQWVVHHNLQJPHGLFDOWUHDWPHQW LQYROYHFKURPRVRPH 3JHQH KDYHQHXURORJLFDOSUREOHPVHLWKHUDVWKH Ŷ ,OOQHVV1HJKLVWRU\RI+=RUFKLFNHQSR[DQGQHJ Primary Brain Tumors and their Clinical SUHVHQWLQJFRPSODLQWRUDVDQDVVRFLDWHG FRQGLWLRQFRPSOLFDWLQJWKHSULPDU\LOOQHVV KLVWRU\RIDOOHUJLHVDQGFROGVOHDGVWRDQLQFUHDVHLQ Manifestations WKHULVNRIJOLRPD""",PPXQHV\VWHP""" Ŷ 1HXURVFLHQFHSULQFLSOHVDQGQHUYRXVV\VWHP GLVHDVHPXVWEHZHOOXQGHUVWRRGGXHWRLWVFORVH Ŷ 7UDXPD+HDGLQMXU\Ĺ ULVNRIPHQLQJLRPD UHODWLRQVKLSWRWKHYLVXDOV\VWHPDQGYLVXDO Ŷ 3HVWLFLGHVĹLQFLGHQFHLQWXPRUVLQFKLOGUHQH[SRVHG '5'$9,'$//*22'2')$$2 SDWKZD\V EHIRUHELUWK )OHDWLFNHVSHFLDOO\ %,%%&2817<(<(&$5( Ŷ (\HFDUHIDFLOLWLHVDUHIUHTXHQWO\WKHILUVWSODFH Ŷ 3HWURFKHPLFDOĹULVN«HWLRORJ\""" 3,(5621$9( SDWLHQWVJRZLWKV\PSWRPVRIFHQWUDOQHUYRXV &(175(9,//($/ V\VWHPGLVHDVH Who Gets Brain Tumors and Why ANATOMICAL STRUCTURES OF THE BRAIN Ŷ $SSUR[LPDWHO\QHZFDVHVRUSULPDU\EUDLQWXPRUV GLDJQRVHGSHU\HDUZLOOGLH Ŷ ,QFLGHQFH Frontal Lobe RYHUDOO ی PDOLJQDQW ی YHUDJHDJH\HDUVROG$ ی UHDWHVWLQFLGHQFHLV!\HDUVROG* ی Ŷ (WKQLF-DSDQOHVVòRILQFLGHQFHVRIQRUWKHUQ(XURSH Ŷ *OLRPDV:KLWHV!%ODFNV 0HQLQJLRPDV%ODFNV!:KLWH Ŷ *OLRPDV0HQ!:RPHQ 0HQLQJLRPDV:RPHQ!0HQ :0 *OLRPD%) 0HQLQJLRPD Frontal Lobe )URQWDO Foster Kennedy Syndrome Ŷ &RQWDLQVPRVWRIWKHGRSDPLQHVHQVLWLYHQHXURQVLQ Ŷ RIDOOWXPRUVRFFXULQWKHIURQWDOOREH Frontal Lobe WKHFHUHEUDOFRUWH[7KHGRSDPLQHV\VWHPLV DVVRFLDWHGZLWKUHZDUGDWWHQWLRQORQJWHUPPHPRU\ Ŷ 7KHUHLVDQLQFUHDVHLQVHL]XUHVDQGUHVXOWLQ Ŷ )RVWHU.HQQHG\6\QGURPH SODQQLQJDQGGULYH SDSLOODHGHPD LSVHODWHUDORSWLFDWURSK\DQG Ŷ (PRWLRQDOFRQWUROFHQWHUKRPHWRRXUSHUVRQDOLW\ FRQWUROVRXUVRFLDOEHKDYLRUDQGLQKLELWVWKHOLPELF Ŷ /HVLRQVLQWKHIURQWDOOREHIUHTXHQWO\UHVXOWLQ FRQWUDODWHUDOSDSLOODHGHPD DSDWK\GHSUHVVLRQDQGDEXOLD ODFNRI V\VWHPWKHUHE\FRQWUROOLQJLPSXOVLYHEHKDYLRU VSRQWDQHLW\ OHWKDUJ\IHHOLQJVRILQGLIIHUHQFH PHQLQJLRPDVWXPRURIROIDFWRU\ Ŷ 0RWRUIXQFWLRQRULJLQDWHVLQWKHIURQWDOOREHDVGRHV V\VWHPJOLRPDV SUREOHPVROYLQJPHPRU\ODQJXDJHDQGMXGJPHQW Ŷ /HVLRQVFDQSURGXFHH[DJJHUDWHGSHUVRQDOLW\ WUDLWV Ŷ )URQWDOOREHDOVRFRQWDLQV%URFD¶VDUHDZKLFKJLYHVXV RXUDELOLW\WRYHUEDOL]H OLFACTORY AREAS Neoplasms and Related Lesions Temporal Lobe 7HPSRUDO/REH Temporal Lobe Lesions Ŷ 3ULPDU\DXGLWRU\SHUFHSWLRQ Ŷ 6LPLODUWR)URQWDO SHUVRQDOLW\FKDQJHV Ŷ *UHDWHVWIUHTXHQF\LQFRQYXOVLRQV -DFNVRQLDQ Ŷ &RQWDLQV:HUQLFNH¶VDUHDZKLFKVSDQV WKHUHJLRQEHWZHHQWHPSRUDODQGSDULHWDO Ŷ 9LVXDOKDOOXFLQDWLRQV Ŷ 'RPLQDQW:HUQLFNH¶V$VSKDVLDĻ ZULWHRUXQGHUVWDQG OREHZKLFKLQWDQGHPZLWK%URFD¶VDUHD PHDQLQJRIVSRNHQZRUGVĻ FRPSUHKHQVLRQ LVUHVSRQVLEOHIRURXUDELOLW\WRXQGHUVWDQG PHDQLQJOHVVVSHHFK DQGUHVSRQGWRVSRNHQZRUGV Ŷ 1RQ'RPLQDQWĻ PHQWDOIXQFWLRQDELOLW\WRMXGJH VSHFLDOUHODWLRQVKLS Ŷ &HQWHUIRUDEVWUDFWWKRXJKW Ŷ ,PSDLUHGORQJWHUPPHPRU\ Ŷ 7HPSRUDOOREHFRQWDLQVWKHKLSSRFDPSXV DQGSOD\VDNH\UROHLQWKHIRUPDWLRQRI Ŷ $OWHUHGSHUVRQDOLW\DQGDIIHFWLYHEHKDYLRU ORQJ DQGVKRUWWHUPPHPRU\ Ŷ $OWHUHGVH[XDOEHKDYLRU Ŷ RIDOOWXPRUV Parietal Lobe Ŷ 0DMRUDUHDIRUVHQVRU\VWLPXOLLQWHUSUHWDWLRQDQG Parietal Lobe LQWHUSUHWDWLRQRIYLVXDOV\PEROV Ŷ ,QWHJUDWHVVHQVRU\LQSXWSULPDULO\ZLWKWKH YLVXDOV\VWHP Ŷ &RQVWUXFWVDVSDWLDOFRRUGLQDWHV\VWHPWR UHSUHVHQWWKHZRUOGDURXQGXV Ŷ &HQWHUIRUQDYLJDWLRQ Ŷ 0DMRUDIIHUHQWHIIHUHQWFRPPXQLFDWLRQZLWK WKDODPXVFHUHEHOOXPDQGEUDLQVWHP 3DULHWDO Damage to the Parietal Lobe Damage to the Parietal Lobe (Left Dominant Side) (Right non-Dominant Side) Ŷ *HUVWPDQQ¶V6\QGURPH Ŷ 1HJOHFWLQJSDUWVRIERG\RUVSDFH FRQWUDODWHUDO Occipital Lobe 'LIILFXOW\ZLWKZULWLQJ DJUDSKLD QHJOHFW 'LIILFXOW\ZLWKPDWKHPDWLFV DFDOFXOD Ŷ ,PSDLUVPDQ\VHOIFDUHVNLOOVVXFKDVZDVKLQJ DQGGUHVVLQJ 'LVRUGHUVRIODQJXDJH DSKDVLD Ŷ 'HQLDORIGHILFLWV $JQRVLD 9LVXDOILHOGGHIHFWV JRXQQRWLFHGYVWHPSRUDOOREHGHIHFWVZKLFK Ŷ 6HQVRU\DJQRVLDDEQRUPDOLWLHVLQVHQVRU\ DUHQRWLFHG SHUFHSWLRQGHVSLWHQRUPDOVHQVRU\SDWKZD\V Ŷ 'HFUHDVHLQGUDZLQJDELOLWLHVDOVRORVVRI 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%HFDXVHRIILQHWXQLQJIXQFWLRQGDPDJHWRWKH GXOWQHUYHFHOOVFDQQRWGLYLGH± KHQFH$ ی EXWLQVWHDGFHUHEHOOXPGRHVQRWFDXVHSDUDO\VLV SURGXFHVGLVRUGHUVLQILQHPRYHPHQWHTXLOLEULXP WKH\FDQQRWIRUPWXPRUV SRVWXUHDQGPRWRUOHDUQLQJ Ŷ ,SVHODWHUDOVWUXFWXUH Tissues of the Central Nervous Tumors: Destruction Astrocytes System Ŷ )XQFWLRQVLQFOXGH ELRFKHPLFDOVXSSRUWRIHQGRWKHOLDOFHOOVZKLFKIRUP ی SUHVVXUHIURPJURZLQJPDVVEORFNVŶ ,QYDVLRQ WKHEORRGEUDLQEDUULHU Ŷ 1HXURJOLD&HOOVRU6XSSRUWLYH&HOOV EORRGYHVVHOVFDXVHVORFDOWLVVXHGHDWK WKHSURYLVLRQRIQXWULHQWVWRQHUYRXVWLVVXH ی ZKLFKUHVXOWVLQDGHFUHDVHLQPHFKDQLFDO PDLQWHQDQFHRIH[WUDFHOOXODULRQEDODQFH ی VWURF\WHV&HOOV UHVLVWDQFHDQGIXUWKHUVWKHVSUHDG$ ی DSULQFLSDOUROHLQWKHUHSDLUDQGVFDUULQJSURFHVV ی 2OLJRGHQGURJOLD&HOOV ی Ŷ 7XPRUFHOOVKLJKOHYHOVRIK\GURODVHV RIWKHEUDLQDQGVSLQDOFRUGIROORZLQJWUDXPDWLF SURWHDVHDQGFROODJHQDVHV FDXVHO\WLF LQMXULHV SHQG\PDO&HOOV) ی \6FKZDQQ&HOOV GDPDJHWRDGMDFHQWQRUPDOWLVVXH Ŷ 3DWKRORJ ی 7XPRUV ی Ŷ 'HSULYHVXUURXQGLQJFHOOVRIYLWDOQXWULHQWV 7XPRUOLNHQRGXOHVRIWKH7XEHURXVVFOHURVLV ی QHFHVVDU\IRUVXUYLYDO EUDLQ Astrocytoma of the TUMORS OF ASTROCYTE CELLS Low Grade Astrocytoma Grade I & II Temporal Lobe $VWURF\WRPD7KUHHW\SHV 7\SLFDOO\QRQLQILOWUDWLQJEXWFDQLQYDGH /RZJUDGH 3LORF\VWLFDQG6XEHSHQG\PDO VXUURXQGLQJWLVVXH 0LGJUDGH $QDSODVWLF$VWURF\WRPD 0HWDVWDVLVLV5DUH +LJKJUDGH *OLREODVWRPD0XOWLIRUPHDQG 2FFXU0DLQO\LQ&KLOGUHQ *OLREODVWRPD&HUHEUL /RFDWLRQ&HUHEHOOXP 2SWLF7UDFW 237,&1(59($1'&+,$60$/ 237,&1(59($1'&+,$60$/ Astrocytoma of the Optic $6752&<720$ $6752&<720$ Nerve Ŷ 2SWLF1HUYH*OLRPDV 0RVWDUHORZJUDGHDVWURF\WRPD ی Ŷ *OLRPDVRIYLVXDOV\VWHPRIRUELWDO KDYHUHFXUUHQFHV ی WXPRUV GLH ی VXUYLYH\HDUV ی Ŷ RISDWLHQWVDUHXQGHUDJH Ŷ 6XEVWDQWLDOYLVXDOORVV Ŷ &KLDVPDO*OLRPDV /HVV)DYRUDEOH Ŷ ,QYROYHFKLDVP!RSWLFQHUYHV KDYHUHFXUUHQFHV ی VXUYLYH\HDUV ی HDWKGXHWRORFDOH[WHQVLRQ' ی Astrocytoma of the Optic Astrocytoma of the Optic Nerve Mid-Grade Astrocytoma Chiasma Ŷ *UDGH,,, *URZ0RUH5DSLGO\ 5HFXU0RUH)UHTXHQWO\ 6XUYLYH<HDU 6XUYLYH<HDUV 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