Purpose:  To review the optic pathway anatomy with an emphasis on brainstem and cranial nerve function.  To review clinical and imaging findings, as well as the surgical implications of various congenital and acquired conditions of the eye, orbit, and visual pathway system in the pediatric population.

Methods and Materials: A retrospective review of Pediatric neurophthalmologic pathologies was performed in a children’s hospital. A series of cases in children 0 to 21 years of age were collected.  

Results: Presentation of the CT and MR imaging findings of pediatric neurophthalmologic pathologies. A short discussion will be included after each case. The cases  include:
Pediatric idiopathic intracranial hypertension 
Horner Syndrome
Optic nerve hypoplasia
Optic neuritis 
Optic pathway gliomas 
Congenital absence of abducens nerve
Congenital fibrosis of the extra-ocular muscles
Brainstem tumors causing cranial nerve dysfunction

Conclusions:  Knowing what the neuropthalmologist is looking for with a given indication (e.g. esotropia) is critical for the neuroradiologist to provide the most useful consultation.  An understanding of the visual pathway anatomy and function will guide the neuroradiologist’s search pattern and improve the detection of subtle imaging abnormalities.

What the Neuropththalmologist Wants to Know From the Neuroradiologist.

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