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Medical AI Inquiry: You was designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.  Labels: BACKGROUND, OBJECTIVES, METHODS, RESULTS. Meshes: Adult, Aged, Aged, 80 and over, Analysis of Variance, Brain, Brain Neoplasms, Carotid Arteries, Carotid Artery Diseases, Female, Follow-Up Studies, Humans, Low Tension Glaucoma, Male, Middle Aged, Neurologic Examination, Retrospective Studies, Tomography, X-Ray Computed, Ultrasonography, Doppler, Duplex.
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Neurologic evaluations in normal-tension glaucoma workups: are they worth the effort? Context: Normal-tension glaucoma is a chronic progressive optic neuropathy of unknown etiology. Neuro-imaging workup in these patients is controversial. To determine the value of routine neurologic and neuro-ophthalmologic evaluations in patients with NTG. We conducted a retrospective review of all patients diagnosed with NTG in our institution between 2001 and 2006. Neurologic and neuro-ophthalmologic data were evaluated. Sixty-eight patients were considered suitable for the study 135 males, 33 females; age range 43-90 years). Neurologic and neuro-ophthalmologic findings were normal in all of them. The computed tomography brain scan was normal in 88% and duplex carotid Doppler scan was normal in 92%.
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Pathologic findings in neurologic and neuro-ophthalmologic assessments were uncommon in NTG. Therefore, contrary to earlier suggestions, neurologic and neuro-ophthalmologlc evaluations in typical normal-tension glaucoma patients appear to have no added value.