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. 2021 Oct 1;118(39):647–653. doi: 10.3238/arztebl.m2021.0287

Table 5. Diagnostic modalities and their role in diseases of the visual system.

Migraine Epilepsy Ischemia VSS HPPD CBS
cMRI Mandatory Mandatory, with ‧vi‧sualization of vessels Single scan ‧indicated Single scan ‧indicated Single scan ‧indicated
EEG DbA Indicated ? DbA DbA
VEP ? DbA
Sight testing In CRAO Indicated Indicated Indicated
Perimetry Indicated at first occurrence and in presence of persistent symptoms; homonymous defect during aura In CRAO DbA DbA Indicated
Funduscopy In CRAO DbA Indicated
Treatment Specific treatment rarely necessary; migraine prophylaxis if indicated Multiple Systemic lysis in acute phase, otherwise secondary prevention Explanation; trial of lamotrigine if indicated In some cases ‧anticonvulsants, benzodiazepines, and neuroleptics Explanation; ‧anticonvulsants and neuroleptics if ‧indicated
Specialty Neurology Neurology Neurology,ophthalmology Neurology Psychiatry Ophthalmology

CBS, Charles Bonnet syndrome; cMRI, cranial magnetic resonance imaging; CRAO, central retinal artery occlusion; DbA, diagnosis by exclusion; EEG, electroencephalography; HPPD, hallucinogen persisting perception disorder; VEP, visual evoked potential; VSS, visual snow syndrome; –, not indicated; ?, role unclear