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Upstate Medical university Neurology Department

Faculty and Staff

mejicol.jpg  

Luis J Mejico, M.D.

Associate Professor, Neurology
4th fl University Health Care Center
Syracuse, NY 13202

Lab/Professional Web Site

Education and Clinical Training

M.D.: 1993, Univ. Catolica De Cordoba, Fac De Med, Argentina
Residency: Neurology, 1999, Medstar-Georgetown Medical Center
Fellowship: Neuro-Ophthalmology, 2000, Johns Hopkins University

Clinical Specialty

Neurology, Certified: 2003

Clinical Department/Section Affiliations

Neurology/Neuro-Ophthalmology and Headache
Ophthalmology/Neuro-Ophthalmology

Clinical Interests

I direct the Neuro-Ophthalmology Unit and the Headache Clinic at University Hospital. I also consult on patients with dizziness.

Research Program and Department Affiliations

Neurology
Ophthalmology

Research Interests

Clinical reasearch in various Neuro-Ophthalmic conditions such as idiopathic intracranial hypertension; as well as multiple sclerosis and headache syndromes.

Research Abstract

Clinical features associated with lesions other than pituitary adenoma in patients with an optic chiasmal syndrome.

The objective of our study was to determine whether there are clinical findings that suggest a lesion producing a chiasmal syndrome is something other than a pituitary adenoma. Retrospective, case-controlled, analysis of medical record data revealed 149 patients who met the inclusion criteria, including 90 patients with pituitary adenomas and 59 patients with other lesions. Variables that were highly suggestive of an etiology other than pituitary adenoma included symptomatic visual loss, younger age, unilateral optic disk pallor, a relative afferent pupillary defect, and an absolute or a complete visual field defect or one was greater inferiorly than superiorly. Although no single clinical feature can be used to determine the specific nature of a lesion that produces an optic chiasmal syndrome, certain features are highly suggestive of an etiology other than pituitary adenoma. When these features are present, the likelihood that a suprasellar lesion is a pituitary adenoma is much lower, regardless of the appearance on neuroimaging.

Publications - link to PubMed

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This profile was last updated on 07/18/2007

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http://www.upstate.edu/neurology/faculty.php?ID=mejicol

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