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Introduction to Clinical Neurology

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ISBN-10: 0750696516

ISBN-13: 9780750696517

Edition: 1st 1995

Authors: Douglas J. Gelb

List price: $34.00
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Book details

List price: $34.00
Edition: 1st
Copyright year: 1995
Publisher: Elsevier Science & Technology Books
Binding: Paperback
Pages: 370
Size: 5.75" wide x 8.50" long x 0.75" tall
Weight: 0.990
Language: English

Contributing Authorsp. xv
Prefacep. xvii
Preface to the First Editionp. xix
The Basic Approachp. 1
Where's the Lesion?p. 3
Sample Localization Problemsp. 3
The Gamep. 5
The Rulesp. 6
The Play--The Long Versionp. 7
The Play--The Abbreviated Versionp. 15
Rules for Speed Playp. 38
The Neurologic Examinationp. 43
More Localization Problemsp. 43
The Neurologic Examination: General Commentsp. 44
The Neurologic Examination: How to Do Itp. 47
Mental Status Examinationp. 48
Cranial Nerve Examinationp. 54
Motor Examinationp. 59
Reflex Examinationp. 63
Sensory Examinationp. 66
The Neurologic Examination: How to Interpret Itp. 69
Mental Status Examinationp. 69
Cranial Nerve Examinationp. 71
Motor Examinationp. 78
Reflex Examinationp. 83
Sensory Examinationp. 83
The Neurologic Examination: How to Modify Itp. 86
Screening Neurologic Examinationp. 86
Examination of Stuporous or Comatose Patientsp. 87
Discussion of Localization Problemsp. 90
What's the Lesion?p. 91
Case Historiesp. 91
Beyond Localizationp. 94
Localizationp. 94
Temporal Profilep. 95
Epidemiologyp. 96
Etiologyp. 96
Degenerative Diseasesp. 96
Neoplastic Diseasesp. 96
Vascular Diseasesp. 97
Inflammatory Diseasesp. 97
Toxic and Metabolic Diseasesp. 97
Traumatic Diseasesp. 98
Congenital and Developmental Diseasesp. 98
Discussion of Case Historiesp. 100
Common Diseasesp. 105
Strokep. 107
Case Historiesp. 107
Background Informationp. 108
Definitionsp. 108
Pathophysiologyp. 108
Classification of Strokes by Etiologyp. 109
Approach to Strokep. 109
Management of Acute Strokep. 110
Reversal of Deficitsp. 110
Limitation of Deficitsp. 111
Rehabilitationp. 112
Secondary Preventionp. 113
Diagnosisp. 113
Treatmentp. 117
Primary Preventionp. 123
Discussion of Case Historiesp. 124
Seizuresp. 129
Case Historiesp. 129
Background Informationp. 131
Definitionsp. 131
Clinical Characteristics of Seizuresp. 131
Electroencephalogram Characteristics of Seizuresp. 133
Classification of Seizures and Seizure Disordersp. 134
Approach to Seizuresp. 134
Seizure Managementp. 135
Determining If the Patient Has Had a Seizurep. 135
Determining the Cause of Seizuresp. 138
Determining If Seizures Require Treatmentp. 139
Antiepileptic Drugsp. 140
Surgical Options in Epilepsy Managementp. 145
Patient Educationp. 146
Special Clinical Problemsp. 146
Convulsive Status Epilepticusp. 146
Seizures and Pregnancyp. 148
Refractory Seizuresp. 149
Discussion of Case Historiesp. 149
Neuromuscular Disordersp. 153
Case Historiesp. 153
Background Informationp. 155
Approach to Neuromuscular Diseasesp. 156
Anatomic Localizationp. 157
Electrodiagnostic and Other Laboratory Studiesp. 159
Specific Neuromuscular Diseasesp. 160
Motor Neuron Diseasesp. 160
Nerve Root Disorders (Radiculopathies)p. 161
Plexus Disorders (Plexopathies)p. 162
Peripheral Nerve Disorders (Neuropathies)p. 162
Neuromuscular Junction Disordersp. 168
Muscle Disorders (Myopathies)p. 169
Symptomatic Treatmentp. 171
Emergency Measuresp. 171
Non-Urgent Measures: Motor Symptomsp. 172
Non-Urgent Measures: Sensory Symptomsp. 172
Discussion of Case Historiesp. 172
Dementing Illnessesp. 175
Case Historiesp. 175
Approach to Dementing Illnessesp. 178
Is It Abnormal?p. 178
Is It Dementia?p. 179
Is It Progressive?p. 181
Is There a Potentially Reversible Cause?p. 181
Which Diagnosis Is Most Likely?p. 182
Primary Dementing Illnessesp. 183
Alzheimer's Diseasep. 183
Dementia with Lewy Bodiesp. 189
Frontotemporal Dementiap. 190
Multi-Infarct Dementiap. 190
Normal-Pressure Hydrocephalusp. 191
Creutzfeldt-Jakob Diseasep. 193
Other Neurologic Diseases That Produce Dementiap. 194
Discussion of Case Historiesp. 194
Movement Disordersp. 197
Case Historiesp. 197
Background Informationp. 198
Definitionsp. 198
Classification of Movement Disordersp. 200
Approach to Movement Disordersp. 201
Specific Movement Disordersp. 201
Parkinson's Diseasep. 201
Essential Tremorp. 205
Huntington's Diseasep. 206
Tardive Dyskinesiap. 207
Dystoniasp. 207
Wilson's Diseasep. 209
Gilles de la Tourette's Syndromep. 210
Multisystem Degenerationsp. 210
Discussion of Case Historiesp. 214
Sleep Disordersp. 217
Case Historiesp. 217
Definitionsp. 219
Approach to Sleep Disordersp. 219
Trouble Staying Awakep. 220
Insufficient Sleepp. 220
Sleep Apneap. 221
Narcolepsyp. 222
Other Causes of Hypersomnolencep. 224
Trouble Sleepingp. 224
Sleep-Onset Delayp. 224
Early Morning Arousalp. 226
Sleep Fragmentationp. 226
Sleep State Misperceptionp. 227
Abnormal Behavior During Sleepp. 227
NREM Sleep Parasomniasp. 227
REM Sleep Parasomniasp. 229
Discussion of Case Historiesp. 230
Multifocal Central Nervous System Disordersp. 233
Case Historiesp. 233
Approach to Multifocal Disordersp. 235
Focal Diseases with Multifocal Propagationp. 236
Metastatic Cancerp. 236
Central Nervous System Infectionsp. 238
Inherently Multifocal Diseasesp. 250
Multiple Sclerosisp. 250
Connective Tissue Diseasesp. 253
Sarcoidosisp. 255
Coagulation Disordersp. 256
Discussion of Case Historiesp. 257
Common Symptomsp. 261
Acute Mental Status Changesp. 263
Case Historiesp. 263
Background Informationp. 265
Definitionsp. 265
Mechanisms of Mental Status Changesp. 265
Approach to Acute Mental Status Changesp. 265
ABCsp. 266
Oxygen, Glucose, Naloxonep. 266
Pupils, Doll's Eyes, Motor Asymmetryp. 268
Other Electrolytes, Renal, Hepatic, Temperaturep. 270
Everything Elsep. 271
Special Circumstancesp. 272
Head Traumap. 272
Increased Intracranial Pressurep. 274
Brain Deathp. 275
Discussion of Case Historiesp. 276
Headachep. 279
Case Historiesp. 279
Background Informationp. 280
Approach to Headachep. 281
Is It an Emergency?p. 281
Are the Headaches Primary or Secondary?p. 283
Which Syndrome Fits Best?p. 284
Primary Headache Conditionsp. 285
Migraine and Tension Headachesp. 285
Cluster Headachesp. 291
Trigeminal Neuralgiap. 292
Glossopharyngeal Neuralgiap. 294
Chronic Paroxysmal Hemicraniap. 294
Atypical Facial Painp. 295
Secondary Headachesp. 295
Sinus Diseasep. 295
Temporomandibular Joint Diseasep. 296
Postconcussion (or Post-traumatic) Syndromep. 296
Discussion of Case Historiesp. 297
Visual Symptomsp. 299
Case Historiesp. 299
Background Informationp. 300
Definitionsp. 300
Overview of the Visual Systemp. 300
Approach to Visual Symptomsp. 301
Monocular Vision Lossp. 301
Acute Monocular Vision Loss in Young Patientsp. 302
Acute Monocular Vision Loss in Older Patientsp. 303
Transient Vision Loss (Monocular or Binocular)p. 303
Binocular Vision Lossp. 304
Diplopiap. 305
Localization in Diplopiap. 305
Differential Diagnosis and Managementp. 306
Discussion of Case Historiesp. 308
Dizziness and Disequilibriump. 311
Case Historiesp. 311
Approach to Dizzinessp. 313
Light-Headedness (Presyncope)p. 314
Vertigop. 314
Localizationp. 314
Differential Diagnosisp. 315
Disequilibriump. 318
Discussion of Case Historiesp. 319
Back Pain and Neck Painp. 323
Case Historiesp. 323
Approach to Back or Neck Painp. 324
Emergency Situationsp. 324
Is Surgery Appropriate?p. 325
Specific Conditions Causing Back or Neck Painp. 326
Musculoskeletal Painp. 326
Disk Herniationp. 326
Spinal Stenosisp. 327
Discussion of Case Historiesp. 328
Incontinencep. 329
Case Historiesp. 329
Background Informationp. 330
Evaluation of Incontinencep. 330
Neurologic vs. Urologic Causes of Incontinencep. 331
Central vs. Peripheral Nervous System Causes of Incontinencep. 332
Discussion of Case Historiesp. 333
Bookendsp. 335
Pediatric Neurologyp. 337
Case Historiesp. 337
Developmental Issuesp. 339
Hypotonic Infantsp. 341
Developmental Delay and Developmental Regressionp. 342
Paroxysmal Symptomsp. 343
Headachesp. 344
Seizuresp. 344
Breath-Holding Spellsp. 345
Benign Paroxysmal Vertigop. 346
Gait Disturbancep. 346
Spasticityp. 346
Weaknessp. 347
Ataxiap. 347
Discussion of Case Historiesp. 348
Geriatric Neurologyp. 355
Case Historiesp. 355
Geriatric Issuesp. 357
The Neurologic Examination in Normal Agingp. 358
Mental Statusp. 359
Cranial Nervesp. 359
Motor Systemp. 360
Reflexesp. 360
Sensationp. 360
Common Neurologic Complaints in the Elderlyp. 361
Dizzinessp. 361
Gait Disturbancep. 361
Incontinencep. 362
Dementiap. 362
Painp. 362
Discussion of Case Historiesp. 363
Indexp. 367
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