... and usually involve people with diabetes mellitus for
at least 25 years.
322
CASE FILES: NEUROLOGY
❖
CASE 39
A 25-year-old female is brought into the emergency room (ER) after tripping
during a ... the respiratory status of an
individual.
300 CASE FILES: NEUROLOGY
ANSWERS TO CASE 34: Sixth Nerve Palsy (Ischemic
Mononeuropathy)
Summary: A 65-year-old man with hypertension, corona...
... football hel-
met should only be performed by a health care provider experienced in its
CLINICAL CASES 89
diagnostic showing regular and symmetrical 3 Hz, possible 2- to 4-Hz
spike-and-slow-wave complexes, ... patient has carotid stenosis
D. The patient has atrial fibrillation
100
CASE FILES: NEUROLOGY
❖
CASE 10
A 15-year-old right-hand dominant male became briefly unconscious after...
... NEUROLOGY
Fp2-F4
F4-C4
C4-P4
P4-O2
Fp2-F8
F8-T4
T4-T6
T6-O2
Fp1-F3
F3-C3
C3-P3
P3-O1
Fp1-F7
F7-T3
T3-T5
T5-O1
200 µV
1 s
Figure 29–1. EEG of a patient with Creutzfeldt-Jakob disease. (With permis-
sion from Aminoff ... of 74 % (Fig. 29–1). Computerized tomography of the brain can
help rule out the possibility that the symptoms result from other problems
246 CASE FILES: NEUROLOGY
Fp2-F...
... Approach to Clinical Problem-Solving 8
Part 3. Approach to Reading 10
SECTION II
Clinical Cases 15
Fifty-three Case Scenarios 17
SECTION III
Listing of Cases 4 47
Listing by Case Number 449
Listing ... recessive
C. X-linked dominant
D. X-linked recessive
E. Y-linked
CLINICAL CASES 21
APPROACH TO TREMOR
Definitions
Cogwheel rigidity—The feeling of periodic resistance to passive move-
m...
... Antiemetic agents such as prochlorperazine (Compazine) and meto-
clopramide can cause a drug-induced parkinsonism.
❖
CASE 5
This 5 7- year-old man of Portuguese descent noticed that he had difficulty
marching ... To characterize metabolic derangements that can complicate clinical course
74
CASE FILES: NEUROLOGY
In this particular case the focus should be on the history of trauma the...
... APO-
E genotype from commercial laboratories. It is important to note however that
the presence APO-E ε4 is only a risk factor and does not prove AD.
174 CASE FILES: NEUROLOGY
❖
CASE 17
A 23-year-old ... Post-LP headache is likely caused by the proximal relationship to
the lumbar puncture.
158 CASE FILES: NEUROLOGY
ANSWERS TO CASE 19: Chronic Headache
Summary: A 38-year-old wh...
... remains
controversial.
218 CASE FILES: NEUROLOGY
194 CASE FILES: NEUROLOGY
Treatment
Treatment of vitamin B
12
deficiency involves administering the vitamin in a fash-
ion to bypass the pathologic ... meningitis.
228
CASE FILES: NEUROLOGY
CLINICAL PEARLS
❖ Meningitis classically presents with the triad of altered mental sta-
tus, fever, and neck stiffness but is present in only...
... acid.
CLINICAL CASES 377
❖
CASE 43
A 21-year-old college student presents with a 4 week history of frequent falls
and difficulty jogging. This athletic woman states she noticed that she was fre-
quently ... ascending paralysis and resolves with
removal of the tick.
334 CASE FILES: NEUROLOGY
❖
CASE 40
A 31-year-old woman presents with a 3-month history of muscle soreness,
cramps, and...
... are
428 CASE FILES: NEUROLOGY
404 CASE FILES: NEUROLOGY
ANSWER TO CASE 48: Tourette Syndrome
Summary: An 8-year-old boy with a 12-month history of motor and phonic tics
accompanied by obsessive-compulsive ... moderate to severe pain. A fam-
ily history of migraines, while common and helpful, is not required for
the diagnosis.
392 CASE FILES: NEUROLOGY
400 CASE FILES: NEUR...