... 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: NEU...
... cord myelitis
[ 39. 1] A 1 9- year-old man, who works at a hamburger stand, develops diar-
rhea, and 2 weeks later experiences gait difficulties and foot tingling.
[ 39. 2] An 18-year-old woman comes ... weakness.
[ 39. 3] A 62-year-old man with hypertension and diabetes presents with acute
right face, arm, leg weakness, slurred speech, and right-sided
hyperreflexia.
[ 39. 4] A 34-year-old wo...
... 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 447
Listing by Case Number 4 49
Listing by Disorder ... DYT-1, early-onset torsion
dystonia, caused by mutation in the torsin A gene at chromosome 9q34; and
DYT-5, dopa-responsive dystonia. See Table 3–1 for differential diagnosis of
dystonia...
... Injury Study of high-dose methylprednisolone therapy on acute cervical
spinal cord injury-results in spinal injuries center. Spine 2006;31(26): 299 2– 299 6.
CLINICAL CASES
69
CLINICAL PEARLS
❖ The ... Academy of
Neurology. Neurology 2006;66 :98 3 99 5.
Tolosa E, Wenning G, Poewe W. The diagnosis of Parkinson’s disease. Lancet
Neurol 2006;5:75–86.
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• Dr...
... 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 afte...
... 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 white female has a 10-year ... 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
❖...
... 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 ... Harrison’s principles of internal
medicine, 16th ed. New York: McGraw-Hill; 2004: Figs. 3 59 3a, 3b.)
CLINICAL CASES 2 09
CLINICAL CASES 195
[22.3] C. Multiple sclerosis is by and la...
... 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 MJ, Simon ... 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-F4
F4-...
... 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 ... several weeks. Some patients
CLINICAL CASES 323
ANSWERS TO CASE 39: Guillain-Barré Syndrome
Summary: A 25-year-old healthy female presents to the ER with rapid pro-
gression of ascending...