Case Files Neurology - part 10 ppsx

... 105 clinical pearls, 109 complications, 108 considerations, 104 105 definition, 81diagnosis/prognosis, 106 107 etiologies, 105 106 grading system, 107 , 108 symptoms, 103 treatment options, 108 subarachnoid ... radiotherapy can ame-liorate symptoms. Small asymptomatic lesions in older patients can be observed.436 CASE FILES: NEUROLOGY LISTING OF CASES 451LISTING BY CASE NUMBER CASE NO. DISEASE CASE PAGE1 ... rule of 10% is associated with this tumor:approximately 10% of these tumors produce a catecholamine-like sub-stance, approximately10% of these tumors are bilateral, approxi-mately10% are familial,...

... remainscontroversial.218 CASE FILES: NEUROLOGY 194 CASE FILES: NEUROLOGY TreatmentTreatment of vitamin B12deficiency 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 44% of con-firmed cases ... CSF for additional studies. Other tests to consider include chemistry 20,222 CASE FILES: NEUROLOGY ❖ CASE 24A 24-year-old medical student was studying late at night for an examination.As he looked...

... Approach to Clinical Problem-Solving 8 Part 3. Approach to Reading 10 SECTION IIClinical Cases 15Fifty-three Case Scenarios 17SECTION IIIListing of Cases 447Listing by Case Number 449Listing ... recessiveC. X-linked dominantD. X-linked recessiveE. Y-linkedCLINICAL CASES 21APPROACH TO TREMORDefinitionsCogwheel rigidity—The feeling of periodic resistance to passive move-ment felt ... prob-lems with swallowing and choking occur. Slowing of saccades (smooth, slowCLINICAL CASES 25This page intentionally left blank ANSWERS TO CASE 2: Huntington DiseaseSummary: A 40-year-old...

... and the time course is not what is58 CASE FILES: NEUROLOGY In any given case, the first consideration is whether this represents a sec-ondary dystonia, particularly one which is amenable to ... syndrome)Dystonia-plus syndromes (dopa-responsive dystonia, myoclonus-dystonia, rapid-onset dystonia-parkinsonism)Acquired/exogenous causes (Medication: dopamine receptor-blocking agents,Antiepileptic ... discovered. Forexample, SCA -1 0 involves an ATTCT repeat expansion of the SCA10 gene,and SCA-8 involves an expansion in the SCA8 gene with the nucleotides CTGrepeated. Finally, SCA-4 involves a mutation...

... patient has carotid stenosisD. The patient has atrial fibrillation 100 CASE FILES: NEUROLOGY ❖ CASE 10 A 15-year-old right-hand dominant male became briefly unconscious after beingtackled in ... football hel-met should only be performed by a health care provider experienced in itsCLINICAL CASES 89diagnostic showing regular and symmetrical 3 Hz, possible 2- to 4-Hzspike-and-slow-wave complexes, ... of seizure dis-charge, involve at a minimum the basal forebrain and limbic areas. In addition126 CASE FILES: NEUROLOGY This page intentionally left blank ❖ CASE 13A 22-year-old previously...

... Post-LP headache is likely caused by the proximal relationship tothe lumbar puncture.158 CASE FILES: NEUROLOGY ANSWERS TO CASE 19: Chronic HeadacheSummary: A 38-year-old white female has a 1 0- year ... APO-E genotype from commercial laboratories. It is important to note however thatthe presence APO-E ε4 is only a risk factor and does not prove AD.174 CASE FILES: NEUROLOGY ❖ CASE 17A 23-year-old ... indicate Parkinson disease, or associated neurologic deficits of stroke. The170 CASE FILES: NEUROLOGY ❖ CASE 21A 64-year-old woman was admitted for a possible seizure. The patient statesthat she...