oxford american handbook of neurology aug 2010

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oxford american handbook of neurology aug 2010

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[...]... Associate Professor of Neurology University of Michigan School of Medicine Ann Arbor, Michigan Stephen E Sullivan, MD Assistant Professor of Neurology University of Michigan School of Medicine Ann Arbor, Michigan Assistant Professor of Neurosurgery, Neurology, and Otolaryngology University of Michigan School of Medicine Ann Arbor, Michigan Ann A Little, MD Darin B Zahuranec, MD Assistant Professor of Neurology. .. University of Michigan School of Medicine Ann Arbor, Michigan Assistant Professor of Neurology University of Michigan School of Medicine Ann Arbor, Michigan Lawrence P Hudson, MD Zachary London, MD Assistant Professor of Neurology University of Michigan School of Medicine Ann Arbor, Michigan This page intentionally left blank Chapter 1 Neurological history and examination Zachary London, MD Principles of neurological... and other vascular disorders Ischemic stroke 138 Imaging of ischemic stroke 140 Management of ischemic stroke 147 Prevention of ischemic stroke 149 Cerebral venous thrombosis 150 Primary angiitis of the central nervous system (PACNS) 154 Spontaneous intracerebral hemorrhage (ICH) 156 Imaging of ICH 158 Subarachnoid hemorrhage (SAH) 160 Imaging of SAH 162 Cerebral aneurysms 165 Cerebral arteriovenous... diplopia is due to weakness of medial or lateral rectus • Ob ique separation with one image slightly ti ted is due to superior or inferior oblique weakness • Images are maximally separated when direction of gaze is toward the site of maximal action of the paretic muscle • The outer image comes from the paretic eye • f head tilt is present, it is in the direction of action of the affected muscle (e.g.,... movement disorders 237 Parkinsonism and Parkinson disease (PD): introduction 237 Clinical features of parkinsonism and PD 238 Differential diagnosis of PD and investigation 240 Drug-induced parkinsonism 242 Medical management of PD 242 Surgical treatment of PD 245 235 xiii xiv DETAILED CONTENTS Management of other problems in PD 246 Multiple system atrophy (MSA) 247 Progressive supranuclear palsy (PSP)... 322 Neurosarcoidosis 323 12 Neoplastic and paraneoplastic disorders Classification of intracranial tumors 328 General management of intracranial tumors 331 Management of specific tumor types 332 Paraneoplastic syndromes 342 327 13 Neurotrauma Cranial trauma 346 Management of traumatic brain injury (TBI) 349 Management of specific head injuries 351 Spinal trauma 356 345 14 Neurosurgery Degenerative spinal... PCA supp ies most of the visual cortex, but the occipital pole may be supp ied by a branch of the middle cerebral artery (MCA) • Junctional lesions between the optic nerve and chiasm affect ipsilateral optic nerve fibers and fibers from the inferior nasal retina of the opposite optic nerve as they loop after decussation Table 1.1 Common patterns of visual field loss Field defect Site of lesion(s) Etiology... 419 Quantification of small-fiber neuropathy 422 Evoked potentials (EPs) 422 Visual evoked potentials (VEPs) 423 Somatosensory evoked potentials (SSEPs) 425 Brainstem auditory evoked potentials (BAEPs) 428 Normal values in c inical neurophysiology 430 Appendix 433 Index 453 xvii Contributors Diana Gomez-Hassan, MD, PhD Assistant Professor of Neuroradiology University of Michigan School of Medicine Ann... Motor fibers innervate the striated muscles of palate, pharynx, and larynx • Soft palate observed as patient says “aahh.” The uvula deviates away from side of lesion CRANIAL NERVES V AND VII–XII OPHTHALMIC MAXILLARY Supraorbital nerve Auriculotemporal nerve C2 Infraorbital nerve C 2, C 3 MANDIBULAR C4 C5 Figure 1.6 The cutaneous distribution of the three branches of the trigeminal nerve (Reproduced with... loss of facial expression, and dysarthria can often be identified while leading the patient from the waiting room to the examination room General examination can provide valuable clues Ideally all patients should be stripped to their underclothes • Cardiovascular system Pulse, heart sounds, auscultation of the carotid arteries, blood pressure (lying down and standing after 3 minutes if any suggestion of . American Handbook of Psychiatry Oxford American Handbook of Pulmonary Medicine Oxford American Handbook of Rheumatology Oxford American Handbook of Sports Medicine Oxford American Handbook of. Handbook of Emergency Medicine Oxford American Handbook of Geriatric Medicine Oxford American Handbook of Nephrology and Hypertension Oxford American Handbook of Neurology Oxford American Handbook of. alt="" Oxford American Handbook of Neurology Published and Forthcoming Oxford American Handbooks Oxford American Handbook of Clinical Medicine Oxford American Handbook of Anesthesiology Oxford American

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  • Contents

  • 1 Neurological history and examination

    • Principles of neurological history taking

    • The general examination

    • Cranial nerve I (olfactory nerve)

    • Cranial nerve II (optic nerve and visual pathway)

    • Cranial nerves III (oculomotor), IV (trochlear), and VI (abducens)

    • Cranial nerves V and VII–XII

    • Motor examination

    • Bedside cognitive testing, including language

    • The mini-mental state examination (MMSE)

  • 2 Neuroanatomy

    • Neuroanatomical figures

    • Dermatomes of the upper and lower limbs

    • Innervation of the upper limbs

    • Innervation of the lower limbs

  • 3 Common clinical presentations

    • Delirium

    • Loss of consciousness

    • Acute vertigo

    • Acute headache (thunderclap headache)

    • Acute neuromuscular weakness

    • Acute focal neurological syndromes

    • Spastic paraparesis

    • Ataxia

    • Acute visual failure

    • Coma

    • Coma prognosis

    • Brain death

    • Excessive daytime sleepiness

    • Tremor

    • Tics

    • Chorea and athetosis

    • Myoclonus

    • Dystonia

  • 4 Disorders of the peripheral nervous system

    • Peripheral neuropathy: introduction and clinical approach

    • Acquired polyneuropathies

    • Hereditary neuropathies

    • Mononeuropathies

    • Disorders of neuromuscular junction: myasthenia gravis

    • Lambert-Eaton Myasthenic Syndrome

    • Botulism

    • Myopathy: introduction and clinical approach

    • Dermatomyositis and polymyositis

    • Inclusion body myositis

    • Inherited myopathies

    • Motor neuron disease

    • Muscle and nerve pathology

  • 5 Stroke and other vascular disorders

    • Ischemic stroke

    • Imaging of ischemic stroke

    • Management of ischemic stroke

    • Prevention of ischemic stroke

    • Cerebral venous thrombosis

    • Primary angiitis of the central nervous system (PACNS)

    • Spontaneous intracerebral hemorrhage (ICH)

    • Imaging of ICH

    • Subarachnoid hemorrhage (SAH)

    • Imaging of SAH

    • Cerebral aneurysms

    • Cerebral arteriovenous malformations (AVM)

    • Cavernous hemangioma (cavernoma) and developmental venous anomaly (DVA)

    • Dural arteriovenous fistulae (dAVF)

  • 6 Epilepsy

    • Epilepsy: introduction

    • Management of epilepsy

    • Women and epilepsy

    • Status epilepticus

  • 7 Migraine

    • Migraine: introduction and clinical features

    • Migraine: differential diagnosis, investigations, and International Headache Society (IHS) criteria

    • Migraine therapy

    • Migraine prophylaxis

    • Migraine and women

    • Primary short-lasting headaches

    • Trigeminal neuralgia

    • Idiopathic intracranial hypertension (IIH)

    • Low-pressure headache

  • 8 Dementias

    • Dementia: introduction

    • Alzheimer disease (AD)

    • Dementia with Lewy bodies (DLB)

    • Parkinson disease with dementia (PDD)

    • Parkinsonian syndromes associated with dementia

    • Vascular dementia

    • Frontotemporal dementia

    • Other dementias

  • 9 Movement disorders and ataxia

    • Movement disorders: introduction

    • Hypokinetic movement disorders

    • Parkinsonism and Parkinson disease (PD): introduction

    • Clinical features of parkinsonism and PD

    • Differential diagnosis of PD and investigation

    • Drug-induced parkinsonism

    • Medical management of PD

    • Surgical treatment of PD

    • Management of other problems in PD

    • Multiple system atrophy (MSA)

    • Progressive supranuclear palsy (PSP)

    • Corticobasal degeneration (CBD)

    • Hyperkinetic movement disorders

    • Chorea, athetosis, and ballism

    • Huntington disease

    • Sydenham chorea

    • Tremor

    • Essential tremor

    • Dystonias

    • Myoclonus

    • Tics

    • Ataxia

    • Hereditary ataxias

    • Sporadic ataxias

    • Acquired ataxias

  • 10 Sleep disorders

    • Approach to the patient with a sleep disorder

    • Sleep physiology

    • Diagnostic procedures

    • Classification of sleep disorders

    • Insomnias

    • Sleep-related breathing disorders

    • Hypersomnias not due to breathing disorders

    • Parasomnias

    • Circadian rhythm sleep disorders

    • Sleep-related movement disorders

  • 11 Infectious and inflammatory conditions

    • Infectious

      • Infectious disease: bacterial meningitis

      • Bacterial infections and toxins

      • Viral meningoencephalitis

      • Highlight on West Nile virus

      • Neurology of HIV/AIDS: introduction

      • Neurological disorders due to HIV

      • Fungal infections

      • Parasitic infections

      • Prion diseases

    • Inflammatory

      • Multiple sclerosis: introduction and clinical features

      • Multiple sclerosis: investigations and diagnosis

      • Multiple sclerosis: management

      • Neuromyelitis optica (Devic disease)

      • Acute disseminated encephalomyelitis (ADEM)

      • Neurosarcoidosis

  • 12 Neoplastic and paraneoplastic disorders

    • Classification of intracranial tumors

    • General management of intracranial tumors

    • Management of specific tumor types

    • Paraneoplastic syndromes

  • 13 Neurotrauma

    • Cranial trauma

    • Management of traumatic brain injury (TBI)

    • Management of specific head injuries

    • Spinal trauma

  • 14 Neurosurgery

    • Degenerative spinal conditions: cervical spine

    • Degenerative spinal conditions: thoracic and lumbar spine

    • Developmental abnormalities

    • Syringomyelia

    • Hydrocephalus

    • Complications of shunts

  • 15 Clinical neurophysiology

    • Electroencephalography (EEG): introduction

    • EEG: use and abuse

    • EEG: normal rhythms and benign variants

    • EEG: abnormal rhythms

    • EEG and epilepsy

    • EEG and diffuse cerebral dysfunction

    • EEG and drug effects

    • EEG in the intensive care unit

    • Technical summary of nerve conduction studies (NCS)

    • Peripheral nerve disorders: NCS abnormalities

    • Technical summary of needle electromyography (EMG)

    • Normal needle EMG

    • Needle EMG: patterns of abnormality

    • NCS and needle EMG findings in neuropathies

    • NCS and needle EMG findings in plexopathies

    • NCS and needle EMG findings in radiculopathies

    • NCS and needle EMG findings in motor neuron disease (MND)

    • NCS and needle EMG findings in myopathies

    • NCS and needle EMG findings in neuromuscular transmission disorders

    • Quantification of small-fiber neuropathy

    • Evoked potentials (EPs)

    • Visual evoked potentials (VEPs)

    • Somatosensory evoked potentials (SSEPs)

    • Brainstem auditory evoked potentials (BAEPs)

    • Normal values in clinical neurophysiology

  • Appendix

  • Index

    • A

    • B

    • C

    • D

    • E

    • F

    • G

    • H

    • I

    • J

    • K

    • L

    • M

    • N

    • O

    • P

    • Q

    • R

    • S

    • T

    • U

    • V

    • W

    • X

    • Z

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