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Introduction to Clinical Neurology

Introduction to Clinical Neurology

9780197772904
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Description
The sixth edition of Introduction to Clinical Neurology continues to present a straightforward and systematic approach to diagnosing diseases of the nervous system. Extensively revised to reflect medical advances and now including supplementary tables for quick reference, this engaging textbook explains the neurologic diseases and presenting symptoms that clinicians are likely to encounter in daily practice. It also provides streamlined summaries of clinically relevantnervous system pathways to help non-neurologists deduce the site of dysfunction. Each chapter begins with a set of clinical vignettes and associated questions, which are discussed at the end of the chapter. The final chapter provides twelve additional clinical vignettes and accompanying questions intended to allow the reader to practice applying the principles of localization and diagnostic reasoning covered in the first three chapters, and to review some of the specific disorders covered throughout the book.
Product Details
OUP USA
102521
9780197772904
9780197772904

Data sheet

Publication date
2024
Issue number
6
Cover
paperback
Pages count
584
Dimensions (mm)
140 x 210
Weight (g)
658
  • Preface to the Sixth Edition; Preface to the First Edition; Contributors; PART I: The Basic Approach; 1. Wheres the Lesion? (How We Localize); I. Sample Localization Problems; II. The Game; III. The Rules; IV. The Play: The Long Version; V. The Play: The Abbreviated Version; VI. More Examples; VII. Rules for Speed Play; 2. The Neurologic Examination (What We Localize); I. More Localization Problems; II. General Comments on the Neurologic Examination; III. How to Do the Neurologic Examination; A. Mental Status Examination; B. Cranial Nerve Examination; C. Motor Examination; D. Reflex Examination; E. Sensory Examination; IV. Additional Comments on Terminology and Examination Technique; A. Mental Status Examination; B. Cranial Nerve Examination; C. Motor Examination; D. Reflex Examination; E. Sensory Examination; V. Interpretation of the Neurologic Examination; A. Mental Status Examination; B. Cranial Nerve Examination; C. Motor Examination; D. Reflex Examination; E. Sensory Examination; VI. Modifications of the Neurologic Examination; A. Screening Neurologic Examination; B. Video Examination; C. Examination of Patients with Altered Level of Consciousness; D. Inconsistent or Anomalous Examination Findings; VII. Supplementary Table for Reference; VIII. Discussion of Localization Problems; 3. Diagnostic Reasoning: Whats the Lesion? (Why We Localize); I. Case Histories; II. Beyond Localization; A. Localization; B. Temporal Profile; C. Epidemiology; III. Etiology; A. Degenerative Diseases; B. Neoplastic Diseases; C. Vascular Diseases; D. Inflammatory Diseases; E. Toxic and Metabolic Diseases; F. Traumatic Diseases; G. Congenital and Developmental Diseases; IV. Discussion of Case Histories; PART II: Common Diseases; 4. Stroke; I. Case Histories; II. Approach to Stroke; III. Background Information; A. Definitions; B. Classification of Strokes by Etiology; C. Pathophysiology; IV. Diagnosis; A. Clinical Features; B. Imaging; V. Management of Acute Stroke; A. Restoration of Blood Flow in Ischemic Stroke; B. Limitation of Deficits; C. Rehabilitation; VI. Secondary Prevention of Ischemic Stroke; A. Lipid Management; B. Antiplatelet Medication; C. Blood Pressure; D. Other Risk Factors; E. Cardioembolic Disease; F. Cervical Carotid Stenosis; G. Ischemic Stroke Mechanisms Other Than Cardioembolism and Cervical Carotid Stenosis; H. Determining the Underlying Mechanism of Stroke; VII. Secondary Prevention of Cerebral Hemorrhage; VIII. Primary Prevention; A. Hypertension; B. Smoking; C. Diabetes; D. Dyslipidemia; E. Mechanical Heart Valves; F. Atrial Fibrillation; G. Cervical Carotid Stenosis; H. Sickle Cell Disease; I. Other Factors; IX. Supplementary Tables for Reference; X. Discussion of Case Histories; 5. Seizures; I. Case Histories; II. Approach to Seizures; III. Background Information; A. Definitions; B. Clinical Characteristics of Seizures; C. Seizures vs. Epilepsy; D. Epilepsy Classification; E. Electroencephalography; F. Pathophysiology of Seizures and Epilepsy; IV. Diagnosis; A. Characterizing the Presenting Spell; B. Identifying Prior Spells; C. Recognizing Spells That Are Not Seizures; V. Determining the Cause of Seizures; A. Provoked Seizures; B. Epilepsy; C. The Diagnostic Evaluation; VI. Management of Seizures and Epilepsy; A. Patients with Seizures but No Proven Epilepsy; B. Patients with Epilepsy; C. Patient Education (for People with Isolated Seizures or Epilepsy); D. Restrictions (for People with Isolated Seizures or Epilepsy); VII. Special Clinical Problems; A. Status Epilepticus; B. Seizures and Pregnancy; C. Refractory Seizures; VIII. Supplementary Tables for Reference; IX. Discussion of Case Histories; 6. Neuromuscular Disorders; I. Case Histories; II. Approach to Neuromuscular Diseases; III. Background Information; A. Functional Divisions of the Peripheral Nervous System and Associated Symptoms; B. Proximal-to-Distal Organization of the Peripheral Nervous System; C. Electrodiagnostic and Other Laboratory Studies; IV. Specific Neuromuscular Diseases; A. Motor Neuron Diseases; B. Nerve Root Disorders (Radiculopathies); C. Plexus Disorders (Plexopathies); D. Peripheral Nerve Disorders (Neuropathies); E. Neuromuscular Junction Disorders; F. Muscle Disorders (Myopathies); V. Symptomatic Treatment; A. Emergency Measures; B. Non-Urgent Measures: Motor Symptoms; C. Non-Urgent Measures: Sensory Symptoms; VI. Supplementary Tables for Reference; VII. Discussion of Case Histories; 7. Dementing Illnesses; Linda M. Selwa and Douglas J. Gelb; I. Case Histories; II. Approach to Dementing Illnesses; A. Is It Abnormal?; B. Are There Any Potentially Reversible Components?; C. Which Primary Degenerative Dementing Illness Is Most Likely?; III. Primary Dementing Illnesses; A. Alzheimer Disease; B. Dementia with Lewy Bodies (DLB); C. Frontotemporal Dementia (FTD); D. Vascular Cognitive Impairment; E. Limbic-predominant Age-related TDP-43 Encephalopathy (LATE); F. Creutzfeldt-Jakob Disease (CJD); G. Other Neurologic Diseases That Produce Dementia; IV. Supplementary Tables for Reference; V. Discussion of Case Histories; 8. Movement Disorders; Linda M. Selwa and Douglas J. Gelb; I. Case Histories; II. Approach to Movement Disorders; III. Background Information; A. Anatomic Definitions; B. Clinical Definitions; C. Classification of Movement Disorders; IV. Specific Movement Disorders; A. Essential Tremor; B. Parkinson Disease; C. Other Parkinsonian Syndromes; D. Hereditary Ataxias; E. Huntington Disease; F. Tardive Dyskinesia; G. Dystonias; H. Wilson Disease; I. Tourette Syndrome; V. Supplementary Tables for Reference; VI. Discussion of Case Histories; 9. Sleep Disorders; I. Case Histories; II. Approach to Sleep Disorders; III. Background Information; A. Definitions; B. Sleep Physiology; C. Diagnostic Tests; D. Classification of Sleep Disorders; IV. Trouble Staying Awake; A. Insufficient Sleep; B. Sleep Apnea; C. Narcolepsy; D. Other Causes of Hypersomnolence; V. Trouble Sleeping; A. Sleep-Onset Delay; B. Early Morning Awakening; C. Sleep Fragmentation; D. Sleep State Misperception; VI. Abnormal Behavior During Sleep; A. Nonrapid Eye Movement (NREM) Sleep Parasomnias; B. Rapid Eye Movement (REM) Sleep Parasomnias; VII. Discussion of Case Histories; 10. Multifocal Central Nervous System Disorders; I. Case Histories; II. Approach to Multifocal Disorders; III. Focal Diseases with Multifocal Propagation; A. Neurologic Manifestations of Systemic Cancer; B. Central Nervous System Infections; IV. Inherently Multifocal Diseases; A. Multiple Sclerosis (MS) and Related Disorders; B. Rheumatologic Diseases; C. Sarcoidosis; D. Coagulation Disorders; E. Functional Disorders; V. Supplementary Tables for Reference; VI. Discussion of Case Histories; PART III: Common Symptoms; 11. Acute Mental Status Changes; I. Case Histories; II. Background Information; A. Definitions; B. Focal Mental Status Changes vs. Altered Level of Consciousness; C. Physiology of Normal and Altered Consciousness; III. Approach to Acute Changes in Level of Consciousness; A. ABCs: Airway, Breathing, Circulation; B. Oxygen, Glucose, Naloxone; C. Pupils, Dolls Eyes, Motor Asymmetry; D. Other Electrolytes, Renal, Hepatic, Temperature Abnormalities; E. Everything Else; IV. Special Circumstances; A. Head Trauma; B. Increased Intracranial Pressure; C. Brain Death; V. Discussion of Case Histories; 12. Headache; I. Case Histories; II. Approach to Headache; III. Background Information; A. Primary vs. Secondary Headaches; B. Pathophysiology of Migraine; IV. Headache Emergencies: Subarachnoid Hemorrhage and Bacterial Meningitis; V. Other Secondary Headaches; A. Viral Meningitis or Encephalitis; B. Fungal or Tuberculous Meningitis; C. Mass Lesions; D. Giant Cell (Temporal) Arteritis; E. Idiopathic Intracranial Hypertension (IIH); F. Spontaneous Intracranial Hypotension; G. Cerebral Venous Thrombosis; H. Arterial Dissection; I. Reversible Cerebral Vasoconstriction Syndrome (RCVS); J. Systemic Conditions; K. Secondary Headache Syndromes with Diagnostic Ambiguity; VI. Primary Headaches; A. Migraine and Tension Headaches; B. Trigeminal Neuralgia; C. Glossopharyngeal Neuralgia; D. Cluster Headaches; E. Other Trigeminal Autonomic Cephalalgias (TACs); F. Primary Stabbing Headache; G. Persistent Idiopathic Facial Pain; VII. Supplementary Tables for Reference; VIII. Discussion of Case Histories; 13. Visual Symptoms; I. Case Histories; II. Background Information; A. Definitions; B. Overview of the Visual System; III. Approach to Visual Symptoms; IV. Monocular Vision Loss; A. Acute or Subacute Monocular Vision Loss in Young People; B. Acute, Subacute, or Chronic Monocular Vision Loss in Older People; V. Transient Vision Loss (Monocular or Binocular); VI. Persistent Binocular Vision Loss; VII. Diplopia; A. Localization; B. Differential Diagnosis and Management; VIII. Discussion of Case Histories; 14. Dizziness and Disequilibrium; I. Case Histories; II. Approach to Dizziness; III. Localization; IV. Differential Diagnosis; A. Central Vertigo; B. Peripheral Vertigo; V. Disequilibrium; VI. Discussion of Case Histories; 15. Back Pain and Neck Pain; I. Case Histories; II. Approach to Back or Neck Pain; A. Emergency Situations; B. Non-Urgent Indications for Surgery; III. Specific Conditions Causing Back or Neck Pain; A. Musculoskeletal Pain; B. Disc Herniation; C. Spinal Stenosis; IV. Discussion of Case Histories; 16. Incontinence; I. Case Histories; II. Background Information; III. Approach to Incontinence; A. Non-neurologic Causes of Incontinence; B. Central vs. Peripheral Nervous System Causes of Incontinence; IV. Supplementary Table for Reference; V. Discussion of Case Histories; PART IV: Bookends; 17. Pediatric Neurology; I. Case Histories; II. Developmental Considerations; III. Hypotonic Infants; IV. Developmental Delay and Developmental Regression; V. Paroxysmal Symptoms; A. Migraine; B. Seizures; C. Breath-Holding Spells; D. Benign Paroxysmal Vertigo; VI. Gait Disturbance; A. Spasticity; B. Weakness 434; C. Ataxia; VII. Functional Disorders; VIII. Discussion of Case Histories; 18. Geriatric Neurology; I. Case Histories; II. Geriatric Issues; III. The Neurologic Examination in Normal Aging; A. Mental Status; B. Cranial Nerves; C. Motor System; D. Reflexes; E. Sensation; IV. Common Neurologic Symptoms in the Elderly; A. Dizziness; B. Gait Disturbance; C. Incontinence; D. Dementia; E. Pain; V. Discussion of Case Histories; 19. Practice Cases; I. Case Histories; II. Answers; Index;
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