Case Files Neurology - part 3 potx

... 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, ... fibrillation 100 CASE FILES: NEUROLOGY ❖ CASE 10 A 15-year-old right-hand dominant male became briefly unconscious after being tackled in a high school football game. He was...

Ngày tải lên: 09/08/2014, 16:21

... 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. 32 CASE ... 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 447 Listing by Case Number...

Ngày tải lên: 09/08/2014, 16:21

... begins in child- hood and is linked to several genetic loci. Many cases are inherited as autosomal CLINICAL CASES 33 Table 3 1 DIFFERENTIAL DIAGNOSIS OF DYSTONIA Secondary dystonias Drug-induced tardive ... DYT-1 dystonia B. Acute dystonia from a medication C. Bilateral ischemic infarction of the globus pallidi D. Psychogenic disorder E. A right spinal cord hemisection syndrome [3. 3] A...

Ngày tải lên: 09/08/2014, 16:21

... episodes without con- scious awareness. [15 .3] B. The most common type of seizure with epilepsy in adults is com- plex partial seizures. CLINICAL CASES 133 CLINICAL PEARLS ❖ Complex partial seizures ... 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...

Ngày tải lên: 09/08/2014, 16:21

... principles of internal medicine, 16th ed. New York: McGraw-Hill; 2004: Figs. 35 9–3a, 3b.) CLINICAL CASES 209 CLINICAL CASES 195 [22 .3] C. Multiple sclerosis is by and large a disorder of the ... 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 p...

Ngày tải lên: 09/08/2014, 16:21

... problems 246 CASE FILES: 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 ... visual fields can occur later on. 278 CASE FILES: NEUROLOGY ❖ CASE 31 A 25-year-old man is brought to the emergency room after experiencing a gen- eralized tonic-clonic seizure....

Ngày tải lên: 09/08/2014, 16:21

... several weeks. Some patients CLINICAL CASES 32 3 ANSWERS TO CASE 39 : Guillain-Barré Syndrome Summary: A 25-year-old healthy female presents to the ER with rapid pro- gression of ascending weakness ... McGraw-Hill; 2004: Fig. 36 6–1.) Muscle Nerve terminal V M Release site Axon Normal MG A B AChR AChE AChR ❖ CASE 38 A 64-year-man is referred to a neurologist by his primary care physi...

Ngày tải lên: 09/08/2014, 16:21

... ascending paralysis and resolves with removal of the tick. 33 4 CASE FILES: NEUROLOGY ❖ CASE 40 A 31 -year-old woman presents with a 3- month history of muscle soreness, cramps, and muscle fatigue ... 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 -ye...

Ngày tải lên: 09/08/2014, 16:21

... prior to 3 years of age. If findings suggestive of autism 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 ... moderate to severe pain. A fam- ily history of migraines, while common and helpful, is not required for the diagnosis. 39 2 CASE FILES: NEUROLOGY 400 CASE FILES: NEUROLOGY...

Ngày tải lên: 09/08/2014, 16:21

... (NCV) studies for ALS, 35 3 for carpal tunnel syndrome, 36 4 for CIDP, 32 2, 32 4, 32 5 for dermatomyositis, 33 7, 34 3 for Guillain-Barré syndrome, 33 3 for myasthenia gravis, 30 5 for ptosis, 30 3 neuralgia, postherpetic, ... plate, 30 5f ocular symptoms, 30 7 physiology of, 30 4 treatment options, 30 6 Mycoplasma pneumoniae, 33 2 myelopathy, 66, 191, 192, 35 1 myoclonic sei...

Ngày tải lên: 09/08/2014, 16:21