Case Files Neurology - part 9 pdf

... Clinical Problem-Solving 8 Part 3. Approach to Reading 10SECTION IIClinical Cases 15Fifty-three Case Scenarios 17SECTION IIIListing of Cases 447Listing by Case Number 4 49 Listing by Disorder ... DYT-1, early-onset torsiondystonia, caused by mutation in the torsin A gene at chromosome 9q34; andDYT-5, dopa-responsive dystonia. See Table 3–1 for differential diagnosis ofdystonia.32 CASE ... recessiveC. X-linked dominantD. X-linked recessiveE. Y-linkedCLINICAL CASES 21APPROACH TO TREMORDefinitionsCogwheel rigidity—The feeling of periodic resistance to passive move-ment felt...

... Injury Study of high-dose methylprednisolone therapy on acute cervicalspinal 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. LancetNeurol 2006;5:75–86.This page intentionally left blank • Drug-induced ... 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...

... football hel-met should only be performed by a health care provider experienced in itsCLINICAL CASES 89 diagnostic showing regular and symmetrical 3 Hz, possible 2- to 4-Hzspike-and-slow-wave complexes, ... patient has carotid stenosisD. The patient has atrial fibrillation100 CASE FILES: NEUROLOGY ❖ CASE 10A 15-year-old right-hand dominant male became briefly unconscious after beingtackled in ... 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 10-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 ... the American College of Physicians. Ann Intern Med 199 7 Jun 15;126(12) :98 9 99 6.Linzer M, Yang EH, Estes NA 3rd, et al. Diagnosing syncope. Part 2: unexplainedsyncope. Clinical Efficacy Assessment...

... 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 ... Harrison’s principles of internalmedicine, 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 large a disorder of ... 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...

... NEUROLOGY Fp2-F4F4-C4C4-P4P4-O2Fp2-F8F8-T4T4-T6T6-O2Fp1-F3F3-C3C3-P3P3-O1Fp1-F7F7-T3T3-T5T5-O1200 µV1 sFigure 29 1. EEG of a patient with Creutzfeldt-Jakob disease. (With permis-sion from Aminoff MJ, Simon ... 29 1). Computerized tomography of the brain canhelp rule out the possibility that the symptoms result from other problems246 CASE FILES: NEUROLOGY Fp2-F4F4-C4C4-P4P4-O2Fp2-F8F8-T4T4-T6T6-O2Fp1-F3F3-C3C3-P3P3-O1Fp1-F7F7-T3T3-T5T5-O1200 ... thisparticular setting suggests a benign process.268 CASE FILES: NEUROLOGY ❖ CASE 29 A 53-year-old female presents with loss of balance, mood swings, and mem-ory loss. She had not noticed these symptoms...

... and usually involve people with diabetes mellitus forat least 25 years.322 CASE FILES: NEUROLOGY ❖ CASE 39 A 25-year-old female is brought into the emergency room (ER) after trippingduring a ... several weeks. Some patientsCLINICAL CASES 323ANSWERS TO CASE 39: Guillain-Barré SyndromeSummary: A 25-year-old healthy female presents to the ER with rapid pro-gression of ascending weakness ... the respiratory status of anindividual.300 CASE FILES: NEUROLOGY ANSWERS TO CASE 34: Sixth Nerve Palsy (IschemicMononeuropathy)Summary: A 65-year-old man with hypertension, coronary artery...

... pearls, 195 considerations, 190 – 191 differential diagnosis, 192 – 193 laboratory confirmation, 193 microscopic image of, 193 fsymptoms, 1 89 treatment options, 194 and Vitamin B12deficiency, 191 – 192 subarachnoid ... 199 clinical approach, 199 clinical pearls, 202considerations, 198 diagnosis, 201epidemiology, 199 etiologies, 199 –201, 200fmultiple sclerosis association, 199 , 201, 202, 208symptoms, 197 treatment ... 442Lyme disease, 191 , 192 , 255, 295 ,353, 435MMachado-Joseph disease (MJD),50t, 53macrocytic anemia, 191 , 192 , 195 magnetic resonance imaging (MRI)for acute cerebral infarct, 96 , 97 for ataxia,...