Pituitary Physiology and Endocrinology

Mar 11, 2017 by in NEUROSURGERY Comments Off on Pituitary Physiology and Endocrinology

Hypothalamic hormone Main pituitary hormone Target organs Target hormones CRH Increases ACTH Adrenal gland Increases cortisol, DHEA, aldosterone, 17-hydroxyprogesterone GHRH Increases GH Liver Increases IGF-1 Somatostatin Inhibits GH   GnRH Increases…

read more

Pathology and Molecular Biology of the Pituitary Region

Mar 11, 2017 by in NEUROSURGERY Comments Off on Pathology and Molecular Biology of the Pituitary Region

Tumor origin Specific entity Neuroendocrine tumors Pituitary adenoma Atypical adenoma Pituitary carcinoma Non-neuroendocrine tumors Pituicytoma Granular cell tumor Spindle cell oncocytoma Gangliocytoma Tumors of non-pituitary origin Craniopharyngioma Meningioma Chordoma Langerhans…

read more

Speech and Swallowing Therapy

Mar 11, 2017 by in NEUROSURGERY Comments Off on Speech and Swallowing Therapy

18 SPEECH AND SWALLOWING THERAPY SPEECH AND SWALLOWING ABNORMALITIES ASSOCIATED WITH MOVEMENT DISORDERS Speech and swallowing abnormalities occur frequently in patients with movement disorders. The evaluation and treatment of motor…

read more

Parkinson’s Disease

Mar 11, 2017 by in NEUROSURGERY Comments Off on Parkinson’s Disease

4 PARKINSON’S DISEASE OVERVIEW OF PARKINSON’S DISEASE James Parkinson wrote and published “An Essay on the Shaking Palsy” in 1817.1 However, in India, paralysis agitans was described under the name…

read more

Nutritional Considerations

Mar 11, 2017 by in NEUROSURGERY Comments Off on Nutritional Considerations

19 NUTRITIONAL CONSIDERATIONS Good nutrition is essential to maintain the well-being of individuals with neurological disease. There are several reasons why nutrition is important in movement disorders:       Nutrition may impact…

read more

Parkinsonism

Mar 11, 2017 by in NEUROSURGERY Comments Off on Parkinsonism

3 PARKINSONISM The cardinal tetrad of parkinsonism includes tremor, rigidity, akinesia/bradykinesia, and postural instability.1 The most common cause of parkinsonism is Parkinson’s disease (PD), which is discussed in Chapters 2…

read more

Surgical Approach to Movement Disorders

Mar 11, 2017 by in NEUROSURGERY Comments Off on Surgical Approach to Movement Disorders

16 SURGICAL APPROACH TO MOVEMENT DISORDERS HISTORY OF SURGERY FOR MOVEMENT DISORDERS       In the 1950s, Cooper first described ligation of the anterior choroidal artery for the treatment of Parkinson’s disease…

read more

Dystonia

Mar 11, 2017 by in NEUROSURGERY Comments Off on Dystonia

5 DYSTONIA “Dystonia is a neurologic syndrome characterized by involuntary, sustained, patterned, and often repetitive muscle contractions of opposing muscles causing twisting movements or abnormal postures. Partly because of its…

read more

Sleep-Related Movement Disorders

Mar 11, 2017 by in NEUROSURGERY Comments Off on Sleep-Related Movement Disorders

10 SLEEP-RELATED MOVEMENT DISORDERS Although most movement disorders typically disappear during sleep, some persist, and some even occur almost exclusively while the patient is asleep or falling asleep. Movement disorders…

read more

Chorea

Mar 11, 2017 by in NEUROSURGERY Comments Off on Chorea

6 CHOREA DEFINITIONS       Phenomenology: chorea, athetosis, and ballism generally represent a continuum of involuntary, hyperkinetic movement disorders.       Chorea consists of involuntary, continuous, abrupt, rapid, brief, unsustained, irregular movements that flow…

read more
Get Clinical Tree app for offline access