Approach to Ethical Issues in Neurology
Do you believe that the decision to treat Maria with IV morphine 6 months earlier was to hasten her death? Is this an “acceptable” outcome for someone who is 94…
Approach to the Patient with Dysarthria
(Video 19.1). Other findings include muscle weakness with greater than normal tone. Dysphagia may also occur. In addition to spastic dysarthria, the patient with pseudobulbar palsy may often exhibit emotional…
Peripheral Neuropathy
Video 51.1). Significant atrophy can occur in the affected muscles. The pain usually lessens within 3 to 6 weeks. Sensory loss and weakness improve over months, but long-term deficits may…
Approach to the Patient with Acute Muscle Weakness
(see Video 31.1). Eventually, dysarthria, dysphagia, and respiratory distress may occur. Ocular myasthenia will present with asymmetric ptosis and diplopia. There is fatigability induced by repetitive exercise. Muscle tone, bulk,…
Approach to the Patient with Acute Sensory Loss
(Video 27.1). D. Brachial and lumbosacral plexus. Acute sensorimotor deficits indicating multiple nerve or nerve-root distributions in an arm or leg suggest plexopathy. E. Spinal cord. Most fibers conducting pain and temperature…
Approach to the Patient with Lower Extremity Pain, Paresthesias, and Entrapment Neuropathies
FIGURE 25.1 Motor distribution of the nerves of the lower limb. (Modified from Basmajian JV. Grant’s Method of Anatomy. 9th ed. Baltimore, MD: Williams and Wilkins; 1975.) (2) General. Examination or palpation…
Approach to the Patient with Sleep Disorders
FIGURE 9.1 Example of a typical week-at-a-glance sleep diary. 1. Adjustment (acute) insomnia. This term has been used to describe insomnia that immediately follows a clearly identifiable stressor and is expected to…
Approach to Common Emergencies in Pediatric Neurology
(Video 38.1). The onset of symptoms may be acute or subacute. The most common age of onset is 2 years. Prompt diagnosis of OMS is important because there is a…
Approach to the Patient with Aphasia
FIGURE 3.1 The neurocognitive network for language. The core perisylvian language cortices lie within the dashed line and include Broca’s area in the inferior frontal gyrus, the supramarginal- and angular gyri…
Approach to the Patient with Acute Headache
TAKING A HEADACHE HISTORY Pertinent History 1. Establish an anchor in time: when did the headaches first appear and have they changed since that time? Is there a history of head…
