Muscles

Jun 19, 2016 by in NEUROLOGY Comments Off on Muscles

16 Muscles Introduction Muscle weakness is often automatically thought to reflect muscle disease, but that need not be the case. Weak or wasted muscles may result from a lesion anywhere…

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Multiple sclerosis

Jun 19, 2016 by in NEUROLOGY Comments Off on Multiple sclerosis

10 Multiple sclerosis Introduction Multiple sclerosis (MS) is one of the most dreaded diagnoses in neurology. Patients visualise a fit and healthy person, such as the Olympic athlete Betty Cuthbert,…

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The neurological examination: Peripheral nervous system

Jun 19, 2016 by in NEUROLOGY Comments Off on The neurological examination: Peripheral nervous system

4 The neurological examination Peripheral nervous system Examination of the peripheral nervous system assumes a stylised approach when adopting the traditional method. This means following a set pattern of: observation…

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Non-organic neurological diseases

Jun 19, 2016 by in NEUROLOGY Comments Off on Non-organic neurological diseases

5 Non-organic neurological diseases Introduction Many believe that the diagnosis of functional, and for that read non-organic or psychological, disease should be a diagnosis of last resort. Those advocating this…

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Stroke

Jun 19, 2016 by in NEUROLOGY Comments Off on Stroke

14 Stroke Introduction All too often a patient presents to hospital saying ‘I thought I was having a stroke but wanted to wait to see what happened’. If not the…

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Dementia

Jun 19, 2016 by in NEUROLOGY Comments Off on Dementia

15 Dementia Introduction Dementia represents a decline in cognitive function not because of impaired level of consciousness. In other words, it reflects a lower level of mental capacity and function…

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Vertigo

Jun 19, 2016 by in NEUROLOGY Comments Off on Vertigo

8 Vertigo Introduction All too often the patient presents to the doctor complaining of ‘dizziness’, which is a ‘non-word’ as it is ambiguous and means different things to different people….

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Parkinson’s disease

Jun 19, 2016 by in NEUROLOGY Comments Off on Parkinson’s disease

9 Parkinson’s disease Introduction Parkinson’s disease (PD) was first described by James Parkinson, the English physician after whom it was named, in his monograph on the ‘Shaking Palsy’ in 1817.1…

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The neurology of sleep

Jun 19, 2016 by in NEUROLOGY Comments Off on The neurology of sleep

12 The neurology of sleep Introduction Sleep medicine is often considered the domain of respiratory medicine, rather than neurology. This reflects the fact that Colin Sullivan is credited with recognising…

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Headache

Jun 19, 2016 by in NEUROLOGY Comments Off on Headache

6 Headache Introduction Headache is the most common neurological condition for which consultation is sought.1 The approach adopted in this review offers a clinical strategy to guide the family doctor…

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