Approach to the Patient with Facial Pain
Acute glaucoma is associated with orbital and adjacent facial pain but the diagnosis is usually obvious because of corneal clouding and other eye changes. Subacute glaucoma can be more subtle…
Approach to the Patient with Seizures
FIGURE 6.1 MRI showing left mesial temporal sclerosis. MRI, magnetic resonance imaging. CLINICAL MANIFESTATIONS A. Metabolic–toxic and hypoxic insults. Patients with seizures attributable to metabolic or toxic causes have generalized tonic–clonic seizures,…
Approach to the Comatose Patient
(2) Decerebrate posturing (upper and lower limb extension, uni- or bilateral) localizes the deficit to the midbrain (red nucleus). (3) If required, noxious stimuli include rubbing the sternum, or applying firm but…
Structural Neuroimaging
20 CHAPTER Structural Neuroimaging Matthew W. Luedke and William B. Gallentine Clinical localization is one of the hallmark skills of a neurologist. Seizure semiology is an elegant method of localization,…
Normal EEG
11 CHAPTER Normal EEG Aatif M. Husain A clear understanding of a normal EEG is mandatory before studying abnormalities. Recognizing variations of a normal tracing can be challenging. Interpreting rhythmic…
Epilepsy Surgery
31 CHAPTER Epilepsy Surgery Edgar Perez and Gerald Grant More than 2 million people in the United States have epilepsy, and 400,000 to 600,000 of them have seizures that cannot…
Dietary Therapy
32 CHAPTER Dietary Therapy Candace Richardson and William B. Gallentine The classic Ketogenic diet (KD) is a high-fat, low-carbohydrate treatment that has been used in the treatment of epilepsy for…
Scalp Video EEG Monitoring
17 CHAPTER Scalp Video EEG Monitoring Abeer J. Hani and Aatif M. Husain While about 60% to 70% of patients with epilepsy will respond to a first- or second-line antiepileptic…
EEG of Epilepsy
12 CHAPTER EEG of Epilepsy Rajdeep Singh EEG is largely a recording of excitatory and inhibitory postsynaptic potentials generated by the large vertically oriented pyramidal neurons located in layers 3,…
Principles of Treatment
25 CHAPTER Principles of Treatment Christa B. Swisher and Rodney A. Radtke At first glance, the medical management of a patient with seizures appears to be a straightforward process. In…
