FIGURE 40.1 A 69-year-old man had new onset of right-sided visual blurring and right-sided numbness. Neuroimaging studies demonstrate left occipital and right medial temporal infarcts; the right side temporal infarct was…
(Video 35.1). A. Closed head injury. CT imaging parameters in trauma should include a narrow window (for acute blood), an intermediate window (for subacute blood), and a wide (bone) window. Acute…
NORMAL PHYSIOLOGIC CHANGES IN PREGNANCY A. Cardiovascular. 1. Increase of 30% to 50% in cardiac output and blood volume with singleton pregnancy (70% with twins) 2. Midpregnancy decrease in blood pressure by 5…
B. Arterial hypertension. ICH may be a complication of either acute or chronic arterial hypertension. Sustained chronic hypertension leads to degenerative changes in small penetrating arteries in the deep structures of…
A specific type of CBT-I is stimulus–control therapy, which is useful in the management of conditioned insomnia. This technique is an attempt to break the conditioning by teaching the patient…
Video 43.1). Approximately 85% have an epileptogenic focus in the temporal lobe, whereas the remaining 15% are of extratemporal origin, usually frontal. c. Secondarily generalized (tonic–clonic) seizures. During any focal seizure…
A. Otologic vertigo is caused by dysfunction of the inner ear. Table 16.1 lists entities that account for about 95% of all cases of otologic vertigo. The distribution of diagnoses varies…
FIGURE 32.1 Baroreflex pathways. Efferents from arterial carotid sinus baroreceptors travel to the CNS with the glossopharyngeal (IX) nerve and those from the arterial aortic arch baroreceptors travel with the vagus…
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Video 44.1). While INO is presented here, any isolated brain stem syndrome, including diplopia, facial weakness, and trigeminal neuralgia, particularly in a young person with no other risk factors, MS…
