Chronic Pain
Preparations with the least abuse potential and side effects should be utilized. Agents containing an anti-inflammatory/acetaminophen, to decrease the dose of opioid required for analgesia, should be considered first-line drugs….
Nervous System Complications of Cancer
FIGURE 58.1 T1 postcontrast axial MRI. Numerous small enhancing lesions are noted bihemispherically in this non–small cell lung cancer patient with brain metastases. These lesions are noted predominantly at the gray–white…
Spinal Cord Disorders
FIGURE 50.1 A 33-year-old woman with systemic lupus erythematosus, antiphospholipid antibody syndrome, status postquintuple coronary artery bypass graft, who developed acute cardiac tamponade and hepato-renal syndrome. She was found to have…
Complex Regional Pain Syndrome
FIGURE 56.1 CRPS I of Upper Extremity. Patient had minor injury to right hand following a fall. Edema and erythema are evident along with allodynia, hyperalgesia, and decreased range of motion…
Central Nervous System Infections
A. Therapeutic approach. 1. Dexamethasone therapy. The American Academy of Pediatrics recommends consideration of dexamethasone in the treatment of infants and children 2 months of age and older with proven or suspected…
Approach to the Patient with Neck Pain and/or Arm Pain
22.1). (3) C7 radiculopathy (C6–C7 disk herniation). This is the most common disk herniation. Pain radiates across the top of the neck, across the triceps, and down the posterolateral forearm to…
Approach to the Patient with Facial Weakness
5. Audiometric testing will help determine the type and degree of hearing loss. An asymmetric, ipsilateral SNHL would suggest a cerebellopontine angle or internal auditory canal lesion in patients with LMN…
Dizziness and Vertigo
(Video 61.1) is a common technique used for canalith repositioning. It is most effectively used when the affected semicircular canal has been identified and can therefore be targeted for repositioning….
Epilepsies in Children
Video 42.1; see Chapter 6). 6. Juvenile absence epilepsy (see Chapter 6). 7. Juvenile myoclonic epilepsy (impulsive petit mal) of Janz (see Chapter 6). 8. Epilepsy with GTCS on awakening (see Chapter 6)….
