Figure 51-1 Zinc toxicity and copper deficiency: Excretion of copper into the gastrointestinal tract is the major pathway that regulates copper homeostasis and prevents deficiency or toxicity. Excessive zinc ingestion…
Figure 56-1 A and B, T1-weighted magnetic resonance imaging scan with gadolinium demonstrates diffuse pachymeningeal enhancement. The patient has a history of hypertension, probable coronary artery disease, and previous episodes…
Figure 29-1 T1-weighted sagittal magnetic resonance imaging (MRI) scan of the cranicervical junction (left) showing marked atrophy of the entire spinal cord without associated signal abnormality, and T2-weighted sagittal MRI…
Figure 72-1 The chest wall of the patient described had normal pinprick sensibility near the spine, but posterior to the posterior axillary line, she had blunted sensation to pinprick (region…
Multiple cerebrospinal fluid (CSF) analyses showed consistently high protein levels (maximum 1250 mg/dL) and cell counts (maximum 250 white blood cells, 89% lymphocytes) but no malignant cells (Table 5-2). Table…
CHAPTER 71 How Far Have We Come in Prevention and Treatment of Peripheral Neuropathy? Peter J. Dyck, MD INTRODUCTION At a recent conference assessing “Advances in understanding and treating neuropathy”…
Figure 46-1 Higher power view of sural nerve biopsy, transverse semithin section, stained with toluidine blue demonstrating loss of myelinated axons, thinly myelinated axons, a circumferentially oriented Schwann cell profile…
Figure 17-1 The serial nerve conduction studies of the left peroneal motor nerve (A) and the right tibial motor nerve (B) in acute stage: upper trace, the initial study which…
Autoantibodies to gangliosides By an enzyme-linked immunosorbent assay (ELISA) as described elsewhere,1 IgM and IgG antibodies against ganglioside GM1, GM1b, GD1a, GalNAc-GD1a, GD1b, GT1a, or GQ1b were investigated in serum…
Figure 42-1 Histopathology of sural nerve: severe axonal degeneration. A, Teased fiber preparation demonstrates fulminant axonal degeneration. B, Longitudinal paraffin slides reacted to CD-68 show colocalization of macrophages with degenerating…
