Figure 61-1 Beat-to-beat blood pressure responses to Valsalva maneuver are shown for both an age- and gender-matched control subject (top) and our patient with DBH deficiency (bottom). The control study…
Figure 60-1 A, Photomicrograph of sural nerve biopsy, paraffin-embedded, cross-section stained with hematoxylin and eosin. There is a prominent subperineurial, hypercellular focus within one of the nerve fascicles. B, Photomicrograph…
Figure 57-1 A, F-18 fluorodeoxyglucose positron emission tomography scan reveals hypermetabolic lesions in the right humerus and thoracic (T9) vertebral body, on maximal intensity projection images. B, Improvement in the…
Figure 35-1 Brain magnetic resonance imaging scans in axial and coronal view, which demonstrate increased T2 signal in cerebral white matter, distributed diffusely and symmetrically throughout the centrum semiovale and…
Figure 47-1 Nerve conduction studies before (A and B) and after 18 months of treatment (C). A, Nerve conduction study of left tibial nerve. Conduction block with 80% reduction after…
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…
