Clinical Manifestations
OPTIC NEURITIS Typically, patients experience relatively abrupt unilateral decrease in central or paracentral vision with pain on movement of the globe; this is a very common MS presentation. At times,…
Other Rehabilitative Issues: Dysphagia/Gait Training/Locked-in Syndrome
Dysphagia management is multidimensional, including emphasis on oral hygiene. Range-of-motion exercises, oral motor strength, and coordination, including lip, tongue, and jaw and respiratory muscles and vocal cord adduction, are performed…
Aphasia Rehabilitation
Broca aphasia is the classic form of frontal lobe language dysfunction with dominant hemisphere lesions. It is characterized by a nonfluent, effortful, slow, and halting speech. This language dysfunction is…
Positioning in Bed and Passive Range-of-Motion Exercises After Stroke
Positioning after stroke is carried out with goals of preventing joint contractures, edema of the paretic extremity, pressure ulcers over bony prominences, and aspiration. The patient can be positioned fully…
Pediatric Cerebrovascular Disease
Moyamoya. Moyamoya is a progressive occlusive arteriopathy of the distal internal carotid arteries. The idiopathic form, also known as “primary moyamoya” or “moyamoya disease,” occurs more commonly in children of…
Interventional Radiologic Repair of Berry Aneurysms
The early management of patients with SAH involves an integrated, multidisciplinary team of neurologists, neurosurgeons, neurointerventional physicians, and intensive care unit physicians. Patients should be hospitalized in a stroke unit…
Approach to Internal Carotid Aneurysms
The role of lumbar puncture has declined with the advent of brain imaging. If the CT demonstrates a SAH, there is no need for cerebrospinal fluid (CSF) examination (see Plate…
Ophthalmologic Manifestations of Cerebral Aneurysms
A SAH usually is a very dramatic event. The cardinal symptom is the cataclysmic onset of an extremely severe headache, often described as absolutely the worst pain the patient has…
Giant Congenital Aneurysms
Although SAH is the most feared and common clinical presentation of a berry aneurysm, there are other settings wherein an aneurysm may come to medical attention. An asymptomatic lesion may…
