Autonomic Nervous System
Trunk Key Point The shape and range of motion of the spine are evaluated with the patient standing. Sensation is tested with the patient lying down; particular attention should be…
NEUROLOGY
Cerebellar Diseases and Other Conditions Causing Ataxia
The different clinical types of ataxia can be classified in several ways: By the affected neural structure(s): Cortical cerebellar ataxia. Olivopontocerebellar ataxia. Spinocerebellar ataxia. By etiology (see also ▶ Table…
Metabolic Disorders and Systemic Diseases Affecting the Nervous System
The intense metabolic activity of the nervous system (both central and peripheral) makes it vulnerable to damage by a wide variety of metabolic disorders, both congenital (inborn errors of metabolism,…
neuropsychological and Psychiatric Examination
Degrees of impairment of consciousness, and other abnormal states of consciousness Designation Features Normal consciousness Oriented to place, time, and person (self), answers questions promptly and appropriately, follows commands correctly…
Fundamentals
1.1 Microscopic Anatomy of the Nervous System 1.2 Elements of Neurophysiology 1.3 Elements of Neurogenetics Introduction Neurologic diseases can only be understood on the basis of the anatomy and physiology of the nervous…
The Neurologic Examination
3.1 Basic Principles of the Neurologic Examination 3.2 Stance and Gait 3.3 Head and Cranial Nerves 3.4 Upper Limbs 3.5 Trunk 3.6 Lower Limbs 3.7 Autonomic Nervous System 3.8 Neurologically Relevant Aspects of the General Physical Examination 3.9 neuropsychological…
The Clinical Interview in Neurology
2.1 General Principles of History-Taking 2.2 Special Aspects of History-Taking Is It in My Head? A 47-year-old elementary-school teacher consults a neurologist after being referred by her family physician. “Good morning. What…
Anoxic Myoclonic Status Epilepticus
Fig. 13.1 Electroencephalogram (EEG) of a 70-year-old woman. Cardiac arrest with cardiac infarction. Comatose, on respirator, no visible myoclonic jerks. Generalized periodic discharges-burst suppression pattern. No identifiable cortical activity amidst abundant…
Continuous EEG Monitoring for Status Epilepticus
Fig. 23.1 The EEG of a nonconvulsive seizure. This is an EEG (settings: 7 uV; low-frequency filter: 1 Hz; high frequency filter: 70 Hz; and notch filter turned on), from an 87-year-old man…
Myoclonic Status Epilepticus
Gastaut classification Etiology Exemplary condition Mental status EEG background Typical duration of MSE Clinical characteristics of myoclonus Frequency of myoclonus Stimulus-sensitive EEG correlate Time-locked EEG Location of presumed physiologic disturbance…
