Neuroimaging of Common Neurologic Conditions
(Video 35.1). A. Closed head injury. CT imaging parameters in trauma should include a narrow window (for acute blood), an intermediate window (for subacute blood), and a wide (bone) window. Acute…
NEUROLOGY
Neurologic Diseases in Pregnancy
NORMAL PHYSIOLOGIC CHANGES IN PREGNANCY A. Cardiovascular. 1. Increase of 30% to 50% in cardiac output and blood volume with singleton pregnancy (70% with twins) 2. Midpregnancy decrease in blood pressure by 5…
Hemorrhagic Cerebrovascular Disease
B. Arterial hypertension. ICH may be a complication of either acute or chronic arterial hypertension. Sustained chronic hypertension leads to degenerative changes in small penetrating arteries in the deep structures of…
Sleep Disorders
A specific type of CBT-I is stimulus–control therapy, which is useful in the management of conditioned insomnia. This technique is an attempt to break the conditioning by teaching the patient…
Epilepsy in Adults
Video 43.1). Approximately 85% have an epileptogenic focus in the temporal lobe, whereas the remaining 15% are of extratemporal origin, usually frontal. c. Secondarily generalized (tonic–clonic) seizures. During any focal seizure…
Approach to the Patient with Dizziness and Vertigo
A. Otologic vertigo is caused by dysfunction of the inner ear. Table 16.1 lists entities that account for about 95% of all cases of otologic vertigo. The distribution of diagnoses varies…
Approach to the Patient with Neurogenic Orthostatic Hypotension, Sexual and Urinary Dysfunction, and Other Autonomic Disorders
FIGURE 32.1 Baroreflex pathways. Efferents from arterial carotid sinus baroreceptors travel to the CNS with the glossopharyngeal (IX) nerve and those from the arterial aortic arch baroreceptors travel with the vagus…
Approach to the Patient with Abnormal Pupils
Related posts: Approach to the Patient with Gait Disturbances and Recurrent Falls Approach to the Patient with Acute Sensory Loss Multiple Sclerosis Approach to the Patient with Sleep Disorders Approach…
Multiple Sclerosis
Video 44.1). While INO is presented here, any isolated brain stem syndrome, including diplopia, facial weakness, and trigeminal neuralgia, particularly in a young person with no other risk factors, MS…
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….
