Evidence-Based Medicine in Neurology
Evidence-Based Medicine in Neurology Over the past 20 years more attention has been given to the quality of evidence underlying medical decision making. While each discipline in medicine may have…
Key Points in Neuroanatomy
Key Points in Neuroanatomy The examination of the nervous system depends on knowledge of the anatomy, which underlies the clinical findings. Following are some key points of neuroanatomy to help…
Differential Diagnoses in Neurology
Differential Diagnoses in Neurology Although long lists of differential diagnoses are usually unhelpful in clinical neurology, certain signs and symptoms suggest a list of diagnoses. This chapter includes selected topics…
Neurodiagnostic Procedures
Neurodiagnostic Procedures ELECTROENCEPHALOGRAM The electroencephalogram (EEG) is a physiologic monitor of cortical function. It measures electrical activity that is generated in the cerebral cortex and then synchronized and modulated by…
Traumatic Brain Injury
Traumatic Brain Injury Damage to the brain after trauma may be caused by direct injury from bone fragments or penetrating missiles; impact of brain against the base of the skull;…
Increased Intracranial Pressure
Increased Intracranial Pressure CASE A 47-year-old man comes to the emergency room after one week of high fever and headache. Today he became progressively weaker on his right side and…
Lumbar Puncture and Cerebrospinal Fluid
Lumbar Puncture and Cerebrospinal Fluid INDICATIONS When central nervous system (CNS) infection (meningitis, encephalitis) is suspected, one must examine the cerebrospinal fluid (CSF). However, there is an exception: lumbar puncture…
Treatment of Pain in Neurologic Disease
Treatment of Pain in Neurologic Disease A working understanding of pain and its treatment is important in the management of many patients with neurologic disease. Consider the following points: Pain…
Neurology of Other Systemic Diseases
Neurology of Other Systemic Diseases CASE A 57-year-old woman complains of weakness when getting out of a chair, and a hoarse voice. She has been losing hair and gaining weight,…
Neurology of Alcoholism
Neurology of Alcoholism CASE The chief executive officer of a small company is admitted for an appendectomy. Two days postsurgery, he experiences two generalized tonic–clonic seizures that occur within 15…
