Vertigo-Dizziness

Oct 20, 2016 by in NEUROLOGY Comments Off on Vertigo-Dizziness

Vertigo-Dizziness William Osler once was quoted as saying that no physician can hear the presenting complaint of “dizziness” without experiencing a sinking feeling. Although dizziness as a presentation is one…

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Coma

Oct 20, 2016 by in NEUROLOGY Comments Off on Coma

Coma Proper evaluation of the comatose patient involves obtaining a history from family and friends, performing a rapid directed physical and neurologic examination, and obtaining certain laboratory studies, while the…

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Aphasia

Oct 20, 2016 by in NEUROLOGY Comments Off on Aphasia

Aphasia Aphasia is a disorder of language. The patient with aphasia uses language incorrectly, or comprehends it imperfectly. In contrast, the patient with dysarthria articulates poorly, but grammar and word…

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Left Hemiplegia

Oct 20, 2016 by in NEUROLOGY Comments Off on Left Hemiplegia

Left Hemiplegia When examining a patient with a left hemiplegia or hemiparesis, nondominant hemisphere function rather than aphasia testing is stressed. Even in left-handed patients, the right hemisphere is usually…

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Right Hemiplegia

Oct 20, 2016 by in NEUROLOGY Comments Off on Right Hemiplegia

Right Hemiplegia When examining a patient who has right hemiplegia (paralysis) or right hemiparesis (weakness), establish whether the lesion is cortical, subcortical, in the brainstem, or in the spinal cord…

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Localization

Oct 20, 2016 by in NEUROLOGY Comments Off on Localization

Localization There are three questions that have to be answered in assessing every patient with possible neurologic disease. These must be answered in order, or it is difficult to make…

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