Diagnostic testing in neurology:
Gespeichert in:
| Format: | Buch |
|---|---|
| Sprache: | English |
| Veröffentlicht: |
Philadelphia [u.a.]
Saunders
1996
|
| Schriftenreihe: | Neurologic clinics
14,1 |
| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis |
| Beschreibung: | XIV, 254 S. Ill., graph. Darst. |
Internformat
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| 245 | 1 | 0 | |a Diagnostic testing in neurology |c Randolph W. Evans guest ed. |
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Datensatz im Suchindex
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DIAGNOSTIC TESTING IN NEUROLOGY
CONTENTS
Preface xiii
Randolph W. Evans
Diagnostic Testing for the Evaluation of Headaches 1
Randolph W. Evans
Headaches, one of the most common disorders that neurologists
evaluate, have one of the longest differential diagnoses in all of
medicine with over 300 different types or causes. Most of the time,
the correct diagnosis can be made with a complete history and
physical examination. Judicious use of diagnostic testing, how¬
ever, is critical. This article reviews the indications and utility of
diagnostic testing in the following areas: headaches and a normal
neurologic examination, migraine, the "first or worst" headache,
headaches after mild head injury, and new onset headaches in pa¬
tients over the age of 50.
The Diagnosis of Multiple Sclerosis 27
Loren A. Rolak
The process of diagnosing multiple sclerosis (MS) is much like
that of analyzing evidence in a courtroom; they both rely on rea¬
son, judgment, and experience, rather than on any formal set of
diagnostic criteria. The history, physical examination, and labora¬
tory tests all have limitations and pitfalls that make MS one of the
most difficult diseases to diagnose.
NEUROLOGIC CLINICS
VOLUME 14 • NUMBER 1 • FEBRUARY 19% vii
Diagnostic Testing and Dementia 45
Thomas A. Sandson and Bruce H. Price
The prevalence of dementia is expected to increase markedly as
our population ages. Although only a minority of cases cur¬
rently are found to have treatable causes, the personal and fi¬
nancial costs of misdiagnosis are great. Furthermore, progress
in developing effective therapy hinges on accurate diagnosis.
This article reviews the current state of diagnostic testing in the
diagnosis of dementia.
Diagnostic Testing of Seizure Disorders 61
Frank Gilliam and Elaine Wyllie
Although a thorough history and physical examination remain
the basis for the evaluation of patients with a possible seizure dis¬
order, electroencephalography (EEG) is a necessary extension of
the neurologic examination. Most patients also require a magnetic
resonance imaging (MRI) scan to identify a potentially epilepto
genic lesion. This article reviews the technical considerations,
common findings, and potential pitfalls related to the use of EEG
and MRI. Adjunctive tests such as ambulatory EEG, video/EEG,
positron emission tomography, single photon emission computed
tomography, and serum evaluation also are discussed for use in
specific circumstances.
Neurotology 85
Robert W. Baloh and Kathleen M. Jacobson
Dizziness, tinnitus, and hearing loss are common symptoms
caused by many different diseases. Laboratory studies can help to
localize the lesion, but the diagnosis usually rests on finding the
characteristic combination of symptoms and signs. This article re¬
views the logical processes involved in diagnosing the common
clinical presentations in neurotology with the aid of flow dia¬
grams.
Diagnostic Tests for the Evaluation of Back and Neck Pain 103
Scott Haldeman
The number of available diagnostic tests for patients with back
and neck pain has grown dramatically over the past two
decades, and their cost has increased as well. The impact of
managed care and an increased understanding of the natural
history of these conditions have led to close evaluation of the
sensitivity and specificity of these tests and their effect on pa¬
tient outcomes. Advanced anatomic and physiologic tests
within the first month should be reserved for patients with red
flags for serious pathologic conditions on clinical examination.
Specific criteria are being developed for each electrodiagnostic
and imaging test in the evaluation of the patient whose symp¬
toms do not resolve within 1 month. Guidelines for the testing
of patients with chronic back and neck pain have yet to be de¬
veloped. Stronger emphasis on psychosocial issues and the as¬
surance that pathologic progression has not been missed with¬
out the use of repetitive testing form the mainstay of diagnostic
protocols in this population.
Laboratory Testing in Peripheral Nerve Disease 119
John W. Griffin, Sung Tsang Hsieh, Justin C. McArthur, and
David R. Cornblath
Selecting appropriate laboratory tests in diagnosing peripheral
neuropathies is important because it increases the yield of correct
diagnoses and is cost effective. This article provides a guide to se¬
lecting appropriate tests and reviews the clinical situations that
suggest specific tests. Several types of tests, including electrodiag
nostic testing, quantitative sensory testing, routine blood tests,
and antibody assays, are discussed in detail.
Diagnosis in Neuromuscular Diseases 135
David S. Younger and Paul H. Gordon
The diagnosis of neuromuscular diseases can be challenging and
successful in the majority of patients, due to advancements in elec
trophysiology, muscle and nerve biopsy immunohistochemistry, and
cytogenetics. This article reviews diverse topics, highlighting these
recent achievements, with an emphasis on how they affect the clini¬
cal and laboratory diagnosis of specific neuromuscular disorders.
Diagnostic Testing in Movement Disorders 169
Ahmad Anouti and William C. Koller
The diagnosis of movement disorders is essentially clinical.
Work up depends on patient age, part of the body affected, drug
response, and presence of other systemic or neurologic symptoms
and signs. Typical Parkinson's disease, essential tremor, and tics
need only minimal work up if any. Brain magnetic resonance
imaging/computed tomography, positron emission tomography
and single photon emission computed tomography, and DNA
studies are promising diagnostic tools. Exclusion of Wilson's dis¬
ease and neuroacanthocytosis is emphasized in children and
young adults with movement disorders.
Diagnostic Testing: Sleep Disorders 183
Mark W. Mahowald
Sleep wake disorders have grave consequences both at the per¬
sonal and societal levels. Most sleep wake disorders can be diag¬
nosed and, more importantly, treated. Sleep disorders centers can
be a resource for the diagnosis and treatment of sleep wake disor¬
ders. Thorough clinical evaluation followed by the judicious use
of laboratory tests, such as all night polysomnography, multiple
sleep latency testing, and actigraphy, if indicated, usually will re¬
sult in a specific diagnosis with effective therapeutic implications.
Diagnostic Tests in Neuro ophthalmology 201
Steven L. Galetta, Grant T. Liu, and Nicholas J. Volpe
This article reviews the diagnostic testing used in the evaluation
of several common neuro ophthalmologic entities including optic
nerve disease, pseudotumor cerebri, anisocoria, ptosis, and ocular
motor palsies. Emphasis is placed on these bedside tests that help
to establish the diagnosis of these common clinical problems. The
utility of the cocaine and Tensilon (edrophonium chloride) tests as
well as the role of neuroimaging in these conditions are reviewed.
Diagnostic Reasoning in Neurology 223
David R. Gifford, Brian S. Mittman, and Barbara G. Vickrey
This article discusses the diagnostic reasoning process and its
characteristics along with several of the more important factors in¬
fluencing clinical decision making. The tools available to support
clinical decision making and overcome some of the barriers to ef¬
fective and accurate diagnostic reasoning are highlighted. Neuro¬
logic examples are used to emphasize key points.
Medicolegal Aspects of Neurodiagnostic Tests 239
H. Richard Beresford
Legal issues that may arise in neurodiagnostic testing are re¬
viewed briefly. This article focuses on applications of medical mal¬
practice law with respect to negligence in selection, conduct, and
interpretation of tests. The impact of the doctrine of informed con¬
sent is considered both in the context of malpractice law and hu¬
man subjects research. The article concludes with a short exposi¬
tion on enterprise liability and diagnostic tests, indicating the
ways in which the growing role of corporations in medical prac¬
tice may prompt changes in how claims for test related medical
injuries are processed. This article aims to convey an appreciation
of how the law attempts to reduce test related harms by imposing
liability on individuals and organizations.
Index 249
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| series2 | Neurologic clinics |
| spelling | Diagnostic testing in neurology Randolph W. Evans guest ed. Philadelphia [u.a.] Saunders 1996 XIV, 254 S. Ill., graph. Darst. txt rdacontent n rdamedia nc rdacarrier Neurologic clinics 14,1 Krankheit (DE-588)4032844-2 gnd rswk-swf Diagnose (DE-588)4012040-5 gnd rswk-swf Zentralnervensystem (DE-588)4067637-7 gnd rswk-swf (DE-588)4143413-4 Aufsatzsammlung gnd-content Zentralnervensystem (DE-588)4067637-7 s Krankheit (DE-588)4032844-2 s Diagnose (DE-588)4012040-5 s DE-604 Evans, Randolph W. Sonstige (DE-588)13800983X oth Neurologic clinics 14,1 (DE-604)BV000003008 14,1 HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=007165944&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
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| subject_GND | (DE-588)4032844-2 (DE-588)4012040-5 (DE-588)4067637-7 (DE-588)4143413-4 |
| title | Diagnostic testing in neurology |
| title_auth | Diagnostic testing in neurology |
| title_exact_search | Diagnostic testing in neurology |
| title_full | Diagnostic testing in neurology Randolph W. Evans guest ed. |
| title_fullStr | Diagnostic testing in neurology Randolph W. Evans guest ed. |
| title_full_unstemmed | Diagnostic testing in neurology Randolph W. Evans guest ed. |
| title_short | Diagnostic testing in neurology |
| title_sort | diagnostic testing in neurology |
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