Common neurologic disorders:
Gespeichert in:
| Format: | Buch |
|---|---|
| Sprache: | English |
| Veröffentlicht: |
Philadelphia, Pa.
Saunders
2009
|
| Schriftenreihe: | Medical clinics of North America
93,2 |
| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis |
| Beschreibung: | Includes bibliographical references |
| Beschreibung: | XII S., S. 245 - 525 Ill., graph. Darst. 24 cm |
| ISBN: | 9781437705003 1437705006 |
Internformat
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| 245 | 1 | 0 | |a Common neurologic disorders |c guest ed. Randolph W. Evans |
| 264 | 1 | |a Philadelphia, Pa. |b Saunders |c 2009 | |
| 300 | |a XII S., S. 245 - 525 |b Ill., graph. Darst. |c 24 cm | ||
| 336 | |b txt |2 rdacontent | ||
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| 490 | 1 | |a Medical clinics of North America |v 93,2 | |
| 500 | |a Includes bibliographical references | ||
| 650 | 4 | |a Nervous system / Diseases | |
| 650 | 4 | |a Neurology | |
| 650 | 4 | |a Nervous System Diseases |x diagnosis | |
| 650 | 4 | |a Nervous System Diseases |x therapy | |
| 650 | 4 | |a Nervous system |x Diseases | |
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Datensatz im Suchindex
| _version_ | 1804138896831807488 |
|---|---|
| adam_text | Titel: Common neurologic disorders
Autor: Evans, Randolph W.
Jahr: 2009
Common Neurologic Disorders
Contents
Preface xi
Randolph W. Evans
Migraine: A Question and Answer Review 245
Randolph W. Evans
Internists commonly treat migraine, which affects more than 29 million
Americans yearly. This article reviews epidemiology, pathophysiology, co-
morbidity, clinical features, diagnostic testing, acute and preventive treat¬
ment, and women s issues. Physicians and migraineurs would like to see
more effective and more tolerable medications.
Dizziness 263
Ronald J. Tusa
Dizziness is an imprecise term used to describe various symptoms, each
of which has a different pathophysiologic mechanism and significance.
In 80% of outpatients presenting with dizziness, it is severe enough to re¬
quire medical intervention. This article describes causes, assessment, and
management of dizziness.
Neck Pain 273
Michael Devereaux
Neck pain is less common than low back pain but still a relatively common
reason for seeing a primary care physician. Therefore, it is necessary for
the primary care physician to be comfortable with salient points in the his¬
tory and to be able to perform a basic neurologic examination. Important
aspects of the history and physical examination are reviewed. Important
clinical syndromes and treatment options are also reviewed.
Entrapment and Compressive Neuropathies 285
Barbara E. Shapiro and David C. Preston
Entrapment and compressive neuropathies of the upper and lower extrem¬
ities are frequently encountered disorders in the office. Certain clinical
clues in the history and examination, along with electrodiagnostic testing
and imaging studies, often suggest the correct diagnosis. Some of the
more common neuropathies are discussed, along with suggestions
regarding testing and treatment.
Peripheral Neuropathy 317
Robert M. Pascuzzi
Patients presenting with symptoms of peripheral neuropathy are common¬
place in the practice of generalist physicians, office based or hospitalists.
iii Contents
Although there are at least a thousand different causes for peripheral neu¬
ropathy, the majority of patients can be properly diagnosed (and managed)
based on framing the diagnostic possibilities within one of six typical sce¬
narios. The case presentations in this article illustrate common and less
common but essential presentations and the approach to evaluation and
treatment. For these patients the key to success lies in the history and clin¬
ical examination findings.
Seizure Disorders 343
Steven C. Schachter
The diagnosis and management of patients with epilepsy is often under¬
taken by pediatricians, internists, and geriatricians (primary care physi¬
cians [PCPs]). Although referral to a neurologist may be necessary if
the diagnosis of epilepsy is unclear or if the patient does not respond
to initial therapy with antiepileptic drugs, PCPs may subsequently
follow-up with patients to implement the recommendations of the neurol¬
ogist. To maximize the likelihood of treatment success, PCPs should sup¬
plement antiepileptic drug therapy with patient education and referrals for
psychosocial and vocational support when needed. Special consider¬
ations are warranted for women of childbearing potential and elderly
patients.
Cerebrovascular Disease 353
Louis R. Caplan, D. Eric Searls, and Fong Kwong Sonny Hon
Effective management of patients who have cerebrovascular disease de¬
pends on accurate diagnosis. Many conditions cause clinical findings that
closely mimic cerebrovascular disorders and are often ruled out through
brain imaging or laboratory findings. Diagnosis of cerebrovascular disor¬
ders is based on the presence of risk factors for vascular disease, the
tempo of onset, the presence of concurrent conditions, and the clinical
course of development of neurologic symptoms and signs. This article
shares a process by which clinicians can combine a patient s history, neu¬
rologic examination, and brain and vascular imaging to localize a lesion
and diagnose cerebrovascular disease.
Movement Disorders 371
Meghan K. Harris, Natalya Shneyder, Aimee Borazanci, Elena Korniychuk,
Roger E. Kelley, and Alireza Minagar
Abnormal involuntary movements are major features of a large group of
neurologic disorders, some of which are neurodegenerative and pose
a significant diagnostic and treatment challenge to treating physicians.
This article presents a concise review of clinical features, pathogenesis,
epidemiology, and management of seven of the most common movement
disorders encountered in a primary care clinic routinely. The disorders dis¬
cussed are Parkinson disease, essential tremor, restless legs syndrome,
Huntington disease, drug-induced movement disorder, Wilson disease,
and Tourette syndrome.
Contents ix
Memory Complaints and Dementia 389
Roger E. Kelley and Alireza Minagar
With people having the luxury of living longer there is an increasing epi¬
demic of dementia throughout the world. It is important to distinguish
true dementia from the not-unexpected loss of mental acuity as people
age. This latter process has been termed benign forgetfulness of senes¬
cence. We are all probably susceptible to memory loss if we live long
enough. Progressive cognitive impairment to a clinically significant degree,
with no obvious identifiable factor, such as a metabolic disturbance, drug
intoxication, or medication effect, probably indicates a dementing illness,
however.
Review of Sleep Disorders 407
Lori A. Panossian and Alon Y. Avidan
Sleep disorders are common and may result in significant morbidity.
Examples of the major sleep disturbances in primary care practice include
insomnia; sleep-disordered breathing, such as obstructive sleep apnea;
central nervous system hypersomnias, including narcolepsy; circadian
rhythm sleep disturbances; parasomnias, such as REM sleep behavior
disorder; and sleep-related movement disorders, including restless legs
syndrome. Diagnosis is based on meticulous inventory of the clinical his¬
tory and careful physical examination. In some cases referral to a sleep
laboratory for further evaluation with polysomnography, a sleep study, is
indicated.
Neurological Aspects of Syncope and Orthostatic Intolerance 427
Louis H. Weimer and Pezhman Zadeh
Sudden falling with loss of consciousness from syncope and symptoms of
orthostatic intolerance are common, dramatic clinical problems of diverse
cause, but cerebral hypoperfusion is the ultimate mechanism in most. Car¬
diac, reflex, and orthostatic hypotension are important forms to consider.
Syncope must be differentiated from seizures, psychiatric events, drop
attacks, and other mimics. However, factors such as syncopal induced
movements, ictal bradycardia, and insufficient clinical information can
confound accurate diagnosis and hamper appropriate treatment. Progress
in the diagnosis, treatment, and understanding of underlying mechanisms
is continually advancing.
Multiple Sclerosis 451
Ardith M. Courtney, Katherine Treadaway, Gina Remington,
and Elliot Frohman
Multiple sclerosis is the most common disabling neurologic disease affect¬
ing young adults and adolescents in the United States. The first objective
of this article is to familiarize nonspecialists with the cardinal features of
multiple sclerosis and our current understanding of its etiology, epidemiol¬
ogy, and natural history. The second objective is to explain the approach
to diagnosis. The third is to clarify current evidence-based treatment
Contents
strategies and their roles in disease modification. The overall goal is to fa¬
cilitate the timely evaluation and confirmation of diagnosis and enhance ef¬
fective management through collaboration among primary physicians,
neurologists, and other care providers who are confronted with these for¬
midably challenging patients.
Low Back Pain 477
Michael Devereaux
General internists and family practitioners play an important role in the ini¬
tial evaluation and treatment of acute low back pain and chronic low back
pain. Given the usual time constraints placed on the primary care physi¬
cian for evaluation of a patient with back pain, it is imperative that the gen-
eralist be acquainted and comfortable with the salient points in the history,
the essentials of the examination, the appropriate use of diagnostic tests,
and the effectiveness (or lack thereof) of available treatments.
Index 503
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| id | DE-604.BV035447422 |
| illustrated | Illustrated |
| indexdate | 2024-07-09T21:35:29Z |
| institution | BVB |
| isbn | 9781437705003 1437705006 |
| language | English |
| oai_aleph_id | oai:aleph.bib-bvb.de:BVB01-017367545 |
| oclc_num | 318604874 |
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| physical | XII S., S. 245 - 525 Ill., graph. Darst. 24 cm |
| publishDate | 2009 |
| publishDateSearch | 2009 |
| publishDateSort | 2009 |
| publisher | Saunders |
| record_format | marc |
| series | Medical clinics of North America |
| series2 | Medical clinics of North America |
| spelling | Common neurologic disorders guest ed. Randolph W. Evans Philadelphia, Pa. Saunders 2009 XII S., S. 245 - 525 Ill., graph. Darst. 24 cm txt rdacontent n rdamedia nc rdacarrier Medical clinics of North America 93,2 Includes bibliographical references Nervous system / Diseases Neurology Nervous System Diseases diagnosis Nervous System Diseases therapy Nervous system Diseases Evans, Randolph W. Sonstige (DE-588)13800983X oth Medical clinics of North America 93,2 (DE-604)BV000003310 93,2 HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=017367545&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Common neurologic disorders Medical clinics of North America Nervous system / Diseases Neurology Nervous System Diseases diagnosis Nervous System Diseases therapy Nervous system Diseases |
| title | Common neurologic disorders |
| title_auth | Common neurologic disorders |
| title_exact_search | Common neurologic disorders |
| title_full | Common neurologic disorders guest ed. Randolph W. Evans |
| title_fullStr | Common neurologic disorders guest ed. Randolph W. Evans |
| title_full_unstemmed | Common neurologic disorders guest ed. Randolph W. Evans |
| title_short | Common neurologic disorders |
| title_sort | common neurologic disorders |
| topic | Nervous system / Diseases Neurology Nervous System Diseases diagnosis Nervous System Diseases therapy Nervous system Diseases |
| topic_facet | Nervous system / Diseases Neurology Nervous System Diseases diagnosis Nervous System Diseases therapy Nervous system Diseases |
| url | http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=017367545&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA |
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