Download e-book for kindle: Practical Neurology by Jose Biller

By Jose Biller

ISBN-10: 1451142633

ISBN-13: 9781451142631

This e-book is a pragmatic, concise substitute to latest neurology textbooks. the description layout and conventional bankruptcy template deals the reader fast, accomplished info. the writer is a well-respected educator who has a expertise for making neurologic info obtainable and comprehensible. major alterations were made to the therapeutics/management component of the ebook in addition as specific diagnosis-related chapters were up to date. extra tables and figures allow the reader to discover the data speedy. This ebook sits among a guide and a textbook and distinguishes itself in its presentation of fabric in a problem-oriented structure: 35 chapters speak about the best way to process the sufferer with numerous problems; the second one half the booklet discusses remedy options.

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The following features suggest a disorder other than DLB: a. Cerebrovascular disease evidenced by focal neurologic signs or cerebral infarcts present on neuroimaging studies. b. The presence of any other physical illness or brain disorder sufficient to account in part or in total for the clinical picture. c. If parkinsonism only appears for the first time at a stage of severe dementia. indd 15 1/3/12 4:59 PM 16 Practical Neurology 8. Temporal sequence of symptoms. DLB should be diagnosed when dementia occurs before or concurrently with parkinsonism (if it is present).

C. Low-dopamine transporter uptake in basal ganglia demonstrated by single photon emission computed tomography (SPECT) or PET imaging. 6. Features supportive of the diagnosis are repeated falls, syncope or transient loss of consciousness, severe autonomic dysfunction, tactile or olfactory hallucinations, systematized delusions, depression, relative preservation of mesial temporal lobe structures on CT/MRI, reduced occipital activity on SPECT/PET, low uptake MIBG myocardial scintigraphy, prominent slow wave activity on EEG with temporal lobe transient sharp waves.

D. Evidence from the history, physical examination, or laboratory findings that the disturbance is caused by the direct physiologic consequences of a general medical condition. 1 From the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, revised. Washington, DC: American Psychiatric Association, 2000. Reprinted with permission. indd 8 1/3/12 12:12 PM 1 / Approach to the Patient with Acute Confusional State 9 Recommended Readings Britton CB, Miller JR. Neurological complications in acquired immunodeficiency syndrome (AIDS).

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Practical Neurology by Jose Biller


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