By Sid M. Shah, Kevin M. Kelly
The editors of Emergency Neurology carry their services to a instruction manual for the emergency division. The symptom-based emphasis courses the emergency medical professional within the prognosis and administration of universal and complicated neurological issues. Integrating primary neurological suggestions with the calls for of emergency care, this reference device recommends short exam suggestions. It presents severe info for emergency physicians diagnosing and coping with neurologic problems equivalent to headache, seizure, and spinal wire harm.
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Extra resources for Principles and Practice of Emergency Neurology Handbook for Emergency Physicians
1989;52:826–8. Victor M, Ropper AH, Eds. Adams and Victors Principle of Neurology, 7th ed. New York: McGraw Hill; 2001. Weir B. Headaches from aneurysms. Cephalalgia. 1994;14:79–87. SECTION II. COMMON NEUROLOGICAL PRESENTATIONS 5 Altered Mental Status Lara J. Kunschner and J. Stephen Huff INTRODUCTION Central nervous system dysfunction (either decreased function leading to obtundation and eventually coma or the converse, hyperactivity leading to delirium) can be due to a primary neurological condition or secondary to a medical condition.
T2weighted midsagittal MRI showing a lesion at L5 that has the unusual feature of disc space invasion (arrow). compress the spinal canal and/or spinal cord, occur more frequently than intrinsic cord lesions. 21). Phased array surface coil technology has facilitated metastatic survey of the entire spinal axis; sensitivity is similar to radionuclide bone scanning, and specificity is superior. PEARLS AND PITFALLS ■ CT, not MRI, is essential in the diagnosis of sudden headache because CT is sensitive to subarachnoid hemorrhage.
Contrast enhancement provides a measure of lesion activity by demonstrating blood–brain barrier disruption. 18. A. T2-weighted axial MRI showing abnormal hyperintensity in the cerebellar hemispheres in a nonvascular distribution. Right maxillary sinusitis is present in this HIVpositive patient. B. Postcontrast T1-weighted coronal MRI showing enhancement of the lesions, with edema noted surrounding a large right cerebellar mass (arrow), and a smaller vermian mass – in this case, of cerebellar toxoplasmosis.
Principles and Practice of Emergency Neurology Handbook for Emergency Physicians by Sid M. Shah, Kevin M. Kelly