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Neurobehavioral Manifestations of Neurological Diseases: Diagnosis & Treatment, An Issue of Neurologic Clinics, E-Book

Neurobehavioral Manifestations of Neurological Diseases: Diagnosis & Treatment, An Issue of Neurologic Clinics, E-Book

Alireza Minagar | Glen Finney | Kenneth M. Heilman

(2016)

Additional Information

Abstract

This important subject of Diagnosis of and Treatment for Neurobehavioral manifestations of neurologic disease is directed by three leaders of this field - Dr. Alizeza Minagar, Dr. Glen Finney, and Dr. Kenneth Heilman. Topics include: Neurobehavioral testing for mental status; Behavioral neurology of vascular neurology; Alzheimer's disease; Frontotemporal dementia; Traumatic brain injury; Parkinsonian Syndromes (e.g., Parkinson's disease, Lewy body dementia, progressive supranuclear palsy, corticobasal disease, multisystem atrophy); Behavioral neurology of multiple sclerosis and autoimmune encephalopathies; Infectious Diseases (Neuro-AIDS, Neurosyphilis, HSV); Neurobehavioral aspects of systemic disease; Neurobehavioral aspects of epilepsy; Behavioral neurology aspects of nutritional deficiencies; Neurobehavioral aspects of mitochondrial disease; and Medicinal-induced behavioral disorders.

Table of Contents

Section Title Page Action Price
Front Cover Cover
NeurobehavioralManifestations of Neurological Diseases:Diagnosis and Treatment\r i
Copyright\r ii
Contributors iii
CONSULTING EDITOR iii
EDITORS iii
AUTHORS iii
Contents vii
Preface: Neurobehavioral Manifestations of Neurological Diseases: Diagnosis and Treatment\r vii
Assessment of Mental Status\r vii
Behavioral Neurology of Multiple Sclerosis and Autoimmune Encephalopathies\r vii
Neurobehavioral Manifestations of Human Immunodeficiency Virus/AIDS: Diagnosis and Treatment\r viii
Traumatic Brain Injury and Behavior: A Practical Approach\r viii
Alzheimer’s Disease: Prototype of Cognitive Deterioration, Valuable Lessons to Understand Human Cognition\r viii
Medicinal-Induced Behavior Disorders\r ix
Frontotemporal Dementia\r ix
Treatment of Cognitive Deficits in Epilepsy\r ix
Stroke and Behavior\r ix
Cognitive and Psychiatric Disturbances in Parkinsonian Syndromes\r x
Neuropsychiatric Features in Primary Mitochondrial Disease \r x
NEUROLOGIC CLINICS\r xi
FORTHCOMING ISSUES xi
May 2016 xi
August 2016 xi
November 2016 xi
RECENT ISSUES xi
November 2015 xi
August 2015 xi
May 2015 xi
Preface: Neurobehavioral Manifestations of Neurological Diseases: Diagnosis and Treatment \r xiii
Assessment of Mental Status 1
Key points 1
INTRODUCTION 1
HISTORY AND PHYSICAL 2
HISTORY 2
GENERAL PHYSICAL EXAMINATION 3
NEUROLOGIC EXAMINATION 3
MENTAL STATUS EXAMINATION 3
OMNIBUS-SCREENING TESTS 5
SPECIAL TESTS 8
EPISODIC MEMORY 8
PROPOSITIONAL LANGUAGE 8
ATTENTION AND VIGILANCE 9
VISUOSPATIAL SKILLS 9
EXECUTIVE FUNCTIONS 9
PERFORMANCE OF PURPOSEFUL SKILLED MOVEMENTS-PRAXIS 10
FUNCTIONAL AND BEHAVIORAL ASSESSMENT 11
FUNCTIONAL ASSESSMENT 12
BEHAVIORAL ASSESSMENT 12
DIAGNOSTIC WORK UP 13
SUMMARY 14
REFERENCES 14
Behavioral Neurology of Multiple Sclerosis and Autoimmune Encephalopathies 17
Key points 17
INTRODUCTION 17
COGNITIVE PROBLEMS 18
Information Processing 18
Memory 18
Executive Function 19
Emotional Intelligence 19
Decision-Making 19
PSYCHOLOGICAL AND BEHAVIORAL PROBLEMS 19
Depression 20
Anxiety 20
Personality Disorders 20
Psychotic Disorders 20
Substance Abuse 20
MANAGEMENT OF COGNITIVE AND BEHAVIORAL ABNORMALITIES IN MULTIPLE SCLEROSIS 21
SYMPTOMATIC PHARMACOTHERAPY 21
NONPHARMACOLOGIC COGNITIVE-ENHANCEMENT STRATEGIES 21
DEPRESSION 22
PHARMACOTHERAPY 22
PSYCHOTHERAPEUTIC INTERVENTIONS 22
Cognitive-Behavior Therapy 22
Problem-Solving Therapy 23
Electroconvulsive Therapy 23
Others 23
Psychosis 23
BEHAVIORAL NEUROLOGY OF AUTOIMMUNE ENCEPHALOPATHIES 23
REFERENCES 24
Neurobehavioral Manifestations of Human Immunodeficiency Virus/AIDS 33
Key points 33
INTRODUCTION 33
BEHAVIOR DISORDERS CAUSED BY PREEXISTING PSYCHIATRIC ILLNESS 34
SEVERE MENTAL ILLNESS 34
MOOD DISORDERS AND DEPRESSION 35
MANIA 35
APATHY 36
DELIRIUM 37
ANXIETY 37
HUMAN IMMUNODEFICIENCY VIRUS–ASSOCIATED NEUROCOGNITIVE DISORDER 38
CRYPTOCOCCAL MENINGITIS 39
TOXOPLASMOSIS ENCEPHALITIS 40
NEUROSYPHILIS 41
HERPES SIMPLEX VIRUS 1 ENCEPHALITIS 42
PROGRESSIVE MULTIFOCAL LEUKOENCEPHALOPATHY 43
ADVERSE EFFECTS OF MEDICATIONS USED TO TREAT HUMAN IMMUNODEFICIENCY VIRUS 1 AND ASSOCIATED CONDITIONS 44
Antiretroviral Therapy Toxicity 44
Drugs Used to Treat Opportunistic Infections 45
Antipsychotic and Dopamine-blocking Drugs 45
SUMMARY 45
REFERENCES 45
Traumatic Brain Injury and Behavior 55
Key points 55
INTRODUCTION 55
COGNITIVE DECLINE FOLLOWING TRAUMATIC BRAIN INJURY 56
TRAUMATIC BRAIN INJURY AND DEMENTIA 57
TRAUMATIC BRAIN INJURY AND EPILEPSY 58
TRAUMATIC BRAIN INJURY AND MOOD DISORDERS 59
TRAUMATIC BRAIN INJURY AND PSYCHOSIS 59
TRAUMATIC BRAIN INJURY AND SUBSTANCE ABUSE 60
TRAUMATIC BRAIN INJURY AND SUICIDE 61
TRAUMATIC BRAIN INJURY AND SLEEP-WAKE DISORDERS 61
PATHOPHYSIOLOGY 61
CLINICAL PRESENTATION AND TREATMENT 62
Posttraumatic Hypersomnia 62
Posttraumatic Narcolepsy 63
SUMMARY 64
REFERENCES 64
Alzheimer's Disease 69
Key points 69
INTRODUCTION 69
The Spectrum of Alzheimer's disease as a Prototype of Cognitive Disorder 70
The Structure and Function of the Brain Change with Age 71
LEARNING AND MEMORY 73
MEMORY TYPES AND TIME COURSE OF STORAGE: SHORT-TERM VERSUS LONG-TERM MEMORY 73
Immediate Memory 74
Recent Memory 74
Long-term Memory 75
NEURAL BASIS OF MEMORY: HISTORICAL EVIDENCE 75
LONG-TERM MEMORY: EXPLICIT VERSUS IMPLICIT MEMORY 76
Implicit Memory 76
Explicit Memory 76
DECLARATIVE (EXPLICIT) VERSUS NONDECLARATIVE (IMPLICIT) MEMORY 76
EXPLICIT MEMORY: EPISODIC VERSUS SEMANTIC MEMORY 78
Episodic Memory 78
Semantic Memory 78
EXPLICIT MEMORY PROCESSING INVOLVES AT LEAST 4 DISTINCT OPERATIONS 78
Encoding 78
Storage 79
Consolidation 79
Retrieval 79
EPISODIC MEMORY 79
SEMANTIC MEMORY 81
EPISODIC VERSUS SEMANTIC MEMORY IN ALZHEIMER'S DISEASE BIOMARKER RESEARCH 86
IMPLICIT (NONDECLARATIVE) MEMORY 86
WORKING MEMORY 86
The Central Executive 87
The Phonological Loop 87
Visuospatial Sketchpad 87
The Episodic Buffer 88
MEMORY IN ALZHEIMER'S DISEASE 89
PRECLINICAL ALZHEIMER'S DISEASE 91
PRINCIPLES OF COGNITIVE ASSESSMENT 91
FUNCTIONAL STATUS 92
THE NEUROPATHOLOGIC BASIS OF ALZHEIMER'S CLINICAL PRESENTATION 94
Orientation 94
Attention 95
Selective attention 95
Divided attention 95
Sustained attention 96
DUAL-TASK DEFICIT IN ALZHEIMER'S DISEASE 96
VISUOSPATIAL FUNCTION 97
VISUAL GNOSIS 99
Posterior Cortical Atrophy: Occipital Variant of Alzheimer's Disease 100
ARITHMETICAL ABILITY 100
Praxis 101
Limb-kinetic apraxia 101
Ideomotor apraxia 102
Ideational (conceptual) apraxia 102
Dressing apraxia 103
Constructional apraxia 103
LANGUAGE DISORDERS 103
Language Evaluation 104
Spontaneous Speech 104
Fluency 104
Semantic fluency 104
Verbal fluency 104
Prosody 105
Paraphasia 105
Paragrammatic 105
Speech Comprehension 105
Naming 106
Repetition 106
Writing 106
Reading 107
Dysgraphia 107
Alzheimer's Disease: Involvement of Language or Working Memory? 108
Language and Semantic Knowledge 108
VISUAL FUNCTION 109
EXECUTIVE FUNCTION 109
MENTAL FLEXIBILITY 111
INHIBITION RESPONSE 112
SUMMARY 113
ACKNOWLEDGMENTS 114
REFERENCES 114
Medicinal-Induced Behavior Disorders 133
Key points 133
MEDICATION-INDUCED BEHAVIORAL SIDE EFFECTS 133
CENTRAL NERVOUS SYSTEM TOXICITY 134
Depressed Level of Consciousness Owing to Pharmacologic Agents 134
Agitation Owing to Pharmacologic Agents 136
Serotonin Syndrome 136
Seizures 136
Workup of the Patient with Central Nervous System Toxicity 137
Patient Management 137
ANTIHYPERTENSIVE AGENT–INDUCED BEHAVIORAL SIDE EFFECTS 139
Other Antihypertensive Medications 140
OPIOID-INDUCED BEHAVIORAL SIDE EFFECTS 140
Opioid Tolerance and Physical Dependence 140
Opioid-Induced Hyperalgesia 140
Opioid-Induced Sedation 141
Opioid-Induced Sleep Disturbances 141
Psychomotor Performance in Opioid Therapy 141
ANTIBIOTIC-INDUCED BEHAVIORAL SIDE EFFECTS 141
Penicillins 141
Aminoglycosides 142
Cephalosporins 142
Carbapenems 142
Trimethoprim–Sulfonamindes 142
Quinolones 143
ANTIEPILEPTIC MEDICATION–INDUCED BEHAVIORAL SIDE EFFECTS 143
Forced Normalization 143
CLASSIC ANTIEPILEPTIC DRUGS 144
Phenytoin 144
Valproic Acid 144
Other Older Antiepileptic Drugs 145
Newer Antiepileptic Drugs 145
Vigabatrin 145
Lamotrigine 145
Gabapentin 145
Tiagabine 146
Topiramate 146
Levetiracetam 146
Zonisamide 146
Mechanisms of Side Effects of Antiepileptic Drugs 146
STEROID-INDUCED BEHAVIORAL SIDE EFFECTS 147
Potential Mechanisms Underlying Adverse Psychological Side Effects 148
Management 148
BEHAVIORAL SIDE EFFECTS OF MEDICATIONS TO TREAT PARKINSON’S DISEASE 148
Neurobiology 149
Diagnosis 150
Management 150
BEHAVIORAL SIDE EFFECTS OF PSYCHIATRIC MEDICATIONS 150
Antidepressants 150
Antipsychotics 151
Tardive Dyskinesia 152
BEHAVIORAL SIDE EFFECTS OF HUMAN IMMUNODEFICIENCY VIRUS AND HIGHLY ACTIVE ANTIRETROVIRAL THERAPY 152
Antiretroviral Agents 153
Treatment of Psychiatric Complications Associated with Highly Active Antiretroviral Therapy 153
CHEMOTHERAPY-INDUCED BEHAVIORAL SIDE EFFECTS 154
Fatigue 155
Cognitive Dysfunction 155
IMMUNOTHERAPY-INDUCED BEHAVIORAL SIDE EFFECTS 156
Interferon-α 156
Etiology of Interferon-α–Induced Depression 157
Interferon-β 157
Treatment of Interferon-Induced Depression 157
CONCLUSION 157
REFERENCES 158
Frontotemporal Dementia 171
Key points 171
OVERVIEW 171
Case Presentation 1 171
Case Presentation 2 172
Case Presentation 3 173
CASE DISCUSSION 173
MANIFESTATION KEY POINTS 174
DIFFERENTIAL DIAGNOSIS 174
GENOTYPIC AND PHENOTYPIC FACTORS 174
DIAGNOSTIC APPROACH KEY POINTS 174
MONITORING OF DISEASE ACTIVITY 176
TREATMENT APPROACH 179
REFERENCES 179
Treatment of Cognitive Deficits in Epilepsy 183
Key points 183
INTRODUCTION 183
DIAGNOSIS 184
TREATMENT OF COGNITIVE DEFICITS IN EPILEPSY 185
Optimizing Seizure Control 185
Minimizing Antiepileptic Drug Adverse Effects 186
Preventing Postoperative Deficits 187
Interictal Discharge Suppression 187
Treatment of Depression 188
Cognitive Rehabilitation 189
INVESTIGATIONAL TREATMENTS 193
Acetylcholinesterase Inhibitors 193
Methylphenidate 193
N-methyl-d-aspartate Receptor Antagonists 193
Vinpocetine 194
Brain Stimulation for Cognitive Enhancement 194
SUMMARY 194
REFERENCES 195
Stroke and Behavior 205
Key points 205
EPIDEMIOLOGY 206
GENERAL FEATURES OF STROKE 206
CAVEATS ABOUT THE EVIDENCE FOR BEHAVIORAL CHANGES THAT FOLLOW STROKE 207
BEHAVIORAL CHANGES AFTER PEDIATRIC STROKE 208
POST-STROKE BEHAVIORAL CHANGES IN ADULTS: GENERAL COMMENTS 208
EXECUTIVE FUNCTIONS 209
LANGUAGE 210
ATTENTION 212
MEMORY 215
EMOTION 215
MOVEMENT 218
SENSATION 222
ACKNOWLEDGMENTS 224
SUPPLEMENTARY DATA 224
REFERENCES 225
Cognitive and Psychiatric Disturbances in Parkinsonian Syndromes 235
Key points 235
INTRODUCTION 235
COGNITIVE AND PSYCHIATRIC DISTURBANCES IN PATIENTS WITH MILD/EARLY PARKINSON DISEASE WITHOUT DEMENTIA 237
DEMENTIA IN PARKINSON DISEASE AND DEMENTIA WITH LEWY BODIES 239
NEUROPSYCHIATRIC MANIFESTATIONS IN MULTIPLE SYSTEM ATROPHY, PROGRESSIVE SUPRANUCLEAR PALSY, AND CORTICOBASAL DEGENERATION 241
REFERENCES 242
Neuropsychiatric Features in Primary Mitochondrial Disease 247
Key points 247
INTRODUCTION 247
NEUROPSYCHIATRIC FEATURES IN PRIMARY MITOCHONDRIAL DISEASE IN CHILDREN 251
Autism 251
Biochemical alterations in patients with autism 251
The clinical phenotype in patients with “mitochondrial autism” 254
In patients with autism spectrum disorder, special attention has been paid to patients with an autistic regression. 255
Genetics in mitochondrial autism 256
NEUROPSYCHIATRIC FEATURES IN PRIMARY MITOCHONDRIAL DISEASE IN ADULTS 258
MOOD DISORDERS 259
Depression 259
Mitochondrial genetics in patients with depression 259
Bipolar Disorder 262
Mitochondrial structural and functional abnormalities in bipolar disorder 263
Altered markers of oxidative stress in bipolar disorder 263
Parent-of-origin effects in bipolar disorder 264
Single nucleotide polymorphisms and haplotypes in bipolar disorder 264
Mitochondrial DNA deletions and copy number variations in bipolar disorder 266
Mitochondrial DNA mutations in bipolar disorder 266
Nuclear DNA mutations in bipolar disorder 267
Summary of mitochondrial dysfunction and affective disorders 267
SCHIZOPHRENIA 268
Mitochondrial Structural and Functional Abnormalities in Schizophrenia 268
Parent-of-Origin Effects in Schizophrenia 269
Mitochondrial DNA Single Nucleotide Polymorphisms, Synonymous Base Pair Substitutions, Haplogroups, and Mitochondrial DNA G ... 269
Mitochondrial DNA deletions in schizophrenia 271
Mitochondrial DNA mutations in psychosis and schizophrenia 271
ANXIETY DISORDERS 272
OBSESSIVE–COMPULSIVE DISORDER 272
PERSONALITY DISORDERS 273
TREATMENT IMPLICATIONS OF COMORBID NEUROPSYCHIATRIC ILLNESS IN PATIENTS WITH MITOCHONDRIAL DISEASE 273
Amitriptyline and Selective Serotonin Reuptake Inhibitors 274
Lithium 274
Valproic Acid 274
Antipsychotics 275
SUMMARY AND FUTURE DIRECTIONS 275
REFERENCES 276
Index 295