Additional Information
Book Details
Abstract
This issue of the Neurologic Clinics is being edited by the series Consulting Editor, Dr. Randolph Evans, and will be a special issue focusing on patient case studies of a board range of neurological diseases and disorders. Topics and cases covered include, but are not limited to: cerebrovascular disease, multiple sclerosis, syncope, epilepsy, tremor, dementia, neurologic issues in pregnancy, and medicolegal cases.
Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| Front Cover | Cover | ||
| NEUROLOGIC CLINICS\r | i | ||
| Copyright\r | ii | ||
| Contributors | iii | ||
| CONSULTING EDITOR | iii | ||
| EDITOR | iii | ||
| AUTHORS | iii | ||
| Contents | vii | ||
| Preface\r | vii | ||
| Neurology Case Studies: Cerebrovascular Disease\r | vii | ||
| Neurotherapeutic Strategies for Multiple Sclerosis\r | vii | ||
| Syncope: Case Studies\r | vii | ||
| Distal Myopathies: Case Studies\r | vii | ||
| Sleep Disorders in Neurologic Practice: A Case-based Approach\x0B | viii | ||
| Evaluating and Treating Epilepsy Based on Clinical Subgroups: Elderly Onset Seizure and Medically Resistant Partial-Onset E ... \r | viii | ||
| Neuro-Ophthalmology Cases for the Neurologist\r | viii | ||
| Case Studies of Uncommon and Rare Headache Disorders\r | ix | ||
| Case Studies in Tremor\r | ix | ||
| Functional Disorders in Neurology: Case Studies\r | ix | ||
| Case Studies in Neurocritical Care\r | ix | ||
| Case Studies Illustrating Focal Alzheimer’s, Fluent Aphasia, Late-Onset Memory Loss, and Rapid Dementia\r | x | ||
| Neurology of Pregnancy: A Case-Oriented Review\r | x | ||
| Sports Neurology in Clinical Practice: Case Studies\r | x | ||
| Neurological Fallacies Leading to Malpractice: A Case Studies Approach\r | xi | ||
| NEUROLOGIC CLINICS\r | xii | ||
| FORTHCOMING ISSUES | xii | ||
| November 2016 | xii | ||
| February 2017 | xii | ||
| May 2017 | xii | ||
| RECENT ISSUES | xii | ||
| May 2016 | xii | ||
| February 2016 | xii | ||
| November 2015 | xii | ||
| Preface:\rCase Studies in Neurology | xiii | ||
| REFERENCE | xiv | ||
| Neurology Case Studies | 467 | ||
| Key points | 467 | ||
| CASE 1: MANAGEMENT OF SYMPTOMATIC INTRACRANIAL ARTERY STENOSIS | 467 | ||
| Case Presentation | 467 | ||
| Clinical Questions | 468 | ||
| Discussion | 468 | ||
| CASE 2: AN INTERESTING CASE OF MIGRAINE HEADACHE AND STROKE | 471 | ||
| Case Presentation | 471 | ||
| Clinical Questions | 471 | ||
| Discussion | 472 | ||
| CASE 3: A PATIENT WITH RETINAL ARTERY OCCLUSIONS AND OTITIC NERVOUS SYSTEM INVOLVEMENT | 472 | ||
| Case Presentation | 472 | ||
| Clinical Questions | 473 | ||
| Discussion | 473 | ||
| CASE 4: INTRACRANIAL OCCLUSIVE DISEASE | 474 | ||
| Case Presentation | 474 | ||
| Clinical Questions | 474 | ||
| Discussion | 475 | ||
| CASE 5: AN IMPORTANT HERITABLE CAUSE OF STROKE AND VASCULAR DEMENTIA | 476 | ||
| Case Presentation | 476 | ||
| Clinical Questions | 476 | ||
| Discussion | 476 | ||
| CASE 6: AN INTERESTING CLINICO-NEURORADIOLOGIC ENTITY IN PREGNANCY | 479 | ||
| Case Presentation | 479 | ||
| Clinical Questions | 479 | ||
| Discussion | 479 | ||
| SUMMARY | 480 | ||
| REFERENCES | 481 | ||
| Neurotherapeutic Strategies for Multiple Sclerosis | 483 | ||
| Key points | 483 | ||
| INTRODUCTION | 484 | ||
| UNITED STATES FOOD AND DRUG ADMINISTRATION–APPROVED MULTIPLE SCLEROSIS THERAPIES | 484 | ||
| Injectables | 484 | ||
| Interferon-beta | 484 | ||
| Monitoring interferons | 486 | ||
| Adverse reactions | 486 | ||
| Neutralizing antibodies | 486 | ||
| Glatiramer acetate | 487 | ||
| Adverse reactions | 487 | ||
| Isolated postinjection reaction | 487 | ||
| Injection site reactions | 487 | ||
| Lipoatrophy | 487 | ||
| Orals | 487 | ||
| Fingolimod | 487 | ||
| Adverse effects | 487 | ||
| Laboratory derangements | 487 | ||
| Cardiac effects | 488 | ||
| Ophthalmic complications | 488 | ||
| Infections | 488 | ||
| Neoplasms | 488 | ||
| Pulmonary complications | 488 | ||
| Worsening of disease activity | 488 | ||
| Monitoring | 488 | ||
| Teriflunomide | 488 | ||
| Adverse effects | 490 | ||
| Dosing and monitoring | 490 | ||
| Dimethyl fumarate | 491 | ||
| Adverse effects | 492 | ||
| Dosing and monitoring | 492 | ||
| Infusions | 493 | ||
| Natalizumab | 493 | ||
| Infusion-related reactions | 493 | ||
| Antinatalizumab antibodies | 493 | ||
| Laboratory abnormalities | 494 | ||
| Infections | 494 | ||
| Progressive multifocal leukoencephalopathy | 494 | ||
| Cessation of natalizumab therapy | 495 | ||
| Extended-interval dosing of natalizumab | 496 | ||
| Alemtuzumab | 497 | ||
| Adverse effects | 498 | ||
| Infusion-related reactions | 498 | ||
| De novo autoimmunity | 498 | ||
| Infections | 498 | ||
| Malignancy | 498 | ||
| Role in multiple sclerosis therapy | 498 | ||
| Rituximab | 499 | ||
| Dosage and monitoring | 499 | ||
| Adverse reactions | 499 | ||
| Azathioprine | 499 | ||
| Methotrexate | 499 | ||
| Mycophenolate mofetil | 500 | ||
| Adverse effects | 500 | ||
| Dosing and monitoring | 500 | ||
| Mitoxantrone | 500 | ||
| Choosing a DMT | 500 | ||
| Fertility and pregnancy | 501 | ||
| USE OF DMTS DURING PREGNANCY | 502 | ||
| Multiple Sclerosis Exacerbation and its Management | 503 | ||
| Management of acute relapses during pregnancy | 503 | ||
| Use of symptomatic therapies | 503 | ||
| Corticosteroid therapy | 505 | ||
| Corticosteroid therapy for acute exacerbations | 505 | ||
| Pulsed corticosteroid therapy | 505 | ||
| Syncope: Case Studies | 525 | ||
| Key points | 525 | ||
| INTRODUCTION | 525 | ||
| REFLEX SYNCOPE | 526 | ||
| Case 1 | 526 | ||
| VASOVAGAL SYNCOPE | 526 | ||
| TILT-TABLE TESTING | 529 | ||
| Case 2 | 530 | ||
| CAROTID SINUS HYPERSENSITIVITY | 530 | ||
| SITUATIONAL SYNCOPE | 531 | ||
| Case 3 | 531 | ||
| CONVULSIVE SYNCOPE | 532 | ||
| ORTHOSTATIC HYPOTENSION | 533 | ||
| Case 4 | 533 | ||
| CHRONIC AUTONOMIC NEUROPATHY | 534 | ||
| Case 5 | 535 | ||
| ACUTE AND SUBACUTE AUTONOMIC NEUROPATHY | 535 | ||
| Case 6 | 536 | ||
| PARKINSONISM AND AUTONOMIC FAILURE | 537 | ||
| TREATMENT OF ORTHOSTATIC HYPOTENSION | 537 | ||
| Case 7 | 538 | ||
| IDIOPATHIC ORTHOSTATIC INTOLERANCE | 538 | ||
| REFERENCES | 539 | ||
| Distal Myopathies | 547 | ||
| Key points | 547 | ||
| CASE 1: DYSPHAGIA AND HANDS WEAKNESS (SEE FIG. 1 FOR VIDEO 1) | 547 | ||
| Reference | 548 | ||
| CASE 2: CHRONIC DYSPHAGIA AND HANDS STIFFNESS (SEE FIG. 2 FOR VIDEO 2) | 549 | ||
| Reference | 550 | ||
| CASE 3: FACIAL WEAKNESS, DYSPHAGIA, AND DISTAL WEAKNESS (SEE FIG. 3 FOR VIDEO 3) | 550 | ||
| Reference | 551 | ||
| CASE 4: SCAPULAR WINGING AND FOOT DROP (SEE FIG. 4 FOR VIDEO 4) | 551 | ||
| CASE 5: SEVERE PROXIMAL AND DISTAL WEAKNESS (SEE FIG. 5 FOR VIDEO 5) | 552 | ||
| CASE 6: CHRONIC FACIAL AND HAND GRIP WEAKNESS (SEE FIG. 6 FOR VIDEO 6) | 554 | ||
| CASE 7: A POLICEMAN WHO COULD NOT PULL THE TRIGGER (SEE FIG. 7 FOR VIDEO 7) | 555 | ||
| References | 556 | ||
| ) | 556 | ||
| Reference | 557 | ||
| CASE 9: BILATERAL FOOT DROP AND QUADRICEPS WEAKNESS (SEE FIG. 9 FOR VIDEO 9) | 558 | ||
| References | 559 | ||
| CASE 10: WRIST AND FINGER FLEXORS WEAKNESS AND MYOPATHIC ELECTROMYOGRAM (SEE FIG. 10 FOR VIDEO 10) | 559 | ||
| Reference | 560 | ||
| CASE 11: FAMILIAL HOARSENESS AND FOOT DROP (SEE FIG. 11 FOR VIDEO 11) | 560 | ||
| Diagnosis | 561 | ||
| CASE 12: A FISHERMAN WHO CANNOT PEEL SHRIMP ANYMORE (SEE FIG. 12 FOR VIDEO 12) | 562 | ||
| Reference | 563 | ||
| CASE 13: PAINLESS FINGERS DROP (SEE FIG. 13 FOR VIDEO 13) | 563 | ||
| Reference | 564 | ||
| SUPPLEMENTARY DATA | 564 | ||
| Sleep Disorders in Neurologic Practice | 565 | ||
| Key points | 565 | ||
| CASE A: EPILEPSY AND SLEEP DISORDERED BREATHING | 565 | ||
| Case Presentation | 565 | ||
| Clinical Questions | 566 | ||
| Discussion | 566 | ||
| Summary of Case Presentation | 569 | ||
| CASE B: MULTIPLE SCLEROSIS AND INSOMNIA | 569 | ||
| Case Presentation | 569 | ||
| Clinical Questions | 569 | ||
| Discussion | 569 | ||
| Summary of Case Presentation | 571 | ||
| CASE C: ALZHEIMER DISEASE AND CIRCADIAN RHYTHM DISORDER, ADVANCED SLEEP PHASE TYPE | 571 | ||
| Case Presentation | 572 | ||
| Clinical Questions | 572 | ||
| Discussion | 572 | ||
| Summary of Case Presentation | 574 | ||
| CASE D: SECONDARY NARCOLEPSY IN A PATIENT WITH NEUROSARCOIDOSIS OF THE HYPOTHALAMUS | 574 | ||
| Case Presentation | 574 | ||
| Clinical Questions | 575 | ||
| Discussion | 576 | ||
| Summary of the Case Presentation | 578 | ||
| CASE E: RESTLESS LEGS SYNDROME MANIFESTING WITH SLEEP-ONSET INSOMNIA, POOR QUALITY OF LIFE, AND EXCESSIVE SLEEPINESS | 579 | ||
| Case Presentation | 579 | ||
| Clinical Questions | 579 | ||
| Discussion | 579 | ||
| Summary of the Case Presentation | 581 | ||
| CASE F: RAPID EYE MOVEMENT SLEEP BEHAVIOR DISORDER | 582 | ||
| Case Presentation | 582 | ||
| Clinical Questions | 582 | ||
| Discussion | 582 | ||
| Summary of the Case Presentation | 585 | ||
| SUMMARY | 586 | ||
| REFERENCES | 586 | ||
| Evaluating and Treating Epilepsy Based on Clinical Subgroups | 595 | ||
| Key points | 595 | ||
| INTRODUCTION | 595 | ||
| CASE 1: EPILEPSY IN THE ELDERLY | 596 | ||
| What is the Differential Diagnosis for Episodes of Confusion in the Elderly? | 596 | ||
| What Features in This Patient’s History Help Distinguish Seizure from Other Causes Such As Syncope? | 597 | ||
| What Clinical Tests are Useful for Evaluating Seizures in This 60-Year-Old Patient? | 598 | ||
| How Common is New-Onset Epilepsy in Older Adults Such As This Patient, and What are Important Causes of Seizures in the Eld ... | 598 | ||
| What are the Most Common Causes of New-Onset Seizures in the Elderly? | 599 | ||
| How are Seizures Linked to Hypertension and Microvascular Disease? | 600 | ||
| In Addition to Blood Pressure Control, What Lifestyle Modifications Would Help This Patient? | 600 | ||
| What Special Considerations Affect the Choice of Antiepileptic Drugs in This Patient and in the Elderly? | 601 | ||
| CASE 2: MEDICALLY RESISTANT EPILEPSY | 602 | ||
| Does This Patient Have Drug-Resistant Epilepsy? | 602 | ||
| What are Additional Treatment Options for Her? | 602 | ||
| This Patient’s Goal is to Obtain Her Drivers’ License and Minimize Disability Associated with Seizures. What are the Next S ... | 603 | ||
| What Additional Testing Should be Done on This Patient? | 604 | ||
| Is This Patient a Surgical Candidate? | 604 | ||
| Would This Patient Still be a Surgical Candidate if Her MRI was Normal? | 605 | ||
| Would This Patient Still be a Surgical Candidate if Her Scalp Electroencephalogram did Not Show a Clear Lateralization? | 605 | ||
| What is This Patient’s Expected Seizure Outcome from Left Temporal Lobectomy? | 605 | ||
| Will She Have Any Memory or Speech Impairment After Surgery? | 605 | ||
| What if She had Frontal Lobe Epilepsy Rather than Temporal Lobe Epilepsy? Would She Still be a Surgical Candidate? | 605 | ||
| This Patient Wants to Minimize Her Risks for Cognitive Loss and Minimize Recovery Time after Surgery. Are There Alternative ... | 606 | ||
| If This Patient had Both Left and Right Temporal Lobe Seizures During Video Electroencephalogram Monitoring, Would She Have ... | 606 | ||
| REFERENCES | 607 | ||
| Neuro-Ophthalmology Cases for the Neurologist | 611 | ||
| Key points | 611 | ||
| INTRODUCTION | 611 | ||
| CASE 1: GIANT CELL ARTERITIS | 612 | ||
| Clinical Questions | 613 | ||
| Discussion | 613 | ||
| CASE 2: MUCORMYCOSIS | 614 | ||
| Clinical Questions | 615 | ||
| Discussion | 615 | ||
| CASE 3: PITUITARY APOPLEXY | 616 | ||
| Clinical Questions | 616 | ||
| Discussion | 617 | ||
| CASE 4: THIRD NERVE PALSY | 621 | ||
| Clinical Questions | 621 | ||
| Discussion | 621 | ||
| CASE 5: CAROTID ARTERY DISSECTION | 623 | ||
| Clinical Questions | 624 | ||
| Discussion | 624 | ||
| SUMMARY | 626 | ||
| ACKNOWLEDGMENTS | 626 | ||
| REFERENCES | 626 | ||
| Case Studies of Uncommon and Rare Headache Disorders | 631 | ||
| Key points | 631 | ||
| CASE 1. A 12-DAY MIGRAINE WITH RECURRING AURA? | 631 | ||
| Neuroimaging | 633 | ||
| CASE 2. A MIGRAINEUR WITH A NEW CONSTANT HEADACHE FOR 1 MONTH | 634 | ||
| Neuroimaging and Follow-up | 635 | ||
| CASE 3. AN ORTHOSTATIC HEADACHE | 636 | ||
| Neuroimaging Results | 638 | ||
| CASE 4. A UNILATERAL HEADACHE | 638 | ||
| CASE 5. MIGRAINE WITH AURA AND LIMB PAIN WITHOUT HEADACHE | 640 | ||
| CASE 6. NOCTURNAL HEADACHES | 644 | ||
| REFERENCES | 646 | ||
| Case Studies in Tremor | 651 | ||
| Key points | 651 | ||
| CASE 1: TREMOR IN A WOMAN WITH BIPOLAR DISEASE | 651 | ||
| Case Presentation | 651 | ||
| What Are the Key Features of the History Which Will Help Achieve the Diagnosis? | 652 | ||
| What Features of the Examination Will Help to Achieve the Diagnosis? | 652 | ||
| Is Additional Testing Necessary? | 653 | ||
| What Is the Treatment and How Do I Counsel the Patient? | 654 | ||
| CASE 2: ASYMMETRIC TREMOR IN A MAN WITH COMPLAINTS OF IMPAIRED ACTIVITIES OF DAILY LIVING | 655 | ||
| Case Presentation | 655 | ||
| What Features of the History Will Help to Achieve a Diagnosis? | 655 | ||
| What Features of the Examination Will Help to Achieve a Diagnosis? | 655 | ||
| Is Additional Testing Necessary? | 656 | ||
| What Is the Treatment and How Do I Counsel the Patient? | 657 | ||
| CASE 3: A WOMAN WITH 1 YEAR OF NECK TREMOR | 657 | ||
| Case Presentation | 657 | ||
| What Are the Key Features of the History Which Will Help Achieve the Diagnosis? | 657 | ||
| What Features of the Examination Will Help to Achieve Diagnosis? | 658 | ||
| Is Additional Testing Necessary? | 659 | ||
| What Is the Treatment and How Do I Counsel the Patient? | 659 | ||
| CASE 4: A MAN WITH AN ACUTE ONSET OF SEVERE TREMOR DURING REST AND ACTION | 660 | ||
| Case Presentation | 660 | ||
| What Are the Key Features of the History Which Will Help Achieve the Diagnosis? | 660 | ||
| What Features of the Examination Will Help to Achieve the Diagnosis? | 660 | ||
| Is Additional Testing Necessary? | 661 | ||
| What Is the Treatment and How Do I Counsel the Patient? | 661 | ||
| CASE 5: TREMOR IN A WOMAN WITH COGNITIVE AND MOTOR DECLINE | 661 | ||
| Case Presentation | 661 | ||
| CLINICAL QUESTIONS | 662 | ||
| What Are the Key Features of the History Which Will Help Achieve the Diagnosis? | 662 | ||
| What Features of the Examination Will Help to Achieve the Diagnosis? | 662 | ||
| Is Additional Testing Necessary? | 663 | ||
| What Is the Treatment and How Do I Counsel the Patient? | 663 | ||
| SUPPLEMENTARY DATA | 663 | ||
| REFERENCES | 664 | ||
| Functional Disorders in Neurology | 667 | ||
| Key points | 667 | ||
| INTRODUCTION | 667 | ||
| CASE 1. JERKY BODY MOVEMENTS AFTER AN UNPLEASANT ANESTHETIC | 668 | ||
| What Is the Diagnosis and How is It Confirmed? | 668 | ||
| Investigation | 669 | ||
| Treatment | 669 | ||
| CASE 2. PERSISTENT AND DISABLING DIZZINESS IN A YOUNG WOMAN | 670 | ||
| What Is the Diagnosis? | 670 | ||
| Investigations | 671 | ||
| Treatment | 671 | ||
| CASE 3. NEW ONSET STUTTERING IN AN ADULT | 671 | ||
| What Is the Diagnosis? | 672 | ||
| Investigations and Workup | 672 | ||
| Treatment | 673 | ||
| CASE 4. FATIGUE, HEADACHE, AND COGNITIVE SYMPTOMS AFTER A MILD TRAUMATIC BRAIN INJURY | 673 | ||
| What Is the Diagnosis? | 673 | ||
| Treatment | 674 | ||
| CASE 5. TREATMENT OF DISSOCIATIVE (NONEPILEPTIC) ATTACKS OR SEIZURES | 675 | ||
| What Is the Diagnosis? | 675 | ||
| What Can Be Learned from Treatment? | 675 | ||
| CASE 6. TREATMENT OF FIXED DYSTONIA | 677 | ||
| What Is the Diagnosis? | 677 | ||
| What Can Be Learned from the Physiotherapy Approach in This Case? | 678 | ||
| SUPPLEMENTARY DATA | 679 | ||
| REFERENCES | 679 | ||
| Case Studies in Neurocritical Care | 683 | ||
| Key points | 683 | ||
| CASE 1: COMPLICATIONS AFTER A STROKE | 684 | ||
| Clinical Messages | 686 | ||
| CASE 2: EXTREME AGITATION IN AUTOIMMUNE ENCEPHALITIS | 686 | ||
| Clinical Messages | 687 | ||
| CASE 3: SEIZURES AFTER SUBDURAL HEMORRHAGE | 688 | ||
| Clinical Messages | 688 | ||
| CASE 4: COMPLICATIONS AFTER ANEURYSMAL SUBARACHNOID HEMORRHAGE | 689 | ||
| Clinical Messages | 690 | ||
| CASE 5: STATUS EPILEPTICUS AFTER CARDIAC ARREST | 693 | ||
| Clinical Messages | 694 | ||
| SUMMARY | 694 | ||
| REFERENCES | 695 | ||
| Case Studies Illustrating Focal Alzheimer’s, Fluent Aphasia, Late-Onset Memory Loss, and Rapid Dementia | 699 | ||
| Key points | 699 | ||
| INTRODUCTION | 699 | ||
| FOCAL CORTICAL PRESENTATIONS OF ALZHEIMER’S DISEASE | 700 | ||
| Posterior Cortical Atrophy | 700 | ||
| Clinical case | 700 | ||
| Clinical features | 700 | ||
| Pathophysiology | 700 | ||
| Corticobasal Syndrome | 702 | ||
| Clinical case | 702 | ||
| Clinical features | 702 | ||
| Pathophysiology | 702 | ||
| FLUENT APHASIA | 703 | ||
| Semantic Dementia | 703 | ||
| Clinical case | 703 | ||
| Clinical features | 704 | ||
| Pathophysiology | 704 | ||
| Logopenic Aphasia | 705 | ||
| Clinical case | 705 | ||
| Clinical features | 705 | ||
| Pathophysiology | 705 | ||
| LATE-ONSET DEMENTIA | 706 | ||
| Hippocampal Sclerosis | 706 | ||
| Clinical case | 706 | ||
| Clinical features compared with typical AD | 707 | ||
| Limbic-Predominant Alzheimer’s Disease | 707 | ||
| Clinical case | 707 | ||
| Clinical features | 707 | ||
| Pathophysiology | 707 | ||
| RAPIDLY PROGRESSIVE DEMENTIA | 708 | ||
| Creutzfeldt–Jakob Disease | 708 | ||
| Clinical case | 708 | ||
| Clinical features | 709 | ||
| Pathophysiology | 709 | ||
| Limbic Encephalitis | 710 | ||
| Clinical case | 710 | ||
| Clinical features | 711 | ||
| Pathophysiology | 711 | ||
| DISCUSSION | 713 | ||
| REFERENCES | 713 | ||
| Neurology of Pregnancy | 717 | ||
| Key points | 717 | ||
| PREGNANCY PHYSIOLOGY | 717 | ||
| CASE 1: ACUTE ISCHEMIC STROKE DURING PREGNANCY | 718 | ||
| Questions | 718 | ||
| Imaging During Pregnancy | 718 | ||
| Safety of Intravenous Tissue Plasminogen Activator in Pregnancy | 718 | ||
| Safety of Intra-Arterial Therapy in Pregnancy | 719 | ||
| Mechanisms of Stroke During Pregnancy | 719 | ||
| CASE 2: ECLAMPSIA | 720 | ||
| Questions | 720 | ||
| Definition of Preeclampsia/Eclampsia | 720 | ||
| Risks of Preeclampsia/Eclampsia | 721 | ||
| Pathophysiology | 721 | ||
| Management | 723 | ||
| CASE 3: REVERSIBLE VASOSPASM SYNDROME | 723 | ||
| Questions | 723 | ||
| Presentation | 723 | ||
| Pathophysiology | 724 | ||
| Precipitants | 724 | ||
| Management | 724 | ||
| CASE 4: MANAGEMENT OF MULTIPLE SCLEROSIS | 724 | ||
| Questions | 724 | ||
| Multiple Sclerosis Genetics | 724 | ||
| Medication Management | 724 | ||
| Effect of Pregnancy on Multiple Sclerosis | 725 | ||
| Breastfeeding | 725 | ||
| CASE 5: EPILEPSY | 725 | ||
| Questions | 726 | ||
| Teratogenicity Profiles of Antiepileptic Drugs | 726 | ||
| Maternal and Fetal Risks from Seizure During Pregnancy | 726 | ||
| Changes in Management of Antiepileptic Drugs During Pregnancy | 726 | ||
| CASE 6: FEMORAL NEUROPATHY | 727 | ||
| Questions | 727 | ||
| Incidence of Postpartum Lower Extremity Neuropathy | 727 | ||
| Causes of Femoral Neuropathy in the Postpartum Period | 727 | ||
| Prognosis | 727 | ||
| CASE 7: CARPAL TUNNEL SYNDROME | 728 | ||
| Questions | 728 | ||
| Incidence | 728 | ||
| How Is Carpal Tunnel Syndrome in Pregnancy Different? | 728 | ||
| Management of Carpal Tunnel Syndrome in Pregnancy | 728 | ||
| REFERENCES | 728 | ||
| Sports Neurology in Clinical Practice | 733 | ||
| Key points | 733 | ||
| CASE 1: SPORT-RELATED CONCUSSION AND ASSOCIATED HEADACHE | 733 | ||
| Discussion | 734 | ||
| Diagnosis | 734 | ||
| Treatment | 735 | ||
| CASE 2: CHRONIC TRAUMATIC ENCEPHALOPATHY | 736 | ||
| Discussion | 736 | ||
| Pathophysiology | 737 | ||
| Diagnosis | 737 | ||
| Comments | 737 | ||
| CASE 3: SPORT-RELATED HEADACHE | 738 | ||
| Discussion | 738 | ||
| Clinical Features | 738 | ||
| Pathophysiology | 739 | ||
| Differential Diagnosis | 739 | ||
| Treatment | 740 | ||
| CASE 4: THE NEUROLOGIC BENEFIT OF EXERCISE | 740 | ||
| Introduction | 740 | ||
| Background | 740 | ||
| Physiologic and Structural Changes | 741 | ||
| Discussion | 742 | ||
| REFERENCES | 742 | ||
| Neurological Fallacies Leading to Malpractice | 747 | ||
| Key points | 747 | ||
| CASE 1: MANAGEMENT OF THE INTRACRANIAL ARACHNOID CYST | 748 | ||
| Case Presentation | 748 | ||
| Questions | 750 | ||
| Discussion | 750 | ||
| Comments | 750 | ||
| What is an arachnoid cyst? | 750 | ||
| What symptoms are associated with arachnoid cysts? | 750 | ||
| Decompressive surgery for arachnoid cysts | 751 | ||
| Does decompressive cyst surgery help? | 752 | ||
| What about the neurologist? | 752 | ||
| Recommendations | 752 | ||
| CASE 2: NEUROIMAGING PATIENTS WITH ISOLATED HEADACHE | 752 | ||
| Case Presentation | 752 | ||
| Questions | 753 | ||
| Discussion | 753 | ||
| Background | 753 | ||
| Comments | 753 | ||
| Recommendations | 757 | ||
| CASE 3: THROMBOLYSIS FOR STROKE ON AWAKENING | 757 | ||
| Case Presentation | 757 | ||
| Questions | 757 | ||
| Discussion | 757 | ||
| Background | 757 | ||
| Comments | 758 | ||
| Recommendations | 759 | ||
| CASE 4: CEREBRAL PALSY, ELECTRONIC FETAL MONITORING, AND HYPOTHERMIA | 760 | ||
| Case Presentation | 760 | ||
| Question | 760 | ||
| Discussion | 760 | ||
| The records | 760 | ||
| The report | 761 | ||
| Cerebral palsy section | 761 | ||
| Electronic fetal monitoring section | 762 | ||
| Hypothermia section | 763 | ||
| Recommendations | 763 | ||
| SUMMARY | 764 | ||
| REFERENCES | 764 | ||
| Index | 775 |