Menu Expand
SPEC - Kaufman's Clinical Neurology for Psychiatrists

SPEC - Kaufman's Clinical Neurology for Psychiatrists

David Myland Kaufman | Howard L. Geyer | Mark J Milstein

(2016)

Additional Information

Book Details

Abstract

For more than 35 years, Kaufman’s Clinical Neurology for Psychiatrists has been the only reference to focus on the must-know aspects of neurology for psychiatrists. Now in a revised 8th Edition, this classic text brings you up to date with essential knowledge in clinical neurology with new topics, new illustrations, and new questions to help you excel on the American Board of Psychiatry and Neurology examination.

  • Explains each condition's neurologic and psychiatric features, easily performed office and bedside examinations, appropriate tests, differential diagnosis, and management options.
  • Discusses timely, clinically-relevant topics such as traumatic brain injury, Alzheimer and non-Alzheimer dementias, other age-related neurologic conditions, neurologic illnesses that present with symptoms of autism, neurologic effects of illicit drug use, and current treatments.
  • Correlates neurologic illnesses with the DSM-5.
  • Includes nearly 2,000 multiple-choice questions – all written to help you succeed on the ABPN certifying exam.
  • Features new and improved clinical illustrations throughout: life-like patient sketches, anatomy line drawings, CTs, MRIs, and EEGs that demonstrate clinical features.

Table of Contents

Section Title Page Action Price
Front Cover cover
Inside Front Cover ifc1
Kaufman's Clinical Neurology for Psychiatrists i
Copyright Page iv
Table Of Contents v
Dedication vii
Acknowledgments viii
Notes About References ix
Web Sites That Offer Information About Several Areas ix
Physician-readers, Please Note x
Preface xi
Purpose xi
Organization and Content xi
Additions and Other Changes for the Eighth Edition xi
Didactic Devices: The Visual Approach and Question-and-Answer Sections xii
One Caveat xii
1 Classic Anatomic Neurology 1
1 First Encounter With a Patient 3
Examination 3
Formulation 4
Responding as A Neurologist to Consultations 5
Neurologic Diagnosis 5
2 Signs of Central Nervous System Disorders 7
Signs of Cerebral Hemisphere Lesions 7
Signs of Damage of the Dominant, Nondominant, or Both Cerebral Hemispheres 7
Signs of Basal Ganglia Lesions 11
Signs of Brainstem Lesions 11
Signs of Cerebellar Lesions 12
Signs of Spinal Cord Lesions 15
Spinal Cord Transection 15
Syringomyelia 16
Neurologic Illnesses 16
3 Psychogenic Neurologic Deficits 19
Neurologist’s Role 19
Psychogenic Deficits 19
Motor Signs 20
Gait Impairment 20
Sensory Deficits 21
Special Senses 21
Other Conditions 22
Potential Pitfalls 24
References 25
4 Cranial Nerve Impairments 27
Olfactory (First) 27
Optic (Second) 28
Oculomotor, Trochlear, and Abducens Nerves (Third, Fourth, and Sixth) 30
Trigeminal (Fifth) 34
Facial (Seventh) 35
Acoustic (Eighth) 36
Glossopharyngeal, Vagus, and Spinal Accessory Nerves (Ninth, Tenth, and Eleventh) 38
Bulbar Palsy 39
Pseudobulbar Palsy 40
Hypoglossal (Twelfth) 41
Questions and Answers 42
Preparing for Standardized Tests 42
Questions and Answers: Chapters 1–4 42
5 Peripheral Nerve Disorders 55
Anatomy 55
Mononeuropathies 55
Mononeuritis Multiplex 57
Polyneuropathies (Neuropathies) 58
Neuropathies Without Comorbid Mental Status Changes 58
Guillain–Barré Syndrome 58
Diabetes 60
Toxic-Metabolic Disorders 60
Aging 62
Neuropathies With Comorbid Mental Status Changes 62
Nutritional Deficiencies 62
Medication Adverse Effects 63
Infectious Diseases 63
Inherited Metabolic Illnesses 64
Volatile Substance Exposure 64
Pseudoneurotoxic Disease 65
Marine Toxicology 65
Motor Neuron Disorders 65
Amyotrophic Lateral Sclerosis 65
Childhood-Onset Motor Neuron Diseases 66
Poliomyelitis 67
Benign Fasciculations 67
Spine Disease 67
Web Site 69
References 69
Questions and Answers: Chapter 5 71
6 Muscle Disorders 81
Neuromuscular Junction Disorders 81
Myasthenia Gravis 81
Neuromuscular Transmission Impairment 81
Clinical Features 81
Differential Diagnosis 82
Treatment 83
Lambert–Eaton Syndrome 84
Botulism 84
Tetanus 84
Nerve Gas and Other Wartime Issues 84
Chronic Fatigue Syndrome and Fibromyalgia 85
Muscle Disease (Myopathy) 85
Inherited Dystrophies 86
Duchenne Muscular Dystrophy 86
Genetics. 86
Becker Dystrophy 86
Myotonic Dystrophy 86
Genetics. 87
Inflammatory and Infectious Myopathies 88
Metabolic Myopathies 89
Mitochondrial Myopathies 89
Neuroleptic Malignant Syndrome 91
Other Causes of Rhabdomyolysis, Hyperthermia, and Altered Mental States 91
Serotonin Syndrome 91
Malignant Hyperthermia 92
Other Causes 92
Laboratory Tests 92
Nerve Conduction Studies 92
Electromyography 92
Serum Enzyme Determinations 93
Muscle Biopsy 93
References 93
Questions and Answers: Chapter 6 94
2 Major Neurologic Symptoms 103
Section Chapters 103
Introduction 103
7 Dementia 105
Disorders Related to Dementia 105
Congenital Cognitive Impairment 105
Amnesia 105
Transient Global Amnesia 106
Neuropsychologic Conditions 107
Normal Aging 107
Memory and Other Neuropsychologic Functions 107
Sleep 107
Motor and Gait 107
Special Senses 107
EEG and Imaging Changes 108
Macroscopic and Microscopic Changes 108
Dementia 108
Classifications and Causes 108
Mental Status Testing 109
Screening Tests 109
Mini-Mental State Examination (Fig. 7.1). 109
Alzheimer Disease Assessment Scale. 109
Montreal Cognitive Assessment (Fig. 7.3). 109
Further Testing 109
Laboratory Evaluation in Dementia. 110
Alzheimer Disease 112
Preclinical Alzheimer Disease 112
Mild Cognitive Impairment 112
Dementia 113
Neuropsychiatric Manifestations 113
Physical Signs 113
Laboratory Tests 113
Pathology 114
Amyloid Deposits 115
Biochemical Abnormalities 115
Risk Factors and Genetic Causes 116
Genetic Causes 117
Treatment of Dementia 117
Treatment of Neuropsychiatric Symptoms 118
Caregiver Stress 118
Related Disorders 119
Trisomy 21 119
Dementia With Lewy Bodies 119
Three Core Features: 119
Two Suggestive Features: 119
Frontal Lobe Disorders 119
Injuries 119
Frontotemporal Dementia or Frontotemporal Degeneration 120
Other Dementias 122
Vascular Cognitive Impairment 122
Wernicke–Korsakoff Syndrome 122
Other Causes of Dementia in Alcoholics 123
Medication-Induced Cognitive Deficits 123
Normal-Pressure Hydrocephalus 123
Infections 124
Neurosyphilis 124
Subacute Sclerosing Panencephalitis 125
Creutzfeldt–Jakob and Related Diseases 125
Prions 125
Other Spongiform Encephalopathies 126
Variant Creutzfeldt–Jakob Disease 126
Lyme Disease 126
Human Immunodeficiency Virus-Associated Dementia 127
Manifestations 127
Treatment 127
Testing 127
AIDS-Induced Cerebral Lesions 128
Other AIDS-Related Conditions 128
Pseudodementia 128
Delirium/Toxic-Metabolic Encephalopathy 129
Characteristics 129
Risk Factors 130
Causes 130
General Treatments 130
Hepatic Encephalopathy 131
Precautions in Diagnosing Alzheimer Disease 131
References 131
Age-Related Changes 131
Alzheimer Disease 131
HIV-Associated Dementia 132
Dementia With Lewy Bodies 132
Depression and Pseudodementia 132
Frontotemporal Dementia 132
Lyme Disease 132
Creutzfeldt–Jakob Disease and Related Illnesses 132
Delirium (Toxic-Metabolic Encephalopathy) 132
Vascular Cognitive Impairment 133
Other Illnesses That Cause Dementia 133
Questions and Answers: Chapter 7 134
8 Aphasia and Anosognosia 151
Language and Dominance 151
Handedness 151
Music 152
Aphasia 152
The Perisylvian Language Arc 152
Clinical Evaluation 152
Nonfluent Aphasia 154
Characteristics 154
Localization and Etiology 154
Associated Deficits 154
Mixed Transcortical or Isolation Aphasia 155
Global Aphasia 155
Fluent Aphasia 156
Associated Deficits 156
Localization and Etiology 156
Anomic Aphasia 156
Conduction Aphasia 157
Mental Abnormalities With Language Impairment 157
Comorbid Depression 157
Dementia 157
Schizophrenia 157
Other Disorders 158
Disorders Related to Aphasia 158
Dyslexia 158
Alexia and Agraphia 158
Gerstmann Syndrome 158
Apraxia 159
Nondominant Hemisphere Syndromes 160
Hemi-Inattention 160
Constructional Apraxia 162
Dressing Apraxia 162
Alien Hand Syndrome 162
Anosognosia 163
Aprosody 163
Disconnection Syndromes 163
Split-Brain Syndrome 164
References 165
Questions and Answers: Chapter 8 166
Case 1 166
Case 2 166
Case 3 166
Case 4 166
Case 5 166
9 Headaches 177
Primary Headaches 177
Tension-Type Headache 177
Treatment 177
Migraine 177
Migraine With Aura 178
Migraine Without Aura 178
Psychiatric Comorbidity 180
Other Subtypes of Migraine 181
Migraine-Like Conditions: Food-Induced Headaches 181
Medication-Induced Headaches 182
Sex-Related Headaches 182
Proposed Causes of Migraine 182
Acute Treatment 182
Preventative Treatment 183
Chronic Daily Headache 183
Cluster Headaches 184
Treatment 185
Secondary Headaches 185
Temporal Arteritis/Giant Cell Arteritis 185
Intracranial Mass Lesions 185
Idiopathic Intracranial Hypertension (Pseudotumor Cerebri) 185
Post-Dural Puncture Headache 186
Bacterial Meningitis, Herpes Encephalitis, and Subarachnoid Hemorrhage 186
Chronic Meningitis 187
MAOIs and the Hypertensive Crisis 187
Cranial Neuralgias 187
Trigeminal Neuralgia 187
Cause and Treatment 187
References 188
Questions and Answers: Chapter 9 189
10 Epilepsy 197
Electroencephalogram 197
Normal and Abnormal 197
Seizures 197
Toxic-Metabolic Encephalopathy 199
Dementia 200
Structural Lesions 200
Altered States of Awareness 200
Psychiatric Disturbances and Psychotropics 201
Seizure Types 201
Focal Seizures 202
EEG and Etiology 203
Focal Seizures With Impaired Consciousness or Awareness (Complex Partial Seizures) 204
Etiology 204
Ictal Symptoms 204
Sex, Violence, and Aggression 205
Immediate Postictal Symptoms 205
Frontal Lobe Seizures 205
Rolandic Epilepsy 205
Testing During and Between Focal Seizures 206
EEG 206
Other Tests 206
Comorbid Conditions and Their Treatment 206
Depression 206
Bipolar Disorder 207
Anxiety 207
Psychosis 208
Cognitive Impairment 208
Destructive Behavior 209
Suicide 209
Crime and Interictal Violence 209
Personality Traits 209
Delirium 209
Treatment 210
AEDs 210
AEDs and Hepatic Enzymes 210
Cognitive and Related Side Effects 211
Physical Side Effects 211
AEDs and Pregnancy 211
Vagus Nerve Stimulation 212
Brain Resection Surgery 212
Generalized Seizures 213
Absence Seizures 213
EEG, Etiology, and Treatment 214
Tonic-Clonic Seizures 214
Etiology 215
Treatment 216
Febrile Seizures 216
Landau–Kleffner Syndrome 216
Nonepileptic Conditions 216
Psychogenic Nonepileptic Seizures 216
Intermittent Explosive Disorder 217
Related Issues 217
Driving 217
Alcohol 218
Cerebrovascular Disease 218
Sleep Disorders 218
Metabolic Aberrations 218
Sudden Unexplained Death in Epilepsy 218
References 218
AEDs 218
Surgery 219
Vagus Nerve Stimulation 219
Interictal Comorbidities and Their Treatment 219
Psychogenic Nonepileptic Seizures 219
Seizures and Epilepsy 219
Testing 220
Questions and Answers: Chapter 10 221
11 TIAs and Strokes 235
Transient Ischemic Attacks 235
Carotid Artery TIAs 235
Laboratory Tests 235
Preventative Measures 236
Basilar Artery TIAs 237
Stroke 237
Risk Factors 238
Psychiatric Risk Factors for Stroke 240
Thrombosis and Embolus 240
Necrosis 240
Infarctions in the Carotid Artery Distribution 240
Infarctions in the Basilar Artery Distribution 241
Hemorrhages 241
Neuropsychologic Sequelae 242
Poststroke Depression 242
Other Psychiatric Complications 243
Altered Levels of Consciousness 243
Locked-in Syndrome 243
Persistent Vegetative State 244
Minimally Conscious State 245
Managing Stroke 245
Laboratory Tests 245
Therapy 245
References 246
Questions and Answers: Chapter 11 248
Appendix 1 Patient and Family Support Groups 537
General Resources 537
Acquired Immune Deficiency Syndrome (AIDS) 537
Alzheimer Disease 537
Amyotrophic Lateral Sclerosis (ALS) 537
Aphasia and Related Disorders 537
Autism 537
Blepharospasm 537
Blindness 537
Brain Tumors 537
Cerebral Palsy 537
Dystonia 537
Epilepsy 537
Fraudulent Therapies 537
Guillain–Barré Syndrome 537
Huntington Disease 537
Migraine and Headache 537
Multiple Sclerosis 538
Muscular Dystrophy and Related Disorders 538
Myasthenia Gravis 538
Neurofibromatosis 538
Pain 538
Paraplegia 538
Parkinson Disease 538
Postpolio Syndrome 538
Rett Syndrome 538
Sleep Disorders 538
Spasmodic Dysphonia 538
Spasmodic Torticollis 538
Spina Bifida 538
Spinal Cord Injury 538
Stroke 538
Stuttering 538
Tourette Syndrome 538
Traumatic Brain Injury 538
Tuberous Sclerosis 538
Tremor 538
Wilson Disease 538
Appendix 2 Costs of Various Tests and Treatments* 539
Appendix 3 Diseases Transmitted by Chromosome or Mitochondria Abnormalities 541
Appendix 4 Chemical and Biological Neurotoxins 543
Additional Review Questions and Answers 545
Index 641
A 641
B 643
C 644
D 646
E 648
F 649
G 649
H 650
I 651
J 652
K 652
L 652
M 653
N 655
O 656
P 657
Q 659
R 659
S 660
T 662
U 663
V 664
W 664
X 664
Y 664
Z 664
Inside Back Cover ibc1