Blueprints Neurology by Frank W. Drislane MD, Dr. Juan Acosta, Louis Caplan MD, Dr.

By Frank W. Drislane MD, Dr. Juan Acosta, Louis Caplan MD, Dr. Bernard Chang MD MMSc, Andrew Tarulli

Blueprints Neurology offers scholars with an entire evaluate of the main subject matters and concepts—perfect for clerkship rotations and the USMLE. This variation has been thoroughly updated—including new diagnostic and therapy info throughout—while holding its succinct, geared up, and concise variety. a hundred board-format questions and solutions with entire right and wrong resolution causes seem on the finish of the book.

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The prognosis of depressed consciousness is mostly dependent on etiology—the patient with a barbiturate overdose may recover completely, whereas one with a severe anoxic injury likely will not. Age is an important prognostic factor as well. One of the most frequent reasons for admission to an intensive care unit (ICU) or neurologic consultation is to estimate the prognosis of a patient in coma following cardiopulmonary arrest. In these cases the circumstances and duration of the arrest are important, and published studies have correlated outcome with findings on neurologic examination performed at least 24 hours after the arrest.

Weakness) to the peripheral nerve, the neuromuscular junction, or the muscle (Table 2-3). In a patient with a polyneuropathy, NCS may help to define the relative degree of motor and sensory involvement and to distinguish primary demyelinating from axonal disease (Table 2-4). KEY POINTS • The goal of NCS and EMG is to localize the neurologic dysfunction within the peripheral nervous system. • Repetitive nerve stimulation and single-fiber EMG are useful in the diagnosis of disorders of the neuromuscular junction.

Lesions of the MLF produce an INO. • Lesions of the PPRF and ipsilateral MLF produce the one-and-a-half syndrome (gaze palsy to the ipsilateral side and INO in contralateral gaze). • The riMLF is the vertical gaze center, analogous to the PPRF for horizontal gaze. • A gaze palsy may indicate a supranuclear or nuclear dysfunction. The doll’s-eye maneuver or caloric testing will distinguish them. If doll’s-eye movements are normal, the dysfunction is supranuclear. SUPRANUCLEAR EYE MOVEMENTS Saccades are rapid eye movements to redirect the eyes to a new fixation object.

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