By Steven D. Waldman
The hot version of this renowned atlas deals entire, concise, step by step visible counsel at the analysis of ache syndromes typically encountered in medical perform. brilliant illustrations depict the actual signs and anatomy of every discomfort website, and diagnostic pictures display key findings from MRI, CT, and standard radiography. an advantage CD-ROM - that includes all the illustrations from the textual content - permits you to comprise visuals depicting Dr. Waldman’s most well-liked ways without delay into your digital shows.
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Inferior rectus m. Figure 8-2 Müller's muscles. The Müller's muscle in the upper eyelid arises from the undersurface of the levator palpebrae superioris muscle. Interruptions of the sympathetic innervation to this muscle cause ptosis of the upper eyelid. The Müller's muscle in the lower lid will elevate the lower eyelid slightly in Horner's syndrome (“upside-down ptosis”). Signs and symptoms suggestive of increased intracranial pressure including papilledema 2. Normal magnetic resonance imaging or computed tomography of the brain performed with and without contrast media 3.
The lesser occipital nerve passes superiorly along the posterior border of the sternocleidomastoid muscle and divides into cutaneous branches that innervate the lateral portion of the posterior scalp and the cranial surface of the pinna of the ear. , painting ceilings) or looking for prolonged periods at a computer monitor whose focal point is too high, thus extending the cervical spine, may also cause occipital neuralgia. Occipital neuralgia is characterized by persistent pain at the base of the skull with occasional sudden, shocklike paresthesias in the distribution of the greater and lesser occipital nerves.
Diseases of the eyes, ears, nose, throat, and teeth may all mimic trigeminal neuralgia or may coexist and confuse the diagnosis. 10-2). 10-3). Additional imaging of the sinuses should be considered if occult or coexisting sinus disease is a possibility. If the first division of the trigeminal nerve is affected, ophthalmologic evaluation to measure intraocular pressure and Figure 10-2 Cystic and solid schwan noma of the right trigeminal nerve and ganglion. A, Axial enhanced magnetic resonance imaging (MRI) showing a dumbbell-shaped tumor extending across the incisura from the posterior fossa into the medial portion of the right middle fossa.