Clinical Neurology by T.J. Fowler, John W. Scadding, Nick Losseff, J.W. Scadding

By T.J. Fowler, John W. Scadding, Nick Losseff, J.W. Scadding

Concise but accomplished, Clinical Neurology, Fourth variation builds at the good fortune of 3 past versions in assisting clinical scholars, junior medical professionals, and training physicians collect a better knowing of the foundations of neurology.

The fourth version has been totally revised and up-to-date take into consideration present advancements within the research and therapy of neurological problems. It keeps a scientific concentration, emphasizing the fundamental abilities of background taking and neurological exam all through. This version offers accelerated insurance of neurophysiology and motor neurone disease.

Authored and edited via top figures in neurology, this booklet is an imperative advent to the sector of medical neurology, to be used in education and examine in addition to within the medical setting.

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Primary muscle disease confined to the arm is very unusual, but giant cell arteritis may affect the muscles around the shoulder girdles to cause the syndrome of polymyalgia rheumatica. This causes increasing pain and stiffness of the shoulder girdle muscles. Brachial neuritis (neuralgic amyotrophy) is another condition of unknown cause, probably arising from inflammatory plexopathy. This presents with very severe pain affecting one arm and shoulder girdle followed by rapid wasting of the arm muscles, usually around the shoulder, with winging of the scapula.

This may arise either as a result of damage to an isolated peripheral nerve (mono­ neuropathy) such as a peroneal or femoral nerve palsy, or to generalized peripheral nerve disease (peripheral neuropathy). In all such conditions, the signs will be those of a LMN lesion (wasting with weakness, normal or reduced tone, and normal or depressed tendon reflexes). In addition, there will be appropriate sensory disturbance in the distribution of the affected peripheral nerves. indb 35 foot drop from distal weakness.

These may tend to shorten. Glossopharyngeal neuralgia is analogous to trigeminal neuralgia but in the territory of the ninth nerve. The severe paroxysms of pain are felt at the back of the throat and tongue, or deep in the ear and are triggered by swallowing. In some patients orbital pain and headache may be associated with obvious vasomotor/autonomic symptoms. These include tearing, eye redness, nasal stuffiness or rhinorrhoea, eyelid swelling, ptosis, miosis and excess sweating. indb 20 bing or boring eye pain most often in the orbit and temple most commonly lasting 45–90 minutes (15–180).

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