By Bernard S. Chang, Andrew Tarulli, Louis R. Caplan, Frank W. Drislane, Michael Benatar, Juan A. Acosta
Blueprints Neurology presents scholars with a whole overview of the major themes and concepts—perfect for clerkship rotations and the USMLE. This variation has been thoroughly updated—including new diagnostic and remedy info throughout—while protecting its succinct, prepared, and concise type. a hundred board-format questions and solutions with entire right and fallacious resolution reasons seem on the finish of the book.
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The most common symptom of ODS is transient visual obscurations, described as a dimming or “blacking out” of vision and usually lasting just a few seconds. They are usually precipitated by changes in posture (bending or straightening) and can occur many times per day. The most common causes of unilateral optic disc edema are optic neuritis, AION, and orbital compressive lesions. As a rule, optic nerve function is abnormal in each. The appearance of the optic disc may be indistinguishable in these entities, but certain features of it may suggest a specific diagnosis.
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. qxd 10/4/08 Chapter 3 3:16 PM Page 21 The Approach to Coma and Altered Consciousness The neurologic evaluation and management of a patient with coma or altered consciousness can be intimidating for the student, because such patients are usually critically ill and may require prompt intervention.
Fourth nerve lesions produce oblique diplopia, worse on downgaze when the affected eye is adducted. The patient usually complains of diplopia when reading or going down stairs. Patients compensate with a contralateral head tilt (in other words, the diplopia improves with head tilt away from the side of the lesion). CN VI innervates the lateral rectus muscle. Lesions produce esotropia, especially on ipsilateral gaze. Sixth nerve palsy can be a nonlocalizing sign of increased ICP. The most common causes of oculomotor nerve dysfunction in older adults include microvascular occlusion and ischemia, commonly associated with hypertension, diabetes mellitus, and atherosclerosis.