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Bridging the clinical electrophysiological investigation with the neurological consultation Acutely ill patients present with symptoms that don't immediately yield a diagnosis. Electrophysiological testing can support diagnosis but only if the appropriate tests are ordered. They must be properly interpreted in conjunction with the actual symptoms. Clinical Electrophysiology presents a wide range of symptoms with specific electrophysiological results. The handbook shows how the complete picture leads to better diagnostic, prognostic or therapeutic conclusions. The book is organized by the…mehr
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Bridging the clinical electrophysiological investigation with the neurological consultation Acutely ill patients present with symptoms that don't immediately yield a diagnosis. Electrophysiological testing can support diagnosis but only if the appropriate tests are ordered. They must be properly interpreted in conjunction with the actual symptoms. Clinical Electrophysiology presents a wide range of symptoms with specific electrophysiological results. The handbook shows how the complete picture leads to better diagnostic, prognostic or therapeutic conclusions. The book is organized by the presenting neurological problem in a clinical setting. For each case the authors provide a possible electrophysiological result. This is interpreted and tied to the patient's symptoms to yield a clinical solution. The handbook avoids theoretical discussion to provide a direct practical guide that: * Begins with the patient's symptoms * Uses a range of electrophysiological modalities * Shows different test results for similar symptoms * Relates clinical observation to electrophysiological testing A final casebook section presents readers with rarer clinical challenges for self-testing. Providing practical, to-the-point guidance on electrophysiological investigations, Clinical Electrophysiology will guide all neurologists attending acutely ill patients.
Produktdetails
- Produktdetails
- Verlag: John Wiley & Sons
- Seitenzahl: 200
- Erscheinungstermin: 12. August 2010
- Englisch
- ISBN-13: 9781444322996
- Artikelnr.: 37361406
- Verlag: John Wiley & Sons
- Seitenzahl: 200
- Erscheinungstermin: 12. August 2010
- Englisch
- ISBN-13: 9781444322996
- Artikelnr.: 37361406
Peter W. Kaplan, MD, FRCP, Professor of Neurology, John Hopkins Hospital, Baltimore, MD Thien Nguyen, MD, PhD, Assistant Professor of Neurology, John Hopkins Hospital, Baltimore, MD
PROVISIONAL TABLE OF CONTENTS. CENTRAL NERVOUS SYSTEM DISORDERS. Confusional states, encephalopathy and delirium. Coma Paroxysmal altered behavior or consciousness. Hallucinations, illusions, delirium. Hysterical or functional deficits - blindness, deafness, paralysis, abnormal movement, catatonia. Clinical Seizures, or remote history of seizures or epilepsy. Clinically overt convulsions, subtle or suspected status epilepticus. Locked-in-Syndrome, minimally conscious state, PVS. Progression or recurrence of neurological disease. PERIPHERAL NERVOUS SYSTEM DISEASE. Weakness or paralysis in the ICU. Diffuse muscle weakness. Weakness with fasciculation. Evaluation of painful, burning limbs/neuropathy. Back pain and weakness/radiculopathies Traumatic weakness/obstetric palsies. Progression or recurrence of neurological disease
Preface. Introduction. Part 1: Central Nervous System Disorders. Section A: Altered consciousness: confusion, delirium and unresponsiveness; agitation hallucination and abnormal behavior. 1. Diffuse and frontal fast activity
beta. 2. Diffuse slow activity
theta. 3. Diffuse slow activity
delta. 4. Frontal intermittent rhythmic delta activity. 5. Occipital intermittent rhythmic delta activity. 6. Triphasic waves. 7. Low
voltage fast record without dominant alpha frequencies. 8. Alpha coma. 9. Spindle coma. 10. Low
voltage suppressed pattern. 11. Burst/suppression. 12. Diffuse slowing
toxic encephalopathy
baclofen. 13. Diffuse slowing
metabolic encephalopathy
lithium. 14. Diffuse slowing
metabolic encephalopathy
hypoglycemia. 15. Diffuse slowing
limbic encephalopathy. 16. Focal arrhythmic (polymorphic) delta activity. Section B: Periodic patterns of epileptiform discharges, or seizures. 17. Pseudoperiodic lateralized epileptiform discharges. 18. Bilateral independent pseudoperiodic epileptiform discharges. 19. Generalized periodic epileptiform discharges. Part 2: Seizures. Section A: The Diagnosis of confusional events due to seizures. 20. Frontal lobe simple and complex partial seizures. 21. Temporal lobe simple and complex partial seizures. 22. Parietal lobe simple partial seizures. 23. Occipital lobe simple partial seizures. Section B: Status epilepticus. 24. Complex partial status epilepticus
frontal. 25. Complex partial status epilepticus
temporal. 26. Simple partial status epilepticus
parietal. 27. Simple partial status epilepticu
occipital. 28. Generalized nonconvulsive status epilepticus. Part 3: Conditions of Prolonged Unresponsiveness. Section A: Locked
in syndrome, minimally conscious state, vegetative state, and coma: disorders of consciousness and responsiveness. 29. Clinical definitions of impaired responsiveness. Section B: Prolonged unresponsive states. 30. Locked
in syndrome
brainstem hemorrhage. 31. Vegetative state
postanoxia. 32. Minimally conscious state
after large, multifocal strokes. 33. Catatonia
psychogenic unresponsiveness/conversion disorder. 34. Somatosensory evoked potential Prognosis in anoxic coma. 35. Somatosensory evoked potential Prognosis in head trauma. Section C: Evoked Potentials in Consultative Neurology. 36. Somatosensory evoked potentials in midbrain lesion
absent cortical responses. 37. Somatosensory evoked potentials in diffuse cortical anoxic injury
absent cortical and subcortical responses. 38. Somatosensory evoked potentials in prolonged cardiac arrest
absence of all waves above the brachial plexus. 39. Somatosensory evoked potentials after prolonged cardiac arrest
absence of all responses except cervical N9. 40. Somatosensory evoked potentials
median and tibial after traumatic spinal cord injury. 41. Visual evoked potentials in worsening vision. 42. Brainstem auditory evoked potentials
in worsening hearing. Part 4: Peripheral Nervous System Disease. Section A: weakness and/or respiratory failure in ICU and on the ward. 43. Causes of paralysis and respiratory failure in the ICU. 44. The clinical evaluation of neuromuscular disorders. 45. Laboratory evaluation of neuromuscular disorders. Section B: Segmental weakness and/or sensory loss. 46. Evaluation of segmental peripheral neurological disorders. Section C: Respiratory failure/diffuse weakness. 47. Amyotrophic lateral sclerosis/motor neuropathy. 48. Critical Illness neuromyopathy. 49. Brachial plexopathy. 50. Femoral neuropathy. 51. Sensory neuropathy/ganglionopathy. 52. Lumbar radiculopathy. 53. Guillain
Barre¿ Syndrome
demyelinating polyneuropathy. 54. Myasthenia gravis
neuromuscular junction. 55. Myositis
irritable myopathy. 56. Statin
induced myopathy
toxic myopathy/myalgia. Part 5: The Casebook of Clinical/Neurophysiology Consults. 57. Occipital blindness and seizures
why? 58. Unresponsiveness
coma, vegetative state, or locked
in state? 59. Unresponsiveness
organic or psychogenic? 60. Patient with a frontal brain tumor
psychiatric depression, paranoia, tumor growth, or status epilepticus? 61. Patient with idiopathic generalized epilepsy on valproate
Metabolic encephalopathy or status epilepticus? 62. Unresponsiveness
psychogenic, encephalopathy, or limbic encephalitis? 63. Respiratory weakness
toxic or metabolic? 64. Failure to wean from a ventilator/internal ophthalmoplegia
bulbar dysfunction, neuromuscular junction problem, or polyneuropathy? 65. Progressive sensory loss and painful gait
radiculopathy, toxic or infectious neuropathy, or myopathy? 66. Slowly progressive leg and arm weakness
radiculopathy, plexopathy, ALS, or CIDP/AMN? 67. Progressive thigh pain and leg weakness
radiculopathy, vasculitis, neuropathy, or amyotrophy? Index.
beta. 2. Diffuse slow activity
theta. 3. Diffuse slow activity
delta. 4. Frontal intermittent rhythmic delta activity. 5. Occipital intermittent rhythmic delta activity. 6. Triphasic waves. 7. Low
voltage fast record without dominant alpha frequencies. 8. Alpha coma. 9. Spindle coma. 10. Low
voltage suppressed pattern. 11. Burst/suppression. 12. Diffuse slowing
toxic encephalopathy
baclofen. 13. Diffuse slowing
metabolic encephalopathy
lithium. 14. Diffuse slowing
metabolic encephalopathy
hypoglycemia. 15. Diffuse slowing
limbic encephalopathy. 16. Focal arrhythmic (polymorphic) delta activity. Section B: Periodic patterns of epileptiform discharges, or seizures. 17. Pseudoperiodic lateralized epileptiform discharges. 18. Bilateral independent pseudoperiodic epileptiform discharges. 19. Generalized periodic epileptiform discharges. Part 2: Seizures. Section A: The Diagnosis of confusional events due to seizures. 20. Frontal lobe simple and complex partial seizures. 21. Temporal lobe simple and complex partial seizures. 22. Parietal lobe simple partial seizures. 23. Occipital lobe simple partial seizures. Section B: Status epilepticus. 24. Complex partial status epilepticus
frontal. 25. Complex partial status epilepticus
temporal. 26. Simple partial status epilepticus
parietal. 27. Simple partial status epilepticu
occipital. 28. Generalized nonconvulsive status epilepticus. Part 3: Conditions of Prolonged Unresponsiveness. Section A: Locked
in syndrome, minimally conscious state, vegetative state, and coma: disorders of consciousness and responsiveness. 29. Clinical definitions of impaired responsiveness. Section B: Prolonged unresponsive states. 30. Locked
in syndrome
brainstem hemorrhage. 31. Vegetative state
postanoxia. 32. Minimally conscious state
after large, multifocal strokes. 33. Catatonia
psychogenic unresponsiveness/conversion disorder. 34. Somatosensory evoked potential Prognosis in anoxic coma. 35. Somatosensory evoked potential Prognosis in head trauma. Section C: Evoked Potentials in Consultative Neurology. 36. Somatosensory evoked potentials in midbrain lesion
absent cortical responses. 37. Somatosensory evoked potentials in diffuse cortical anoxic injury
absent cortical and subcortical responses. 38. Somatosensory evoked potentials in prolonged cardiac arrest
absence of all waves above the brachial plexus. 39. Somatosensory evoked potentials after prolonged cardiac arrest
absence of all responses except cervical N9. 40. Somatosensory evoked potentials
median and tibial after traumatic spinal cord injury. 41. Visual evoked potentials in worsening vision. 42. Brainstem auditory evoked potentials
in worsening hearing. Part 4: Peripheral Nervous System Disease. Section A: weakness and/or respiratory failure in ICU and on the ward. 43. Causes of paralysis and respiratory failure in the ICU. 44. The clinical evaluation of neuromuscular disorders. 45. Laboratory evaluation of neuromuscular disorders. Section B: Segmental weakness and/or sensory loss. 46. Evaluation of segmental peripheral neurological disorders. Section C: Respiratory failure/diffuse weakness. 47. Amyotrophic lateral sclerosis/motor neuropathy. 48. Critical Illness neuromyopathy. 49. Brachial plexopathy. 50. Femoral neuropathy. 51. Sensory neuropathy/ganglionopathy. 52. Lumbar radiculopathy. 53. Guillain
Barre¿ Syndrome
demyelinating polyneuropathy. 54. Myasthenia gravis
neuromuscular junction. 55. Myositis
irritable myopathy. 56. Statin
induced myopathy
toxic myopathy/myalgia. Part 5: The Casebook of Clinical/Neurophysiology Consults. 57. Occipital blindness and seizures
why? 58. Unresponsiveness
coma, vegetative state, or locked
in state? 59. Unresponsiveness
organic or psychogenic? 60. Patient with a frontal brain tumor
psychiatric depression, paranoia, tumor growth, or status epilepticus? 61. Patient with idiopathic generalized epilepsy on valproate
Metabolic encephalopathy or status epilepticus? 62. Unresponsiveness
psychogenic, encephalopathy, or limbic encephalitis? 63. Respiratory weakness
toxic or metabolic? 64. Failure to wean from a ventilator/internal ophthalmoplegia
bulbar dysfunction, neuromuscular junction problem, or polyneuropathy? 65. Progressive sensory loss and painful gait
radiculopathy, toxic or infectious neuropathy, or myopathy? 66. Slowly progressive leg and arm weakness
radiculopathy, plexopathy, ALS, or CIDP/AMN? 67. Progressive thigh pain and leg weakness
radiculopathy, vasculitis, neuropathy, or amyotrophy? Index.
PROVISIONAL TABLE OF CONTENTS. CENTRAL NERVOUS SYSTEM DISORDERS. Confusional states, encephalopathy and delirium. Coma Paroxysmal altered behavior or consciousness. Hallucinations, illusions, delirium. Hysterical or functional deficits - blindness, deafness, paralysis, abnormal movement, catatonia. Clinical Seizures, or remote history of seizures or epilepsy. Clinically overt convulsions, subtle or suspected status epilepticus. Locked-in-Syndrome, minimally conscious state, PVS. Progression or recurrence of neurological disease. PERIPHERAL NERVOUS SYSTEM DISEASE. Weakness or paralysis in the ICU. Diffuse muscle weakness. Weakness with fasciculation. Evaluation of painful, burning limbs/neuropathy. Back pain and weakness/radiculopathies Traumatic weakness/obstetric palsies. Progression or recurrence of neurological disease
Preface. Introduction. Part 1: Central Nervous System Disorders. Section A: Altered consciousness: confusion, delirium and unresponsiveness; agitation hallucination and abnormal behavior. 1. Diffuse and frontal fast activity
beta. 2. Diffuse slow activity
theta. 3. Diffuse slow activity
delta. 4. Frontal intermittent rhythmic delta activity. 5. Occipital intermittent rhythmic delta activity. 6. Triphasic waves. 7. Low
voltage fast record without dominant alpha frequencies. 8. Alpha coma. 9. Spindle coma. 10. Low
voltage suppressed pattern. 11. Burst/suppression. 12. Diffuse slowing
toxic encephalopathy
baclofen. 13. Diffuse slowing
metabolic encephalopathy
lithium. 14. Diffuse slowing
metabolic encephalopathy
hypoglycemia. 15. Diffuse slowing
limbic encephalopathy. 16. Focal arrhythmic (polymorphic) delta activity. Section B: Periodic patterns of epileptiform discharges, or seizures. 17. Pseudoperiodic lateralized epileptiform discharges. 18. Bilateral independent pseudoperiodic epileptiform discharges. 19. Generalized periodic epileptiform discharges. Part 2: Seizures. Section A: The Diagnosis of confusional events due to seizures. 20. Frontal lobe simple and complex partial seizures. 21. Temporal lobe simple and complex partial seizures. 22. Parietal lobe simple partial seizures. 23. Occipital lobe simple partial seizures. Section B: Status epilepticus. 24. Complex partial status epilepticus
frontal. 25. Complex partial status epilepticus
temporal. 26. Simple partial status epilepticus
parietal. 27. Simple partial status epilepticu
occipital. 28. Generalized nonconvulsive status epilepticus. Part 3: Conditions of Prolonged Unresponsiveness. Section A: Locked
in syndrome, minimally conscious state, vegetative state, and coma: disorders of consciousness and responsiveness. 29. Clinical definitions of impaired responsiveness. Section B: Prolonged unresponsive states. 30. Locked
in syndrome
brainstem hemorrhage. 31. Vegetative state
postanoxia. 32. Minimally conscious state
after large, multifocal strokes. 33. Catatonia
psychogenic unresponsiveness/conversion disorder. 34. Somatosensory evoked potential Prognosis in anoxic coma. 35. Somatosensory evoked potential Prognosis in head trauma. Section C: Evoked Potentials in Consultative Neurology. 36. Somatosensory evoked potentials in midbrain lesion
absent cortical responses. 37. Somatosensory evoked potentials in diffuse cortical anoxic injury
absent cortical and subcortical responses. 38. Somatosensory evoked potentials in prolonged cardiac arrest
absence of all waves above the brachial plexus. 39. Somatosensory evoked potentials after prolonged cardiac arrest
absence of all responses except cervical N9. 40. Somatosensory evoked potentials
median and tibial after traumatic spinal cord injury. 41. Visual evoked potentials in worsening vision. 42. Brainstem auditory evoked potentials
in worsening hearing. Part 4: Peripheral Nervous System Disease. Section A: weakness and/or respiratory failure in ICU and on the ward. 43. Causes of paralysis and respiratory failure in the ICU. 44. The clinical evaluation of neuromuscular disorders. 45. Laboratory evaluation of neuromuscular disorders. Section B: Segmental weakness and/or sensory loss. 46. Evaluation of segmental peripheral neurological disorders. Section C: Respiratory failure/diffuse weakness. 47. Amyotrophic lateral sclerosis/motor neuropathy. 48. Critical Illness neuromyopathy. 49. Brachial plexopathy. 50. Femoral neuropathy. 51. Sensory neuropathy/ganglionopathy. 52. Lumbar radiculopathy. 53. Guillain
Barre¿ Syndrome
demyelinating polyneuropathy. 54. Myasthenia gravis
neuromuscular junction. 55. Myositis
irritable myopathy. 56. Statin
induced myopathy
toxic myopathy/myalgia. Part 5: The Casebook of Clinical/Neurophysiology Consults. 57. Occipital blindness and seizures
why? 58. Unresponsiveness
coma, vegetative state, or locked
in state? 59. Unresponsiveness
organic or psychogenic? 60. Patient with a frontal brain tumor
psychiatric depression, paranoia, tumor growth, or status epilepticus? 61. Patient with idiopathic generalized epilepsy on valproate
Metabolic encephalopathy or status epilepticus? 62. Unresponsiveness
psychogenic, encephalopathy, or limbic encephalitis? 63. Respiratory weakness
toxic or metabolic? 64. Failure to wean from a ventilator/internal ophthalmoplegia
bulbar dysfunction, neuromuscular junction problem, or polyneuropathy? 65. Progressive sensory loss and painful gait
radiculopathy, toxic or infectious neuropathy, or myopathy? 66. Slowly progressive leg and arm weakness
radiculopathy, plexopathy, ALS, or CIDP/AMN? 67. Progressive thigh pain and leg weakness
radiculopathy, vasculitis, neuropathy, or amyotrophy? Index.
beta. 2. Diffuse slow activity
theta. 3. Diffuse slow activity
delta. 4. Frontal intermittent rhythmic delta activity. 5. Occipital intermittent rhythmic delta activity. 6. Triphasic waves. 7. Low
voltage fast record without dominant alpha frequencies. 8. Alpha coma. 9. Spindle coma. 10. Low
voltage suppressed pattern. 11. Burst/suppression. 12. Diffuse slowing
toxic encephalopathy
baclofen. 13. Diffuse slowing
metabolic encephalopathy
lithium. 14. Diffuse slowing
metabolic encephalopathy
hypoglycemia. 15. Diffuse slowing
limbic encephalopathy. 16. Focal arrhythmic (polymorphic) delta activity. Section B: Periodic patterns of epileptiform discharges, or seizures. 17. Pseudoperiodic lateralized epileptiform discharges. 18. Bilateral independent pseudoperiodic epileptiform discharges. 19. Generalized periodic epileptiform discharges. Part 2: Seizures. Section A: The Diagnosis of confusional events due to seizures. 20. Frontal lobe simple and complex partial seizures. 21. Temporal lobe simple and complex partial seizures. 22. Parietal lobe simple partial seizures. 23. Occipital lobe simple partial seizures. Section B: Status epilepticus. 24. Complex partial status epilepticus
frontal. 25. Complex partial status epilepticus
temporal. 26. Simple partial status epilepticus
parietal. 27. Simple partial status epilepticu
occipital. 28. Generalized nonconvulsive status epilepticus. Part 3: Conditions of Prolonged Unresponsiveness. Section A: Locked
in syndrome, minimally conscious state, vegetative state, and coma: disorders of consciousness and responsiveness. 29. Clinical definitions of impaired responsiveness. Section B: Prolonged unresponsive states. 30. Locked
in syndrome
brainstem hemorrhage. 31. Vegetative state
postanoxia. 32. Minimally conscious state
after large, multifocal strokes. 33. Catatonia
psychogenic unresponsiveness/conversion disorder. 34. Somatosensory evoked potential Prognosis in anoxic coma. 35. Somatosensory evoked potential Prognosis in head trauma. Section C: Evoked Potentials in Consultative Neurology. 36. Somatosensory evoked potentials in midbrain lesion
absent cortical responses. 37. Somatosensory evoked potentials in diffuse cortical anoxic injury
absent cortical and subcortical responses. 38. Somatosensory evoked potentials in prolonged cardiac arrest
absence of all waves above the brachial plexus. 39. Somatosensory evoked potentials after prolonged cardiac arrest
absence of all responses except cervical N9. 40. Somatosensory evoked potentials
median and tibial after traumatic spinal cord injury. 41. Visual evoked potentials in worsening vision. 42. Brainstem auditory evoked potentials
in worsening hearing. Part 4: Peripheral Nervous System Disease. Section A: weakness and/or respiratory failure in ICU and on the ward. 43. Causes of paralysis and respiratory failure in the ICU. 44. The clinical evaluation of neuromuscular disorders. 45. Laboratory evaluation of neuromuscular disorders. Section B: Segmental weakness and/or sensory loss. 46. Evaluation of segmental peripheral neurological disorders. Section C: Respiratory failure/diffuse weakness. 47. Amyotrophic lateral sclerosis/motor neuropathy. 48. Critical Illness neuromyopathy. 49. Brachial plexopathy. 50. Femoral neuropathy. 51. Sensory neuropathy/ganglionopathy. 52. Lumbar radiculopathy. 53. Guillain
Barre¿ Syndrome
demyelinating polyneuropathy. 54. Myasthenia gravis
neuromuscular junction. 55. Myositis
irritable myopathy. 56. Statin
induced myopathy
toxic myopathy/myalgia. Part 5: The Casebook of Clinical/Neurophysiology Consults. 57. Occipital blindness and seizures
why? 58. Unresponsiveness
coma, vegetative state, or locked
in state? 59. Unresponsiveness
organic or psychogenic? 60. Patient with a frontal brain tumor
psychiatric depression, paranoia, tumor growth, or status epilepticus? 61. Patient with idiopathic generalized epilepsy on valproate
Metabolic encephalopathy or status epilepticus? 62. Unresponsiveness
psychogenic, encephalopathy, or limbic encephalitis? 63. Respiratory weakness
toxic or metabolic? 64. Failure to wean from a ventilator/internal ophthalmoplegia
bulbar dysfunction, neuromuscular junction problem, or polyneuropathy? 65. Progressive sensory loss and painful gait
radiculopathy, toxic or infectious neuropathy, or myopathy? 66. Slowly progressive leg and arm weakness
radiculopathy, plexopathy, ALS, or CIDP/AMN? 67. Progressive thigh pain and leg weakness
radiculopathy, vasculitis, neuropathy, or amyotrophy? Index.