Written by neurologists for neurologists, Decision-Making in Adult Neurology provides practical guidance when encountering patients whose clinical presentation is unfamiliar or complex, or whose treatment path is not completely certain. This useful handbook is filled with diagnostic and treatment algorithms that encourage you to think systematically and follow a logical sequence through the steps necessary for efficient and effective decision-making.
Outlines the key decision points in patient management, providing a wealth of systematic information that ensures you take into account the proper physical signs and test results that will guide your recommendations.
Contains 119 algorithms covering symptoms and signs, specific neurologic conditions, vascular disorders, seizures, head trauma, neoplastic disease, peripheral nervous disorders, and muscle disease.
Accompanies each algorithm with brief text that explains the significance of important decision points.
Provides step-by-step decision-making guidelines for testing and management of paraneoplastic diseases, choice of initial MS therapy, evaluation of incidentally discovered MRI white matter lesions, management of asymptomatic carotid stenosis, and much more.
1. Introduction - p. iii 2. List of Illustrations - p. iii 3. List of Tables - p. iii 4. Part I: Symptoms and Signs - p. iii 5. Chapter 1: Initial Headache - p. iii 6. Chapter 2: Chronic Headache - p. iii 7. Chapter 3: Neck Pain - p. iii 8. Chapter 4: Low Back Pain - p. iii 9. Chapter 5: Aphasia - p. iii 10. Chapter 6: Chronic Cognitive Decline - p. iii 11. Chapter 7: Acute Memory Loss - p. iii 12. Chapter 8: Chronic Memory Loss - p. iii 13. Chapter 9: Rapidly Progressive Dementia - p. iii 14. Chapter 10: Delirium - p. iii 15. Chapter 11: Coma - p. iii 16. Chapter 12: Transient Visual Loss - p. iii 17. Chapter 13: Visual Field Loss - p. iii 18. Chapter 14: Visual Hallucinations - p. iii 19. Chapter 15: Ptosis - p. iii 20. Chapter 16: Pupillary Asymmetry (Anisocoria) - p. iii 21. Chapter 17: Diplopia - p. iii 22. Chapter 18: Nystagmus - p. iii 23. Chapter 19: Facial Weakness - p. iii 24. Chapter 20: Acute Vertigo - p. iii 25. Chapter 21: Recurrent Episodic Dizziness - p. iii 26. Chapter 22: Hearing Loss - p. iii 27. Chapter 23: Pulsatile Tinnitus - p. iii 28. Chapter 24: Dysarthria - p. iii 29. Chapter 25: Proximal Weakness - p. iii 30. Chapter 26: Wrist Drop - p. iii 31. Chapter 27: Unilateral Hand Weakness - p. iii 32. Chapter 28: Unilateral Hand Numbness - p. iii 33. Chapter 29: Knee Extension Weakness - p. iii 34. Chapter 30: Unilateral Foot Drop - p. iii 35. Chapter 31: Fasciculations - p. iii 36. Chapter 32: Sensory Disturbance: Pain and Temperature - p. iii 37. Chapter 33: Sensory Disturbance: Vibration and Proprioception - p. iii 38. Chapter 34: Hyperreflexia and Hyporeflexia - p. iii 39. Chapter 35: Multiple Cranial Neuropathies - p. iii 40. Chapter 36: Ataxia - p. iii 41. Chapter 37: Difficulty Walking - p. iii 42. Chapter 38: Bladder Dysfunction - p. iii 43. Chapter 39: Transient Loss of Consciousness - p. iii 44. Part II: Specific Neurologic Conditions - p. iii 45. Section 1: Cerebrovascular Disease - p. iii 46. Chapter 40: Transient Ischemic Attack - p. iii 47. Chapter 41: Acute Ischemic Stroke - p. iii 48. Chapter 42: Malignant Middle Cerebral Artery Infarction - p. iii 49. Chapter 43: Large Cerebellar Infarction - p. iii 50. Chapter 44: Prevention of Recurrent Ischemic Stroke - p. iii 51. Chapter 45: Ischemic Stroke in the Young - p. iii 52. Chapter 46: Patent Foramen Ovale and Ischemic Stroke - p. iii 53. Chapter 47: Spinal Cord Infarction - p. iii 54. Chapter 48: Asymptomatic Carotid Stenosis - p. iii 55. Chapter 49: Preoperative Neurovascular (Carotid) Clearance - p. iii 56. Chapter 50: Acute Spontaneous Intracerebral Hemorrhage - p. iii 57. Chapter 51: Intracerebral Hemorrhage in the Young - p. iii 58. Chapter 52: Intracerebral Hemorrhage Due to Anticoagulant Therapy - p. iii 59. Chapter 53: Restarting Antithrombotic Therapy After Intracerebral Hemorrhage - p. iii 60. Chapter 54: Subarachnoid Hemorrhage - p. iii 61. Chapter 55: Unruptured Intracranial Aneurysm - p. iii 62. Chapter 56: Vascular Malformations - p. iii 63. Chapter 57: Cerebral Venous Sinus Thrombosis - p. iii 64. Section 2: Neurocritical Care and Neurotrauma - p. iii 65. Chapter 58: Brain Death - p. iii 66. Chapter 59: Management of Increased Intracranial Pressure - p. iii 67. Chapter 60: Management of Neuromuscular Respiratory Failure - p. iii 68. Chapter 61: Paroxysmal Sympathetic Hyperactivity - p. iii 69. Chapter 62: Traumatic Brain Injury - p. iii 70. Chapter 63: Concussion - p. iii 71. Chapter 64: Postconcussive Syndrome - p. iii 72. Section 3: Headache and Facial Pain - p. iii 73. Chapter 65: Migraine Headache: Acute Treatment - p. iii 74. Chapter 66: Migraine Headache: Prophylactic Treatment - p. iii 75. Chapter 67: Trigeminal Autonomic Cephalalgias: Treatment - p. iii 76. Chapter 68: Trigeminal Neuralgia - p. iii 77. Chapter 69: Intracranial Hypotension - p. iii 78. Section 4: Seizure Disorders - p. iii 79. Chapter 70: Evaluation of Adult With First Seizure - p. iii 80. Chapter 71: Initial Treatment of Epilepsy - p. iii 81. Chapter 72: Drug-Resistant Epilepsy - p. iii 82. Chapter 73: Antiepileptic Drug Selection - p. iii 83. Chapter 74: Status Epilepticus - p. iii 84. Chapter 75: Management of Comorbidities in Patients With Epilepsy - p. iii 85. Chapter 76: EEG Interpretation - p. iii 86. Section 5: Sleep - p. iii 87. Chapter 77: Hypersomnia - p. iii 88. Chapter 78: Insomnia - p. iii 89. Chapter 79: Restless Legs Syndrome - p. iii 90. Chapter 80: Parasomnias - p. iii 91. Section 6: Movement Disorders - p. iii 92. Chapter 81: Abnormal Involuntary Movements - p. iii 93. Chapter 82: Chorea - p. iii 94. Chapter 83: Tremor - p. iii 95. Chapter 84: Treatment of Essential Tremor - p. iii 96. Chapter 85: Treatment of Parkinson's Disease - p. iii 97. Chapter 86: Treatment of Dystonia - p. iii 98. Chapter 87: Treatment of Tics - p. iii 99. Section 7: Neuromuscular Disorders - p. iii 100. Chapter 88: Electromyography and Nerve Conduction Studies - p. iii 101. Chapter 89: Distal Symmetric Polyneuropathy - p. iii 102. Chapter 90: Demyelinating Neuropathies - p. iii 103. Chapter 91: Paraprotein-Associated Neuropathies - p. iii 104. Chapter 92: Mononeuropathy Multiplex - p. iii 105. Chapter 93: Carpal Tunnel Syndrome - p. iii 106. Chapter 94: Brachial Plexus Syndromes - p. iii 107. Chapter 95: Lumbosacral Plexus Syndromes - p. iii 108. Chapter 96: Motor Neuron Disease - p. iii 109. Chapter 97: Myasthenia Gravis: Diagnosis - p. iii 110. Chapter 98: Myasthenia Gravis: Treatment - p. iii 111. Chapter 99: Myopathy - p. iii 112. Chapter 100: Myotonia - p. iii 113. Chapter 101: Rhabdomyolysis - p. iii 114. Section 8: Neuro-oncologic Disorders - p. iii 115. Chapter 102: Glioma - p. iii 116. Chapter 103: Meningioma - p. iii 117. Chapter 104: Paraneoplastic Syndromes - p. iii 118. Section 9: Neuro-infectious Disease - p. iii 119. Chapter 105: Encephalitis - p. iii 120. Chapter 106: Acute Meningitis - p. iii 121. Chapter 107: Subacute and Chronic Meningitis - p. iii 122. Chapter 108: Tuberculosis Affecting the Nervous System - p. iii 123. Chapter 109: Neurosyphilis - p. iii 124. Chapter 110: Lyme Disease Involving the Nervous System (Neuroborreliosis) - p. iii 125. Section 10: Neuroimmunology - p. iii 126. Chapter 111: Optic Neuritis - p. iii 127. Chapter 112: Treatment of Multiple Sclerosis - p. iii 128. Chapter 113: Transverse Myelitis - p. iii 129. Chapter 114: Neurosarcoidosis - p. iii 130. Chapter 115: Autoimmune Encephalitis - p. iii 131. Section 11: Radiology - p. iii 132. Chapter 116: White Matter Lesions on Magnetic Resonance Imaging - p. iii 133. Chapter 117: Ring-Enhancing Lesions on Magnetic Resonance Imaging - p. iii 134. Chapter 118: Sellar Lesions on Magnetic Resonance Imaging - p. iii 135. Chapter 119: Cerebellopontine Angle Mass Lesions on Magnetic Resonance Imaging - p. iii 136. Additional Tables - p. iii 137. Appendix 2 - p. iii 138. Index - p. iii 139. Inside Back Cover - p. iii
Written by neurologists for neurologists, Decision-Making in Adult Neurology provides practical guidance when encountering patients whose clinical presentation is unfamiliar or complex, or whose treatment path is not completely certain. This useful handbook is filled with diagnostic and treatment algorithms that encourage you to think systematically and follow a logical sequence through the steps necessary for efficient and effective decision-making.
Outlines the key decision points in patient management, providing a wealth of systematic information that ensures you take into account the proper physical signs and test results that will guide your recommendations.
Contains 119 algorithms covering symptoms and signs, specific neurologic conditions, vascular disorders, seizures, head trauma, neoplastic disease, peripheral nervous disorders, and muscle disease.
Accompanies each algorithm with brief text that explains the significance of important decision points.
Provides step-by-step decision-making guidelines for testing and management of paraneoplastic diseases, choice of initial MS therapy, evaluation of incidentally discovered MRI white matter lesions, management of asymptomatic carotid stenosis, and much more.
1. Introduction - p. iii 2. List of Illustrations - p. iii 3. List of Tables - p. iii 4. Part I: Symptoms and Signs - p. iii 5. Chapter 1: Initial Headache - p. iii 6. Chapter 2: Chronic Headache - p. iii 7. Chapter 3: Neck Pain - p. iii 8. Chapter 4: Low Back Pain - p. iii 9. Chapter 5: Aphasia - p. iii 10. Chapter 6: Chronic Cognitive Decline - p. iii 11. Chapter 7: Acute Memory Loss - p. iii 12. Chapter 8: Chronic Memory Loss - p. iii 13. Chapter 9: Rapidly Progressive Dementia - p. iii 14. Chapter 10: Delirium - p. iii 15. Chapter 11: Coma - p. iii 16. Chapter 12: Transient Visual Loss - p. iii 17. Chapter 13: Visual Field Loss - p. iii 18. Chapter 14: Visual Hallucinations - p. iii 19. Chapter 15: Ptosis - p. iii 20. Chapter 16: Pupillary Asymmetry (Anisocoria) - p. iii 21. Chapter 17: Diplopia - p. iii 22. Chapter 18: Nystagmus - p. iii 23. Chapter 19: Facial Weakness - p. iii 24. Chapter 20: Acute Vertigo - p. iii 25. Chapter 21: Recurrent Episodic Dizziness - p. iii 26. Chapter 22: Hearing Loss - p. iii 27. Chapter 23: Pulsatile Tinnitus - p. iii 28. Chapter 24: Dysarthria - p. iii 29. Chapter 25: Proximal Weakness - p. iii 30. Chapter 26: Wrist Drop - p. iii 31. Chapter 27: Unilateral Hand Weakness - p. iii 32. Chapter 28: Unilateral Hand Numbness - p. iii 33. Chapter 29: Knee Extension Weakness - p. iii 34. Chapter 30: Unilateral Foot Drop - p. iii 35. Chapter 31: Fasciculations - p. iii 36. Chapter 32: Sensory Disturbance: Pain and Temperature - p. iii 37. Chapter 33: Sensory Disturbance: Vibration and Proprioception - p. iii 38. Chapter 34: Hyperreflexia and Hyporeflexia - p. iii 39. Chapter 35: Multiple Cranial Neuropathies - p. iii 40. Chapter 36: Ataxia - p. iii 41. Chapter 37: Difficulty Walking - p. iii 42. Chapter 38: Bladder Dysfunction - p. iii 43. Chapter 39: Transient Loss of Consciousness - p. iii 44. Part II: Specific Neurologic Conditions - p. iii 45. Section 1: Cerebrovascular Disease - p. iii 46. Chapter 40: Transient Ischemic Attack - p. iii 47. Chapter 41: Acute Ischemic Stroke - p. iii 48. Chapter 42: Malignant Middle Cerebral Artery Infarction - p. iii 49. Chapter 43: Large Cerebellar Infarction - p. iii 50. Chapter 44: Prevention of Recurrent Ischemic Stroke - p. iii 51. Chapter 45: Ischemic Stroke in the Young - p. iii 52. Chapter 46: Patent Foramen Ovale and Ischemic Stroke - p. iii 53. Chapter 47: Spinal Cord Infarction - p. iii 54. Chapter 48: Asymptomatic Carotid Stenosis - p. iii 55. Chapter 49: Preoperative Neurovascular (Carotid) Clearance - p. iii 56. Chapter 50: Acute Spontaneous Intracerebral Hemorrhage - p. iii 57. Chapter 51: Intracerebral Hemorrhage in the Young - p. iii 58. Chapter 52: Intracerebral Hemorrhage Due to Anticoagulant Therapy - p. iii 59. Chapter 53: Restarting Antithrombotic Therapy After Intracerebral Hemorrhage - p. iii 60. Chapter 54: Subarachnoid Hemorrhage - p. iii 61. Chapter 55: Unruptured Intracranial Aneurysm - p. iii 62. Chapter 56: Vascular Malformations - p. iii 63. Chapter 57: Cerebral Venous Sinus Thrombosis - p. iii 64. Section 2: Neurocritical Care and Neurotrauma - p. iii 65. Chapter 58: Brain Death - p. iii 66. Chapter 59: Management of Increased Intracranial Pressure - p. iii 67. Chapter 60: Management of Neuromuscular Respiratory Failure - p. iii 68. Chapter 61: Paroxysmal Sympathetic Hyperactivity - p. iii 69. Chapter 62: Traumatic Brain Injury - p. iii 70. Chapter 63: Concussion - p. iii 71. Chapter 64: Postconcussive Syndrome - p. iii 72. Section 3: Headache and Facial Pain - p. iii 73. Chapter 65: Migraine Headache: Acute Treatment - p. iii 74. Chapter 66: Migraine Headache: Prophylactic Treatment - p. iii 75. Chapter 67: Trigeminal Autonomic Cephalalgias: Treatment - p. iii 76. Chapter 68: Trigeminal Neuralgia - p. iii 77. Chapter 69: Intracranial Hypotension - p. iii 78. Section 4: Seizure Disorders - p. iii 79. Chapter 70: Evaluation of Adult With First Seizure - p. iii 80. Chapter 71: Initial Treatment of Epilepsy - p. iii 81. Chapter 72: Drug-Resistant Epilepsy - p. iii 82. Chapter 73: Antiepileptic Drug Selection - p. iii 83. Chapter 74: Status Epilepticus - p. iii 84. Chapter 75: Management of Comorbidities in Patients With Epilepsy - p. iii 85. Chapter 76: EEG Interpretation - p. iii 86. Section 5: Sleep - p. iii 87. Chapter 77: Hypersomnia - p. iii 88. Chapter 78: Insomnia - p. iii 89. Chapter 79: Restless Legs Syndrome - p. iii 90. Chapter 80: Parasomnias - p. iii 91. Section 6: Movement Disorders - p. iii 92. Chapter 81: Abnormal Involuntary Movements - p. iii 93. Chapter 82: Chorea - p. iii 94. Chapter 83: Tremor - p. iii 95. Chapter 84: Treatment of Essential Tremor - p. iii 96. Chapter 85: Treatment of Parkinson's Disease - p. iii 97. Chapter 86: Treatment of Dystonia - p. iii 98. Chapter 87: Treatment of Tics - p. iii 99. Section 7: Neuromuscular Disorders - p. iii 100. Chapter 88: Electromyography and Nerve Conduction Studies - p. iii 101. Chapter 89: Distal Symmetric Polyneuropathy - p. iii 102. Chapter 90: Demyelinating Neuropathies - p. iii 103. Chapter 91: Paraprotein-Associated Neuropathies - p. iii 104. Chapter 92: Mononeuropathy Multiplex - p. iii 105. Chapter 93: Carpal Tunnel Syndrome - p. iii 106. Chapter 94: Brachial Plexus Syndromes - p. iii 107. Chapter 95: Lumbosacral Plexus Syndromes - p. iii 108. Chapter 96: Motor Neuron Disease - p. iii 109. Chapter 97: Myasthenia Gravis: Diagnosis - p. iii 110. Chapter 98: Myasthenia Gravis: Treatment - p. iii 111. Chapter 99: Myopathy - p. iii 112. Chapter 100: Myotonia - p. iii 113. Chapter 101: Rhabdomyolysis - p. iii 114. Section 8: Neuro-oncologic Disorders - p. iii 115. Chapter 102: Glioma - p. iii 116. Chapter 103: Meningioma - p. iii 117. Chapter 104: Paraneoplastic Syndromes - p. iii 118. Section 9: Neuro-infectious Disease - p. iii 119. Chapter 105: Encephalitis - p. iii 120. Chapter 106: Acute Meningitis - p. iii 121. Chapter 107: Subacute and Chronic Meningitis - p. iii 122. Chapter 108: Tuberculosis Affecting the Nervous System - p. iii 123. Chapter 109: Neurosyphilis - p. iii 124. Chapter 110: Lyme Disease Involving the Nervous System (Neuroborreliosis) - p. iii 125. Section 10: Neuroimmunology - p. iii 126. Chapter 111: Optic Neuritis - p. iii 127. Chapter 112: Treatment of Multiple Sclerosis - p. iii 128. Chapter 113: Transverse Myelitis - p. iii 129. Chapter 114: Neurosarcoidosis - p. iii 130. Chapter 115: Autoimmune Encephalitis - p. iii 131. Section 11: Radiology - p. iii 132. Chapter 116: White Matter Lesions on Magnetic Resonance Imaging - p. iii 133. Chapter 117: Ring-Enhancing Lesions on Magnetic Resonance Imaging - p. iii 134. Chapter 118: Sellar Lesions on Magnetic Resonance Imaging - p. iii 135. Chapter 119: Cerebellopontine Angle Mass Lesions on Magnetic Resonance Imaging - p. iii 136. Additional Tables - p. iii 137. Appendix 2 - p. iii 138. Index - p. iii 139. Inside Back Cover - p. iii
