Office Practice of Neurology

CONTENTS

Symptoms and Signs to diagnosis

Weakness

A general approach to weakness

Generalized weakness and fatigability

Hemiplegia

Monoplegia

Quadriplegia and paraplegia

Cramps and stiffness

Movement disorders

Parkinsonism

Tremors

Dystonia

Chorea, athetosis, and ballism

Myoclonus

Incoordination

Tics

Gait Impairment

Characteristic gait disorders

Falls

Sensory loss and paresthesias

Eye symptoms and signs

Facial numbness and paresthesias

Facial weakness

Dizziness, vertigo, tinnitus, and hearing loss

Dysarthria and dysphagia

Complaints of smell and taste

Lower cranial nerve dysfunction

Transient events

Altered states of consciousness and awareness

Memory loss, cognitive deficits, language disorders, and personality change

Autonomic dysfunction

Respiratory dysfunction

Bowel and bladder dysfunction

Sexual dysfunction

Headache

Regional pain

Sleep-related complaints

Test findings to diagnosis

MRI and CT findings that commonly lead to consultation

Aneurysms and other vascular anomalies

White matter hyperintensities

Hydrocephalus and ventriculomegaly and increased and decreased ICP

Masses and other focal lesions

Anatomic anomalies: vascular anomalies; congenital malformations

Laboratory findings

Approaoch to Common Problems

Addressing stroke risk

Addressing possible multiple sclerosis

Addressing degenerative disease of the spine

Addressing peripheral neuropathies

Addressing Parkinson disease

Addressing dementia

Addressing epilepsy

Addressing brain tumors

Addressing headaches

Addressing concussion and TBI

Addressing neurological complications of pregnancy

Addressing questions of genetic risk

Treatment

Commonly used drugs

Immune modulating drugs

Anti-epileptic drugs

Drugs for parkinsonism

Drugs for myasthenia gravis

Drugs affecting thrombosis

Botulinum toxin

Management of headache and other painful conditions

Common drug toxicities

Intravenous immunoglobulins

Therapeutic plasma exchange

Surgical therapies

Rehabilitation