By Bernard S. Chang, Andrew Tarulli, Louis R. Caplan, Frank W. Drislane, Michael Benatar, Juan A. Acosta
Blueprints Neurology offers scholars with an entire evaluate of the main themes and concepts—perfect for clerkship rotations and the USMLE. This version has been thoroughly updated—including new diagnostic and therapy info throughout—while retaining its succinct, prepared, and concise type. a hundred board-format questions and solutions with whole right and improper resolution motives look on the finish of the book.
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Additional info for Blueprints Neurology (3rd Edition)
Hypertropia increases when the patient looks to the opposite side. 3. Hypertropia increases when the patient tilts the head to the same side. • Oculocephalic maneuver (doll’s-eye test): Useful in unconscious patients to evaluate the integrity of the vestibular and oculomotor apparatus. It is done by rapid horizontal and vertical movement of the head. The vestibulo-ocular reflex rotates the eyes in the direction opposite to head movement. , fingertips). In general, disorders of eye movement will produce slowness of saccades in the direction of the paretic muscle.
Noxious stimulation to each limb, as described previously, may be useful in looking for gross sensory abnormalities. Coordination and gait may be tested in patients who are arousable enough. In theory, there are two main ways in which consciousness can be depressed: the brainstem can be dysfunctional or both cerebral hemispheres can be dysfunctional simultaneously. , hypoglycemia). Unilateral cerebral hemispheric lesions, however, can also lead to coma if they are large or severe enough to cause swelling and compression of the opposite hemisphere or downward pressure on the brainstem.
KEY POINTS • Horner’s syndrome (HS) is characterized by ipsilateral miosis, ptosis, and facial anhidrosis. • A complete third nerve palsy presents with mydriasis, ptosis, and ophthalmoplegia. • An Adie’s pupil is dilated, with segmental contraction and light-near dissociation. • Argyll Robertson pupils are small and poorly reactive to light but have preserved near response; they are typically associated with syphilis. • Light-near dissociation (LND): Normally the pupillary constriction to light is greater than to a near stimulus.