Download Diagnostic Decisions in Neurology by Klaus Poeck PDF

By Klaus Poeck

Throughout the process background it has consistently been famous that any principles approximately mind functionality depended upon the top technological version of the day. for this reason, within the Greek or Roman period the ventricular procedure was once singled out as a result of devel­ opment of hydraulics. Early during this century we drew the analo­ gy among mobilephone circuits and the mind. Now it's renowned to signify neural functionality as that of a cosmopolitan com­ puter. certainly, in lots of methods it can be. yet, as but, the pre­ pared human mind will most likely be triumphant within the checking out of data important for a formal prognosis. during this handbook, POECK has supplied the floor paintings for such prepara­ Dr. tion. all of us recognize the smart diagnostician, and customarily ascribe the ability to nice instinct. now not so! it's the clinician who has noticeable many sufferers, and has compiled a menu of selections. Dr. POECK is this sort of clinician, and he has supplied us together with his menu of decisions. Use of those lists will most likely relief the coed or resident surgeon in coming to a formal analysis yet, extra importantly, can assist teach his or her brain to imagine in a logical and systematic method. ROBERT J. JOYNT, M.D., Ph.D.

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Pyramidal tract and basal ganglia. 11 Sydenham's Chorea Chorea Gravidarum Huntington's Disease Hypersensitivity to Dopaminergic Drugs Hypersensitivity to Neuroleptic Drugs Tardive Dyskinesia Following Years of Neuroleptic Treatment Arteriosclerotic Chorea Other Medical Conditions (Polycythemia, Paraproteinemia, Cerebral Vasculitis) Hepatolenticular Degeneration (Wilson's Disease) Perinatal Brain Damage Psychogenic Chorea Hyperkinesia of the choreic type is not easily differentiated from psychogenic hyperkinesia, because the involuntary movements are more coordinated than tremor or myoclonus.

The challenge to the diagnostician is to single out treatable conditions that can be either cured or at least slowed down in their course of progression. The table shows that there is more to dementia than just degenerative or atherosclerotic disease of the brain. The important discussion as to whether the global concept of dementia is still adequate is beyond the scope of this book. Any disease process listed in the table is multifocal rather than diffuse in the trivial sense of the term. Consequently, it appears that the assumption of a unitary "chronic brain syndrome" is unrealistic, in that it ignores the results of many decades of neuropsychological research into the differential organization of cognitive functions in the brain.

The reason is involuntary retraction of the tongue, a symptom of orofacial hyperkinesia. - Gordon's knee phenomenon. After eliciting the patellar jerk from the child sitting on a chair or on the bedside, the leg does not fall down in a phasic movement, but rather the contraction of the quadriceps femoris muscle is released slowly, in a tonic way. For examination, it is useful if the patient lies barefoot in a supine position. Frequently, one will discover slight choreic movements of 42 the toes which are not normally seen in psychogenic hyperkinesia, because they have no expressive function.

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