Case-Based Neurology PDF
Preview Case-Based Neurology
Case-Based Neurology SSiinngghh__PPTTRR__FFMM__2222--1111--1111__ii--xxxxvviiiiii..iinndddd ii 22//11//1144 11::1111 PPMM SSiinngghh__PPTTRR__FFMM__2222--1111--1111__ii--xxxxvviiiiii..iinndddd iiii 22//11//1144 11::1111 PPMM Case-Based Neurology Anuradha Singh, MD Neurology Attending Assistant Professor Department of Neurology New York University Langone Medical Center New York, New York NeNwew Y Yoorrkk SSiinngghh__PPTTRR__FFMM__2222--1111--1111__ii--xxxxvviiiiii..iinndddd iiiiii 22//11//1144 11::1111 PPMM Visit our website at www.demosmed.com ISBN: 978-1-9338-6425-9 E-book ISBN: 978-1-9352-8192-4 Acquisitions Editor: Beth Barry Compositor: Newgen Imaging © 2012 Demos Medical Publishing, LLC. All rights reserved. Th is book is protected by copyright. No part of it may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, recording, or other- wise, without the prior written permission of the publisher. Medicine is an ever-changing science. Research and clinical experience are continually expanding our knowledge, in particular our understanding of proper treatment and drug therapy. Th e authors, editors, and publisher have made every eff ort to ensure that all information in this book is in accordance with the state of knowledge at the time of production of the book. Nevertheless, the au- thors, editors, and publisher are not responsible for errors or omissions or for any consequences from application of the information in this book and make no warranty, express or implied, with respect to the contents of the publication. Every reader should examine carefully the package inserts accompanying each drug and should carefully check whether the dosage schedules mentioned therein or the contraindications stated by the manufacturer diff er from the statements made in this book. Such examination is particularly important with drugs that are either rarely used or have been newly released on the market. Library of Congress Cataloging-in-Publication Data Singh, Anuradha. Case-based neurology / Anuradha Singh. p. ; cm. Includes bibliographical references and index. ISBN 978-1-933864-25-9 (alk. paper) — ISBN 978-1-935281-92-4 (e-book) I. Title. [DNLM: 1. Nervous System Diseases—diagnosis—Case Reports. 2. Nervous System Diseases—therapy—Case Reports. WL 141] 616.8—dc23 2011040244 Special discounts on bulk quantities of Demos Medical Publishing books are available to corporations, professional associations, pharmaceutical companies, healthcare organizations, and other qualifying groups. For details, please contact: Special Sales Department Demos Medical Publishing 11 West 42nd Street, 15th Floor New York, NY 10036 Phone: 800-532-8663 or 212-683-0072 Fax: 212-941-7842 E-mail: [email protected] Printed in the United States of America by Hamilton Printing. 11 12 13 14 / 5 4 3 2 1 SSiinngghh__PPTTRR__FFMM__2222--1111--1111__ii--xxxxvviiiiii..iinndddd iivv 22//11//1144 11::1111 PPMM Contents Contributors ix Foreword by Edwin H. Kolodny, MD xiii Preface xv Acknowledgments xvii Abbreviations xix 1 Poorly Controlled Headaches Since 8 Years of Age 1 Sana S. Shah and Sara C. Crystal 2 Chronic Progressive Walking Diffi culties 11 Jerome J. Graber 3 New Onset Focal Seizure, Headache, and Personality Changes 17 Samuel A. Goldlust 4 Sudden Speech Problems 23 Kristin M. Waldron and Anuradha Singh 5 Progressive Leg Weakness for the Past 6 Years 31 Rikki Racela 6 Right-Sided Head, Neck Pain, and Left Leg Weakness 37 Brijesh Malkani, Niushen Zhang, and Sara C. Crystal 7 Headaches and Blurring of Vision 45 Shahzad Raza and Anuradha Singh 8 Progressive Leg Weakness 53 Yaniv Chen 9 History of Headaches and Seizures 59 Geneviève Legault and Anuradha Singh 10 Sudden Onset of Slurring of Speech 67 Addie Peretz and Anuradha Singh 11 Left -Sided Neck Pain and Ptosis 77 Ritvij Bowry, Anuradha Singh, and Daniel Sahlein 12 Weakness and Stiff ness of Both Hands 89 Mary Lynn Chu 13 New Onset First Unprovoked Seizure 97 Anuradha Singh, Phillip Paul Amodeo, and Christina Coyle 14 Rapidly Deteriorating Visual Problems, Confusion, and Cognitive Decline 103 Lara V. Marcuse and Martin J. Sadowski v SSiinngghh__PPTTRR__FFMM__2222--1111--1111__ii--xxxxvviiiiii..iinndddd vv 22//11//1144 11::1111 PPMM Contents 15 Progressive Arm and Hand Weakness 113 Winfred Poayi Wu, Benjamin Ge, Muznay Naveed Khawaja, and Anuradha Singh 16 Insidious Right Leg Weakness 123 Th omas J. Kaley and Lauren E. Abrey 17 Paralysis of Face 127 Rikki Racela, Varendra Gosein, and Anuradha Singh 18 Right Leg Pain 133 Anuradha Singh, John Engler, and Ramesh P. Babu 19 New Onset Memory Diffi culties and Episodes of Unresponsiveness 141 Rachel Brandstadter, Betty Mintz, and Lara V. Marcuse 20 Facial Pain 149 John Engler and Ramesh P. Babu 21 Involuntary Twitches and Vocalizations 155 Kristin M. Waldron 22 Altered Mental Status 159 Philippe Douyon 23 Sudden Onset Tremors 163 Marjorie E. Bunch 24 Subacute Onset of Tingling in the Hands and Feet 167 Jason L. Kiner 25 Right Arm and Leg Weakness 173 Jai S. Perumal 26 Severe Headache and Balance Problems 179 Jonathan H. Howard and Robert J. Bollo 27 Sudden Onset Confusion 185 Vincci Ngan 28 Frequent Falls 191 Yaniv Chen and Anuradha Singh 29 Medically Refractory Seizures 195 Maria Stefanidou, Anuradha Singh, and Sarah Milla 30 Left Arm Numbness and Slurred Speech 213 Jai S. Perumal 31 Dementia and Personality Changes 219 Sana S. Shah and Adrian T. Chan 32 Headache and Loss of Consciousness 225 Arielle Kurzweil, Addie Peretz, and Anuradha Singh 33 Headache and Blurring of Vision 235 Anuradha Singh, Arielle Kurzweil, and Mohammad Fouladvand vi SSiinngghh__PPTTRR__FFMM__2222--1111--1111__ii--xxxxvviiiiii..iinndddd vvii 22//11//1144 11::1111 PPMM Contents 34 Slurred Speech and Balance Problems 241 Shahzad Raza, Jerome J. Graber, and Anuradha Singh 35 Subacute Onset of Balance Problems 249 Anuradha Singh and Shahzad Raza 36 Acute Onset of Double Vision 257 David Schick 37 Right-Sided Headache 261 Mitchell Miglis and Jerome J. Graber 38 Transient Inversions of Visuospatial Field 265 Susan Shin, Rachael Oxman, Matt Morrison, Qingliang Wang, and Lara V. Marcuse 39 Slow Onset Memory Problems With Aggressive Behavior 271 Michael Boff a 40 Left Facial Skin Lesion and Episodes of Fear 281 Maya Katz and Lara V. Marcuse 41 Acute Left -Sided Weakness 291 Maria Philip, Vincci Ngan, and Anuradha Singh 42 Left -Sided Neck Pain Followed by Diffi culty Reading, Performing Motor Tasks, and Speaking 301 Jonathan H. Howard 43 Tremors and Walking Diffi culties 305 Deepti Anbarasan, Ashish Vyas, and Rebecca Wolf Gilbert 44 Loud Snoring at Night 325 Irina Ok and Alcibiades J. Rodriguez 45 Excessive Daytime Sleepiness and Recurrent Episodes of Sleep Paralysis 331 Alcibiades J. Rodriguez, Irina Ok, and Sonia Anand 46 History of Brain Tumors 337 Geneviève Legault, Arielle Kurzweil, and Anuradha Singh 47 Progressive Weakness and Numbness of the Arms and Legs 345 Kiril Kiprovski 48 Spasms in a Child 351 Kimberly Parker-Menzer, Chad Carlson, and Anuradha Singh 49 Periods of Confusion, Agitation, and Disorientation 357 Anuradha Singh and Minjee Kim 50 Left -Arm Weakness in a Patient with Lung Cancer 365 Jonathan H. Howard Index 371 vii SSiinngghh__PPTTRR__FFMM__2222--1111--1111__ii--xxxxvviiiiii..iinndddd vviiii 22//11//1144 11::1111 PPMM SSiinngghh__PPTTRR__FFMM__2222--1111--1111__ii--xxxxvviiiiii..iinndddd vviiiiii 22//11//1144 11::1111 PPMM Contributors Lauren E. Abrey, MD Rachel Brandstadter, BS Attending Physician Mount Sinai Hospital Department of Neurology New York, NY Memorial Sloan-Kettering Cancer Center New York, NY Marjorie E. Bunch, BS, MD Instructor Phillip Paul Amodeo, MD Department of Neurology Neurologist/Clinical Neurophysiologist Beth Israel Deaconess Medical Center Department of Neurology Boston, MA Shore Neurology, P.A. Tom’s River, NJ Chad Carlson, MD Assistant Professor Sonia Anand, MD Department of Neurology Neurology Resident New York University Langone Medical Center Department of Neurology New York, NY New York University Langone Medical Center New York, NY Adrian T. Chan, MD Neurology Attending, Movement Disorder Deepti Anbarasan, MD Department of Neurology Resident Physician WellSpan Neuroscience and Pain Center Department of Neurology and Psychiatry York, PA New York University School of Medicine New York, NY Yaniv Chen, MDCM Neurologist Ramesh P. Babu, MBBS, Mch(Neurosurgery), MD Department of Neurology Associate Clinical Professor New York University Langone Medical Center Neurosurgery Department New York, NY New York University Langone Medical Center New York, NY Mary Lynn Chu, MD Co-Director Michael Boff a, MD Department of Neurology Resident Physician Neuromuscular Disease Center Department of Neurology Rusk Institute of Rehabilitation Medicine and Rush University Medical Center Medical Director, Center for Children Chicago, IL Hospital for Joint Diseases New York University Langone Medical Center Robert J. Bollo, MD New York, NY Assistant Professor Department of Neurology Christina Coyle, MD, MS Baylor College of Medicine Director of Tropical Medicine Clinic Houston, TX Jacobi Medical Center Assistant Dean for Faculty Development Ritvij Bowry, MD Albert Einstein College of Medicine Neurology Resident Bronx, NY Department of Neurology New York University School of Medicine and Medical Center New York, NY ix SSiinngghh__PPTTRR__FFMM__2222--1111--1111__ii--xxxxvviiiiii..iinndddd iixx 22//11//1144 11::1111 PPMM
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