By Maurice Victor, Allan H. Ropper
You recognize it because the masterwork in its field...and now, you could personal the most recent, most recent model of this vintage textual content: Adams and Victor's ideas OF NEUROLOGY, seventh version. This amazing quantity now comprises the most recent findings within the transforming into parts of neurology at the same time it keeps its authority, finished scope, and renowned, easy-use layout.
methods neurologic illness simply as you'll method the sufferer!
Adams and Victor's ideas OF NEUROLOGY, seventh version, starts with a close exposition of the indicators and indicators of disordered anxious functionality, simply as you are going to start with signs as provided by way of a sufferer. The textual content logically proceeds to syndromes after which to an outline of the entire major different types and kinds of sickness that categorical themselves by means of every one syndrome.
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Extra info for Adams & Victor's Principles Of Neurology
The lesion in such cases may in some patients be localized by the presence of a third-nerve palsy (Weber syndrome) or other segmental abnormality on the same side as the lesion. With low pontine lesions, an ipsilateral abducens or facial palsy is combined with a contralateral weakness or paralysis of the arm and leg (Millard-Gubler syndrome). Lesions in the medulla affect the tongue and sometimes the pharynx and larynx on one side and the arm and leg on the other. These “crossed paralyses,” so characteristic of brainstem lesions, are described further in Chap.
This group comprises myasthenia gravis; myotonia congenita (Thomsen disease); familial periodic paralysis; disorders of potassium, sodium, calcium, and magnesium metabolism; tetany; tetanus; poisoning by Clostridium botulinum; black widow spider bite; and the thyroid and other endocrine myopathies. In these diseases, each with a fairly distinctive clinical picture, the abnormality is essentially biochemical, and their investigation requires special biochemical and histochemical tests and electron microscopic study.
In hysteria, the heel of the supposedly paralyzed leg will press down on the examiner's hand. To carry out Babinski's trunk-thigh test, the examiner asks the recumbent patient to sit up while keeping his arms crossed in front of his chest. In the patient with organic hemiplegia, there is an involuntary flexion of the paretic lower limb; in paraplegia, both limbs are flexed as the trunk is flexed; in hysterical hemiplegia, only the normal leg may be flexed; and in hysterical paraplegia, neither leg is flexed.