By Allan H. Ropper, Robert H. Brown

A new tackle the vintage, definitive textual content at the complete spectrum of neurology. Reflecting a latest method of neurology, Adams and Victor�s rules of Neurology, 8/e new layout highlights a extra entire and available techniques to remedy and scientific administration ideas. This completely revised variation good points extra insurance of therapy and neuroimaging, renown symptoms sections built-in all through, and over 800 illustrations.

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Extra resources for Adams and Victor's Principles of Neurology (8th Edition)

Example text

34. ELECTROENCEPHALOGRAPHY The electroencephalographic examination, for many years a standard laboratory procedure in the study of all forms of cerebral disease, has to a large extent been supplanted by CT and MRI. Nevertheless, it continues to be an essential part of the study of patients with seizures and those suspected of having seizures. It is also used in evaluating the cerebral effects of many systemic metabolic diseases, in the study of sleep, and in the operating room to monitor cerebral activity in anesthetized patients.

Complementary perfusion-weighted imaging (PWI) may be utilized to detect areas that are lacking in blood flow; in parallel with DWI, it can delineate regions of ischemia that are not yet irrevocably infarcted and therefore subject to the restoration of blood flow by various techniques (Chap. 34). The technique of MR spectroscopy, actually a derivative of CHAPTER 2 SPECIAL TECHNIQUES FOR NEUROLOGIC DIAGNOSIS 21 E Figure 2-2 (Continued). E. T1-weighted (SE 600/20) axial image of the lumbar spine at the L3-4 level.

Many other diseases of the optic nerves— including toxic and nutritional amblyopias, ischemic optic neuropathy, and the Leber type of hereditary optic neuropathy— show abnormalities of the PSVER. Glaucoma and other diseases involving structures anterior to the retinal ganglion cells may also produce increased latencies. Impaired visual acuity has little effect on the latency but does correlate well with the amplitude of the PSVER (a property that is exploited in computerized testing for visual acuity).

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