By Frank W. Drislane MD, Dr. Juan Acosta, Louis Caplan MD, Dr. Bernard Chang MD MMSc, Andrew Tarulli
Blueprints Neurology presents scholars with an entire evaluate of the main subject matters and concepts—perfect for clerkship rotations and the USMLE. This variation has been thoroughly updated—including new diagnostic and therapy details throughout—while keeping its succinct, prepared, and concise type. a hundred board-format questions and solutions with entire right and wrong solution causes look on the finish of the book.
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Extra resources for Blueprints Neurology
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. • Pupillary size and reflexes • Periocular signs or proptosis KEY POINTS • The PPRF acts as the horizontal gaze center, activating the abducens nucleus in response to supranuclear gaze commands. • The abducens nucleus contains motor neurons and internuclear neurons that travel with the MLF to the contralateral oculomotor nuclei in the midbrain.
Most of the intracranial circulation, however, is inaccessible to TCD. Although somewhat less accurate than MRA or conventional angiography, Doppler studies are noninvasive and virtually without contraindication. KEY POINTS • Conventional angiography is the gold standard for evaluating cerebrovascular anatomy. Figure 2-3 • Conventional cerebral angiogram demonstrating aneurysm of the right middle cerebral artery (arrow). (Reproduced with permission from Patel PR. Lecture Notes: Radiology, 2nd ed.
Diagnostic Evaluation The evaluation of acquired visual loss (Box 4-1) begins with determining whether the problem is at the level of the eye, optic nerve, chiasm, optic tract, lateral geniculate nuclei (LGN), optic radiation, or occipital cortex. Once the site of dysfunction is determined, the workup is targeted to the specific cause. The diagnostic evaluation includes assessment of visual acuity and color vision, test for afferent pupillary defects, testing of visual fields, and ophthalmoscopic evaluation.