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 assessment of the most important subject matters and concepts—perfect for clerkship rotations and the USMLE. This version has been thoroughly updated—including new diagnostic and remedy details throughout—while protecting its succinct, prepared, and concise type. a hundred board-format questions and solutions with entire right and improper solution motives look on the finish of the book.
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Compared with conventional angiograpy, MRA is less invasive and can be performed more quickly and less expensively, but it is not as sensitive or specific for cerebrovascular disease. MRA is performed commonly on the intracranial circulation of stroke patients to look for evidence of vascular narrowing or occlusion. “Fat-suppressed” MRA of the neck is useful for determining the presence of vertebral or carotid artery dissections. Magnetic resonance venography (MRV) can be used to demonstrate venous sinus thrombosis and other venous disease.
Reproduced with permission from Kandel ER, Schwatz JH, Jessell TM. Principles of Neural Science, 4th ed. ) to each limb and the speed and strength of withdrawal noted, although abnormalities here may result from sensory loss as well as motor dysfunction. Decorticate and decerebrate posturing, signs of brainstem dysfunction, may be seen either spontaneously or in response to noxious stimuli (Fig. 3-2). Muscle stretch reflexes can be tested in the usual manner, and a Babinski sign should be sought.
3. Hypertropia increases when the patient tilts the head to the same side. • Oculocephalic maneuver (doll’s-eye test): Useful in unconscious patients to evaluate the integrity of the vestibular and oculomotor apparatus. 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.