Titlebook: Neurology; A Clinician’s Approa Andrew Tarulli Book 20162nd edition Springer International Publishing Switzerland 2016 Parkinsons.Dementia.

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Facial Weakness, Dysarthria, and Dysphagia,weakness may be secondary to disease of the central or peripheral nervous system. Key examination techniques in differentiating between central and peripheral facial weakness include testing for weakness of the upper and lower half of the face and examining taste perception on the anterior 1/3 of th

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Dizziness and Vertigo, most important to neurologists. The initial evaluation of vertigo is aimed at determining whether the dysfunction is in the central nervous system (i.e., the cerebellum, brainstem, and their connections) or peripheral vestibular system. The most reliable distinguishing feature is the presence of si

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Focal Limb Weakness,thy. Scapular winging is usually secondary to long thoracic or accessory neuropathy. Hand weakness is most commonly the result of ulnar neuropathy, C8–T1 radiculopathy, motor neuron disease, or cerebral processes. Wrist drop is a special kind of hand weakness. The two most common sources of wrist dr

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Rapidly Progressive Weakness,urements of negative inspiratory force and forced vital capacity help to determine which patients are in urgent need of intubation or closer respiratory monitoring. Once respiratory stability is ensured, identifying the initial pattern of weakness is the next step in establishing the diagnosis. Nerv

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Parkinsonism,ence of tremor, asymmetry, cognitive decline, cerebellar abnormalities, and autonomic dysfunction helps to define the cause. Parkinson disease (PD) is the most common of the parkinsonian syndrome, and is defined by asymmetric resting tremor, bradykinesia, and rigidity. Patients with PD respond to le

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Focal Pain Syndromes of the Extremities,en considered in patients with extremity pain, but mostly occur in restricted settings such as cancer, trauma, or as idiopathic inflammatory syndromes. Radiculopathies, compression neuropathies, and disorders of the bones, joints, ligaments, and tendons are more common causes of extremity pain. Mana