Psychiatry

A Dictionary of Neurological Signs by A.J. Larner

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By A.J. Larner

The first variations of A Dictionary of Neurological symptoms have been very well-received through readers and reviewers alike. Like these variations, this 3rd version, up to date and increased, should be virtually besides defined by way of what the publication isn't, besides information about what it truly is. The Dictionary isn't really a instruction manual for remedy of neurological issues. whereas many entries give you the most up-to-date cures, up to the moment treatments should not mentioned in bedside point element. The Dictionary isn't really a board evaluate booklet since it isn't really in Q&A structure yet may simply serve in that potential due to the fact that every one access is a reasonably entire photograph of a particular illness or affliction. The Dictionary is an alphabetical directory of ordinarily featuring neurological symptoms designed to steer the general practitioner towards the right kind medical analysis. The Dictionary is concentrated, problem-based, concise and functional. The dependent entries during this sensible, medical source offer a thumbnail of a variety of neurological indicators. every one access comprises: • A definition of the signal • a quick account of the medical procedure required to elicit the signal • an outline of the opposite symptoms which could accompany the index signal • an evidence of pathyophysiological and/or pharmacological history • Differential prognosis • short remedy information the place recognized, those entries additionally contain the neuroanatomical foundation of the signal. A Dictionary of Neurological indicators, 3rd variation, is an vital reference for all scholars, trainees, and clinicians who deal with sufferers with neurological disorders.

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The neuroanatomical substrate of the Argyll Robertson pupil is uncertain. A lesion in the tectum of the (rostral) midbrain proximal to the oculomotor nuclei has been suggested. In multiple sclerosis and sarcoidosis, magnetic resonance imaging has shown lesions in the periaqueductal grey matter at the level of the Edinger–Westphal nucleus, but these cases lacked miosis and may therefore be classified as pseudo-Argyll Robertson pupil. Some authorities think that a partial oculomotor (III) nerve palsy or a lesion of the ciliary ganglion is a more likely cause.

G. due to a subfrontal meningioma. g. Kallman’s syndrome, hypogonadotrophic hypogonadism, a disorder of neuronal migration) or, much more commonly, acquired. Rhinological disease (allergic rhinitis, coryza) is by far the most common cause; this may also account for the impaired sense of smell in smokers. Head trauma is the most common neurological cause, due to shearing off of the olfactory fibres as they pass through the cribriform plate. Recovery is possible in this situation due to the capacity for neuronal and axonal regeneration within the olfactory pathways.

Functional weakness and sensory disturbance. Journal of Neurology, Neurosurgery and Psychiatry 2002; 73: 241–245. Cross References Babinski’s trunk–thigh test; Functional weakness and sensory disturbance; Hoover’s sign - 42 - Astasia A ‘Around The Clock’ Paralysis - see SEQUENTIAL PARESIS Arthrogryposis - see CONTRACTURE Asemasia Asemasia is an inability to indicate by signs or spoken language. The term was invented in the nineteenth century (Hamilton) as an alternative to aphasia, since in many cases of the latter there is more than a loss of speech, including impaired pantomime (apraxia) and in symbolizing the relationships of things.

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