Decision-Making in Adult Neurology

Description:

Written by neurologists for neurologists, Decision-Making in Adult Neurology provides practical guidance when encountering patients whose clinical presentation is unfamiliar or complex, or whose treatment path is not completely certain. This useful handbook is filled with diagnostic and treatment algorithms that encourage you to think systematically and follow a logical sequence through the steps necessary for efficient and effective decision-making.

Outlines the key decision points in patient management, providing a wealth of systematic information that ensures you take into account the proper physical signs and test results that will guide your recommendations. 

Contains 119 algorithms covering symptoms and signs, specific neurologic conditions, vascular disorders, seizures, head trauma, neoplastic disease, peripheral nervous disorders, and muscle disease. 

Accompanies each algorithm with brief text that explains the significance of important decision points. 

Provides step-by-step decision-making guidelines for testing and management of paraneoplastic diseases, choice of initial MS therapy, evaluation of incidentally discovered MRI white matter lesions, management of asymptomatic carotid stenosis, and much more.

Table of Contents:

Part I: Symptoms and Signs

1: Initial Headache

2: Chronic Headache

3: Neck Pain

4: Low Back Pain

5: Aphasia

6: Chronic Cognitive Decline

7: Acute Memory Loss

8: Chronic Memory Loss

9: Rapidly Progressive Dementia

10: Delirium

11: Coma

12: Transient Visual Loss

13: Visual Field Loss

14: Visual Hallucinations

15: Ptosis

16: Pupillary Asymmetry (Anisocoria)

17: Diplopia

18: Nystagmus

19: Facial Weakness

20: Acute Vertigo

21: Recurrent Episodic Dizziness

22: Hearing Loss

23: Pulsatile Tinnitus

24: Dysarthria

25: Proximal Weakness

26: Wrist Drop

27: Unilateral Hand Weakness

28: Unilateral Hand Numbness

29: Knee Extension Weakness

30: Unilateral Foot Drop

31: Fasciculations

32: Sensory Disturbance: Pain and Temperature

33: Sensory Disturbance: Vibration and Proprioception

34: Hyperreflexia and Hyporeflexia

Hyporeflexia

Hyperreflexia

35: Multiple Cranial Neuropathies

36: Ataxia

37: Difficulty Walking

38: Bladder Dysfunction

39: Transient Loss of Consciousness

Part II: Specific Neurologic Conditions

Section 1: Cerebrovascular Disease

40: Transient Ischemic Attack

41: Acute Ischemic Stroke

42: Malignant Middle Cerebral Artery Infarction

43: Large Cerebellar Infarction

44: Prevention of Recurrent Ischemic Stroke

45: Ischemic Stroke in the Young

46: Patent Foramen Ovale and Ischemic Stroke

47: Spinal Cord Infarction

48: Asymptomatic Carotid Stenosis

49: Preoperative Neurovascular (Carotid) Clearance

50: Acute Spontaneous Intracerebral Hemorrhage

51: Intracerebral Hemorrhage in the Young

52: Intracerebral Hemorrhage Due to Anticoagulant Therapy

53: Restarting Antithrombotic Therapy After Intracerebral Hemorrhage

54: Subarachnoid Hemorrhage

55: Unruptured Intracranial Aneurysm

56: Vascular Malformations

57: Cerebral Venous Sinus Thrombosis

Section 2: Neurocritical Care and Neurotrauma

58: Brain Death

59: Management of Increased Intracranial Pressure

60: Management of Neuromuscular Respiratory Failure

61: Paroxysmal Sympathetic Hyperactivity

62: Traumatic Brain Injury

63: Concussion

64: Postconcussive Syndrome

Section 3: Headache and Facial Pain

65: Migraine Headache: Acute Treatment

66: Migraine Headache: Prophylactic Treatment

67: Trigeminal Autonomic Cephalalgias: Treatment

68: Trigeminal Neuralgia

69: Intracranial Hypotension

Section 4: Seizure Disorders

70: Evaluation of Adult With First Seizure

71: Initial Treatment of Epilepsy

72: Drug-Resistant Epilepsy

73: Antiepileptic Drug Selection

74: Status Epilepticus

75: Management of Comorbidities in Patients With Epilepsy

76: EEG Interpretation

Section 5: Sleep

77: Hypersomnia

78: Insomnia

79: Restless Legs Syndrome

80: Parasomnias

Section 6: Movement Disorders

81: Abnormal Involuntary Movements

82: Chorea

83: Tremor

84: Treatment of Essential Tremor

85: Treatment of Parkinson's Disease

86: Treatment of Dystonia

87: Treatment of Tics

Section 7: Neuromuscular Disorders

88: Electromyography and Nerve Conduction Studies

89: Distal Symmetric Polyneuropathy

90: Demyelinating Neuropathies

91: Paraprotein-Associated Neuropathies

92: Mononeuropathy Multiplex

93: Carpal Tunnel Syndrome

94: Brachial Plexus Syndromes

95: Lumbosacral Plexus Syndromes

96: Motor Neuron Disease

97: Myasthenia Gravis: Diagnosis

98: Myasthenia Gravis: Treatment

99: Myopathy

Acute or Subacute Myopathy

Chronic Myopathy

100: Myotonia

101: Rhabdomyolysis

Section 8: Neuro-oncologic Disorders

102: Glioma

103: Meningioma

104: Paraneoplastic Syndromes

Section 9: Neuro-infectious Disease

105: Encephalitis

106: Acute Meningitis

107: Subacute and Chronic Meningitis

108: Tuberculosis Affecting the Nervous System

109: Neurosyphilis

110: Lyme Disease Involving the Nervous System (Neuroborreliosis)

Section 10: Neuroimmunology

111: Optic Neuritis

112: Treatment of Multiple Sclerosis

113: Transverse Myelitis

114: Neurosarcoidosis

115: Autoimmune Encephalitis

Section 11: Radiology

116: White Matter Lesions on Magnetic Resonance Imaging

117: Ring-Enhancing Lesions on Magnetic Resonance Imaging

118: Sellar Lesions on Magnetic Resonance Imaging

119: Cerebellopontine Angle Mass Lesions on Magnetic Resonance Imaging

Appendix 1: Additional Tables

Appendix 2

Clinical Institute Withdrawal Assessment for Alcohol Scale (CIWA-Ar Protocol)

NIH Stroke Scale

Index