This classic book provides a straightforward approach to the diagnosis and management of the dizzy patient. The purpose of this thoroughly revised and updated edition is to provide a framework for understanding the pathophysiology of diseases involving the vestibular system. The revision includes a systematic evaluation of the dizzy patient, diagnosis and management of common neurotological disorders, and a new section on symptomatic management of vertigo.
Vertigo: Five Physician Scientists and the Quest for a Cure follows this centuries long trek. The book follows the key discoveries made by Prosper Meniere (1799-1862) who first recognized that vertigo could originate from the inner ear, Josef Breuer (1842-1925) who conducted groundbreaking research on the inner ear during his evenings at home after he spent his days working in a busy private medical practice, Robert Barany (1876-1936) who received the Nobel Prize for his early work on the inner ear, Charles Hallpike (1900-1979) who showed that BPPV originates from the inner ear, and Harold Schuknecht (1917-1996) who provided key observations on the mechanism of BPPV.
Drs. Gregory Whitman, an otoneurologist, and Robert Baloh, a neurologist, have written a remarkably readable and compassionate book for anyone who has dizziness, whether acutely, episodically, or chronically. Their book describes the conditions that cause dizziness and explains what people with dizziness can do to feel better. For older people especially, addressing dizziness means a better chance of avoiding a fall and retaining independence. The authors begin by explaining why it's important to overcome dizziness and describing how dizziness is diagnosed and treated. They then describe two conditions--benign paroxysmal positional vertigo and orthostatic hypotension--which cause dizzy spells when a person changes position. Next are the causes of dizzy spells that happen in attacks and without any trigger, most prominently Meniere's disease and migraine-associated dizziness. The third part of the book is for people who have a single bout of dizziness that lasts for days and then gradually improves, generally brought on by either vestibular neuritis or stroke and transient ischemic attacks (TIAs). Finally, the authors explore the causes of constant dizziness that lasts for days, months, and even years. These are anxiety, Mal de debarquement Syndrome, dizziness due to loss of function in both ears, and small vessel ischemic disease. An Appendix offers advice about home exercises for dizziness, and a Glossary defines terms. This book stands to become the definitive consumer health book on this topic. With the aging of the population, dizziness will become a more common problem, so the book may also be of interest and use to primary care providers"--
Despite the rapid advances in medical science, the majority of people who visit a doctor have medically unexplained symptoms (MUS), symptoms that remain a mystery despite extensive diagnostic studies. The most common MUS are back pain, abdominal pain, headache, fatigue, and dizziness. This book addresses the obstacles of managing people with MUS in our modern day society from both a historical and contemporary perspective. Most MUS are psychosomatic in origin, caused by a complex interaction between nature and nurture, between biological and psychosocial factors. Psychosomatic symptoms are as real and as severe as the symptoms associated with structural damage to the brain. Unique and concise, the book explores the biological and psychosocial mechanisms, the clinical features, and current and future treatments of common MUS. Exploring the unsolved in an accessible manner, Medically Unexplained Symptoms invokes the methodologies of medical science, history, and sociology to investigate how brain flaws can lead to debilitating symptoms.
This book provides a framework for understanding the pathophysiology of diseases involving the vestibular system. The book is divided into four parts: I. Anatomy and physiology of the vestibular system; II. Evaluation of the dizzy patient; III. Diagnosis and management of common neurotologic disorders; and IV. Symptomatic treatment of vertigo. Part I reviews the anatomy and physiology of the vestibular system with emphasis on clinically relevant material. Part II outlines the important features in the patient's history, examination, and laboratory evaluation that determine the probable site of lesion. Part III covers the differential diagnostic points that help the clinician decide on the cause and treatment of the patient's problem. Part IV describes the commonly used antivertiginous and antiemetic drugs and the rationale for vestibular exercises. The recent breakthroughs in the vestibular sciences are reviewed. This book will helpful to all physicians who study and treat patients complaining of dizziness.
It is one of the most extraordinary cases in the history of science: the mating calls of insects were mistaken for a “sonic weapon” that led to a major diplomatic row. Since August 2017, the world media has been absorbed in the “attack” on diplomats from the American and Canadian Embassies in Cuba. While physicians treating victims have described it as a novel and perplexing condition that involves an array of complaints including brain damage, the authors present compelling evidence that mass psychogenic illness was the cause of “Havana Syndrome.” This mysterious condition that has baffled experts is explored across 11-chapters which offer insights by a prominent neurologist and an expert on psychogenic illness. A lively and enthralling read, the authors explore the history of similar scares from the 18th century belief that sounds from certain musical instruments were harmful to human health, to 19th century cases of “telephone shock,” and more contemporary panics involving people living near wind turbines that have been tied to a variety of health complaints. The authors provide dozens of examples of kindred episodes of mass hysteria throughout history, in addition to psychosomatic conditions and even the role of insects in triggering outbreaks. Havana Syndrome: Mass Psychogenic Illness and the Real Story Behind the Embassy Mystery and Hysteria is a scientific detective story and a case study in the social construction of mass psychogenic illness.
This book focuses on the benefits of exercise for prevention and treatment of chronic brain disorders. It is a guide for finding the right exercise routine for each individual. The goal is to show the reader why everyone needs to exercise, especially as we get older. The brain needs physical exercise both for normal health and for preventing and treating diseases common with aging. How much exercise is needed? As we see throughout the book there is no one fits all rule with regard to the amount of exercise required. The key is to make exercise a part of one’s daily routine. The beneficial effect of exercise is transient, lasting days to weeks, so it must be a lifelong pursuit. Can we exercise too much? Anything done in excess can potentially be dangerous but with the common sense approach outlined in this book anyone, regardless of underlying health condition, can find some type of exercise that is safe and effective.
This highly engaging title offers a concise, state-of-the-art overview of the management of sciatica and chronic pain. Written by a well-known neurologist, the book explores the multifaceted approach to the management of sciatica and chronic pain from many viewpoints, including the pharmacologic and surgical, as well as less orthodox methods. In discussing the many different aspects of pain – including neural networks, neural transmitters and genetic viewpoints – the book also provides a thorough review of how various factors interact to make us perceive pain. Importantly, the neuroscience and medical jargon that goes with the field is minimized by the author by defining terms as they are introduced and providing a glossary with definitions of key terms. Contributing to the unique nature of this highly instructive book, three patients with sciatica and chronic pain are followed serially throughout the text to illustrate important concepts that are discussed. A wide range of charts, figures and tables help clarify new concepts as well. Practical and illustrative, Sciatica and Chronic Pain: Past, Present and Future will be of great interest to a wide audience, including medical trainees and practicing physicians at all stages of their careers. Patients may find the book of significant value as well.
Paraneoplastic syndromes, defined in this book as "disorders caused by cancer, but not a direct result of cancer invasion of the affected organ or tissue", once believed to be rare and esoteric neurologic disorders have assumed increasing importance as an explanation of neurologic and other symptoms in patients suffered from occult or controllable cancers. This book attempts a comprehensive review of paraneoplastic syndromes from considering both clinical and pathophysiologic aspects. The book is divided into 4 sections: The first is an overview, classifying the disorders, describing a clinical approach to the diagnosis and treatment of paraneoplastic syndromes in general and identifying their pathogenesis. The section discusses the clinical findings and treatment of individual paraneoplastic syndromes with chapters dedicated to each of the neurologic syndromes and a chapter discussing nonneurologic syndromes such as endocrine, cutaneous, and rheumatologic paraneoplastic disorders. The third section discusses autoantibodies that characterize individual paraneoplastic syndromes. The final section discusses the paraneoplastic syndromes associated with individual cancers.
This new edition of Evaluation and Treatment of Myopathies is written for the clinician who sees patients with muscle disease, or the patient with complaints of pain or weakness of muscle. Like the original, this new edition is divided in to 3 primary sections: Approach to the Patient with Muscle Disease, Specific Myopathies, and General Strategies of Clinical Management, each section providing practical guidance to eliciting key histories and demonstrate findings upon examination. This new edition also provides guidance on the next steps in diagnoses as well as the latest information on pathogenesis, diagnosis, and treatment, in an integrated manner, so as to give trainees, practicing clinicians and others who see neuromuscular disease perspective on how to evaluate and care for patients. New and revised tables, figures, and references are selected and organized to present information of clinical importance to provide the most up-to-date resource on the myopathies.
Migraine: Manifestations, Pathophysiology, and Management, Second Edition, is a much expanded, updated monograph that focuses in detail on migraine's diverse variations, its pathophysiology, and its treatment. Authored by a clinician/scientist who himself suffers from migraine, the book's premise is that the clinical significance of migraine and its treatment are intelligible only if the physician understands the anatomical, physiological, and pharmacological factors underlying both head pain and the other manifestations of migraine. The book provides clear clinical descriptions of the myriad of specific migraine syndromes, and discusses the rationale for, and elements of, a sensitive, inclusive patient history. Also covered are important but sometimes ignored topics such as environmental triggering of migraine and myofascial syndromes. The Second Edition also bridges the gap between basic science and clinical practice by explaining those substantive advances made in understanding fundamental mechanisms of head pain and aura. Recent knowledge about genetics, hormonal changes, cerebral circulation, nitric oxide, peptides, central sensitization of trigeminal neurons, and the role of periaqueductal gray matter buttress the discussion of basic mechanisms. On the treatment side, the Second Edition reflects the impressive advances in pharmacological approaches to migraine. There is a greatly expanded section on the triptans and their mechanisms of action, and rationales and practical information about the use of all other viable anti-migraine and prophylactic drugs. Psychobiological aspects of stress and stress management, elimination of environmental stimuli, the educational facets of management, and aspects of the patient/physician interaction so crucial in the treatment of migraine are all discussed. Special problems associated with the care of women, children, the elderly, patients with intractable headaches, and emergency department patients are thoroughly reviewed. In sum, this scholarly, well-referenced book offers in one volume a comprehensive scientific and clinical discussion of migraine headache.
Comprehensive, easy to read, and clinically relevant, Bradley’s Neurology in Clinical Practice provides the most up-to-date information presented by a veritable "Who's Who" of clinical neuroscience. Its unique organization allows users to access content both by presenting symptom/sign and by specific disease entities—mirroring the way neurologists practice. A practical, straightforward style; templated organization; evidence-based references; and robust interactive content combine to make this an ideal, dynamic resource for both practicing neurologists and trainees. Authoritative, up-to-date guidance from Drs. Daroff, Jankovic, Mazziotta, and Pomeroy along with more than 150 expert contributors equips you to effectively diagnose and manage the full range of neurological disorders. Easy searches through an intuitive organization by both symptom and grouping of diseases mirrors the way you practice. The latest advances in clinical neurogenetics, brain perfusion techniques for cerebrovascular disease, the relationship between neurotrauma and neurodegenerative disease, management strategies for levodopa-related complications in movement disorders, progressive neuropsychiatric disorders arising from autoimmune encephalitis, and more keep you at the forefront of your field. Reorganized table of contents which includes new chapters on: Brain Death, Vegetative, and Minimally Conscious States; Deep Brain Stimulation; Sexual Dysfunction in Degenerative and Spinal Cord Disorders; Sports and Performance Concussion; Effects of Drug Abuse on the Nervous System; and Mechanisms of Neurodegenerative Disorders. Regular online updates reflect the latest information on the diagnosis and treatment of neurologic diseases based on the latest recommendations and methodologies. Expert Consult eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, references, and videos from the book on a variety of devices.
Covers symptoms and signs of disordered nervous function, their analysis in terms of anatomy and physiology, and their clinical implications. Also included are accounts of occurrences of the syndromes and descriptions of main categories and types of disease that express themselves by each syndrome.
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