Practical Approach to the Neurological Patient
A Clinician's Guide
- 1st Edition - July 25, 2024
- Editor: William J. Mullally
- Language: English
- Paperback ISBN:9 7 8 - 0 - 4 4 3 - 1 2 6 4 2 - 0
- eBook ISBN:9 7 8 - 0 - 4 4 3 - 1 2 5 9 9 - 7
To the non-neurologist, neurology can be one of the most intimidating fields of medicine, yet it includes many common problems faced in everyday primary care practice. Written sp… Read more
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Request a sales quoteTo the non-neurologist, neurology can be one of the most intimidating fields of medicine, yet it includes many common problems faced in everyday primary care practice. Written specifically for the general clinician, Practical Approach to the Neurological Patient: A Clinician's Guide provides clear, up-to-date, and easy-to-understand guidance on commonly encountered issues, helping you take an informed approach to patients with neurological concerns. Dr. William J. Mullally and a team of expert contributing authors address headache, dizziness, stroke, pain, head trauma, and much more, making this volume an indispensable resource for primary care practitioners, internists, family practitioners, medical specialists, medical residents, nurse practitioners, physician associates, and students.
- Offers concise, comprehensive content designed to help guide the primary care provider or non-neurologist on how to manage patients with common neurological conditions.
- Covers timely topics such as women’s neurology, neurogenetics, pain neurology, sleep disorders, dementia, and headache (including facial pain).
- Includes Key Points in every chapter, MRI images that show brain lesions, figures and tables throughout, and clinical algorithms to support everyday decision making.
- Features multidisciplinary input from physician authors who are contributors to the American Journal of Medicine, as well as a nurse practitioner and physician associates.
- An eBook version is included with purchase. The eBook allows you to access all of the text, figures, and references, with the ability to search, customize your content, make notes and highlights, and have content read aloud. Additional digital ancillary content may publish up to 6 weeks following the publication date.
Primary care practitioners, internists, family practice, physician assistants, and nurse practitioners
- Cover image
- Title page
- Table of Contents
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- Copyright
- Dedication
- Contributors
- Foreword
- Preface
- 1. The Neurological Examination
- Abstract
- EXAMINATION
- MENTAL STATUS IN THE AWAKE AND ALERT PATIENT
- CONCLUSION
- Bibliography
- 2. Introduction to Neuroimaging
- ABSTRACT
- INTRODUCTION
- APPROPRIATENESS OF IMAGING
- IMAGING TECHNIQUES AND TERMINOLOGY
- CONTRAST CONSIDERATIONS
- IMAGING FINDINGS
- Bibliography
- 3. Introduction to Neurogenetics
- Abstract
- Introduction
- Basic Concepts
- Rare Genetic Diseases
- Common Genetic Diseases
- Future Directions
- Bibliography
- 4. Neuro-ophthalmology
- Abstract
- INTRODUCTION
- ACUTE MONOCULAR VISUAL LOSS
- PAPILLEDEMA
- PROGRESSIVE VISUAL LOSS FROM OPTIC NEUROPATHIES
- VISUAL FIELD DEFICITS
- ANISOCORIA
- LIMITED EYE MOVEMENTS
- NYSTAGMUS
- SUMMARY
- Bibliography
- 5. Cerebrovascular Disease
- Abstract
- Introduction
- Epidemiology
- ISCHEMIC STROKE
- HEMORRHAGIC STROKE
- Conclusion
- Bibliography
- 6. Traumatic Brain Injury
- Abstract
- Introduction
- MODERATE AND SEVERE TRAUMATIC BRAIN INJURY
- CONCUSSION
- POSTCONCUSSION SYNDROME
- CONCUSSION IN SPORTS
- CHRONIC TRAUMATIC ENCEPHALOPATHY
- CONCLUSION
- Bibliography
- 7. Encephalopathy
- Abstract
- Introduction
- HYPERACUTE CAUSES OF ENCEPHALOPATHY—ONSET WITHIN SECONDS TO MINUTES
- ACUTE CAUSES OF ENCEPHALOPATHY—ONSET WITHIN HOURS TO DAYS
- SUBACUTE CAUSES OF ENCEPHALOPATHY—ONSET WITHIN WEEKS TO MONTHS
- CHRONIC CAUSES OF ENCEPHALOPATHY—ONSET WITHIN MONTHS TO YEARS
- CONCLUSION
- Bibliography
- 8. Brain and Spine Tumors
- Abstract
- Introduction
- Central Nervous System Metastases
- Meningiomas
- Gliomas
- Medical Complications in Brain Tumor Patients
- Conclusion
- Bibliography
- 9. Infections of the Nervous System
- Abstract
- INTRODUCTION
- CENTRAL NERVOUS SYSTEM
- PERIPHERAL NERVOUS SYSTEM
- HIV NEUROLOGY
- COVID-19
- Bibliography
- 10. Autoimmune Neurologic Disorders
- Abstract
- Introduction
- Pathogenesis
- Epidemiology
- Evaluation
- Treatment
- Conclusion
- Bibliography
- 11. Headache
- Abstract
- INTRODUCTION
- EPIDEMIOLOGY
- CLASSIFICATION
- PRIMARY VERSUS SECONDARY HEADACHE
- EVALUATION
- PRIMARY HEADACHE
- SECONDARY HEADACHE
- Conclusion
- Bibliography
- 12. Facial Pain and Cranial Neuralgias
- Abstract
- Introduction
- Giant Cell Arteritis
- Bibliography
- 13. A Review of Women’s Neurology
- Abstract
- Introduction
- Epilepsy
- Menopause
- Sleep
- Migraine
- Multiple Sclerosis
- Sex-Specific Differences in Autoimmune Central Nervous System Disease
- Other Autoimmune and Paraneoplastic Central Nervous System Disorders
- Stroke in Females
- Alzheimer Disease
- Conclusions
- Bibliography
- 14. Parkinson disease and Parkinsonism
- Abstract
- CLINICAL PRESENTATION
- DIAGNOSIS
- PATHOLOGY
- PHARMACOLOGIC TREATMENT
- FUNCTIONAL NEUROSURGICAL TREATMENT
- Exercise in Parkinson Disease
- DIFFERENTIAL DIAGNOSIS
- Bibliography
- 15. Dementia
- Abstract
- Introduction
- Approach to Evaluate for Cognitive Impairment and Dementia
- Clinical Evaluation
- Dementia Classification Continuum
- Evaluation of Cognitive Complaints: Clinical Pearls
- Neurodegenerative Dementias
- Nonneurodegenerative Cognitive Impairment/Dementias
- Vascular Cognitive Impairment and Dementia
- Discussion: Mixed Dementia and Cognitive Burdens
- Neuropsychiatric Symptoms of Cognitive Impairment/Dementia and Mild Behavioral Impairment
- Conclusion
- Bibliography
- 16. Introduction to Neuropsychological Assessment and Intervention
- Abstract
- Introduction to Neuropsychology
- Neuropsychological Assessment
- From the Primary Care Provider to the Neuropsychologist: A Stepped Model of Care
- Neuropsychological Reports
- Neuropsychological Intervention
- Summary and Future Directions
- Bibliography
- 17. Spinal Cord Disorders: Myelopathy
- Abstract
- Introduction
- Anatomical Structure
- Clinical Syndrome
- Imaging
- Specific Causes of Myelopathy
- Conclusion
- Bibliography
- 18. Myopathy
- Abstract
- Introduction
- Patient Presentation
- Common Patterns of Weakness
- Red Flags
- A Head-to-Toe Approach
- Laboratory Testing
- A Special Word on Statins and Other Toxic Myopathies
- Genetic Testing
- Electrodiagnostic Testing
- Muscle Biopsy
- Muscle Imaging
- Basic Principles of Treatment
- Conclusions
- Bibliography
- 19. Approach to the Diagnosis and Management of Peripheral Neuropathy
- Abstract
- Introduction
- Clinical Presentation
- Examining Patients with Suspected Neuropathy
- Identifying a Phenotype
- Diagnosing Neuropathy
- Finding a Cause
- Management
- Conclusion
- Bibliography
- 20. Motor Neuron Disease
- Abstract
- Introduction
- AMYOTROPHIC LATERAL SCLEROSIS
- PRIMARY LATERAL SCLEROSIS
- PROGRESSIVE MUSCULAR ATROPHY
- SPINOBULBAR MUSCULAR ATROPHY
- HEREDITARY SPASTIC PARAPARESIS
- ACUTE FLACCID PARALYSIS ASSOCIATED WITH VIRAL INFECTION
- Motor Neuron Disease Mimics
- Conclusion
- Bibliography
- 21. Demyelinating Disease
- Abstract
- Introduction
- Epidemiology
- Multiple Sclerosis Pathophysiology
- Multiple Sclerosis and Magnetic Resonance Imaging
- Making the Diagnosis of Multiple Sclerosis
- The Differential Diagnosis of Multiple Sclerosis: Important Considerations Related to Clinical Presentation and Diagnostic Mimics
- Management of Acute Exacerbations of Multiple Sclerosis
- Multiple Sclerosis Maintenance Therapy
- Special Populations in Multiple Sclerosis
- Multiple Sclerosis Prognosis
- Conclusion
- Clinical Significance
- Bibliography
- 22. Autonomic Disorders
- Abstract
- Anatomic and Physiologic Remarks
- Neurotransmitters and Neuromodulators
- Nomenclature Remarks
- Autonomic Symptoms
- Sensory Symptoms
- Examination
- Classification of Autonomic and Related Disorders
- Orthostatic Intolerance Syndromes
- Dysautonomia in neurodegenerative disorders
- Paroxysmal Sympathetic Hyperactivity
- Baroreflex Failure
- Autonomic Dysreflexia
- Small Fiber Neuropathy
- Dysautonomia in Myalgic Encephalomyelitis/Chronic Fatigue Syndrome
- Dysautonomia in Guillain-Barré Syndrome
- Dysautonomia in Hypermobile Ehlers-Danlos Syndrome
- Dysautonomia in Mast Cell Disorders
- Dysautonomia in Traumatic Brain Injury
- Dysautonomia in Pregnancy
- Dysautonomia in Tick-Borne Illness
- Dysautonomia in Amyloidosis
- Dysautonomia in Porphyria
- Dysautonomia in Multiple Sclerosis
- Dysautonomia in Long COVID
- Specific Autonomic Syndromes
- Bibliography
- 23. Gait Disorders
- Abstract
- Introduction
- Physiology and the Gait Cycle
- Examination of Gait
- Clinical Features and Etiology of Gait Disorders
- Conclusions
- Acknowledgments
- Bibliography
- 24. Epilepsy
- Epilepsy: A Clinical Overview
- Introduction
- Classification of Seizures and Epilepsy
- Etiology
- Diagnosis
- Treatment of Epilepsy
- Women With Epilepsy
- Elderly
- Status Epilepticus
- Surgical Management of Epilepsy
- Dietary Treatment of Epilepsy
- Safety Issues
- Depression
- Withdrawing Medications
- Conclusion
- Bibliography
- 25. Dizziness
- Abstract
- Introduction
- Approach to History Taking
- Approach to the Examination
- Benign Paroxysmal Positional Vertigo
- Ménière Disease
- Vestibular Migraine
- Acute Unilateral Peripheral Vestibulopathy Including Vestibular Neuritis
- Focal Cerebral Ischemia
- Global Cerebral Hypoperfusion
- Anxiety Disorders
- Cervicogenic Dizziness
- Middle Ear Disease
- Third Mobile Window Disorders
- Bilateral Vestibular Hypofunction
- Vestibular Paroxysmia
- Other Focal Brain Diseases
- Head Trauma
- Mal de Debarquement Syndrome
- Bibliography
- 26. Sleep Disorders
- Abstract
- Introduction
- Major Sleep Disorders
- Summary and Conclusions
- Bibliography
- 27. Pain Neurology
- Abstract
- Introduction
- Low Back Pain
- Neck Pain
- Common Neuralgias in the Primary Care Setting and Peripheral Nerve Compression
- Myofascial Pain
- Painful Diabetic Neuropathy
- Complex Regional Pain Syndrome
- Phantom Limb Pain
- Chronic Pain
- Conclusion
- Bibliography
- Index
- Confidence is ClinicalKey
- No. of pages: 360
- Language: English
- Edition: 1
- Published: July 25, 2024
- Imprint: Elsevier
- Paperback ISBN: 9780443126420
- eBook ISBN: 9780443125997
WM
William J. Mullally
Dr. Mullally is Associate Chief of Clinical Neurology at the Brigham and Women’s Faulkner Hospital. He completed his internal medicine residency at Rutgers Affiliated Hospitals and his neurology residency at the University of Miami and the Harvard Longwood Neurology Training Program at Brigham and Women’s Hospital. Dr. Mullally was a chief medical resident at Rutgers and chief resident in neurology at Harvard. After completing his neurology residency in 1982, Dr. Mullally opened a comprehensive headache clinic in New Jersey. In 1989, he began working at Harvard Community Health Plan (now Harvard Vanguard Medical Associates) and started the headache program, which he directed until he moved to work full time at Brigham and Women’s Faulkner Hospital and Brigham and Women’s Hospital in May 2013. Dr. Mullally is also former Director of Sports Neurology at the MGH/BWH Foxborough facility and sees general neurology patients at Brigham and Women’s Faulkner Hospital. He has been a member of the American Headache Society since 1982 and is board certified in internal medicine, neurology and headache medicine.
Affiliations and expertise
Associate Chief of Clinical Neurology, Brigham and Women's Faulkner Hospital, Former Director of Sports Neurology and Concussion Program, Department of Neurology, Brigham and Women's Hospital, Graham Headache Center, Harvard Medical School, Jamaica Plain, MassachusettsRead Practical Approach to the Neurological Patient on ScienceDirect