Office Practice of Neurology book cover

Office Practice of Neurology

This comprehensive text is the perfect clinical resource, offering quick access to all of the information needed to
provide out-patient neurologic care. It focuses on the common and chronic problems that require long-term management, and provides step-by-step guidance on the decision-making process. Readers will find an expanded section on multiple sclerosis as well as updated and revised information in every section, including all of the latest studies and their results. Plus, a table at the beginning of each chapter summarizes the authors' approaches to diagnosis and management.

Neurologists and Residents


Published: April 2003

Imprint: Churchill Livingstone

ISBN: 978-0-443-06557-6


  • Part I: Principles of Ambulatory Neurology and the Approach to Clinical Problems

    Section 1: Principles of Diagnosis: The General Approach to Neurologic Diagnosis
    1. Neurologic History and Examination

    Section 2: Principles of Diagnosis: Common Presenting Symptoms and Findings
    2. Weakness
    3. Movement Disorders
    4. Gait Impairment and Falling
    5. Sensory Loss and Paresthesias
    6. Disorders of the Eyes and Eyelids
    7. Facial Palsy
    8. Dizziness and Vertigo
    9. Hearing Loss and Tinnitus
    10. Disorders of Taste and Smell
    11. Dysarthria and Dysphagia
    12. Transient Events
    13. Respiratory Dysfunction
    14. Autonomic Dysfunction
    15. Sexual Dysfunction
    16. Disorders of Cerebrospinal Fluid Flow
    17. Traumatic Brain Injury

    Section 3: Principles of Diagnosis: Special Tests
    18. Laboratory Evaluation
    19. Molecular Diagnosis
    20. Electrophysiology: Electroencephalography and Evoked Potentials
    21. Electrophysiology: Nerve Conduction Studies and Electromyography
    22. Neuroimaging: Radiology, Magnetic Resonance Imaging, Positron Emission Tomography, and Single-Photon Emission Computed Tomography
    23. Biopsy of the Brain
    24. Biopsy of Nerve and Muscle

    Section 4: Principles of Treatment
    25. Pharmacology of Commonly Used Drugs
    26. Therapeutic Plasma Exchange
    27. Rehabilitation of Neurologic Disability

    Part II: Cerebrovascular Disease

    Section 1: General aspects of Cerebrovascular Disease
    28. Epidemiology and Stroke Risk Factors
    29. Neurodiagnostic Testing

    Section 2: Common Pathogeneses of Stroke
    30. Atherothrombotic Cerebral Infarction
    31. Cerebral Embolism
    32. Lacunar Infarction
    33. Intracerebral Hemorrhage
    34. Subarachnoid Hemorrhage
    35. Vascular Malformation

    Section 3: Less Common Causes of Stroke
    36. Stroke in Young Adults
    37. Coagulation-Related Causes of Stroke
    38. Illicit Drugs and Stroke

    Section 4: Clinical Features and Management of Cerebrovascular Disease
    39. Cardinal Clinical Features of Ischemic Cerebrovascular Disease in Relation to Vascular Territories
    40. Differential Diagnosis of the Major Stroke Subtypes
    41. Common Vascular Problems in Office Practice
    42. Current Treatment Strategies for Cerebrovascular Diseases

    Part III: Immune and Infectious Disease

    Section 1: Immune-Mediated Disease
    43. Pathophysiology and Clinical Features of Multiple Sclerosis
    44. Immunotherapy of Multiple Sclerosis
    45. Multiple Sclerosis: Management of Disease Complications
    46. Optic Neuritis
    47. Transverse Myelitis
    48. Acute Disseminated Encephalomyelitis

    Section 2: Infectious Diseases
    49. Approach to the Patient with Central Nervous System Infection
    50. Bacterial Meningitis
    51. Brain and Spinal Abscess
    52. Tuberculosis
    53. Leprosy
    54. Brucellosis
    55. Legionellosis
    56. Tetanus
    Spirochetal Infections
    57. Neurosyphilis
    58. Lyme Disease
    59. Leptospirosis
    Fungal and Parasitic Infections
    60. Fungal Infections
    61. Cysticercosis
    62. Trichinosis
    63. Toxoplamosis
    Viral Infections
    64. Viral Meningitis and Encephalitis
    65. Herpes Simplex Encephalitis
    66. Varicella-Zoster Virus Infection
    67. Cytomegalovirus Infection
    68. Epstein-Barr Virus Infection
    69. Poliomyelitis
    70. Measles and Subacute Sclerosing Panencephalitis
    71. Progressive Multifocal Leukoencephalopathy
    72. Rabies
    73. Lymphocytic Choriomeningitis
    74. Rubella
    75. HIV Infection and Diseases of the Brain
    76. HIV Infection and Diseases of the Spinal Cord, Nerve Roots, Peripheral Nerves, and Muscles
    77. HTLV-1 Infection
    Other Infections and Mimickers
    78. Chronic and Recurrent Noninfectious Meningitis
    79. Prion Diseases
    80. Rickettsial Infections of the Nervous System
    81. Mycoplasma Infections

    Part IV: Spinal Cord and Peripheral Neuromuscular Disease

    82. Clinical Approach to Disease of the Spinal Cord
    83. Syringomyelia and Related Conditions
    84. Spondylosis and Disk Disease
    85. Vascular Disease of the Spinal Cord

    Section 2: Motor Neuron Disease
    86. Amyotrophic Lateral Sclerosis
    87. Spinal Muscular Atrophy
    88. Postpolio Syndrome
    89. Atypical Motor Neuron Disease

    Section 3: Diseases of Peripheral Nerve
    90. Approach to and Classification of Peripheral Neuropathy
    91. Radiculopathies and Plexopathies
    92. Inflammatory Demyelinating Polyneuropathies
    93. Diabetic Neuropathy
    94. Metabolic Neuropathy
    95. Infectious and Granulomatous Neuropathy
    96. Dysproteinemic Polyneuropathy
    97. Neuropathies in Connective Tissue Diseases
    98. Toxic Peripheral Neuropathies
    99. Drug – Induced Peripheral Neuropathies
    100. Inherited Neuropathies Common Entrapment and Compression Neuropathies of the Upper Extremity
    101. Common Entrapment and Compression Neuropathies of the Lower Extremity
    102. Common Entrapment and Compression Neuropathies of the Medium Extremity

    Section 4: Diseases of Neuromuscular Transmission
    103. Myasthenia Gravis
    104. Lambert-Eaton Myasthenic Syndrome
    105. Toxic and Metabolic Disorders of the Neuromuscular Dystrophies

    Section 5: Diseases of Muscle
    106. Approach to Patients with Muscle Disorders
    107. Muscular Dystrophies
    108. Inflammatory Myopathies
    109. Endocrine, Nutritional, and DrugInduced Myopathies
    110. Metabolic Myopathies
    111. Congenital Myopathies
    112. Myotonia and Periodic Paralysis
    113. Abnormal Muscle Activity

    Part V: Movement Disorders

    Section 1: Parkinson’s Disease and Parkinson’s-like Syndromes
    114. Parkinson’s Disease: Recognition, Diagnosis, and Measurement
    115. Initial Therapy of Parkinson’s Disease
    116. Management of Motor Response Fluctuations of Parkinson’s Disease
    117. Surgical Therapy of Parkinson’s Disease
    118. Mental Changes in Parkinson’s Disease
    119. Multiple System Atrophy: Striatonigral Degeneration and Shy-Drager Syndrome
    120. Progressive Supranuclear Palsy
    121. Diffuse Lewy Body Disease
    122. Corticobasal Ganglionic Degeneration
    123. Secondary Parkinsonism

    Section 2: Non-Parkinsonian Movement Disorders
    124. Spinocerebellar Ataxias
    125. Tremors
    126. Huntington’s Disease
    127. Tardive Dyskinesia and Other Drug-Related Movement Disorders
    128. Primary and Secondary Generalized Dystonias
    129. Focal Dystonia: Treatment with Botulinum Toxin
    130. Occupational Cramp
    131. Tics and Tourette’s Syndrome
    132. Myoclonus
    133. Movement Disorders in Sleep and Restless Leg Syndrome
    134. Stiff-Man Syndrome

    Part VI: Behavioral Neurology and Epilepsy

    Section 1: Behavioral Neurology
    135. Examining Mental State
    136. Differential Diagnosis of Dementia
    137. Alzheimer’s Disease and Related Disorders
    138. Confusional States and Metabolic Encphalopathy
    139. Speech and Language Disorders
    140. Higher-Order Visual Impairment
    141. Disorders of Memory
    142. Learning Disabilities in Children
    143. Learning Disabilities and Attention Deficit Disorder in Adults

    Section 2: Epilepsy
    144. Epilepsy in Children
    145. Diagnosis and Classification of Epilepsy
    146. Medical Treatment of Seizures
    147. Status Epilepticus
    148. Surgical Treatment of Epilepsy
    149. Epilepsy and Behavior

    Section 3: Disorders of Sleep
    150. Disorders of Sleep

    Section 4: Psychiatric Issues in Neurologic Practice
    151. Psychiatric Issues in Neurologic Practice
    152. Psychosocial Issues in Dementia and Epilepsy
    153. Medico-Legal Issues of Competence

    Part VII: Neuro-Oncology

    Section 1: Brain Tumors: General Aspects
    154. Classification, Epidemiology, and Etiology of Brain Tumors
    155. Clinical Presentation and Diagnosis Brain Tumors
    156. General Principles of Management of Patients with Brain Tumors

    Section 2: Specific Tumor Types
    157. Low-Grade Gliomas
    158. Optic Pathway and Hypothalamic Gliomas
    159. Brainstem Gliomas
    160. Malignant Gliomas
    161. Primary Central Nervous System Lymphoma
    162. Meningiomas
    163. Pituitary Tumors
    164. Craniopharyngiomas
    165. Acoustic Neuroma
    166. The Neurofibromatoses
    167. Skull Base Tumors
    168. Ependymomas
    169. Medullobastomas
    170. Pineal Tumors
    171. Uncommon Brain Tumors and Intracranial Cysts
    172. Brain Metastases

    Section 3: Spinal Cord Tumors
    173. Spinal Cord Tumors

    Section 4: Neurologic Complications of Systemic

    174. Metastatic Epidural Spinal Cord Compression
    175. Neoplastic Meningitis
    176. Neurologic Complications of Chemotherapy
    177. Neurologic Complications of Radiotherapy
    178. Paraneoplastic Syndromes
    179. Neurologic Pain Syndromes in Cancer Patients
    180. Neurologic Complications of Bone Marrow Transplantation
    181. Neurologic Complications of Lymphoma
    182. Neurologic Complications of Leukemia
    183. Neurologic Complications Lung Cancer
    184. Neurologic Complications of Breast Cancer

    Part VIII: Neurology in General Medicine

    Section 1: Cardiology and Cardiac Surgery
    185. Neurologic Complications of Cardiac Surgery
    186. Neurologic Complications of Cardiac Catheterization
    187. Myocardial Damage and Cardiac Arrhythmias
    188. Neurologic Complications of Infective Endocarditis
    189. Hypertensive Encephalopathy and Eclampsia
    190. Aortic Dissection

    Section 2: Pulmonary Disorders
    191. Neurosarcoidosis

    Section 3: Nephrology and Urology
    192. Neurologic Manifestations of Renal Failure and Dialysis
    193. Neurologic Manifestations of Electrolyte Disorders

    Section 4: Gastroenterology and Hepatology
    194. Neurologic Effects of Malabsorption and Vitamin Deficiency
    195. Hepatic Encephalopathy

    Section 5: Hematology
    196. Neurologic Complications of Sickle Cell Disease

    Section 6: Endocrinology and Metabolism
    197. Neurologic Manifestations of the Porphyrias
    198. Lysosomal Storage Diseases
    199. Diagnosis and Management of Mitochondrial Diseases

    Section 7: Toxins and Drug Effects
    200. Neurologic Complications of Alcoholism
    201. Drug Dependence
    202. Neurologic Complications of Commonly Prescribed Drugs
    203. Clinical Manifestations of Neurotoxic Exposure to Metals

    Section 8: Organ Transplantation
    204. Neurologic Complications of Organ Transplantation

    Section: 9 Rheumatology
    205. Neurologic Manifestations of Rheumatic Diseases

    Part IX: Headache and Pain

    Section 1: General Aspects of Headache
    206. Anatomy and Physiology of Headache
    207. Approach to the Patient with Headache
    208. Classification and Differential Diagnosis of Headache

    Section 2: Headache Syndromes and Their Treatment
    209. Migraine With and Without Aura
    210. Migraine Pathogenesis
    211. Pharmacologic Treatment of Migraine
    212. Chronic Daily Headache
    213. Cluster Headache and Paroxysmal Hemicrania
    214. Psychological Evaluation and Treatment of Headache

    Section 3: Special Headache Problems
    215. Posttraumatic Headache
    216. Exertional Headache
    217. Menstruation, Pregnancy, and Menopause
    218. Neuroimaging in Headache

    Section 4: General Aspects of Pain
    219. Anatomy and Physiology of Pain
    220. Approach to the Patient with Chronic Pain
    221. Addiction and Detoxification in Chronic Pain

    Section 5: Generalized and Regional Pain Syndromes
    222. Myofascial Pain Syndromes
    223. Neuropathic Pain
    224. Orofacial Pain
    225. Neck and Arm Pain
    226. Low Back and Leg Pain

    Section 6: Treatment of Pain
    227. Pharmacologic (Analgesic) Treatment of Pain
    228. Physical Therapy and Transcutaneous Electrical Nerve Stimulation
    229. Psychological Evaluation and Treatment of Chronic Pain
    230. Neurosurgical Treatment and Implantable Devices


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