Neuromuscular Case Studies

Neuromuscular Case Studies

1st Edition - May 6, 2008

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  • Author: Tulio Bertorini
  • eBook ISBN: 9780702038693
  • Hardcover ISBN: 9780750673327

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In this unique book, Dr. Bertorini guides you through more than 100 cases that demonstrate the diagnosis and management of a wide range of common and rare neuromuscular disorders. No other reference boasts such a large array of clinical studies devoted to all areas of this broad topic! Each case study reviews the etiologies, pathogenesis, differential diagnosis, and management of a particular disorder, helping you not only recognize its presentation, but also determine a diagnosis and the best treatment plans for your patients. You’ll also find expert guidance on the basic mechanisms of neuromuscular disorders, clinical examination, and diagnostic tests—including EMG, muscle biopsy, genetic testing, and more.

Key Features

  • More than 100 detailed case studies explore both common and rare neuromuscular disorders and the treatment protocols for each, equipping you with the knowledge you need to confidently manage any challenge. Each case includes a summary of important points or highlights of the study.
  • Case studies are arranged either by complaint or by diagnosis so that you can successfully manage your patients with or without an initial diagnosis.
  • Comprehensive coverage of EMGs and nerve conduction studies and other diagnostic tests, including muscle and nerve biopsies and genetic testing, helps you accurately diagnose nerve, muscle, and neuromuscular transmission disorders.
  • Detailed discussions of treatment plans and commonly used drugs enhance your management of autoimmune disorders, painful neuropathy, dysautonomia, and other neuromuscular disorders.
  • A reader-friendly format takes you step by step through the diagnosis and treatment of neuromuscular disorders, from the basic anatomy and physiology of the nerve and muscle through to clinical evaluation, diagnostic testing, and therapy.
  • More than 350 high-quality illustrations, including full-color patient photographs, biopsies, and EMG tracings, make complex concepts easier to understand and apply.

Table of Contents

  • Chapter 1 Neuromuscular Anatomy and Function

    Chapter 2 Neurological Evaluation and Ancillary Tests

    Chapter 3 Therapy in Neuromuscular Diseases

    Case 1 Carpal Tunnel Syndrome in an Elderly Woman Likely from Rheumatoid Arthritis and the Use of a Walker
    Case 2 A Uremic Patient with a Shunt-Related Ischemic Monomelic Neuropathy Later Diagnosed with Carpal Tunnel Syndrome from Beta-2 Microglobulin Accumulation
    Case 3 A Diabetic with Peripheral Neuropathy and Carpal Tunnel Syndrome Who Later Developed Dysautonomia
    Case 4 Martin Gruber and Anastomosis and Carpal Tunnel Syndrome
    Case 5 Traumatic Median Neuropathy at the Elbow Mimicking Anterior Interossei Syndrome
    Case 6 Pronator Teres Syndrome
    Case 7 Ulnar Entrapment at the Elbow
    Case 8 Ulnar Neuropathy at the Wrist from a Ganglion Cyst
    Case 9 Focal Myositis Causing Radial Neuropathy
    Case 10 Musculoskeletal Neuropathy from Compression During Positioning for Back Surgery
    Case 11 Acute Brachial Neuritis
    Case 12 Lower Trunk Plexopathy and Horner’s Syndrome from Lymphoma
    Case 13 Radiation Plexopathy
    Case 14 Suprascapular Neuropathy
    Case 15 C6 Radiculopathy with Motor Deficits from Herpes Zoster
    Case 16 C5 Radiculopathy from a Ruptured Disc
    Case 17 C7 Radiculopathy from a Herniated Disc
    Case 18 L4 Radiculopathy from a Disc Herniation and Peroneal Entrapment
    Case 19 S1 Radiculopathy
    Case 20 L5 Radiculopathy and an Accessory Peroneal Nerve
    Case 21 L2 Radiculopathy from Tumor Invasion
    Case 22 Demylinating Lumbosacral Radiculoneuropathy in a Diabetic
    Case 23 Cauda Equina Syndrome from Spinal Stenosis
    Case 24 Sciatic Neurofibroma Mimicking Tarsal Tunnel Syndrome
    Case 25 Femoral Neuropathy from a Hematoma from Angiography
    Case 26 Carcinomatous Lumbosacral Plexopathy
    Case 27 Meralgia Paresthetica
    Case 28 Lumbosacral Ependymoma Mimicking a Motor Neuron Disease
    Case 29 Acute Facial Neuropathy
    Case 30 Neurosarcoidosis Presenting with Bilateral Vi and Vii Nerve Palsies
    Case 31 A Patient with Als Presenting with Head Drop
    Case 32 Man in the Barrel Syndrome
    Case 33 Benign Focal Amyotrophy or Monomelic Amyotrophy
    Case 34 Post-Myelopathy Amyotrophy
    Case 35 Tethered Cord Syndrome Causing Muscle Pseudohypertrophy from Partial Denervation
    Case 36 Kennedy’s Disease
    Case 37 Machado-Joseph Disease
    Case 38 Infantile Spinal Muscular Atrophy
    Case 39 Guillain Barré Syndrome with Central Demyelination
    Case 40 Acute Inflammatory Polyneuropathy in an HIV Positive Person
    Case 41 Miller Fisher Syndrome
    Case 42 Ciguatera Poisoning
    Case 43 Acute Quadriplegic Polyneuropathy from Porphyria
    Case 44 Critical Illness Myopathy
    Case 45 Pernicious Anemia Presenting with Hand Numbness in a Patient with Cervical Spondylosis
    Case 46 Pernicious Anemia Manifesting with Weakness and Abnormal Gait
    Case 47 Chronic Inflammatory Demyelinating Polyneuropathy
    Case 48 Chronic Inflammatory Demyelinating Polyneuropathy with
    Asymmetric Presentation in a Patient with a Monoclonal Gammopathy
    Case 49 Purely Motor Chronic Inflammatory Demyelinating Polyneuropathy
    Case 50 Subacute Inflammatory Demyelinating Polyneuropathy in a Diabetic
    Case 51 Demyelinating Neuropathy Associated with MAG Antibodies
    Case 52 Hereditary Demyelinating Polyneuropathy with Multiple Sclerosis
    Case 53 Inflammatory Polyneuropathy after Bariatric Surgery
    Case 54 Diabetic Amyotrophy
    Case 55 Diabetic Amyotrophy/Mononeuritis Multiplex in the Upper Extremities
    Case 56 Diabetic Muscle Infarct
    Case 57 Uremic Neuropathy
    Case 58 (A) Demyelinating Charcot-Marie-Tooth Disease (B) Axonal Charcot-Marie-Tooth Disease
    Case 59 Hereditary Polyneuropathy with Liability to Pressure Palsy Presenting with Bilateral Median Neuropathy after Snow Skiing
    Case 60 Hereditary Neuropathy with Liability to Pressure Palsy Presenting with a Footdrop
    Case 61 Mononeuritis Multiplex from Vasculitic Neuropathy
    Case 62 Vasculitic Neuropathy from Rheumatoid Arthritis
    Case 63 Wegener’s Granulomatosis and Peripheral Neuropathy
    Case 64 Neurolymphomatosis Presenting with Mononeuritis Multiplex
    Case 65 Paraneoplastic Ganglioneuritis
    Case 66 Familial Amyloid Neuropathy
    Case 67 Amiodarone Neuropathy
    Case 68 Myasthenia Gravis Presenting with Difficulty Swallowing
    Case 69 Familial Myasthenia Gravis with Recurrence after Thymectomy
    Case 70 Eaton Lambert Myasthenic Syndrome Secondary to Small Cell Carcinoma of the Lung
    Case 71 Eaton Lambert Myasthenic Syndrome in a Patient with Hypothyroidism and Later Uterine Carcinoma
    Case 72 Slow Channel Congenital Myasthenic Syndrome
    Case 73 Hypokalemic Periodic Paralysis
    Case 73 Thyrotoxic Periodic Paralysis
    Case 74 Becker’s Muscular Dystrophy Presenting with Large Muscles
    Case 75 A Manifest Carrier of Muscular Dystrophy
    Case 76 Distal Muscular Dystrophy from Dysferlin Deficiency
    Case 77 Oculopharyngeal Muscular Dystrophy
    Case 78 Facioscapulohumeral Muscular Dystrophy
    Case 79 Merosin Deficient Congenital Muscular Dystrophy
    Case 80 Central Core Disease Manifesting with Progressive Weakness in an Adult
    Case 81 Mitochondrial Disease Manifests as Progressive External Ophthalmoplegia Mimicking Myasthenia Gravis
    Case 82 Mitochondrial Myopathy with Prominent Neck Lipoma
    Case 83 Rhabdomyolysis in a Patient with Myophosphorylase Deficiency
    Case 84 Adult Onset Acid Maltase Deficiency
    Case 85 Myoglobinuria from a Viral Infection as the First Manifestation of Carnitine Palmitoyltransferase (Cpt) Deficiency in An Adult
    Case 86 Proximal Weakness from Beta-2 Microglobulin Accumulation in a Uremic Patient
    Case 87 Hypothyroid Myopathy
    Case 88 Hypoparathyroid Myopathy
    Case 89 Dermatomyositis in a Mother and Her Son
    Case 90 Polymyositis and Myoadenylate Deaminase Deficiency (Double Trouble?)
    Case 91 Inclusion Body Myositis
    Case 92 Inclusion Body Myositis in a Young HIV Positive Person
    Case 93 Eosinophilic Fascitis
    Case 94 Bent Spine Syndrome
    Case 95 A Case of Stiff Person Syndrome and Myasthenia Gravis
    Case 96 Cramp Fasciculation Syndrome from a Chronic, Predominantly Motor Neuronopathy
    Case 97 Myotonic Congenita
    Case 98 Schwartz-Jampel Syndrome
    Case 99 Tetany
    Case 100 Proximal Myotonic Myopathy
    Case 101 Acquired Rippling Muscle Disease

Product details

  • No. of pages: 632
  • Language: English
  • Copyright: © Butterworth-Heinemann 2008
  • Published: May 6, 2008
  • Imprint: Butterworth-Heinemann
  • eBook ISBN: 9780702038693
  • Hardcover ISBN: 9780750673327

About the Author

Tulio Bertorini

Dr. Bertorini is a Professor at the University of Tennessee Health Sciences Center in Memphis. He specializes in neuromuscular disease and is the director of the Memphis MDA Clinic and the Mid-South MDA/ALS Clinic. He is also the Chief of Neurology at Methodist University Hospital, Co-Director of their Neurology Training Program, and Co-Director of UTHSC’s Neurophysiology fellowship program. Dr. Bertorini has written/edited three books and several book chapters on neuromuscular disorders and has published over 150 papers on neuromuscular disorders. He has been very active in clinical research in Duchene Muscular Dystrophy and CINRG trials since its inception.

Affiliations and Expertise

Professor of Neurology and Pathology, University of Tennessee, Center for Health Science Center, Memphis; Chief of Neurology, Methodist University Hospital; Director, Wesley Neurology Clinic and Muscular Dystrophy and ALS Clinic, Memphis, TN, USA

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