A Physiological Approach to Clinical Neurology

A Physiological Approach to Clinical Neurology

3rd Edition - February 26, 1981

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  • Authors: James W. Lance, James G. McLeod
  • eBook ISBN: 9781483163314

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Description

A Physiological Approach to Clinical Neurology, Third Edition is a 13-chapter book that first describes pain and other sensations, weakness, neuromuscular disorders, spinal reflexes, as well as muscle tone and movement. This text also explores the disordered muscle tone, a term used to describe the sensation of resistance felt by the clinician as he manipulates a joint through a range of movement with the subject attempting to relax. Other chapters discuss the basal ganglia and their disorders and the cerebellum and its disorders. The anatomy and physiology of the special senses, cranial nerves, and autonomic nervous system are also explained. The last three chapters elucidate consciousness, unconsciousness, epilepsy, and the relationship between brain and mind. This book will be useful to those in the field of clinical neurology.

Table of Contents


  • Preface to the Third Edition

    Preface to the First Edition

    Acknowledgments

    1 Pain and Other Sensations

    Sensory Symptoms

    The Perception of Different Kinds of Sensation

    Pain

    Common Patterns of Pain

    Clinical History-Taking in Relation to Pain

    The Interpretation of Sensory Symptoms and Signs

    Principles of Management of Painful Syndromes

    Summary

    2 Weakness

    Asthenia

    Paralysis or Paresis

    Hysterical Weakness

    Transient Paralysis

    The Clinical Approach to the Problem of Weakness

    Summary

    3 Neuromuscular Disorders

    The Neurone

    Disease of the Anterior Horn Cell and Motor Roots

    Peripheral Neuropathy

    The Neuromuscular Junction

    Myasthenia Gravis

    Myasthenic Syndrome

    Muscle

    Summary

    4 Spinal Reflexes

    The Stretch Reflex

    The Muscle Spindle and its Motor Control

    Afferent Fibers from Muscle and their Reflex Effects

    Flexor Reflexes

    Spinal Control of Segmental Reflexes

    The Tonic Vibration Reflex (TVR)

    Presynaptic Inhibition

    Function of the Stretch Reflex in Man

    Phasic Muscle Reflexes

    The Clinical Significance of the Tendon Jerk

    Summary

    5 Muscle Tone and Movement

    Motor Neurones

    Supraspinal Control of Motor Neurones

    Movement

    Summary

    6 Disordered Muscle Tone

    Muscle Tone

    Spinal and Cerebral Shock

    Spasticity

    Principles in the Management of Spasticity

    Summary

    7 The Basal Ganglia and their Disorders

    The Extrapyramidal Motor System

    Parkinson's Disease

    Hemiballismus

    Chorea

    Athetosis

    Dystonia

    Asterixis

    The Diagnosis of Tremor

    Summary

    8 The Cerebellum and its Disorders

    Structure of the Cerebellum

    The Integrating Action of the Cerebellar Cortex

    The Place of the Cerebellum in Control of Movement

    Symptoms and Signs of Cerebellar Disease

    Disorders of the Cerebellum

    Summary

    9 The Special Senses and Cranial Nerves

    The Sense of Smell (Cranial Nerve 1)

    Vision (Cranial Nerve 2)

    Ocular Movements (Cranial Nerves 3 ,4 and 6)

    Mastication and Facial Sensation (Cranial Nerve 5)

    Facial Movement (Cranial Nerve 7)

    Deafness, Tinnitus, Vertigo (Cranial Nerve 8)

    Swallowing and Phonation (Cranial Nerves 9, 10, 11, 12)

    Summary

    10 Autonomic Nervous System

    Anatomy

    Physiology

    Pharmacology

    Tests of Autonomic Function

    Disorders of Autonomic Function

    Summary

    11 Consciousness and Unconsciousness

    The Ascending Reticular Activating System

    The Electroencephalogram (EEG)

    The Source of Consciousness

    Sleep

    Loss of Consciousness

    Clinical Examination of the Unconscious Patient

    Common Causes of Coma

    Summary

    12 Epilepsy

    The Pathophysiology of Epilepsy

    Factors in Seizure Production

    Factors in Seizure Prevention

    Classification and Mechanism of the Epilepsies

    Summary

    13 The Relationship between Brain and Mind

    Perception

    Memory

    Emotion

    Response

    Propositional Thought

    Dementia

    Focal Cerebral Symptoms

    The Influence of the Mind on the Body

    General Conclusions

    Summary

    Index


Product details

  • No. of pages: 394
  • Language: English
  • Copyright: © Butterworth-Heinemann 1981
  • Published: February 26, 1981
  • Imprint: Butterworth-Heinemann
  • eBook ISBN: 9781483163314

About the Authors

James W. Lance

James G. McLeod

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