By Allan Ropper, Martin Samuels
The definitive consultant to the complete spectrum of neurology "This is among the top neurology textbooks on hand, supplying the distilled insights and information of a few of modern-day really impressive neurologic clinicians....Like its predecessors, the present version positive aspects writing that's transparent and concise, but conversational—it virtually feels as though the reader is on rounds listening to the insights of a really outstanding clinician....offers very much to the intense scholar of neurology and is definitely well worth the funding. This amazing textual content will remain a key source for neurologists and neurosurgeons, in addition to resident trainees in these disciplines. Many training internists, emergency physicians, and pediatricians also will locate it to be a superb resource."--JAMA A Doody's middle name crucial buy for 2011! four megastar DOODY'S assessment! "This publication could be a necessary aspect within the library of either younger and professional clinicians....This has regularly been a effectively balanced textbook, combining a private method of the learn of neurology and neurologic ailments. This variation, now 1572 pages, expands at the earlier versions admirably. It achieves the tricky activity of clean and updating a classic."--Doody's assessment carrier "one of the iconic texts in medical drugs. the truth that it really is now in its 9th version attests to its toughness and credibility as a entire resource for the pathophysiology, assessment, and remedy of issues of the apprehensive procedure. First released in 1975, it has withstood the big adjustments in neurological sciences through the next many years and has remained a staple at the reference cabinets of practitioners from quite a few backgrounds and coaching levels....A precise characteristic for a quantity of this dimension is that every bankruptcy is written by means of an analogous authors, therefore reaching a uniformity of voice....As a most effective textual content, the 9th variation of Adams and Victor’s ideas of Neurology may function useful supplement to any scientific library."--World Neurosurgery magazine Adams and Victor's ideas of Neurology presents the entire info it is important to with a bit of luck deal with any neurologic challenge, from problems of motility, and derangements of mind, habit, and language, to the degenerative and neuromuscular illnesses. Having this most beneficial textual content in your reference shelf is like with the ability to seek advice from expert clinicians every day. greater than a compilation of proof, Adams and Victor's offers specialist insights no longer present in the other source that assist you comprehend each element of neurological sickness. Written in a conversational type, the textual content deals functional, but in-depth, assurance of either universal and infrequent health problems. Adams and Victor's ideas of Neurology additionally comprises well timed, whole, and available remedy and medical administration concepts. beneficial properties Balanced presentation of evidence-based learn coupled with the views and adventure of world-renowned specialist neurologists Logical six-part association studies the medical approach, cardinal displays, illnesses of the important frightened approach, ailments of the peripheral worried method, and psychiatric issues A-to-Z insurance of cardinal manifestations, together with problems of the unique senses; epilepsy and problems of attention; problems of power, temper, autonomic, and endocrine capabilities; and neuromuscular, spinal wire, and psychiatric illness specialize in signs, etiology, analysis, and therapy deals whole, useful tips in scientific perform particular part on development, improvement, and getting older relating to neurologic sickness provides the newest, state of the art learn during this essential zone
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Extra info for Adams and Victor's principles of neurology
The evoked visual responses (see further on) are an even more sensitive means of detecting psychogenic blindness than occipital driving on EEG. Spread of the occipital response to photic stimulation, with the production of abnormal sharp or paroxysmal waves, provides evidence of abnormal excitability (Fig. 2-4B and C). Seizure patterns may be produced during this type of EEG testing, accompanied by gross myoclonic jerks of the face, neck, and limbs (photomyogenic or photomyoclonic response) or by convulsions (photoparoxysmal or photoconvulsive response).
The RF energy that was absorbed and then emitted results in a magnetic signal that is detected by electromagnetic receiver coils. To create contrasting tissue images from these signals, the RF pulse must be repeated many times (a pulse sequence), the signals being measured after the application of each pulse. The scanner stores the signals as a matrix of data, which is subjected to computer analysis and from which an image is constructed. Nuclear magnetic resonance can be detected from several endogenous isotopes, but current technology uses mainly signals derived from hydrogen atoms (1H), because hydrogen is the most abundant element in tissue and yields the strongest magnetic signal.
The images generated by the latest MRI machines are truly remarkable (Fig. 2-2A to C). Because of the high degree of contrast between white and gray matter, one can identify all discrete nuclear structures and lesions within them. Deep lesions in the temporal lobe and structures in 22 Part 1 THE CLINICAL METHOD OF NEUROLOGY Table 2-3 CT AND MRI IMAGING CHARACTERISTICS OF VARIOUS TISSUES TISSUE Brain Air CSF Fat Calcium Bone Extravasated blood Inflammation Edema Tumor CT GRAY SCALE Gray Black Black Black White Very white White Contrast enhancing Dark gray Gray or white and contrast enhancing MRI T1 SIGNAL Gray Black Black White Black Black White Gray, gadolinium enhancing Gray Gray or white and gadolinium enhancing MRI T2 SIGNAL Gray Black White Black Black Black Black White White White Figure 2-2.
Adams and Victor's principles of neurology by Allan Ropper, Martin Samuels