Physical Medicine Rehabilitation

Duus' topical diagnosis in neurology : anatomy, physiology, by Michael Frotscher, Mathias Bähr

By Michael Frotscher, Mathias Bähr

The 5th version of Duus' vintage name Topical analysis in Neurology keeps to supply a transparent, built-in presentation of anatomy, functionality, and issues of the crucial frightened approach and serves as a short reference for practitioners and trainees alike. It elucidates the neuroanatomical pathways that result in particular medical syndromes and demonstrates how good anatomical wisdom mixed with an intensive neurological exam may help localize a lesion and arrive at a diagnosis.

Features of the 5th Edition:

  • A sleek, built-in, and interdisciplinary method of topical neurologic analysis, displaying how wisdom of simple neuroanatomy and neurophysiology could be utilized within the medical setting
  • An enlarged web page layout that showcases greater than four hundred certain anatomic illustrations together with CT and MRI photos of the top quality
  • A logical, thematic constitution, with priceless summaries at the start of every bankruptcy and color-coded part headings that let readers to tell apart among neuroanatomical and scientific fabric at-a-glance
  • A number of up-to-date case reports, cutting-edge imaging examples, and a brand new creation to the main parts of the apprehensive system
  • A wide selection of analysis aids and medical correlations that help the emphasis on integrative medication within the present clinical university curriculum

Topical prognosis in Neurology, 5th Edition is a perfect reference for neurologists and neuroscientists who correlate neurologic illnesses to anatomic position to accomplish a prognosis or comprehend a scientific syndrome. it's also an important instrument for trainees and complex scholars who want a reliable grounding in key neurofunctional relationships.

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Additional info for Duus' topical diagnosis in neurology : anatomy, physiology, signs, symptoms

Example text

The NMDA receptor, however, can be activated only after the blockade of its ion channel by a magnesium ion is removed; this, in turn, is accomplished through an AMPAreceptor-induced membrane depolarization (Fig. 6). The excitatory neurotransmitter glutamate thus has a graded effect: it activates AMPA receptors first and NMDA receptors later, after the membrane has been depolarized. Inhibitory GABA and glycine receptors. The activation of either of these two types of receptor causes an influx of negatively charged chloride ions, and thus a hyperpolarization of the postsynaptic cell.

9 Intrinsic neurons and polysynaptic connections in the spinal cord. Note: interneurons are also called “intercalated” or “internuncial” neurons (from Latin nuntius, messenger). When a finger touches a hot stove, the hand is pulled back with lightning speed, before any pain is felt. The action potentials that arise in the cutaneous receptor (nociceptor) for this reflex travel by way of afferent fibers to the substantia gelatinosa of the spinal cord, where they are then relayed, across synapses, into cells of various types belonging to the cord's intrinsic neuronal apparatus (interneurons, association neurons, and commissural neurons).

A Anterior view. b Posterior view. Sensory deficits due to peripheral nerve lesions. It is easy to see why a lesion affecting a nerve plexus or a peripheral nerve produces a sensory deficit of an entirely different type than a radicular lesion. As plexus lesions usually cause a prominent mo- tor deficit in addition, we will defer further discussion of plexus lesions to the next chapter on the motor system (p. 100). Fig. 7 Segmental innervation of the skin: simplified diagram of dermatomal topography When a peripheral nerve is injured, the fibers within it, derived from multiple nerve roots, can no longer rejoin in the periphery with fibers derived from the same nerve roots but belonging to other peripheral nerves—in other words, the fibers in the injured nerve can no longer reach their assigned dermatomes.

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