Full Description
Patients with neurologic symptoms are frequently seen in the emergency department and require rapid and thorough evaluation. Appropriate assessment with tailored history-taking, localization of the neurological problem, differential diagnosis, focused testing, and urgent treatment when indicated are essential to prevent patient morbidity. Neurological examination and testing of patients are covered in-depth, along with common neurological presentations using a symptom-based approach, such as coma, dizziness and gait disturbance. Specific neurological disorders are also explored, including traumatic brain injury, ischemic stroke and transient ischemic attack and neurotoxicology. Chapters follow a basic outline, including an introduction and a pearls and pitfalls section, providing a succinct overview and key takeaway points for the busy clinician. This well organized handbook will serve as a concise, valued reference for the clinician to use in assisting the evaluation of the most common neurology related emergency department visits.
Contents
Section I. Neurological Examination and Neurodiagnostic Testing; 1.1. Neurological examination Melani S. Cheers, Thomas F. Scott, and Kevin M. Kelly; 1.2. Neuroradiology Sheilah M. Curran-Melendez, Margaret S. Blackwood, and Michael F. Goldberg; 1.3. Electroencephalography Timothy Quezada, Andrea Synowiec, and Kevin M. Kelly; 1.4. Lumbar puncture Troy Desai, Dan Geary, Chris Troianos, and Richard Feduska; Section II. Common Neurological Presentations: A Symptom Based Approach; 2.1. Coma, delirium, and dementia Chadd E. Nesbit and Deeksha Agrawal; 2.2. Headache Sandeep Rana, Ye Vivian Liang, Paul S. Porter, Charles Li, Dolores Santamaria, and Andrea Synowiec; 2.3. Weakness George A. Small and Melody Milliron; 2.4. Musculoskeletal and neurogenic pain Nestor Tomycz and Thomas P. Campbell; 2.5. Dizziness Kevin M. Kelly, Arthur Alcantara Lima, and Thomas P. Campbell; 2.6. Gait disturbance Jon S. Brillman and Troy Desai; Section III. Specific Neurological Disorders in Emergency Medicine; 3.1. Ischemic stroke and transient ischemic attack Crystal Wong, Melani S. Cheers, Molly A. McGraw, Lauren King, and Russell Cerejo; 3.2. Intracranial haemorrhage Crystal Wong, Khaled Aziz, and Bertram Richter; 3.3. Seizure Kevin M. Kelly, Timothy A. Quezada, and Thomas P. Campbell; 3.4. Infections of the central nervous system Zaw Min, Richard M. Kaplan, Kate DeAntonis, and Evelina Krieger; 3.5. Traumatic brain injury Moira Davenport and James E. Wilberger; 3.6. Increased intracranial pressure and herniation syndromes Diana J. Jho, Brian Rempe, James Burgess, and Alexander K. Yu; 3.7. Traumatic and non-traumatic spinal cord disorders Thomas F. Scott, Nestor Tomycz, and David Jho; 3.8. Neuro-ophthalmologic emergencies Matthew Brucks, Erik Happ, Randy Beatty, and Brent Rau; 3.9. Brain tumors and other neuro-oncologic emergencies Tulika Ranjan and Charles J. Feronti; 3.10. Peripheral nerve and neuromuscular disorders George A. Small, Sandeep Rana, and Mara Aloi; 3.11. Movement disorders Susan Baser, Timothy Leichliter, Donald Whiting, and Michael Oh; 3.12. Multiple sclerosis Thomas F. Scott and Omar Hammad; 3.13. Hydrocephalus and shunt evaluation Kristen Stabingas, Diana J. Jho, Raj Nangunoori, Alexander K. Yu, and Jody Leonardo; 3.14. Hypoxic brain injury and the post acute resuscitation syndrome John O'Neill and James P. Valeriano; 3.15. Neurotoxicology, ethanol and substance abuse Matthew Stripp; 3.16. Neurological emergencies of pregnancy Ronald L. Thomas, Andrea Synowiec, Roseann Covatto, and Thomas Campbell; 3.17. Brain death Rade Vukmir, James P. Valeriano, and Austin Oblack; 3.18. Hysteria Arvind Venkat and Jon S. Brillman.