Full Description
Throughout the course of history it has always been noted that any ideas about brain function depended upon the highest technological model of the day. Hence, in the Greek or Roman era the ventricular system was singled out because of the devel opment of hydraulics. Early in this century we drew the analo gy between telephone circuits and the brain. Now it is popular to characterize neural function as that of a sophisticated com puter. Indeed, in many ways it may be. But, as yet, the pre pared human brain will likely prevail in the sorting out of information necessary for a proper diagnosis. In this manual, POECK has provided the ground work for such prepara Dr. tion. We all admire the clever diagnostician, and usually ascribe the skill to great intuition. Not so! It is the clinician who has seen many patients, and has compiled a menu of choices. Dr. POECK is such a clinician, and he has provided us with his menu of choices. Use of these lists will likely aid the student or resident physician in coming to a proper diagnosis but, more importantly, will help train his or her mind to think in a logical and systematic way. ROBERT J. JOYNT, M.D., Ph.D.
Contents
1. Abnormal Posture of the Head.- 2. Acute Blindness.- 3. Acute Confusional State.- 4. Acute or Recurrent Headache.- 5. Acute Hemiplegia.- 6. Acute Paralysis of Extraocular Muscle(s).- 7. Acute Unilateral Seventh Nerve (Facial) Palsy.- 8. Brown-Séquard's Syndrome (Mostly Cervical Localization).- 9. Burning Feet and Restless Legs.- 10. Cerebellar Ataxia.- 11. Choreic Syndrome.- 12. Dementia.- 13. Facial "Hyperkinesia" (Involuntary Movements of Facial Musculature).- 14. First Epileptic Seizure(s) in Adulthood.- 15. Footdrop, Bilateral.- 16. Footdrop, Unilateral.- 17. Homer's Syndrome.- 18. "Hypersomnia".- 19. Impairment in Anteflexion of the Head.- 20. Lesions of Cranial Nerves, Bilateral.- 21. Lesions of Cranial Nerves, Unilateral.- 22. Monocular Loss of Vision.- 23. Muscular Weakness, Proximal.- 24. Painful States of the Shoulder and Upper Arm.- 25. Paraplegia of Chronic Evolution.- 26. Progressive Clouding of Consciousness.- 27. Progressive Wasting of Hand Muscles.- 28 Ptosis of the Upper Eyelid.- 29. Pupillary Abnormality Plus Areflexia.- 30. Sensory Disturbance of the Tongue.- 31. Sudden Loss of Consciousness.- 32. Sudden Loss of Posture (With and Without Loss of Consciousness).- 33. Sudden Loss of Speech.- 34. Symmetrical Areflexia.- 35. Transverse Syndrome of the Spinal Cord.- 36. Tremor at Rest.- 37. Twilight State.- 38. Unilateral Fits Affecting Limb(s) or Face.- 39. Vertigo.- 40. Weakness Upon Exercise.- 41. Wrist Drop.
