Fifty Neurologic Cases from Mayo Clinic

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This informative and entertaining compilation of 50 short neurological cases demonstrates important principles in clinical localization and differential diagnosis. Each case presents the key elements without revealing the diagnosis at first. A vivid clinical scenario provides enough information for the student to localize the site of the lesion and for the experienced neurological physician to reach a different diagnosis. Each case description is followed by one or two illustrations, the diagnosis, and then a commentary by a Mayo Clinic consultant. The commentary highlights the issues in the differential diagnosis and provides an update on what is currently known about the specific diagnosis entity. The book will be of interest to physicians and surgeons caring for neurological patients at each stage of their career. It will be of particular help to medical students and to residents and fellows in neurology and neurosurgery. Internists, pediatricians, geriatricians, and psychiatrists will also find it useful.

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Product Details

  • ISBN-13: 9780195177459
  • Publisher: Oxford University Press, USA
  • Publication date: 5/13/2004
  • Edition description: New Edition
  • Pages: 248
  • Product dimensions: 8.10 (w) x 5.40 (h) x 0.50 (d)

Meet the Author

Mayo Clinic College of Medicine and Mayo Clinic and Foundation, Rochester, Minn.
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Table of Contents

Case 1 Forgets names but has a new appreciation for polka music 1
Case 2 Episodic psychosis progressive ataxia, and spasticity 5
Case 3 Occipital pain with tongue deviation 9
Case 4 Twenty years of daily seizures 13
Case 5 "Old polio," can't run, and can't swallow 17
Case 6 Drenching sweats, sleep talking, and weight loss 21
Case 7 Eight years of pain, 1 year of itch 25
Case 8 "Spaghetti legs," numb feet, and constipation 29
Case 9 Early satiety, syncope, and seizures 33
Case 10 Intermittent diplopia and progressive ataxia 37
Case 11 Another case of intermittent diplopia and progressive ataxia 41
Case 12 Urinary hesitancy, reduced ankle jerks, and up-going toes 45
Case 13 Can't serve and can't shave 49
Case 14 A thousand headaches a year 53
Case 15 An autistic toddler 57
Case 16 Sudden unilateral face and tongue weakness 61
Case 17 Rapidly progressive dysarthria, aphasia, and amyotrophy 65
Case 18 De novo status epilepticus 69
Case 19 Ventilator-dependent after optic neuritis 73
Case 20 Headaches, seizure, and mastoid bruit 77
Case 21 "I built a plywood barrier for our bed" 81
Case 22 Facial pain and finger clubbing 85
Case 23 Thunderclap headache and paraplegia 89
Case 24 Fluctuating footdrop 93
Case 25 Drowsy with spastic dysarthria 97
Case 26 Focal paresthesias, can't whistle, and can't say "puh" 101
Case 27 Progressive supine headache, diplopia, and ataxia 105
Case 28 Syncope, foot pain, nocturnal diarrhea, and cachexia 111
Case 29 Childhood recurrent aseptic meningitis, arthropathy, deafness, and rash 115
Case 30 Headache, anomia, oscillopsia, and behavioral change 119
Case 31 Progressive sensory ataxia despite preserved sensory potentials 123
Case 32 Familial hypertrophic cardiomyopathy with mental retardation 127
Case 33 Progressive ataxia, with a twist 131
Case 34 Progressive facial paralysis with preserved taste and ear wiggling 137
Case 35 Lifelong refractory syncope, hypoglycemia, and small digits 141
Case 36 Dark skin, white fingernails, and swollen optic disks 145
Case 37 Progressive ataxia with headache and focal signs 149
Case 38 "When I watch television, I lose my sight" 153
Case 39 Familial tremor and dystonia 157
Case 40 Familial hemiplegic headaches and sclerotic long bones 163
Case 41 A weak infant with episodic apnea 167
Case 42 A healthy child with unilateral visual loss 171
Case 43 Progressive limb-girdle weakness with dysarthria 175
Case 44 Supine loss of consciousness, headache, and retinal hemorrhage 179
Case 45 Leg weakness, impotance, dry mouth, and preserved reflexes 183
Case 46 Progressive weakness, numbness, pain, and visual loss 187
Case 47 Refractory "multiple sclerosis" with cough and radiculopathy 191
Case 48 Positional vertigo with an ominous-appearing lesion 197
Case 49 Painful scapular winging 201
Case 50 "I rely on my secretary" 205
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