Fifty Neurologic Cases from Mayo Clinic

by John H. Noseworthy M.D. (Editor)

Overview

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 differential 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 diagnostic 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.

Product Details

ISBN-13:	9780198039464
Publisher:	Oxford University Press
Publication date:	05/13/2004
Sold by:	Barnes & Noble
Format:	eBook
File size:	6 MB

About the Author

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

Table of Contents

	List of Contributors	xv
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, impotence, 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

Editorial Reviews

"It should be required reading for any neurologist in training and would be of interest to any physician or surgeon caring for patients with neurological disorders whatever their seniority or career intentions." —Neuromuscular Disorders

"Want to challenge yourself on a series of brief but precisely detailed neurological cases, each first presented with central features but without the diagnosis? This volume contains fifty succinct Neurology cases that test your ability to localize and reach a differential diagnosis." —JINS

From the Publisher