- Page 2: 1600 John F. Kennedy Blvd. Ste 1800
- Page 6: Acknowledgments In addition to bein
- Page 10: Physician-Readers, Please Note Clin
- Page 14: xiv Preface illustrations. For the
- Page 18: 2 CLINICAL NEUROLOGY FOR PSYCHIATRI
- Page 22: Central Nervous System Disorders Le
- Page 26: FIGURE 2-2 n A, Normally, when the
- Page 30: Lateral spinothalamic tract Tempera
- Page 34: SIGNS OF CEREBELLAR LESIONS The cer
- Page 40: 14 CLINICAL NEUROLOGY FOR PSYCHIATR
- Page 44: 16 CLINICAL NEUROLOGY FOR PSYCHIATR
- Page 48: Psychogenic Neurologic Deficits Cla
- Page 52: FIGURE 3-1 n In the face-hand test,
- Page 56: Psychogenic Neurologic Deficits 23
- Page 60: display psychogenic signs to emphas
- Page 64: Cranial Nerve Impairments Individua
- Page 68: FIGURE 4-1 n Left, The optic nerves
- Page 72: FIGURE 4-3 n In testing visual fiel
- Page 76: FIGURE 4-10 n A, The red nucleus is
- Page 80: The synapse innervates both sets of
- Page 84: Cranial Nerve Impairments 37 FIGURE
- Page 88:
discrimination in rooms crowded wit
- Page 92:
A B FIGURE 4-17 n A, The soft palat
- Page 96:
palsy, the tongue will become immob
- Page 100:
a b c d e f 8. A 68-year-old man ha
- Page 104:
tumor probably compresses the under
- Page 108:
arm(s) or leg(s) that is more prono
- Page 112:
Multiple sclerosis is unlikely beca
- Page 116:
1. Apraxic 2. Astasia-abasia 3. Ata
- Page 120:
e. Parkinson’s disease, cerebrova
- Page 124:
name of this sign (a-d), and to whi
- Page 128:
90. Which of the following statemen
- Page 132:
62 CLINICAL NEUROLOGY FOR PSYCHIATR
- Page 136:
64 CLINICAL NEUROLOGY FOR PSYCHIATR
- Page 140:
66 CLINICAL NEUROLOGY FOR PSYCHIATR
- Page 144:
68 CLINICAL NEUROLOGY FOR PSYCHIATR
- Page 148:
70 CLINICAL NEUROLOGY FOR PSYCHIATR
- Page 152:
72 CLINICAL NEUROLOGY FOR PSYCHIATR
- Page 156:
74 CLINICAL NEUROLOGY FOR PSYCHIATR
- Page 160:
76 CLINICAL NEUROLOGY FOR PSYCHIATR
- Page 164:
78 CLINICAL NEUROLOGY FOR PSYCHIATR
- Page 168:
80 CLINICAL NEUROLOGY FOR PSYCHIATR
- Page 172:
82 CLINICAL NEUROLOGY FOR PSYCHIATR
- Page 176:
84 CLINICAL NEUROLOGY FOR PSYCHIATR
- Page 180:
Muscle Disorders The clinical evalu
- Page 184:
much that patients can reach a ‘
- Page 188:
and blocks the excessive cholinergi
- Page 192:
Contrasting somewhat with the nonpr
- Page 196:
and systemic symptoms, such as feve
- Page 200:
The best-known group of mtDNA disor
- Page 204:
diseases—myasthenia gravis, ALS,
- Page 208:
Questions and Answers 1-3. A 17-yea
- Page 212:
Therefore, 25% of the children (one
- Page 216:
a. Autosomal dominant b. Autosomal
- Page 220:
outine blood tests, head CT, and he
- Page 224:
e. Compared to the massive energy c
- Page 228:
Dementia Dementia is not an illness
- Page 232:
vulnerable. Those that decline do s
- Page 236:
eversible, but substantial, sustain
- Page 240:
FIGURE 7-2 n The cognitive section
- Page 244:
output, an inability to find words
- Page 248:
horns of the lateral ventricles exp
- Page 252:
patients’ offspring, 10% of secon
- Page 256:
other anxiolytic. They often prescr
- Page 260:
distributed throughout the cerebral
- Page 264:
Dementia 129 inhibit ors prov ide s
- Page 268:
FIGURE 7-8 n Gait apraxia, the card
- Page 272:
several other neurologic illnesses,
- Page 276:
disturbances, including irritabilit
- Page 280:
gliomas, metastatic Kaposi’s sarc
- Page 284:
FIGURE 7-11 n Asterixis, a sign of
- Page 288:
Dementia with Lewy Bodies 31. Ferna
- Page 292:
loss of synapses is most closely co
- Page 296:
the standard test in assessing phar
- Page 300:
and bilateral ataxia. His cognitive
- Page 304:
Answer: b. Lewy bodies dispersed th
- Page 308:
63. After being given a medication,
- Page 312:
c. Praxis d. Visual-spatial concept
- Page 316:
abnormalities, and MRI of the brain
- Page 320:
Aphasia and Related Disorders Neuro
- Page 324:
FIGURE 8-1 n The left cerebral hemi
- Page 328:
FIGURE 8-3 n A, Lesions that cause
- Page 332:
and develop anxiety, agitation, or
- Page 336:
someone’s name (blocking). The cl
- Page 340:
FIGURE 8-5 n In a schematic transax
- Page 344:
1 White coat What am I wearing? pat
- Page 348:
Extending the concept that the nond
- Page 352:
14. Klein SK, Masur D, Farber K, et
- Page 356:
Answers: 1-5 Case 1. He has complet
- Page 360:
Wada test in locating the language
- Page 364:
45. In asking, ‘‘How does aphas
- Page 368:
Ma’am, please tell me what this i
- Page 372:
Headaches In the most widely accept
- Page 376:
When not followed by a headache, au
- Page 380:
FIGURE 9-3 n Patients with migraine
- Page 384:
Other theories postulate faulty ser
- Page 388:
Cluster Headaches Cluster headaches
- Page 392:
Treatment usually consists of diure
- Page 396:
11. Holroyd KA, O’Donnell FJ, Ste
- Page 400:
Answer: c. Although almost 10% of w
- Page 404:
30. In which part of the brain are
- Page 408:
her headaches returned with even gr
- Page 412:
204 CLINICAL NEUROLOGY FOR PSYCHIAT
- Page 416:
206 CLINICAL NEUROLOGY FOR PSYCHIAT
- Page 420:
208 CLINICAL NEUROLOGY FOR PSYCHIAT
- Page 424:
210 CLINICAL NEUROLOGY FOR PSYCHIAT
- Page 428:
212 CLINICAL NEUROLOGY FOR PSYCHIAT
- Page 432:
214 CLINICAL NEUROLOGY FOR PSYCHIAT
- Page 436:
216 CLINICAL NEUROLOGY FOR PSYCHIAT
- Page 440:
218 CLINICAL NEUROLOGY FOR PSYCHIAT
- Page 444:
220 CLINICAL NEUROLOGY FOR PSYCHIAT
- Page 448:
222 CLINICAL NEUROLOGY FOR PSYCHIAT
- Page 452:
224 CLINICAL NEUROLOGY FOR PSYCHIAT
- Page 456:
226 CLINICAL NEUROLOGY FOR PSYCHIAT
- Page 460:
228 CLINICAL NEUROLOGY FOR PSYCHIAT
- Page 464:
230 CLINICAL NEUROLOGY FOR PSYCHIAT
- Page 468:
232 CLINICAL NEUROLOGY FOR PSYCHIAT
- Page 472:
234 CLINICAL NEUROLOGY FOR PSYCHIAT
- Page 476:
236 CLINICAL NEUROLOGY FOR PSYCHIAT
- Page 480:
238 CLINICAL NEUROLOGY FOR PSYCHIAT
- Page 484:
240 CLINICAL NEUROLOGY FOR PSYCHIAT
- Page 488:
242 CLINICAL NEUROLOGY FOR PSYCHIAT
- Page 492:
244 CLINICAL NEUROLOGY FOR PSYCHIAT
- Page 496:
246 CLINICAL NEUROLOGY FOR PSYCHIAT
- Page 500:
248 CLINICAL NEUROLOGY FOR PSYCHIAT
- Page 504:
250 CLINICAL NEUROLOGY FOR PSYCHIAT
- Page 508:
252 CLINICAL NEUROLOGY FOR PSYCHIAT
- Page 512:
254 CLINICAL NEUROLOGY FOR PSYCHIAT
- Page 516:
256 CLINICAL NEUROLOGY FOR PSYCHIAT
- Page 520:
258 CLINICAL NEUROLOGY FOR PSYCHIAT
- Page 524:
260 CLINICAL NEUROLOGY FOR PSYCHIAT
- Page 528:
262 CLINICAL NEUROLOGY FOR PSYCHIAT
- Page 532:
264 CLINICAL NEUROLOGY FOR PSYCHIAT
- Page 536:
Visual Disturbances Visual disturba
- Page 540:
FIGURE 12-3 n Image focusing in hyp
- Page 544:
With recurrent optic neuritis attac
- Page 548:
For example, a 76-year-old man sust
- Page 552:
psychogenic visual loss often revea
- Page 556:
Visual fields Left eye Right eye Le
- Page 560:
A B Rest Thirsty C Stroke D Seizure
- Page 564:
FIGURE 12-13 n In testing for sacca
- Page 568:
of the patient reading colored or p
- Page 572:
8. Keane JR: Neuro-ophthalmologic s
- Page 576:
lateralized neurologic signs. What
- Page 580:
33. Which ocular motility abnormali
- Page 584:
Answers: b, c. In addition to miosi
- Page 588:
65. A 68-year-old man, a well-respe
- Page 592:
Congenital Cerebral Impairments Man
- Page 596:
FIGURE 13-2 n The proportion of cer
- Page 600:
FIGURE 13-5 n In a 13-year-old girl
- Page 604:
FIGURE 13-7 n The meningomyelocele
- Page 608:
FIGURE 13-11 n Neurofibromas are of
- Page 612:
A deficiency of phenylalanine hydro
- Page 616:
Although they do not have psychotic
- Page 620:
chromosomes, Turner’s syndrome in
- Page 624:
11. Hagberg B: Clinical manifestati
- Page 628:
mental retardation. In addition, wh
- Page 632:
. Cerebellum c. Lower spinal cord d
- Page 636:
Neurologic Aspects of Chronic Pain
- Page 640:
TABLE 14-1 n Sensory Fibers of the
- Page 644:
Nonopioid analgesics are more effec
- Page 648:
or following a dose increase, may p
- Page 652:
Because patients’ susceptibility
- Page 656:
Antiviral agents, such as acyclovir
- Page 660:
REFERENCES 1. Backonja MM, Krause S
- Page 664:
. They actually do not increase ana
- Page 668:
38. A passing automobile catches th
- Page 672:
Multiple Sclerosis Episodes Multipl
- Page 676:
FIGURE 15-1 n Top, Graphs of differ
- Page 680:
INTERNUCLEAR OPHTHALMOPLEGIA MS les
- Page 684:
mania rarely develops in MS patient
- Page 688:
FIGURE 15-7 n This MRI of a multipl
- Page 692:
stress and consequently requires in
- Page 696:
In individuals with lupus who are o
- Page 700:
Questions and Answers 1-4. Over 4 d
- Page 704:
15. Which other statement regarding
- Page 708:
c. Optic neuritis d. Bladder dysfun
- Page 712:
Neurologic Aspects of Sexual Functi
- Page 716:
TABLE 16-1 n Symptoms Suggesting Ne
- Page 720:
Using an alternative treatment, a m
- Page 724:
FIGURE 16-4 n The patient has diabe
- Page 728:
arely become obese. Whatever their
- Page 732:
Questions and Answers 1. A 40-year-
- Page 736:
system structures are vulnerable to
- Page 740:
c. Because of end organ damage, ser
- Page 744:
Sleep Disorders CHAPTER 17 Physiolo
- Page 748:
FIGURE 17-2 n Polysomnogram (PSG) o
- Page 752:
FIGURE 17-4 n In experiments, healt
- Page 756:
Narcolepsy Narcolepsy, the most dra
- Page 760:
cerebrospinal fluid (CSF). (Differe
- Page 764:
During periodic limb movements, EMG
- Page 768:
TABLE 17-6 n Caffeine Content of Po
- Page 772:
or imipramine. Until sleepwalking e
- Page 776:
PSG studies often show a characteri
- Page 780:
case of Creutzfeldt-Jakob disease,
- Page 784:
8. Cartwright R: Sleepwalking viole
- Page 788:
Answer: c. The pons contains conjug
- Page 792:
d. Narcolepsy e. REM behavior disor
- Page 796:
71. Many high functioning, producti
- Page 800:
c. It promotes wakefulness. d. As w
- Page 804:
402 CLINICAL NEUROLOGY FOR PSYCHIAT
- Page 808:
404 CLINICAL NEUROLOGY FOR PSYCHIAT
- Page 812:
406 CLINICAL NEUROLOGY FOR PSYCHIAT
- Page 816:
408 CLINICAL NEUROLOGY FOR PSYCHIAT
- Page 820:
410 CLINICAL NEUROLOGY FOR PSYCHIAT
- Page 824:
412 CLINICAL NEUROLOGY FOR PSYCHIAT
- Page 828:
414 CLINICAL NEUROLOGY FOR PSYCHIAT
- Page 832:
416 CLINICAL NEUROLOGY FOR PSYCHIAT
- Page 836:
418 CLINICAL NEUROLOGY FOR PSYCHIAT
- Page 840:
420 CLINICAL NEUROLOGY FOR PSYCHIAT
- Page 844:
422 CLINICAL NEUROLOGY FOR PSYCHIAT
- Page 848:
424 CLINICAL NEUROLOGY FOR PSYCHIAT
- Page 852:
426 CLINICAL NEUROLOGY FOR PSYCHIAT
- Page 856:
428 CLINICAL NEUROLOGY FOR PSYCHIAT
- Page 860:
430 CLINICAL NEUROLOGY FOR PSYCHIAT
- Page 864:
432 CLINICAL NEUROLOGY FOR PSYCHIAT
- Page 868:
434 CLINICAL NEUROLOGY FOR PSYCHIAT
- Page 872:
436 CLINICAL NEUROLOGY FOR PSYCHIAT
- Page 876:
438 CLINICAL NEUROLOGY FOR PSYCHIAT
- Page 880:
440 CLINICAL NEUROLOGY FOR PSYCHIAT
- Page 884:
442 CLINICAL NEUROLOGY FOR PSYCHIAT
- Page 888:
444 CLINICAL NEUROLOGY FOR PSYCHIAT
- Page 892:
446 CLINICAL NEUROLOGY FOR PSYCHIAT
- Page 896:
448 CLINICAL NEUROLOGY FOR PSYCHIAT
- Page 900:
450 CLINICAL NEUROLOGY FOR PSYCHIAT
- Page 904:
452 CLINICAL NEUROLOGY FOR PSYCHIAT
- Page 908:
454 CLINICAL NEUROLOGY FOR PSYCHIAT
- Page 912:
456 CLINICAL NEUROLOGY FOR PSYCHIAT
- Page 916:
458 CLINICAL NEUROLOGY FOR PSYCHIAT
- Page 920:
460 CLINICAL NEUROLOGY FOR PSYCHIAT
- Page 924:
462 CLINICAL NEUROLOGY FOR PSYCHIAT
- Page 928:
464 CLINICAL NEUROLOGY FOR PSYCHIAT
- Page 932:
466 CLINICAL NEUROLOGY FOR PSYCHIAT
- Page 936:
468 CLINICAL NEUROLOGY FOR PSYCHIAT
- Page 940:
470 CLINICAL NEUROLOGY FOR PSYCHIAT
- Page 944:
472 CLINICAL NEUROLOGY FOR PSYCHIAT
- Page 948:
474 CLINICAL NEUROLOGY FOR PSYCHIAT
- Page 952:
476 CLINICAL NEUROLOGY FOR PSYCHIAT
- Page 956:
478 CLINICAL NEUROLOGY FOR PSYCHIAT
- Page 960:
480 CLINICAL NEUROLOGY FOR PSYCHIAT
- Page 964:
482 CLINICAL NEUROLOGY FOR PSYCHIAT
- Page 968:
484 CLINICAL NEUROLOGY FOR PSYCHIAT
- Page 972:
486 CLINICAL NEUROLOGY FOR PSYCHIAT
- Page 976:
488 CLINICAL NEUROLOGY FOR PSYCHIAT
- Page 980:
490 CLINICAL NEUROLOGY FOR PSYCHIAT
- Page 984:
492 CLINICAL NEUROLOGY FOR PSYCHIAT
- Page 988:
494 CLINICAL NEUROLOGY FOR PSYCHIAT
- Page 992:
496 CLINICAL NEUROLOGY FOR PSYCHIAT
- Page 996:
498 CLINICAL NEUROLOGY FOR PSYCHIAT
- Page 1000:
500 CLINICAL NEUROLOGY FOR PSYCHIAT
- Page 1004:
502 CLINICAL NEUROLOGY FOR PSYCHIAT
- Page 1008:
504 CLINICAL NEUROLOGY FOR PSYCHIAT
- Page 1012:
506 CLINICAL NEUROLOGY FOR PSYCHIAT
- Page 1016:
508 CLINICAL NEUROLOGY FOR PSYCHIAT
- Page 1020:
Neurotransmitters and Drug Abuse Th
- Page 1024:
PARKINSON’S DISEASE In Parkinson
- Page 1028:
Receptors Norepinephrine receptors
- Page 1032:
depends on the enzyme choline acety
- Page 1036:
ind to the GABA A receptor fail to
- Page 1040:
condoms break open in their intesti
- Page 1044:
opioid antagonists also reverse the
- Page 1048:
3. Hilker R, Thomas AV, Klein JC, e
- Page 1052:
9. Which one of the following is no
- Page 1056:
myasthenia gravis is characterized
- Page 1060:
e. The antimigraine medications,
- Page 1064:
Answers: 68-c, 69-b and c, 70-e, 71
- Page 1068:
d. It acts as a dopamine agonist. e
- Page 1072:
Traumatic Brain Injury MAJOR HEAD T
- Page 1076:
injuries leave bone, shrapnel, and
- Page 1080:
showed deterioration on neuropsycho
- Page 1084:
eyes. Therefore, facial, ocular, an
- Page 1088:
describe them, have a stoic disposi
- Page 1092:
sequelae, the DSM-IV-TR does not of
- Page 1096:
Questions and Answers 1. Physicians
- Page 1100:
c. Purulent CSF in cases of meningi
- Page 1104:
Patient and Family Support Groups T
- Page 1108:
SPINA BIFIDA Spina Bifida Associati
- Page 1112:
B. Diseases Transmitted by Chromoso
- Page 1116:
Additional Review Questions and Ans
- Page 1120:
a. Midbrain b. Pons c. Medulla d. C
- Page 1124:
family brought him for a psychiatri
- Page 1128:
c. Expansion of the lateral ventric
- Page 1132:
dystonia (torsion dystonia), tardiv
- Page 1136:
53. Which five of the following con
- Page 1140:
c. Pseudotumor cerebri d. Migraine-
- Page 1144:
1 sec Answer: The most prominent fe
- Page 1148:
cerebral biopsies of patients with
- Page 1152:
G 83-d. Note that this CT follows t
- Page 1156:
g. Alcohol h. Morphine Answer: a. C
- Page 1160:
voltage-gated sodium channels in ne
- Page 1164:
hemiparesis. She remains fully aler
- Page 1168:
. Coma c. Stupor d. Locked-in syndr
- Page 1172:
d. Variable time e. At the moment o
- Page 1176:
. Vivid dreams c. Neuroleptic malig
- Page 1180:
163. What is the cardinal feature o
- Page 1184:
176. Which medicines are appropriat
- Page 1188:
d. Cranial nerves that move eyes la
- Page 1192:
elicit a Romberg sign is inappropri
- Page 1196:
. L-dopa c. Selegiline d. Pramipexo
- Page 1200:
a. MRI of the head b. VERs c. CSF s
- Page 1204:
they pass upward through the cervic
- Page 1208:
They also reported to the local phy
- Page 1212:
d. 25% e. 0% Answer: c. The illness
- Page 1216:
children. During the past 5 years,
- Page 1220:
a. They represent von Recklinghause
- Page 1224:
Answers: a, c, d. Kernicterus, basa
- Page 1228:
sleeve into an abnormal sleeve, rev
- Page 1232:
Answer: c. She undoubtedly sustaine
- Page 1236:
a. Hyperactive DTRs in the left arm
- Page 1240:
A B C D 338. Which one of the follo
- Page 1244:
a. Psychogenic disturbance b. Age-r
- Page 1248:
Answer: b. The medial geniculate bo
- Page 1252:
Although not the explanation in thi
- Page 1256:
Answer: c. The patient has hepatic
- Page 1260:
syphilis, cryptococcal antigen, and
- Page 1264:
a. Prolonged effect of an illicit d
- Page 1268:
during the daytime. The sensations
- Page 1272:
frontotemporal dementia but not wit
- Page 1276:
impairment, and cerebellar dysfunct
- Page 1280:
a. Structure where the optic nerves
- Page 1284:
Adrenoleukodystrophy causes spastic
- Page 1288:
d. Addison’s disease e. Adrenoleu
- Page 1292:
5. A 40-year-old woman and her sist
- Page 1296:
Index Page numbers followed by t an
- Page 1300:
Carotid artery TIAs, 242f, 243t lab
- Page 1304:
Drug abuse neurologic aspects of wi
- Page 1308:
Injuries. See also NAHI; TBI of CNS
- Page 1312:
Duchenne’s muscular dystrophy, 92
- Page 1316:
Phenylalanine, 412 Phenylketonuria.
- Page 1320:
thrombosis and embolus relating to,