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Medical information is now widely available on the Internet and
through telephone helplines such as NHS Direct and the focus on
patient self care is likely to increase. Clinicians in all
specialties will often encounter patients who have made
self-directed searches for medical information prior to the
clinical encounter. Teleneurology by Internet and Telephone is a
study of patient information-seeking behaviour in neurology
patients prior to referral from primary to secondary care. The book
analyses frequency of Internet access and use, and of telephone
helpline awareness and use. It also explores use of these
modalities over time, use according to patient gender and age and
by gender and age over time. Teleneurology by Internet and
Telephone is an accessible overview of the utility of these
modalities of health information provision and will be of interest
not only to neurologists and clinicians in other specialities but
also to public health researchers, sociologists and political
scientists with an interest in questions of health care provision.
Medical information is now widely available on the Internet and
through telephone helplines such as NHS Direct and the focus on
patient self care is likely to increase. Clinicians in all
specialties will often encounter patients who have made
self-directed searches for medical information prior to the
clinical encounter. Teleneurology by Internet and Telephone is a
study of patient information-seeking behaviour in neurology
patients prior to referral from primary to secondary care. The book
analyses frequency of Internet access and use, and of telephone
helpline awareness and use. It also explores use of these
modalities over time, use according to patient gender and age and
by gender and age over time. Teleneurology by Internet and
Telephone is an accessible overview of the utility of these
modalities of health information provision and will be of interest
not only to neurologists and clinicians in other specialities but
also to public health researchers, sociologists and political
scientists with an interest in questions of health care provision.
This extensively revised second edition provides a comprehensive
overview of transient global amnesia (TGA). First, it deals with
the history of TGA before moving on to clinical and diagnostic
features and differential diagnosis. Subsequent chapters then
discuss the investigation and predisposing and precipitating
factors for TGA before attempting to synthesise these many strands
in order to formulate ideas about the pathogenesis of TGA. Each of
the chapters is devoted to a practical and structured overview of
the particular topic, with use of case studies to illustrate the
material. Based in part on the author’s experience of TGA cases
over 20 years and in part on a review of the published literature,
this book will hopefully enlighten clinicians from a broad range of
medical backgrounds on the clinical features, investigation, and
pathogenesis of TGA. Transient Global Amnesia is aimed at any
clinician with an interest in, or who encounters patients with,
acute amnesia: neurologists, general physicians, old age
psychiatrists, geriatricians, clinical neuropsychologists, and
primary care physicians, as well as other professions allied to
medicine with similar interests, such as members of memory
assessment teams.
Neurology has always been a discipline in which careful physical
examination is paramount. The rich vocabulary of neurology replete
with eponyms attests to this historically. The decline in the
importance of the examination has long been predicted with the
advent of more detailed neuroimaging. However, neuroimaging has
often provided a surfeit of information from which salient features
have to be identified, dependent upon the neurological examination.
A dictionary of neurological signs has a secure future. A
dictionary should be informative but unless it is unwieldy, it
cannot be comprehensive, nor is that claimed here. Andrew Larner
has decided sensibly to include key features of the history as well
as the examination. There is no doubt that some features of the
history can strike one with the force of a physical sign. There are
entries for "palinopsia" and "environmental tilt" both of which can
only be elicited from the history and yet which have considerable
significance. There is also an entry for the "head turning sign"
observed during the history taking itself as well as the majority
of entries relating to details of the physical examination. This
book is directed to students and will be valuable to medical
students, trainee neurologists, and professions allied to medicine.
Neurologists often speak in shorthand and so entries such as
"absence" and "freezing" are sensible and helpful.
This updated and expanded Fourth Edition is an alphabetical listing
of commonly presenting neurological signs designed to guide the
physician toward the correct clinical diagnosis. The dictionary is
focused, problem-based and concise. The structured entries in this
practical, clinical resource provide summaries of a wide range of
neurological signs. Each entry includes: a definition of the sign;
a brief account of the clinical technique required to elicit the
sign; a description of the other signs which may accompany the
index sign; an explanation of pathophysiological and/or
pharmacological background; differential diagnosis; brief treatment
details; and where known, the neuroanatomical basis of the sign. A
Dictionary of Neurological Signs, Fourth Edition, is an
indispensable reference for all students, trainees, and clinicians
who care for patients with neurological disorders, and could also
be used in preparation for exams, since each entry is a snapshot of
a specific disorder or disease.
This extensively revised second edition provides a comprehensive
overview of transient global amnesia (TGA). First, it deals with
the history of TGA before moving on to clinical and diagnostic
features and differential diagnosis. Subsequent chapters then
discuss the investigation and predisposing and precipitating
factors for TGA before attempting to synthesise these many strands
in order to formulate ideas about the pathogenesis of TGA. Each of
the chapters is devoted to a practical and structured overview of
the particular topic, with use of case studies to illustrate the
material. Based in part on the author's experience of TGA cases
over 20 years and in part on a review of the published literature,
this book will hopefully enlighten clinicians from a broad range of
medical backgrounds on the clinical features, investigation, and
pathogenesis of TGA. Transient Global Amnesia is aimed at any
clinician with an interest in, or who encounters patients with,
acute amnesia: neurologists, general physicians, old age
psychiatrists, geriatricians, clinical neuropsychologists, and
primary care physicians, as well as other professions allied to
medicine with similar interests, such as members of memory
assessment teams.
Understanding the cognitive aspects of neurological disorders is
essential to manage effectively patients suffering from these
conditions. This book begins by outlining the various cognitive
domains and how these can be tested, before covering in depth the
cognitive deficits seen in prototypical neurodegenerative cognitive
disorders (Alzheimer's disease, frontotemporal dementias,
Huntington's disease, prionoses) and other common neurological
disorders that may be complicated by cognitive impairment (stroke,
multiple sclerosis, Parkinson's disease, brain tumours). This
second edition has been completely revised and updated, with new
material added throughout, including two new chapters:
'Sleep-Related Disorders' and 'Psychiatric Disorders in the
Cognitive Function Clinic'. This an essential reference for all
neurologists, not just for those with an interest in cognitive
disorders. General physicians and specialists who deal with
endocrine, metabolic, vascular or infective disorders that may
compromise cognitive function, and allied health professionals who
work with cognitively impaired patients, will also find this text
useful.
Whereas most textbooks of neurology approach the subject from
either a symptomatic or a diagnostic standpoint, this dictionary
focuses on some of the neurological signs which may be elicited
through history-taking and physical examination. More than 600
structured and cross-referenced definitions are supplemented, where
appropriate, with the neuroanatomical and neurophysiological basis
of each sign. Hence the semiological value of signs is elucidated
in a way which attempts to integrate clinical phenomenology with
underlying neurobiology, thus guiding anatomical and pathological
diagnosis and appropriate treatment.This book will be of interest
to all students of neurology, undergraduate and postgraduate, as
well as more experienced clinicians, including general physicians
and general practitioners, and members of ancillary professions who
care for patients with neurological disease.
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