A Physiological Approach to Clinical Neurology

A Physiological Approach to Clinical Neurology, Third Edition is a 13-chapter book that first describes pain and other sensations, weakness, neuromuscular disorders, spinal reflexes, as well as muscle tone and movement. This text also explores the disordered muscle tone, a term used to describe the sensation of resistance felt by the clinician as he manipulates a joint through a range of movement with the subject attempting to relax. Other chapters discuss the basal ganglia and their disorders and the cerebellum and its disorders. The anatomy and physiology of the special senses, cranial nerves, and autonomic nervous system are also explained. The last three chapters elucidate consciousness, unconsciousness, epilepsy, and the relationship between brain and mind. This book will be useful to those in the field of clinical neurology.

Inhalt

Preface to the Third Edition
Preface to the First Edition
Acknowledgments
1 Pain and Other Sensations
Sensory Symptoms
The Perception of Different Kinds of Sensation
Pain
Common Patterns of Pain
Clinical History-Taking in Relation to Pain
The Interpretation of Sensory Symptoms and Signs
Principles of Management of Painful Syndromes
Summary
2 Weakness
Asthenia
Paralysis or Paresis
Hysterical Weakness
Transient Paralysis
The Clinical Approach to the Problem of Weakness
Summary
3 Neuromuscular Disorders
The Neurone
Disease of the Anterior Horn Cell and Motor Roots
Peripheral Neuropathy
The Neuromuscular Junction
Myasthenia Gravis
Myasthenic Syndrome
Muscle
Summary
4 Spinal Reflexes
The Stretch Reflex
The Muscle Spindle and its Motor Control
Afferent Fibers from Muscle and their Reflex Effects
Flexor Reflexes
Spinal Control of Segmental Reflexes
The Tonic Vibration Reflex (TVR)
Presynaptic Inhibition
Function of the Stretch Reflex in Man
Phasic Muscle Reflexes
The Clinical Significance of the Tendon Jerk
Summary
5 Muscle Tone and Movement
Motor Neurones
Supraspinal Control of Motor Neurones
Movement
Summary
6 Disordered Muscle Tone
Muscle Tone
Spinal and Cerebral Shock
Spasticity
Principles in the Management of Spasticity
Summary
7 The Basal Ganglia and their Disorders
The Extrapyramidal Motor System
Parkinson's Disease
Hemiballismus
Chorea
Athetosis
Dystonia
Asterixis
The Diagnosis of Tremor
Summary
8 The Cerebellum and its Disorders
Structure of the Cerebellum
The Integrating Action of the Cerebellar Cortex
The Place of the Cerebellum in Control of Movement
Symptoms and Signs of Cerebellar Disease
Disorders of the Cerebellum
Summary
9 The Special Senses and Cranial Nerves
The Sense of Smell (Cranial Nerve 1)
Vision (Cranial Nerve 2)
Ocular Movements (Cranial Nerves 3 ,4 and 6)
Mastication and Facial Sensation (Cranial Nerve 5)
Facial Movement (Cranial Nerve 7)
Deafness, Tinnitus, Vertigo (Cranial Nerve 8)
Swallowing and Phonation (Cranial Nerves 9, 10, 11, 12)
Summary
10 Autonomic Nervous System
Anatomy
Physiology
Pharmacology
Tests of Autonomic Function
Disorders of Autonomic Function
Summary
11 Consciousness and Unconsciousness
The Ascending Reticular Activating System
The Electroencephalogram (EEG)
The Source of Consciousness
Sleep
Loss of Consciousness
Clinical Examination of the Unconscious Patient
Common Causes of Coma
Summary
12 Epilepsy
The Pathophysiology of Epilepsy
Factors in Seizure Production
Factors in Seizure Prevention
Classification and Mechanism of the Epilepsies
Summary
13 The Relationship between Brain and Mind
Perception
Memory
Emotion
Response
Propositional Thought
Dementia
Focal Cerebral Symptoms
The Influence of the Mind on the Body
General Conclusions
Summary
Index