A Dictionary of Neurological Signs Clinical Neurosemiology
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 th
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A DICTIONARY OF NEUROLOGICAL SIGNS CLINICAL NEUROSEMIOLOGY
A.J. LARNER MA, MD, MRCP(UK), DHMSA Walton Centre for Neurology and Neurosurgery, Liverpool, U.K.
KLUWER ACADEMIC PUBLISHERS NEW YORK, BOSTON, DORDRECHT, LONDON, MOSCOW
eBook ISBN: Print ISBN:
0-306-47505-7 1-4020-0043-X
©2002 Kluwer Academic Publishers New York, Boston, Dordrecht, London, Moscow Print ©2001 Kluwer Academic Publishers Dordrecht All rights reserved
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To my parents
Lexicographer: a writer of dictionaries; a harmless drudge, that busies himself in ... detailing the signification of words. Samuel Johnson. A Dictionary of the English Language. 1755
Lexicographer: a pestilent fellow who, under the pretence of recording some particular stage in the development of a language, does what he can to arrest its growth, stiffen its flexibility, and mechanize its methods. Ambrose Bierce. The Devil’s Dictionary. 1911
CONTENTS
Foreword by Martin N. Rossor
ix
Preface by the author
xi
Acknowledgements
xv
A
1
B
34
C
43
D
57
E
73
F
79
G
90
H
95
I
113
J
118
K
121
L
124
M
129
N
142
O
149
P
157
Q
181 - vii -
R
182
S
190
T
204
U
211
V
214
W
220
X
224
Y
225
Z
226
FOREWORD
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. For the more mature student, there are the less usual as well as common eponyms to entice one to read further than t
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