Diagnostic Decisions in Neurology
Throughout the course of history it has always been noted that any ideas about brain function depended upon the highest technological model of the day. Hence, in the Greek or Roman era the ventricular system was singled out because of the devel opment of
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Diagnostic Decisions in Neurology With a Foreword by Robert 1. Joynt
Springer-Verlag Berlin Heidelberg NewYork Tokyo
Professor Dr. med. KLAUS POECK Head, Department of Neurology Rheinisch-Westfalische Technische Hochschule Pauwelsstra13e 5100 Aachen, FRG
ISBN- I3:978-3-642-70695-0
DOl: 10.1007/978-3-642-70693-6
e-ISBN-13: 978-3-642-70693-6
Library of Congress Cataloging in Publication Data. Poeck, Klaus. Diagnostic decisions in neurology. Includes index. 1. Nervous system - Diseases - Diagnosis. 2. Neurologic examination. 3. Symptomatology. I. Title. [DNLM: 1. Nervous System Diseases-diagnosis. WL 141 P743d] RC348.P64 1985 616.8'075 85-18801 This work is subject to copyright. All rights are reserved, whether the whole or part of the material is concerned, specifically those of translation, reprinting, re-use of illustrations, broadcasting, reproduction by photocopying machine or similar means, and storage in data banks. Under § 54 of the German Copyright Law, where copies are made for other than private use, a fee is payable to "Verwertungsgesellschaft Wort", Munich. © Springer-Verlag Berlin, Heidelberg 1985
Softcover reprint of the hardcover 1st edtion 1985 The use of registered names, trademarks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. Typesetting, printing and bookbinding: U niversitatsdruckerei H. Sturtz AG, D-8700 Wurzburg. 2125/3130-543210
Foreword
Throughout the course of history it has always been noted that any ideas about brain function depended upon the highest technological model of the day. Hence, in the Greek or Roman era the ventricular system was singled out because of the development of hydraulics. Early in this century we drew the analogy between telephone circuits and the brain. Now it is popular to characterize neural function as that of a sophisticated computer. Indeed, in many ways it may be. But, as yet, the prepared human brain will likely prevail in the sorting out of information necessary for a proper diagnosis. In this manual, Dr. POECK has provided the ground work for such preparation. We all admire the clever diagnostician, and usually ascribe the skill to great intuition. Not so! It is the clinician who has seen many patients, and has compiled a menu of choices. Dr. POECK is such a clinician, and he has provided us with his menu of choices. Use of these lists will likely aid the student or resident physician in coming to a proper diagnosis but, more importantly, will help train his or her mind to think in a logical and systematic way. ROBERT J. JOYNT, M.D., Ph.D. Professor of Neurology and Dean School of Medicine and Dentistry University of Rochester
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Preface
The introduction of new technology for the localization of alterations in the peripheral or central nervous system has provided invaluable assistance to the diagnostician. It cannot be denied, however, that blind faith in, and uncritical application of, these
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