Emergency Neurology

The most common problems for which patients present to the Emergency Department are neurological disorders, including stroke, syncope, back pain and headache. The etiology of the patient's symptoms may be life-threatening, that is, when headache is due to

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Karen L. Roos Editor

Emergency Neurology

Editor Karen L. Roos, MD The John and Nancy Nelson Professor of Neurology and Professor of Neurological Surgery Indiana University School of Medicine Indianapolis, IN, USA

ISBN 978-0-387-88584-1 e-ISBN 978-0-387-88585-8 DOI 10.1007/978-0-387-88585-8 Springer New York Dordrecht Heidelberg London Library of Congress Control Number: 2012932091 © Springer Science+Business Media, LLC 2012 All rights reserved. This work may not be translated or copied in whole or in part without the written permission of the publisher (Springer Science+Business Media, LLC, 233 Spring Street, New York, NY 10013, USA), except for brief excerpts in connection with reviews or scholarly analysis. Use in connection with any form of information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed is forbidden. The use in this publication of trade names, trademarks, service marks, and similar terms, even if they are not identified as such, is not to be taken as an expression of opinion as to whether or not they are subject to proprietary rights. While the advice and information in this book are believed to be true and accurate at the date of going to press, neither the authors nor the editors nor the publisher can accept any legal responsibility for any errors or omissions that may be made. The publisher makes no warranty, express or implied, with respect to the material contained herein. Printed on acid-free paper Springer is part of Springer Science+Business Media (www.springer.com)

Preface

The evaluation and management of neurological emergencies are shared by neurologists, emergency medicine physicians, internists, hospitalists, and family practitioners. The way we care for these patients is defined by the work of those for whom we have tremendous respect. When I was a resident at the University of Virginia, I loved to spend rainy afternoons in the library reading the monographs and essays of famous neurologists, many of whom had described the syndrome that would bear their name. I have always been as fascinated by neurologists as by neurology. While interviewing for residency, I shared a pizza with Roger Bannister. Over a cup of coffee at the ANA, Stan Prusiner explained his discovery of the prion protein drawing it for me on a napkin. Through the educational courses at the American Academy of Neurology, and in my role of Editor-in-Chief of Seminars in Neurology, I have had the incredible opportunity of getting to know and becoming friends with the great neurologists of our time. When Springer asked me to edit a textbook on neurological emergencies, I thought about those afternoons in the library at the University of Virginia and how much it would mean to our colleagues and the next generation of neurologists to have a book that was written by neurologists that are Living Legends. Although this book is intended for neurologists, emergency medicine physicians, internists, family practitioners, and hospitalists,