Parkinsonism
Parkinsonism is seen in patients with disease of the extrapyramidal system. The key components of parkinsonism are rigidity and bradykinesia. The presence of tremor, asymmetry, cognitive decline, cerebellar abnormalities, and autonomic dysfunction helps t
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Neurology A Clinician’s Approach Third Edition
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Neurology
Andrew Tarulli
Neurology A Clinician’s Approach Third Edition
Andrew Tarulli Department of Neurology Overlook Medical Center Summit, NJ USA
ISBN 978-3-030-55597-9 ISBN 978-3-030-55598-6 (eBook) https://doi.org/10.1007/978-3-030-55598-6 © Springer Nature Switzerland AG 2011, 2016, 2021 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, 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. The publisher, the authors and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, expressed or implied, with respect to the material contained herein or for any errors or omissions that may have been made. The publisher remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. This Springer imprint is published by the registered company Springer Nature Switzerland AG The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland
To the 1986 New York Mets.
Preface
In the 5 years since the second edition of Neurology: A Clinician’s Approach was published, much was written about burnout among neurologists. The sources of burnout are debated extensively but the crux of the biscuit is a violation of Newton’s Third Law: every action taken on behalf of our patients is countered by an unequal and opposite punitive reaction of stultifying documentation, hours spent in insurer phone queues, and misdirected online opprobrium. The ACGME-defined competency of “systems-based practice” has trumped patient care and medical knowledge, to the detriment of doctor and patient alike. David Foster Wallace’s masterwork Infinite Jest provides my favorite analysis of the problem: Chief Steve McGarrett [of ‘Hawaii Five-O’] is a classically modern hero of action. He acts out. It is what he does…Captain Frank Furillo of ‘Hill Street Blues’ is a ‘post’-modern hero, a virtuoso of triage and compromise and administration. Frank Furillo retains his sanity, composure, and superior grooming in the face of a barrage of distracting, unheroic demands that would have left Chief Steve McGarrett slumped, unkempt, and chewing his knuckle in administrative confusion.
DFW then wonders: But what comes next? What North American hero can hope to succeed the
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