The Neurologic Diagnosis A Practical Bedside Approach
The Neurologic Diagnosis: A Practical Bedside Approach is an introductory text that simplifies the often unwieldy method of making a neurologic diagnosis. Medical students are often intimidated by a deluge of data, extensive differential diagnoses, and ha
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Jack N. Alpert
The Neurologic Diagnosis A Practical Bedside Approach
Jack N. Alpert, MD St. Luke’s Episcopal Hospital Department of Neurology University of Texas Medical School at Houston Houston, TX, USA [email protected]
ISBN 978-1-4419-6723-7 e-ISBN 978-1-4419-6724-4 DOI 10.1007/978-1-4419-6724-4 Springer New York Dordrecht Heidelberg London Library of Congress Control Number: 2011941214 © 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)
In Memory of Morris B. Bender, a superlative clinical neurologist of the twentieth century, who stimulated my lifelong interest in the manifestations, evaluation, and diagnosis of patients with neurologic diseases. His influence permeates this text.
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Foreword
Assessment of neurological complaints, a high percent of a family practitioner and internist’s practice, requires an accurate history and a careful neurological examination. As Dr. Alpert expertly discusses in detail, the history provides clues to the clinical diagnosis while the complementary neurological examination localizes the lesion(s). Dr. Alpert is able to distil out from his over four decades of a busy practice and from his excellent teaching of medical students and neurological trainees a logical, readable, and provocative approach to each neurological complaint. In a chapter of 36 cases of “Diagnostic Dilemmas,” one’s clinical acumen is challenged with practical questions and astute observations. By discussing neurological disorders in terms of ten “Neuroanatomic Diagnoses,” Dr. Alpert compartmentalizes neurological diseases into convenient and manageable discrete entities. By building upon the unique anatomy and physiology of each unit, greater logic is made in one’s deductive reasoning for a diagnostic conclusion. Special emphasis is given to the “Six Major Decussations” with clinical correlations, as with strokes, autonomic disor
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