By Brent Graham (auth.), Alan J. Lerner MD (eds.)
Accurate prognosis, how to steer clear of insufficient and beside the point sufferer therapy, is the 1st and superior accountability of the health professional. In Diagnostic standards in Neurology, Alan J. Lerner, MD, seeks to codify the diagnostic procedure by way of compiling units of formerly released diagnostic standards for a various workforce of neurological stipulations. the standards are derived from the simplest at present on hand scientific resources and replicate the good number of attainable criteria which were proposed. They disguise a large spectrum of neurological stipulations whose prognosis doesn't count exclusively on histopathology (e.g., mind tumors), together with cerebrovascular ailments, dementias and behavioral issues, demyelinating issues, and issues of attention and mind demise. Standardized standards also are supplied for epilepsy, genetic syndromes, headache, immune-based problems, infectious illnesses, flow problems, neuromuscular problems, and sleep issues. a stunning array of tables summarize important info on either universal and unusual neurological stipulations, together with many genetic and pediatric neurological issues. A better half own electronic assistant (PDA) model (1-58829-854-X), bought individually, is accessible from the Humana Press site (www.humanapress.com) for simple downloading and use at the reader's PDA.
cutting edge and authoritative, Diagnostic standards in Neurology starts to do for neurology what the DSM (Diagnostic and Statistical handbook) did for psychiatry: supply practising neurologists and neurological citizens with convenient entry to the newest released diagnostic standards for effectively treating their patients.
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Laboratory results of: 1. Normal lumbar puncture as evaluated by standard techniques. 2. Normal pattern or nonspecific changes in electroencephalogram, such as increased slow-wave activity. 3. Evidence of cerebral atrophy on computed tomography with progression documented by serial observation. III. Other clinical features consistent with the diagnosis of probable Alzheimer’s disease, after exclusion of causes of dementia other than Alzheimer’s disease, include the following: a. Plateaus in the course of progression of the illness.
Tachycardia. shortcomings of current nosological schemata. Lewy bodies are the pathological hallmark of Parkinson’s disease, where they are primarily restricted to substantia nigra and pigmented brainstem nuclei. However, the presence of Lewy bodies in the cerebral cortex coupled with behavioral symptoms, such as visual hallucinations, led to the recognition of DLB as a distinct syndrome. Complicating this assessment is the presence of AD pathology in about 50% of autopsies of clinically diagnosed cases of DLB, leading to the concept of a Lewy body variant of AD.
Adapted from Diagnostic and Statistical Manual of Mental Disorders, 4th rev. ed. Washington, DC: American Psychiatric Association, 1994. Table 4 DSM-IV Criteria for Diagnosis of Attention Deficit Hyperactivity Disorder A. Either 1 or 2: 1. Six or more of the following symptoms of inattention have persisted for at least 6 months to a degree that is maladaptive and inconsistent with developmental level: Inattention • Often fails to give close attention to details or makes careless mistakes in schoolwork, work, or other activities.