Read e-book online Essential neurology PDF

By Iain Wilkinson, Graham Lennox

ISBN-10: 1405118679

ISBN-13: 9781405118675

A new variation of Essential Neurology brings the textual content totally up to date. This booklet is a center textual content for scientific scholars and junior medical professionals, who desire a complete but concise useful consultant to scientific neurology.

To make the publication extra readable and digestible, we now have brought color into the textual content. this article presents transparent factors of the most typical neurological and neurosurgical problems. the main updated scientific equipment are coated to make sure scholars are studying the most recent strategies. to reinforce the readers’ figuring out of this topic extra illustrations, line drawings and scans are integrated into the text.

Another new addition is the inclusion of medical situations with self-assessment questions on the finish of each bankruptcy. those support to obviously illustrate the medical displays of key neurological disorders.

Essential Neurology is perfect for clinical scholars on neurology attachments and a very good evaluate textual content for the MRCP examination.

Reviews of prior edition

"This is a wonderful introductory textual content for scientific scholars who wish their neurology with no frills."
—British clinical Journal

"A well-presented guide of sensible scientific neurology advised as effortless and relaxing primary reading."
—Brain

"This is a superb e-book with a good all around method of an figuring out of neurology at pupil level"
—Journal of Neurology, Neurosurgery and Psychiatry

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Extra resources for Essential neurology

Sample text

A clinical diagnosis of subarachnoid haemorrhage is made. She is admitted to the medical ward. a. What investigations would you arrange? b. How would you proceed now? Case 2 A 55-year-old publican’s wife is known to suffer from significant hypertension. She is receiving medication from her GP for this, but is not at all compliant. She smokes, and partakes of a drink. She is very overweight. She suddenly collapses in the kitchen. She is unrousable except by painful stimuli, is retching and vomiting, and does not move her left limbs at all.

High blood pressure readings may be found in patients shortly after subarachnoid or intracerebral haemorrhage, either as a response to the bleed or because of pre-existing hypertension. Over-enthusiastic lowering of the blood pressure is not indicated because the damaged brain will have lost its ability to autoregulate. Low blood pressure therefore leads to reduced perfusion of the damaged brain tissue. 34 Common to all cases of subarachnoid haemorrhage CHAPTER 2 1 Blood throughout the subarachnoid space, therefore headache and neck stiffness 2 Raised intracranial pressure, therefore the possibility of depressed conscious level, headache, vomiting, papilloedema No brain damage, so no focal neurological deficit Spasm of a cerebral artery has occurred in the vicinity of an aneurysm, usually a few days after the initial bleed, causing focal ischaemia and neurological deficit The aneurysm has also bled directly into adjacent brain tissue, forming a haematoma and causing immediate focal neurological deficit The aneurysm has bled into adjacent brain tissue, and the haematoma has burst into the ventricles.

This means that for most patients the aims of management are to limit the damage to the brain, optimize recovery and prevent recurrence. Strategies to prevent strokes are clearly important. They concentrate on treating the vascular risk factors that predispose to stroke, such as hypertension, hyperlipidaemia, diabetes and smoking. The two principal pathological processes that give rise to stroke are occlusion of arteries, causing cerebral ischaemia or infarction, and rupture of arteries, causing intracranial haemorrhage (Fig.

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Essential neurology by Iain Wilkinson, Graham Lennox


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