Case-Based Neurology

407 Pages·2011·9.487 MB·English

by  Anuradha Singh

Case-Based Neurology
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Case-Based Neurology
Anuradha Singh, MD
Neurology Attending
Assistant Professor
Department of Neurology
New York University Langone Medical Center
New York, New York
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ISBN: 978-1-9338-6425-9
E-book ISBN: 978-1-9352-8192-4
Acquisitions Editor: Beth Barry
Compositor: Newgen Imaging
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Library of Congress Cataloging-in-Publication Data
Singh, Anuradha.
Case-based neurology / Anuradha Singh.
p. ; cm.
Includes bibliographical references and index.
ISBN 978-1-933864-25-9 (alk. paper) — ISBN 978-1-935281-92-4 (e-book)
I. Title.
[DNLM: 1. Nervous System Diseases—diagnosis—Case Reports. 2. Nervous
System Diseases—therapy—Case Reports. WL 141]
616.8—dc23 2011040244
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Contents
Contributors ix
Foreword by Edwin H. Kolodny, MD xiii
Preface xv
Acknowledgments xvii
Abbreviations xix
1 Poorly Controlled Headaches Since 8 Years of Age 1
Sana S. Shah and Sara C. Crystal
2 Chronic Progressive Walking Diffi culties 11
Jerome J. Graber
3 New Onset Focal Seizure, Headache, and Personality Changes 17
Samuel A. Goldlust
4 Sudden Speech Problems 23
Kristin M. Waldron and Anuradha Singh
5 Progressive Leg Weakness for the Past 6 Years 31
Rikki Racela
6 Right-Sided Head, Neck Pain, and Left Leg Weakness 37
Brijesh Malkani, Niushen Zhang, and Sara C. Crystal
7 Headaches and Blurring of Vision 45
Shahzad Raza and Anuradha Singh
8 Progressive Leg Weakness 53
Yaniv Chen
9 History of Headaches and Seizures 59
Geneviève Legault and Anuradha Singh
10 Sudden Onset of Slurring of Speech 67
Addie Peretz and Anuradha Singh
11 Left -Sided Neck Pain and Ptosis 77
Ritvij Bowry, Anuradha Singh, and Daniel Sahlein
12 Weakness and Stiff ness of Both Hands 89
Mary Lynn Chu
13 New Onset First Unprovoked Seizure 97
Anuradha Singh, Phillip Paul Amodeo, and Christina Coyle
14 Rapidly Deteriorating Visual Problems, Confusion,
and Cognitive Decline 103
Lara V. Marcuse and Martin J. Sadowski
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Contents
15 Progressive Arm and Hand Weakness 113
Winfred Poayi Wu, Benjamin Ge, Muznay Naveed Khawaja, and Anuradha Singh
16 Insidious Right Leg Weakness 123
Th omas J. Kaley and Lauren E. Abrey
17 Paralysis of Face 127
Rikki Racela, Varendra Gosein, and Anuradha Singh
18 Right Leg Pain 133
Anuradha Singh, John Engler, and Ramesh P. Babu
19 New Onset Memory Diffi culties and Episodes of Unresponsiveness 141
Rachel Brandstadter, Betty Mintz, and Lara V. Marcuse
20 Facial Pain 149
John Engler and Ramesh P. Babu
21 Involuntary Twitches and Vocalizations 155
Kristin M. Waldron
22 Altered Mental Status 159
Philippe Douyon
23 Sudden Onset Tremors 163
Marjorie E. Bunch
24 Subacute Onset of Tingling in the Hands and Feet 167
Jason L. Kiner
25 Right Arm and Leg Weakness 173
Jai S. Perumal
26 Severe Headache and Balance Problems 179
Jonathan H. Howard and Robert J. Bollo
27 Sudden Onset Confusion 185
Vincci Ngan
28 Frequent Falls 191
Yaniv Chen and Anuradha Singh
29 Medically Refractory Seizures 195
Maria Stefanidou, Anuradha Singh, and Sarah Milla
30 Left Arm Numbness and Slurred Speech 213
Jai S. Perumal
31 Dementia and Personality Changes 219
Sana S. Shah and Adrian T. Chan
32 Headache and Loss of Consciousness 225
Arielle Kurzweil, Addie Peretz, and Anuradha Singh
33 Headache and Blurring of Vision 235
Anuradha Singh, Arielle Kurzweil, and Mohammad Fouladvand
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Contents
34 Slurred Speech and Balance Problems 241
Shahzad Raza, Jerome J. Graber, and Anuradha Singh
35 Subacute Onset of Balance Problems 249
Anuradha Singh and Shahzad Raza
36 Acute Onset of Double Vision 257
David Schick
37 Right-Sided Headache 261
Mitchell Miglis and Jerome J. Graber
38 Transient Inversions of Visuospatial Field 265
Susan Shin, Rachael Oxman, Matt Morrison, Qingliang Wang, and Lara V. Marcuse
39 Slow Onset Memory Problems With Aggressive Behavior 271
Michael Boff a
40 Left Facial Skin Lesion and Episodes of Fear 281
Maya Katz and Lara V. Marcuse
41 Acute Left -Sided Weakness 291
Maria Philip, Vincci Ngan, and Anuradha Singh
42 Left -Sided Neck Pain Followed by Diffi culty Reading, Performing
Motor Tasks, and Speaking 301
Jonathan H. Howard
43 Tremors and Walking Diffi culties 305
Deepti Anbarasan, Ashish Vyas, and Rebecca Wolf Gilbert
44 Loud Snoring at Night 325
Irina Ok and Alcibiades J. Rodriguez
45 Excessive Daytime Sleepiness and Recurrent Episodes of Sleep Paralysis 331
Alcibiades J. Rodriguez, Irina Ok, and Sonia Anand
46 History of Brain Tumors 337
Geneviève Legault, Arielle Kurzweil, and Anuradha Singh
47 Progressive Weakness and Numbness of the Arms and Legs 345
Kiril Kiprovski
48 Spasms in a Child 351
Kimberly Parker-Menzer, Chad Carlson, and Anuradha Singh
49 Periods of Confusion, Agitation, and Disorientation 357
Anuradha Singh and Minjee Kim
50 Left -Arm Weakness in a Patient with Lung Cancer 365
Jonathan H. Howard
Index 371
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Contributors
Lauren E. Abrey, MD Rachel Brandstadter, BS
Attending Physician Mount Sinai Hospital
Department of Neurology New York, NY
Memorial Sloan-Kettering Cancer Center
New York, NY Marjorie E. Bunch, BS, MD
Instructor
Phillip Paul Amodeo, MD Department of Neurology
Neurologist/Clinical Neurophysiologist Beth Israel Deaconess Medical Center
Department of Neurology Boston, MA
Shore Neurology, P.A.
Tom’s River, NJ Chad Carlson, MD
Assistant Professor
Sonia Anand, MD Department of Neurology
Neurology Resident New York University Langone Medical Center
Department of Neurology New York, NY
New York University Langone Medical Center
New York, NY Adrian T. Chan, MD
Neurology Attending, Movement Disorder
Deepti Anbarasan, MD Department of Neurology
Resident Physician WellSpan Neuroscience and Pain Center
Department of Neurology and Psychiatry York, PA
New York University School of Medicine
New York, NY Yaniv Chen, MDCM
Neurologist
Ramesh P. Babu, MBBS, Mch(Neurosurgery), MD Department of Neurology
Associate Clinical Professor New York University Langone Medical Center
Neurosurgery Department New York, NY
New York University Langone Medical Center
New York, NY Mary Lynn Chu, MD
Co-Director
Michael Boff a, MD Department of Neurology
Resident Physician Neuromuscular Disease Center
Department of Neurology Rusk Institute of Rehabilitation Medicine and
Rush University Medical Center Medical Director, Center for Children
Chicago, IL Hospital for Joint Diseases
New York University Langone Medical Center
Robert J. Bollo, MD New York, NY
Assistant Professor
Department of Neurology Christina Coyle, MD, MS
Baylor College of Medicine Director of Tropical Medicine Clinic
Houston, TX Jacobi Medical Center
Assistant Dean for Faculty Development
Ritvij Bowry, MD Albert Einstein College of Medicine
Neurology Resident Bronx, NY
Department of Neurology
New York University School of Medicine and Medical Center
New York, NY
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