By Michael J. Aminoff, S.Andrew Josephson
Aminoff's Neurology and common Medicine is the normal and vintage reference supplying complete assurance of the connection among neurologic perform and basic medication. As neurologists are requested to refer to on normal health conditions, this reference offers an authoritative instrument linking normal health conditions to express neurologic concerns and problems. this can be additionally a invaluable device for the overall practitioner trying to comprehend the neurologic points in their clinical perform.
Completely revised with new chapters overlaying metastatic illness, bladder affliction, psychogenic issues, dementia, and pre-operative and post-operative care of sufferers with neurologic problems, this re-creation will back be the go-to reference for either neurologists and common practitioners.
- The general authoritative reference detailing the connection among neurology and normal medicine.
- 100% revised and up-to-date with a number of new chapters
- Well illustrated, with such a lot illustrations in complete color
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Additional info for Aminoff's Neurology and General Medicine
48. Hamdy O, Nishiwaki K, Yajima M, et al: Presence and quantification of neuropeptide Y in pulmonary edema fluids in rats. Exp Lung Res 26:137, 2000. 49. Quader K, Manninen PH, Lai JK: Pulmonary edema in the neuroradiology suite: a diagnostic dilemma. Can J Anaesth 48:308, 2001. 50. Diringer MN, Yundt K, Videen TO, et al: No reduction in cerebral metabolism as a result of early moderate hyperventilation following severe traumatic brain injury. J Neurosurg 92:7, 2000. 51. Imberti R, Bellinzona G, Langer M: Cerebral tissue PO2 and SjvO2 changes during moderate hyperventilation in patients with severe traumatic brain injury.
25,26 As mentioned earlier, the anterior spinal artery supplies blood to much of the spinal gray matter and to the tracts in the anterior and lateral white matter. Ischemia in this arterial territory therefore gives rise to a syndrome of diminished pain and temperature sensibility with preservation of vibratory and joint position sense. Weakness (either paraparesis or quadriparesis, depending on the segments involved) occurs below the level of the lesion and may be associated with other evidence of upper motor neuron involvement, such as Babinski signs, spasticity, and hyperreflexia.
Right subclavian a. Left subclavian a. Innominate a. Left vagus n. Aortic arch A B C FIGURE 2-8 Mechanisms producing subclavian steal syndrome in diseases of the aortic arch and its branches. A, Obstruction of the left subclavian artery at its origin, resulting in reversal of blood flow in the left vertebral artery. B, Obstruction of the right subclavian artery distal to the takeoff of the right common carotid artery, resulting in reversal of blood flow in the right vertebral artery. C, Obstruction of the innominate artery at its origin, producing reversal of blood flow in the right common carotid artery.