Download Atlas of Neuromuscular Diseases: A Practical Guideline by Eva L. Feldman PDF

By Eva L. Feldman

The atlas is a finished define of neuromuscular illnesses, written through skilled American and ecu authors. It discusses all elements of neuromuscular problems together with the cranial nerves, spinal nerves, motor neurone ailment, the nerve plexus, peripheral nerves, mononeuropathies, entrapment syndromes, polyneuropathies, the neuromuscular junction, and muscle affliction. every one bankruptcy is uniformly based into anatomy, signs, symptoms, pathogentic probabilities, analysis and differential prognosis, remedy and analysis. also the diagnostic instruments and investigations utilized in neuromuscular disorder are defined and a pragmatic advisor is given easy methods to boost from signs to syndromes. for every disorder the healing thoughts are defined. It includes huge variety of medical and histologic photographs from the sensible event of the authors and in addition a few artists drawings to facilitate the knowledge of anatomic structures.

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Imaging studies are becoming increasingly important as a precursor to biopsy. Particularly in muscle disease, imaging allows estimation of the pattern of distribution of the disease in various muscles. In patients with considerable muscle atrophy and fatty replacement, imaging helps in the selection of the muscle to be biopsied. Nerve biopsy The sural nerve is the most frequently biopsied nerve. Some schools prefer the superficial peroneal nerve, and biopsies from other nerves such as the superfi- 29 cial radial or pectoral nerves can be obtained.

It has three major branches, the frontal, lacrimal, and nasociliary nerves. Intracranially, V1 sends a sensory branch to the tentorium cerebelli. The frontal nerve and its branches can be damaged during surgery and fractures . 2. V2, the maxillary nerve: The maxillary nerve has three branches: the infraorbital, zygomatic, and pterygopalatinal nerves. It passes below the cavernous sinus and gives off some meningeal branches. Lesions: V2 is most frequently affected in trauma. Sensory loss of cheek and lip are common symptoms.

Loss of visceral function results in loss of tearing or submandibular salivary flow (10 % of cases), loss of taste (25%), and hyperacusis (though patients rarely complain of this). Signs Central lesions Supranuclear: Because the facial motor nuclei receive cortical input concerning the upper facial muscles bilaterally, but the lower face muscles unilaterally, a supranuclear lesion often results in paresis of a single lower quandrant of the face (contralateral to the lesion). Pyramidal facial weakness: lower face paresis with voluntary motion.

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