Neurotoxic disorders are occurring increasingly as a result of occupational or environmental exposure and often go unrecognized. Exposure to neurotoxins may lead to dysfunction of any part of the central, peripheral, or autonomic nervous system and the neuromuscular apparatus. Neurotoxic…
Cardiac Disorders and the Nervous System Neurological complications are an important cause of morbidity in patients with cardiac disease. Cardiogenic emboli may result from cardiac disease or its treatment, and cardiac dysfunction can cause global cerebral hypoperfusion, which—depending on its…
Neurologic disorders are often progressive, may be incurable, and commonly lead to significant disability. Palliative care is an important aspect of their management and may be required at any stage of the disease process. This chapter focuses on one specific…
The diagnosis of disorders of the neuromuscular system involves localizing the lesion anatomically and then weighing the validity of specific diagnostic hypotheses. Symmetry and rapidity of the disease process are major diagnostic considerations. Pure motor syndromes localize to the anterior…
Movement disorders may complicate a variety of general medical diseases. Evaluation of patients with involuntary movements or postures requires a detailed history, including an account of perinatal events, ethnicity, parental consanguinity, psychiatric disorders, past medications, exposure to infectious agents, immunologic…
Occupationally related disorders are commonly due to injury or to working conditions that involve physical strain, such as hand-arm vibration or performing the same movement repetitively. These disorders are not the focus of the present chapter, which is concerned instead…
Neurologic disorders may present first during pregnancy, and their investigation and treatment may be complicated by concerns for the safety of the developing fetus. Furthermore, the natural history of certain pre-existing diseases may be affected by pregnancy, and obstetric management…
Sexual excitement and satisfaction from adequate stimuli are a normal component of a fulfilled life. The somatic and psychosocial factors involved may be compromised by neurologic disease. Sexual dysfunction may occur as the presenting symptom of a developing neurologic disease…
The neurologic aspects of renal disease and the neurologic complications of dialysis and renal transplantation are discussed in this chapter. The neurologic complications of renal carcinoma are not considered, but paraneoplastic complications of malignancy are considered in Chapter 27 ,…
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