Neurological Evaluation
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Fall 1993
Volume 4, Number 2
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Abstracts
of this issue appear
below. Send e-mail or call 303-788-4010 to order a printed copy.
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 Abstracts
Clinical
Neurologic Localization
Don B. Smith, MD
Understanding
anatomical-physiological relationships and recognizing
patterns of malfunction are at the heart of neurological
practice. An overview of the neurological evaluation of
adults in pictorial form offers the physician guidelines
for more accurate neurological diagnosis.
The Neurologic
Exam in Children: When Localization is Not Enough
Paul M. Levisohn, MD
While
pediatric neurology has its origins in the filed of adult
neurology, differences in the developing nervous system
of neonates and children require different assessment
approaches and knowledge for proper diagnosis.
Neuroimaging
in the 1990's
James N. Dreisbach, MD
The use of
imaging for the diagnosis of neurological disease will
change dramatically in the 1990's. While the arsenal of
new, expensive imaging technology is expanding,
reimbursement for imaging is declining. An evolving major
conception is that a neuroimaging study replaces a
sophisticated neurological history and examination. A
neurological consultation can bring into focus the
specific question that needs to be answered, therefore
guiding the selection of the most appropriate
neuroimaging study. If the medical community works
together, inappropriate or complementary imaging studies
can be avoided and the most appropriate imaging exam
performed.
Electrodiagnosis:
The Electromyogram (EMG) - PMG - What It Can Tell You
Marc M. Treihaft, MD
Electromyography
and nerve conduction studies play an important role in
the evaluation of neuromuscular and central nervous
system disorders. Such tests may be applied to the
evaluation of peripheral nervous system disorders, such
as neuropathies, myopathies, radiculopathies, and
neuromuscular-junction disorders. Developments in these
electrophysioloigic methods have also enhanced our
understanding and treatment of central nervous system
disorders such as tremor and dystonia.
Electrodiagnostics:
The Electroencephalogram (EEG) - Proper Utilization
Ronald E. Kramer, MD
Proper
utilization of electroencephalography (EEG) and its
related techniques allows physicians to quickly and
efficiently assess the functioning of the central nervous
system. This is critical when evaluating states of
altered consciousness (eg, coma) or paroxysmal symptoms
(eg, seizures). This review presents a basic approach to
understand the clinical data in the EEG and how it can be
applied to specific clinical situations.
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