哈里森臨床神經(jīng)病學(xué)

內(nèi)容概要

　　《哈里森臨床神經(jīng)病學(xué)（第2版）》的目的是將其作為一本能提供廣泛涵蓋神經(jīng)科重點(diǎn)方向、針對(duì)內(nèi)科醫(yī)生的基礎(chǔ)性讀物，并秉承哈里森系列圖書一貫的重點(diǎn)關(guān)注疾病病理生理和治療的風(fēng)格。通過使用新的表格使內(nèi)容更具表現(xiàn)力，并且增加了神經(jīng)影像學(xué)進(jìn)展。

作者簡介

作者：（美國）豪瑟（Stephen L.Hauser） （美國）約瑟芬（Scott Andrew Josephson）

書籍目錄

Contributors
Preface
    SECTION I INTRODUCTION TO NEUROLOGY
1 Approach to the Patient with Neurologic Disease
2 Neuroimaging in Neurologic Disorders
3 Electrodiagnostic Studies of Nervous System Disorders: EEG,
Evoked Potentials, and EMG
4 Lumbar Puncture
    SECTION II CLINICAL MANIFESTATIONS OF NEUROLOGIC DISEASE
5 Pain: Pathophysiology and Management
6 Headache
7 Back and Neck Pain
8 Syncope
9 Dizziness andVertigo
10 Weakness and Paralysis
11 Gait and Balance Disorders
12 Numbness,Tingling, and Sensory Loss
13 Confusion and Delirium
14 Coma
15 Aphasia, Memory Loss, and Other Focal
16 Sleep Disorders
17 Disorders of Vision
18 Disorders of Smell,Taste, and Hearing
    SECTION III DISEASES OF THE CENTRAL NERVOUS SYSTEM
19 Mechanisms of Neurologic Diseases
20 Seizures and Epilepsy
21 Cerebrovascular Diseases
22 Neurologic Critical Care, Including Hypoxic-Ischemic
Encephalopathy and Subarachnoid Hemorrhage
23 Alzheimer's Disease and Other Dementias
24 Parkinson's Disease and Other Extrapyramidal Movement Disorders
25 Hyperkinetic Movement Disorders
26 Ataxic Disorders
27 Amyotrophic Lateral Sclerosis and Other Motor Neuron Diseases
28 Disorders of the Autonomic Nervous System
29 Trigeminal Neuralgia, Bell's Palsy, and Other Cranial Nerve
Disorders
30 Diseases of the Spinal Cord
31 Concussion and Other Head Injuries
32 Primary and Metastatic Tumors of the Nervous System
33 Neurologic Disorders of the Pituitary and Hypothalamus
34 Multiple Sclerosis and Other Demyelinating Diseases
35 Meningitis, Encephalitis, Brain Abscess,and Empyema
36 Chronic and Recurrent Meningitis
37 HIV Neurology
38 Prion Diseases
39 Paraneoplastic Neurologic Syndromes
40 Peripheral Neuropathy
41 Guillain-Barr6 Syndrome and Other Immune-Mediated Neuropathies
42 Myasthenia Gravis and Other Diseases of the Neuromuscular
Junction
43 Muscular Dystrophies and Other Muscle Diseases
44 Polymyositis, Dermatomyositis, and Inclusion Body Myositis
45 Special Issues in Inpatient Neurologic Consultation
46 Atlas of Neuroimaging
    SECTION IV CHRONIC FATIGUE SYNDROME
47 Chronic Fatigue Syndrome
48 Biology of Psychiatric Disorders
49 Mental Disorders
    SECTION VI ALCOHOLISM AND DRUG DEPENDENCY
50 Alcohol and Alcoholism
51 Opioid Drug Abuse and Dependence
52 Cocaine and Other Commonly Abused Drugs
Review and Self-Assessment
Index

章節(jié)摘錄

版權(quán)頁：   插圖：   CONTRAINDICATIONS Myelography is relatively safe;however,it should be performed with caution in any patient with elevated intracranial pressure,evidence of a spinal block,or a history of allergic reaction to intrathecal contrast media.In patients with a suspected spinal block,MR is the preferred technique.If myelography is necessary,only a small amount of contrast medium should be instilled below the lesion in order to minimize the risk ofneurologic deterioration.Lumbar puncture is to be avoided in patients with bleeding disorders,including patients receiving anticoagulant therapy,as well as in those with infections of the soft tissues. COMPLICATIONS Headache,nausea,and vomiting are the most frequent complications of myelography and are reported to occur in up to 38% of patients.These symptoms result from either neurotoxic effects of the contrast agent,persistent leakage of CSF at the puncture site,or psychological reactions to the procedure.Vasovagal syncope may occur during lumbar puncture;it is accentuated by the upright position used during lumbar myelography.Adequate hydration before and after myelography will reduce theincidence of this complication.Postural headache (post-lumbar puncture headache) is generally due to leakage of CSF from the puncture site,resulting in CSF hypotension.Management of post-lumbar-puncture headache is discussed in Chap.4. If significant headache persists for longer than 48 hours,placement of an epidural blood patch should be considered.Hearing loss is a rare complication ofmyelography.It may result from a direct toxic effect of the contrast medium or from an alteration of the pressure equilibrium between CSF and perilymph in the inner ear.Puncture of the spinal cord is a rare but serious complication of cervical (C1-2) and high lumbar puncture.The risk of cord puncture is greatest in patients with spinal stenosis,Chiari malformations,or conditions that reduce CSF volume.In these settings,a low-dose lumbar injection followed by thin-section CT or MRI is a safer alternative to cervical puncture.Intrathecal contrast reactions are rare,but aseptic meningitis and encephalopathy may occur.

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《哈里森臨床神經(jīng)病學(xué)(第2版)(英文)》是將其作為一本能提供廣泛涵蓋神經(jīng)科重點(diǎn)方向、針對(duì)內(nèi)科醫(yī)生的基礎(chǔ)性讀物，并秉承哈里森系列圖書一貫的重點(diǎn)關(guān)注疾病病理生理和治療的風(fēng)格。通過使用新的表格使內(nèi)容更具表現(xiàn)力，并且增加了神經(jīng)影像學(xué)進(jìn)展。

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