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Ankylosing Spondylitis Fracture
Published in Kelechi Eseonu, Nicolas Beresford-Cleary, Spine Surgery Vivas for the FRCS (Tr & Orth), 2022
Kelechi Eseonu, Nicolas Beresford-Cleary
A detailed neurological examination should be performed. The surgical approach depends on patient characteristics as well as fracture location and pattern. Surgical positioning may need to be modified to accommodate for spinal deformity. Stable fractures without neurological compromise can be managed with immobilisation in the existing kyphotic position, admission for observation and MRI scan of the cervico-thoracic spine.
Powerful Hooks – aims, objectives and ILOs
Published in Ramesh Mehay, The Essential Handbook for GP Training and Education, 2021
Ramesh Mehay, Judy McKimm, Mark Waters, Damian Kenny, Anna Romito
A lot of people think it is logic that leads to a change in behaviour, but we would argue that it is feelings. For example, nearly all smokers know that smoking has ill-health effects – but does that stop them smoking? No! A lot of them stop after they’ve had their first scary heart attack, or because they’re getting to that age where they’re afraid of some ill-health effect kicking in. It’s feelings that matter. Each ILO is a logical statement. However, if you want to hook people in, add an emotive element that resonates and stirs up feelings within them. For example, which of these two tickles your taste buds that little bit more? ‘After this session, you will be able to do a neurological examination.’‘After this session, you will be able to do a neurological examination easily in 10 minutes and feel flustered about time no more’.
Evaluation of the Spine in a Child
Published in Nirmal Raj Gopinathan, Clinical Orthopedic Examination of a Child, 2021
Ashish Dagar, Sarvdeep Singh Dhatt, Deepak Neradi, Vijay G Goni
The aim of the neurological examination is to ascertain the level and type of pathological process. Neurological examination includes the examination of the cranial nerves, higher mental function, motor system, sensory system, autonomic system, and cerebellar function. In addition to these usual heads of neurological examination, developmental reflexes should be checked for in a neonate.
Cluster headache: a single tertiary center study
Published in Neurological Research, 2022
Zeynep Tuncer Issı, Nurcan Akbulut, Vesile Öztürk
From 1991 to January 2018, we reviewed the neurology archive where data records of all patients were kept to identify those diagnosed with CH. Patients are diagnosed in the Headache special clinic by a specialized neurologist. All the diagnosed CH patients were included in the study after it was reconfirmed that they met the ICHD 3 criteria. Each patient was subjected to a detailed clinical evaluation and neurological examination by a neurologist at admission. Brain imaging and other laboratory tests were performed to exclude secondary headache causes at the first admission of the patients. Demographic data included age, gender, educational status, family history of CH and smoking or alcohol use, and shift-based work history. Data of CH patients including the CH type, attack characteristics (region, side, duration of the attack, accompanying symptoms, disease duration, frequency), age of onset, period characteristics, other accompanying headache or comorbidities and the transformation between episodic and chronic forms were evaluated. The drugs used in attacks and prophylaxis and the clinical response to the drugs and the side effects experienced were also evaluated. The differences between ECH and CCH or between genders are discussed. A complete pain-free response was accepted as a complete response to the treatment, non-response was considered as no difference, and situations between these were recorded as a partial response.
Neurological symptoms and findings in COVID-19: a prospective clinical study
Published in Neurological Research, 2022
Cansu Köseoğlu Toksoy, Tunzala Yavuz, Semiha Orhan, Petek Şarlak Konya, Derya Korkmaz, Havva Tünay, Erhan Bozkurt, İbrahim Güven Coşğun, Neşe Demirtürk, İsmet Doğan, Ülkü Türk Börü
General symptoms such as fever, cough, shortness of breath, sore throat, anorexia, abdominal pain, diarrhea, and malaise were questioned. Neurological symptoms such as dizziness, nausea, syncope, myalgia, absence of taste and smell were questioned. During the neurological examination, the level of consciousness (awake, drowsy, stupor, coma), orientation, cooperation, cranial nerve examinations, muscle strength examination, sensory examination, cerebellar examination, extrapyramidal system examinations were assessed. Delirium was identified using the Confusion Assessment in Intensive Care Units (CAM-ICU) method. White blood cell, lymphocyte, C-reactive protein (CRP), and creatine kinase (CK) values were recorded from laboratory results. D-dimer and ferritin values could not be recorded because they were not measured in all patients. The diagnosis of acute polyradiculoneuritis was verified by electromyography.
In memoriam: Henry Szczȩsny Schutta, MD (1928–2020)
Published in Journal of the History of the Neurosciences, 2021
The neurological examination: When in doubt, examine the patient.Being able to find subtle abnormalities on the neurologic exam is not the sign of a good neurologist; what is important is knowing what to do with the findings.In neurology you can throw out one finding that doesn’t fit, but the proof of a good neurologist is knowing which one to throw out.Do not refer to “deep tendon reflexes” (they are neither deep nor related to tendons); they should be referred to as muscle stretch reflexes.