By A.J. Larner
While so much textbooks of neurology technique the topic from both a symptomatic or a diagnostic viewpoint, this dictionary makes a speciality of a few of the neurological symptoms that could be elicited via history-taking and actual exam. greater than six hundred established and cross-referenced definitions are supplemented, the place applicable, with the neuroanatomical and neurophysiological foundation of every signal. for that reason the semiological worth of indicators is elucidated in a fashion which makes an attempt to combine scientific phenomenology with underlying neurobiology, hence guiding anatomical and pathological analysis and applicable remedy. This booklet may be of curiosity to all scholars of neurology, undergraduate and postgraduate, in addition to more matured clinicians, together with common physicians and basic practitioners, and contributors of ancillary professions who deal with sufferers with neurological disease. Read more...
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Extra resources for A dictionary of neurological signs : clinical neurosemiology
COMPREHENSION: spared or impaired? REPETITION: preserved or impaired? NAMING: preserved or impaired? READING: alexia? WRITING: agraphia? These features allow definition of various types of aphasia (see Table and specific entries). For example, motor aphasias are characterized by non-fluent verbal output, with intact or largely unimpaired comprehension, whereas sensory aphasias demonstrate fluent verbal output, often with paraphasias, sometimes jargon, with impaired comprehension. Conduction aphasia is marked by relatively normal spontaneous - 22 - Aphemia Aphemia speech (perhaps with some paraphasic errors) but a profound deficit of repetition.
Anosodiaphoria usually follows a stage of anosognosia. La belle indifférence describes a similar lack of concern for acknowledged disabilities which are psychogenic. [Cross References: ANOSOGNOSIA; BELLE INDIFFÉRENCE] - 20 - Anosognosia Apathy Anosognosia Anosognosia is a patient’s unawareness or denial of his or her illness. The term was first used by von Monakow (1885) and has been used to describe denial of blindness (Anton’s syndrome), deafness, hemiplegia (Babinski), hemianopia, aphasia, and amnesia.
Amnesia may be retrograde (for events already experienced) or anterograde (for newly experienced events). Retrograde amnesia may show a temporal gradient, with distant events being better recalled than more recent ones, relating to the duration of anterograde amnesia. Amnesia may be acute and transient or chronic and persistent. In a pure amnesic syndrome, intelligence and attention are normal and skill acquisition (procedural memory) is preserved. g. in Alzheimer’s disease. The neuroanatomical substrate of episodic memory is a distributed system in the medial temporal lobe and diencephalon surrounding the 3rd ventricle (the circuit of Papez) comprising the entorhinal area of the parahippocampal gyrus, perforant and alvear paths, hippocampus, fimbria/fornix, mammillary bodies, mammillothalamic tract, anterior thalamic nuclei, internal capsule, cingulate gyrus, and cingulum.
A dictionary of neurological signs : clinical neurosemiology by A.J. Larner