Neurology trainees will learn of presentations and diagnostic features from a wide range of neurological disorders including infective, inflammatory, neoplastic and functional neurology. Patient perspectives offer the personal impact of the specific neurological condition to further understanding of the different disorders and enhance patient care.
Written by a neurologist with 20 years of experience working in a general hospital, this engaging and informative book brings together 55 example cases from a general hospital setting with differential diagnoses. The case report format facilitates up to date management including modern neuroimaging, but also allows the reader to consider the potential diagnoses before turning the page to determine the correct diagnosis and treatment. The history, epidemiology as well as diagnostic criteria and management of specific neurological disorders are provided in an accompanying comment section. Unusual for a book of neurology, patients have had an opportunity to explain how neurological illness impacted their physical, psychological and social activities (provided by a relative/carer when the patient could not contribute). The themes provide a personal and truthful testament of the immediate and longer-term real-life impact of neurological illness, giving readers an insight into the effects of neurological diagnoses on their patients.
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These case reports from a general hospital juxtapose neurological diagnoses and management with individual patient perspectives.
Section I. Visual Disturbance;
1. Weight loss effects on vision and limbs;
2. Adult-onset visual loss;
3. A bee of a syndrome;
4. Multiple problems;
5. Chasing periorbital nerves;
6. High pressure;
7. Test characteristic limitations;
8. Temporary visual failure;
9. Chasing the clot; Section II. Headache and Pain:
10. Losing volume;
11. Where is the pus?;
12. Recurrent acute headaches;
13. A 'never' recurring event;
14. Headache and fever;
15. Brain infection;
16. Headache and droopy eye;
17. Facial somatic mosaicism;
18. An alarm clock headache; Section III. Weakness:
19. Bleeding brain;
20. A battery issue;
21. Symptoms took years to develop;
22. High-frequency improvement;
23. Singling out dermatomes;
24. Asthmatic neurology;
25. Neurological consequences of infection;
26. When speech and swallow fail;
27. Recurrent weakness;
28. Increasing golfing handicap; Section IV. Behavioural and Language Changes:
29. Emotional consequences;
30. Covalent cascade;
31. Progressive silence;
32. Personality change;
33. Evolving and changing neurology; Section V. Confusion:
34. Clouding of consciousness in hospital;
35. Leaky effects of rising pressure;
36. Smoking encephalopathy;
37. Losing running memories; Section VI. Movement Disturbances:
38. Involuntary arm movement;
39. Salt control;
40. A young man with more than dizziness;
41. Late Familial Falling;
42. Non-familial falling;
43. Shaking leg;
44. A viral opportunity;
45. More searching for causes of progressive unsteadiness; Section VII. Acute Onset of Neurological Symptoms: 46, A neurological miscarriage;
47. Am I repeating myself?;
48. A raspberry causing trouble;
49. Different spells;
50. Following the eyes;
51. Fuming loss of consciousness;
52. From skin to brain;
53. Self-tolerance failure;
54. Not a minor problem;
55. Seized; Index.
Mark McCarron is a Consultant Neurologist at the Department of Neurology, Altnaglevin Hospital, Derry, Northern Ireland. He is Curriculum Coordinator and Foundation Educational Supervisor and as such is actively involved in under- and post-graduate education for junior doctors. He is a teacher with Ulster University and is Honorary Lecturer with Queen's University Belfast.
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