Atlas of Neuromuscular Diseases: A Practical Guideline by Eva L. Feldman

By Eva L. Feldman

The atlas includes a complete define of neuromuscular ailments, written by means of skilled American and ecu authors. It discusses all facets of neuromuscular problems together with the cranial nerves, spinal nerves, motor neurone illness, the nerve plexus, and so forth. each one bankruptcy is uniformly based into anatomy, signs, indicators, pathogenetic probabilities, prognosis and differential prognosis, remedy and diagnosis. also, the diagnostic instruments and investigations utilized in neuromuscular affliction are defined and a realistic advisor is given on easy methods to boost from indicators to syndromes. for every ailment the healing concepts are defined. It comprises huge variety of scientific and histologic photographs and artists drawings.

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59 Symptoms may persist and contractures or synkineses may develop. Pathogenesis is not clear, but may be viral or inflammatory. Associated diseases: diabetes. Acyclovir, steroids, and surgery were compared: Results show better outcome from steroid treated vs. non-steroid treated patients. Steroids with acyclovir are also effective. Surgery: 104 cases were evaluated. 71 showed complete recovery, 84% with near nomal function. Important additional measures to consider: eye care, eye-lid surgery, facial rehabilitation, botulinus toxin injections for symptomatic synkineses.

Particularly in muscle disease, imaging allows estimation of the pattern of distribution of the disease in various muscles. In patients with considerable muscle atrophy and fatty replacement, imaging helps in the selection of the muscle to be biopsied. Nerve biopsy The sural nerve is the most frequently biopsied nerve. Some schools prefer the superficial peroneal nerve, and biopsies from other nerves such as the superfi- 29 cial radial or pectoral nerves can be obtained. The nerve should be fixed in formalin, prepared for electron microscopy, and a special segment should be kept ready if nerve teasing is indicated.

In: Schmidt D, Malin JC (eds) Erkrankungen der Hirnnerven. Thieme, Stuttgart, pp 11–53 Wilson-Pauwels L, Akesson EJ, Stewart PA (1988) Cranial nerves. Anatomy and clinical comments. Decker, Toronto Philadelphia 39 Oculomotor nerve Genetic testing NCV/EMG Laboratory Imaging (PNP: NCV) + (Diabetes) ++ Biopsy Lee screen + Fig. 2. 1 Oculomotor nerve, 2 Abducens nerve, 3 Trochlear nerve, 4 Cross section through brainstem, 5 Internal carotid artery Fig. 3. Oculomotor nerve paresis: A Complete ptosis; B Upon lifting of the lid lateral deviation of left bulbus.

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