Purpose: To describe the evolution and the magnetic resonance imaging (MRI) findings of the reversible posterior leukoencephalopathy (RLPS) in children. Method: Nine children with neurologic symptoms and sudden increase of the arterial pressure were studied by brain MRI. Results: All children evaluated had lesions seen on FLAIR-weighted images of the parietal-occipital regions. Other regions we...

A 44-year-old man reported acute neck pain, hyperalgesia, and mild paraplegia caused by a wire-penetrating injury of the neck and was hospitalized. The foreign body was located at the C6 level. Pre- and postoperative physical examination and imaging studies were performed to assess the degree of injury. Emergent surgery was performed 30 minutes after admission to prevent the patient from potent...

65 phasized during medical school and residency training. Unfortunately, these skills are often taught during a brief course in the second year of medical school, and not developed further during medical training in any formal way. This book aims to provide students with a rational approach to history taking and physical examination and to further provide a sense of how information gained from ...

Trarumatic brain injuries (TBIs) affect more than 1.4 million Americans annually. Trauma nurses caring for these patients routinely perform serial neurologic assessments, including pupillary examinations. While trauma nurses are likely familiar with basic components of the pupillary examination, some confusion about more specific aspects of the examination and the physiologic basis of the pupil...

Background: Clinical evaluation of hospitalized patients with acute altered mental status (AMS) is a common task of interns, regardless ofmedical specialty. The effectiveness ofmedical education to ensure competence in this area is unknown. Objective: To measure competency of new interns in the evaluation and management of AMS using an Objective Structured Clinical Examination (OSCE). Methods: ...

OBJECTIVE To investigate the short- and long-term outcomes of children from pregnancies complicated with polyhydramnios, defined as amniotic fluid index (AFI) >24 cm, and with a normal detailed ultrasound examination. METHODS This retrospective cohort study examined 134 children aged 4 to 9 years with polyhydramnios and normal detailed ultrasound examination during pregnancy compared with 268...

Advances in monitoring technology, as presented elsewhere in this volume, have also occurred in monitoring to the brain and spinal cord. These techniques have created the opportunity to explore function and prognosis in patients who otherwise are unable to participate in a neurologic examination. This chapter overviews the anatomy, technology, and applications of several of these techniques. Be...

Neurological “soft signs” (NSS) are defined as minor abnormalities in the neurological examination in subjects with no other features of fixed or transient neurologic disorders [1]. These clinical disabilities are often associated with behavior, coordination and learning difficulties. The prevalence of motor examination abnormalities among a normal pediatric population is unknown; about this as...

UNLABELLED Celiac disease (CD) is an immune-mediated enteropathy triggered by the ingestion of gluten in genetically susceptible individuals and neurologic manifestations may be one of the presentations form. The aim of this study was to report the incidence of neurologic manifestations in children with CD. MATERIAL AND METHODS Between 2000-2010, 48 children aged 2-18 years diagnosed with CD ...