Neuromuscular Case Studies

In this unique book, Dr. Bertorini guides you through more than 100 cases that demonstrate the diagnosis and management of a wide range of common and rare neuromuscular disorders. No other reference boasts such a large array of clinical studies devoted to all areas of this broad topic! Each case study reviews the etiologies, pathogenesis, differential diagnosis, and management of a particular disorder, helping you not only recognize its presentation, but also determine a diagnosis and the best treatment plans for your patients. You₂ll also find expert guidance on the basic mechanisms of neuromuscular disorders, clinical examination, and diagnostic tests--including EMG, muscle biopsy, genetic testing, and more. More than 100 detailed case studies explore both common and rare neuromuscular disorders and the treatment protocols for each, equipping you with the knowledge you need to confidently manage any challenge. Each case includes a summary of important points or highlights of the study. Case studies are arranged either by complaint or by diagnosis so that you can successfully manage your patients with or without an initial diagnosis. Comprehensive coverage of EMGs and nerve conduction studies and other diagnostic tests, including muscle and nerve biopsies and genetic testing, helps you accurately diagnose nerve, muscle, and neuromuscular transmission disorders. Detailed discussions of treatment plans and commonly used drugs enhance your management of autoimmune disorders, painful neuropathy, dysautonomia, and other neuromuscular disorders. A reader-friendly format takes you step by step through the diagnosis and treatment of neuromuscular disorders, from the basic anatomy and physiology of the nerve and muscle through to clinical evaluation, diagnostic testing, and therapy. More than 350 high-quality illustrations, including full-color patient photographs, biopsies, and EMG tracings, make complex concepts easier to understand and apply. Content: Copyright , Page iv Dedication , Page v Preface , Page vii Acknowledgments , Page ix 1 - Neuromuscular Anatomy and Function , Pages 1-25 2 - Neurologic Evaluation and Ancillary Tests , Pages 27-76 3 - Therapy in Neuromuscular Diseases , Pages 77-92 CASE 1 - An Elderly Woman with Numbness in the Hands , Pages 94-97 CASE 2 - A Diabetic Man with Arm Swelling, Pain, and Numbness , Pages 98-105 CASE 3 - A Diabetic Man with Hand Numbness and Fainting Spells , Pages 106-110 CASE 4 - A Man with Hand Pain , Pages 111-115 CASE 5 - A Woman with Hand Weakness, Numbness, and Pain After Cardiac Catheterization , Pages 116-118 CASE 6 - A Man Who Practices Karate and Has Forearm Pain , Pages 119-122 CASE 7 - A Man with a History of Polio Who Developed Hand Weakness and Numbness , Pages 123-128 CASE 8 - A Young Woman with Multiple Sclerosis and Hand Numbness , Pages 129-133 CASE 9 - A Woman with a Wrist Drop and a Mass in the Arm , Pages 134-138 CASE 10 - A Man with Bilateral Arm Weakness After Lumbar Surgery , Pages 139-143 CASE 11 - A Woman with Acute Onset of Shoulder Pain and Weakness , Pages 144-148 CASE 12 - A Man with Lymphoma and Numbness in the Fingers of One Hand , Pages 149-152 CASE 13 - A Woman with Arm Weakness After Treatment for Breast Cancer , Pages 153-155 CASE 14 - A Diabetic Man with Shoulder Pain and Weakness , Pages 156-159 CASE 15 - A Woman with Arm Weakness and a Skin Rash , Pages 160-162 CASE 16 - A Woman with Neck and Arm Pain , Pages 163-164 CASE 17 - A Woman with Neck Pain and a Weak Arm , Pages 165-169 CASE 18 - A Woman with Back Pain and Leg Weakness , Pages 170-174 CASE 19 - A Woman with Back Pain and Weakness , Pages 175-176 CASE 20 - A Woman with Back Pain and Unusual Nerve Conduction Tests , Pages 177-182 CASE 21 - A Man with Pheochromocytoma and Back Pain , Pages 183-186 CASE 22 - A Diabetic Man with Back and Leg Pain , Pages 187-190 CASE 23 - A Man with Leg Pain While Walking , Pages 191-195 CASE 24 - A Man with Foot Pain , Pages 196-200 CASE 25 - A Man with Unilateral Proximal Leg Weakness After Heart Catheterization , Pages 201-204 CASE 26 - A Woman with Uterine Cancer and Unilateral Leg Weakness , Pages 205-209 CASE 27 - A Man with Burning Sensations in the Thigh , Pages 210-213 CASE 28 - A Man with Weakness and Fasciculations in the Lower Extremities , Pages 214-217 CASE 29 - A Woman with Unilateral Facial Weakness , Pages 218-221 CASE 30 - A Diabetic Woman with Muscle Weakness and Ophthalmoplegia , Pages 222-226 CASE 31 - A Man with a Dropped Head , Pages 227-233 CASE 32 - A Man in the “Barrel” , Pages 234-238 CASE 33 - A Man with a Long History of Muscle Weakness in One Arm , Pages 239-244 CASE 34 - A Man with Progressive Leg Muscle Weakness 20 Years After an Acute Paralysis , Pages 245-248 CASE 35 - A Man with One Large Calf , Pages 249-254 CASE 36 - A Man with Muscle Spasms and Elevated Serum Creatine Kinase , Pages 255-260 CASE 37 - A Man with Muscle Twitching and Poor Balance , Pages 261-267 CASE 38 - A Floppy Child , Pages 268-274 CASE 39 - A Man with Acute Areflexic Paralysis and Central Nervous System Symptoms , Pages 275-280 CASE 40 - A Man with Acute Muscle Weakness and Respiratory Failure , Pages 281-285 CASE 41 - A Young Woman with Acute Onset of Clumsiness and Ophthalmoplegia , Pages 286-289 CASE 42 - A Woman with Seafood Poisoning in Catfish Country , Pages 290-293 CASE 43 - A Woman with a Kingly Disease , Pages 294-301 CASE 44 - A Myasthenic Woman with Persistent Weakness , Pages 302-307 CASE 45 - A Man with Neck Pain and Numbness in the Hands , Pages 308-310 CASE 46 - A Woman with Peripheral Neuropathy and Frequent Falls , Pages 311-316 CASE 47 - A Man with Weakness in the Legs , Pages 317-319 CASE 48 - An Elderly Woman with Asymmetric Weakness and a Monoclonal Gammopathy , Pages 320-322 CASE 49 - A Man with Progressive Weakness and Fasciculations , Pages 323-335 CASE 50 - A Man with Diabetic Polyneuropathy Who Developed Rapidly Progressive Weakness , Pages 336-341 CASE 51 - An Older Man with Leg Numbness , Pages 342-347 CASE 52 - A Woman with a Neuropathy and Symptoms of a Central Nervous System Disease , Pages 348-351 CASE 53 - A Man with Progressive Weakness After a Gastroplasty , Pages 352-356 CASE 54 - A Diabetic Woman with Proximal Leg Weakness and Pain , Pages 357-360 CASE 55 - A Diabetic Man with Bilateral Arm Weakness , Pages 361-364 CASE 56 - A Diabetic Man with Pain and Swelling in the Thigh , Pages 365-367 CASE 57 - A Uremic Man with Burning Feet , Pages 368-371 CASE 58A - A Woman with Leg Numbness, Pain, Weakness, and Slow Nerve Conduction Velocities , Pages 372-374 CASE 58B - A Boy with Leg Weakness , Pages 375-382 CASE 59 - A Man with Hand Weakness and Numbness After Skiing , Pages 383-385 CASE 60 - A Man with Recurrent Foot Drop , Pages 386-392 CASE 61 - An Elderly Woman with Foot Drop and Hand Weakness , Pages 393-398 CASE 62 - A Woman with Rheumatoid Arthritis Who Developed Numbness and Pain in the Feet , Pages 399-404 CASE 63 - A Woman with Granulomatous Lesions in the Lungs and a Peripheral Neuropathy , Pages 405-410 CASE 64 - A Man with a Neuropathy, Weight Loss, and Lung Nodules , Pages 411-414 CASE 65 - A Woman with Difficulty Walking and Ataxia , Pages 415-421 CASE 66 - A Man with Progressive Neuropathy and Congestive Heart Failure , Pages 422-428 CASE 67 - An Elderly Woman with a Progressive Neuropathy , Pages 429-432 CASE 68 - A Young Woman with Difficulty Swallowing , Pages 433-435 CASE 69 - A Young Woman with Intermittent Weakness and a Positive Family History of Similar Problems , Pages 436-443 CASE 70 - A Woman with Muscle Weakness and Areflexia , Pages 444-447 CASE 71 - An Elderly Woman with Proximal Weakness , Pages 448-453 CASE 72 - A Young Woman with Distal Upper Extremity Weakness , Pages 454-463 CASE 73A - A Young Man with Episodic Weakness , Pages 464-469 CASE 73B - An African American Man with Hyperthyroidism and Acute Paralysis , Pages 470-471 CASE 74 - A Boy with Large Muscles, Leg Pain, and Elevated Serum Creatine Kinase , Pages 472-479 CASE 75 - A Woman with Proximal Muscle Weakness, Calf Hypertrophy, Heel Contractures, and Elevated Serum Creatine Kinase , Pages 480-483 CASE 76 - A Young Man with Distal Leg Wasting and Normal Sensation , Pages 484-492 CASE 77 - A Woman with Droopy Eyelids and Difficulty Swallowing , Pages 493-496 CASE 78 - A Man with Facial and Shoulder Muscle Weakness , Pages 497-502 CASE 79 - A Boy Born Floppy with Severe Weakness, and Later, Contractures , Pages 503-509 CASE 80 - A Woman with Long-standing Weakness and Foot Deformities , Pages 510-514 CASE 81 - A Woman with Droopy Eyelids and Ophthalmoplegia , Pages 515-521 CASE 82 - A Man with Weakness and Swelling in the Neck , Pages 522-525 CASE 83 - A Woman with Muscle Pains and Dark Urine , Pages 526-532 CASE 84 - A Woman with Progressive Proximal Muscle Weakness , Pages 533-538 CASE 85 - A Sedentary Man with Acute Respiratory Failure and Myoglobinuria , Pages 539-544 CASE 86 - A Uremic Man with Proximal Muscle Weakness , Pages 545-549 CASE 87 - A Woman with Weakness, Elevated Cholesterol, and Serum Creatine Kinase Levels , Pages 550-553 CASE 88 - An Older Woman with Leg Weakness and Atrophic Muscle Fibers on Biopsy , Pages 554-558 CASE 89A - A Woman with Muscle Weakness and a Skin Rash , Pages 559-561 CASE 89B - A Child with Muscle Weakness and a Skin Rash , Pages 562-566 CASE 90 - A Man with Muscle Pains , Pages 567-571 CASE 91 - An Older Woman with Progressive Muscle Weakness , Pages 572-576 CASE 92 - An HIV-Infected Man with Muscle Weakness and Spasms , Pages 577-580 CASE 93 - A Woman with Limb Swelling and Pain , Pages 581-583 CASE 94 - A Man with a Bent Spine , Pages 584-587 CASE 95 - A Man with Muscle Stiffness, and Later with Diplopia , Pages 588-593 CASE 96 - A Woman with Muscle Cramps and Fasciculations , Pages 594-600 CASE 97 - A Man with Large and Stiff Muscles , Pages 601-608 CASE 98 - A Boy with Short Stature, Small Jaw, Muscle Hypertrophy, and Stiffness , Pages 609-611 CASE 99 - An Elderly Woman with Muscle Spasms , Pages 612-615 CASE 100 - A Woman with Proximal Muscle Weakness and Neuromuscular Irritability , Pages 616-619 CASE 101 - A Woman with Focal Spontaneous Muscle Movements , Pages 620-623 Index of Cases by Diagnosis , Pages 625-627 Index , Pages 629-646 In this unique book, Dr. Bertorini guides you through more than 100 cases that demonstrate the diagnosis and management of a wide range of common and rare neuromuscular disorders. No other reference boasts such a large array of clinical studies devoted to all areas of this broad topic! Each case study reviews the etiologies, pathogenesis, differential diagnosis, and management of a particular disorder, helping you not only recognize its presentation, but also determine a diagnosis and the best treatment plans for your patients. You2ll also find expert guidance on the basic mechanisms of neuromuscular disorders, clinical examination, and diagnostic tests--including EMG, muscle biopsy, genetic testing, and more. More than 100 detailed case studies explore both common and rare neuromuscular disorders and the treatment protocols for each, equipping you with the knowledge you need to confidently manage any challenge. Each case includes a summary of important points or highlights of the study. Case studies are arranged either by complaint or by diagnosis so that you can successfully manage your patients with or without an initial diagnosis. Comprehensive coverage of EMGs and nerve conduction studies and other diagnostic tests, including muscle and nerve biopsies and genetic testing, helps you accurately diagnose nerve, muscle, and neuromuscular transmission disorders. Detailed discussions of treatment plans and commonly used drugs enhance your management of autoimmune disorders, painful neuropathy, dysautonomia, and other neuromuscular disorders. A reader-friendly format takes you step by step through the diagnosis and treatment of neuromuscular disorders, from the basic anatomy and physiology of the nerve and muscle through to clinical evaluation, diagnostic testing, and therapy. More than 350 high-quality illustrations, including full-color patient photographs, biopsies, and EMG tracings, make complex concepts easier to understand and apply. "In this book, Dr. Bertorini guides you through more than 100 cases that demonstrate the diagnosis and management of a wide range of common and rare neuromuscular disorders. Each case study reviews the etiology, pathogenesis, differential diagnosis, and management of a particular disorder, helping you not only recognize its presentation, but also determine a diagnosis and select the best treatment plans for your patients, You'll also find expert guidance on the basic mechanisms of neuromuscular disorders, clinical examination, and diagnostic tests, including EMG, NCS, muscle biopsy, and genetic testing."--BOOK JACKET