Read e-book online Contemporary Neurology PDF

By M.J.G. Harrison (Eds.)

ISBN-10: 0407003088

ISBN-13: 9780407003088

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These symptoms are commonly associated with brief episodes of speech disturbance and unsteadiness, sometimes accompanied by complaints of a "woolly head" or dizziness (Espir et al, 1966). Seizures arising in the frontal lobe may cause turning of the eyes and head away from the site of origin (aversive attacks) and if the discharge spreads posteriorly the contralateral arm may be involved. Some attacks have auras similar to those of temporal lobe epilepsy. Unusual variants, often of temporal lobe origin, include laughing, crying, and running epilepsy.

General examination should always include a full assessment of the circulation and a search for any primary neoplasm. In attacks where diagnostic doubt remains, various investigations may be necessary and these may also be indicated where the question of cause arises, particularly in epilepsy of later onset. To some degree the extent of the investigations is linked with the reliability of the diagnosis, the age of onset, and the severity of the complaint (Fowler, 1980). Simple screening investigations include a blood sample, a urine sample, X-rays of the skull and chest, and an EEG.

The symptom frequency noted above is obviously coloured by the fact that these patients were referred for neurological evaluation. McKell and Sullivan (1947) studied HVS in 500 patients seen consecutively by a gastroenterologist and reported incidences of 76, 69, and 55 per cent for breathlessness, palpitations, and chest pain, respectively. All these patients had gastrointestinal complaints. Mechanisms of action Hyperventilation causes neurological symptoms by lowering the Pco2—two deep breaths produced by yawning or sighing may be enough to alter it significantly and produce symptoms.

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Contemporary Neurology by M.J.G. Harrison (Eds.)


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