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Clinical Neurology of the Older Adult by Joseph I. Sirven, Barbara L. Malamut

By Joseph I. Sirven, Barbara L. Malamut

Now in its moment variation, this article is the main up to date reference at the evaluate and therapy of neurologic difficulties in older adults. The publication is geared up in order that clinicians can speedy lookup both a patient's symptom(s) or a ailment, and contains medicine charts and diagnostic algorithms. Psychosocial matters akin to riding and long term care recommendations also are addressed.

This variation has additional information on EMG, evoked potentials, different medical neurophysiologic approaches, mind imaging, puppy scans for dementia screening, and useful imaging in sufferers with cognitive alterations. up-to-date info on new antiparkinsonian brokers and paraneoplastic syndromes is additionally included.

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1968;7:331–356. 82. Valentine AR, Moseley IF, Kendall BE. White matter abnormality in cerebral atrophy: clinicoradiological correlations. J Neurol Neurosurg Psychiatry. 1980;43:139–142. 23 83. van der Flier WM, Scheltens P. Use of laboratory and imaging investigations in dementia. J Neurol Neurosurg Psychiatry. 2005;76(suppl V):v45–v52. 84. Warwick JM. Imaging of brain function using SPECT. Metab Brain Dis. 2004;19:113–123. 85. Whitwell JL, Jack CR. Comparisons between Alzheimer’s disease, frontotemporal lobar degeneration, and normal aging with brain mapping.

Theta activity was present in all 18 subjects, but delta activity was present in only six (12%). 8% of the total recording in all but one subject. Maximal temporal slowing was left-sided in 72% of these patients. Intermittent slowing was best displayed on the transverse bipolar montage. Visser et al. (22) correlated EEG, neuroimaging, and neuropsychological data in 27 “normal” subjects aged 65 to 83 years (mean age, 78 years). Patients were divided into those with left frontotemporal slowing and those with normal EEGs.

Noxious or auditory external stimulation of the patient may accelerate (activate) the background frequency. Comatose patients show a more marked and persistent degree of slowing that typically does not change or minimally changes with stimulation. Occasionally, comatose patients have EEG findings highly suggestive of a particular cause (Table 3-4). qxd 30 12/21/07 12:47 PM Page 30 Section I • Introduction: What Makes the Older Adult Unique? Table 3-4. , renal or hepatic) Moderate degree of background slowing with intermittent further slowing.

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