By Eva L. Feldman
The atlas is a accomplished define of neuromuscular illnesses, written through skilled American and ecu authors. It discusses all points of neuromuscular problems together with the cranial nerves, spinal nerves, motor neurone illness, the nerve plexus, peripheral nerves, mononeuropathies, entrapment syndromes, polyneuropathies, the neuromuscular junction, and muscle affliction. every one bankruptcy is uniformly established into anatomy, signs, symptoms, pathogentic probabilities, analysis and differential analysis, treatment and analysis. also the diagnostic instruments and investigations utilized in neuromuscular disorder are defined and a realistic advisor is given how one can develop from signs to syndromes. for every ailment the healing suggestions are defined. It includes huge variety of medical and histologic photos from the sensible event of the authors and in addition a few artists drawings to facilitate the knowledge of anatomic structures.
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Extra info for Atlas of Neuromuscular Diseases: A Practical Guideline
Facialis und der Lidmotorik. In: Huber A, Kömpf D (eds) Klinische Neuroophthalmologie. Thieme, Stuttgart, pp 632–646 Huber A (1998) Nervus trigeminus. In: Huber A, Kömpf D (eds) Klinische Neuroophthalmologie. Thieme, Stuttgart, pp 111–112 Iannarella AAC (1978) Funktionsausfall des Nervus alveolaris inferior (bzw. lingualis) nach der operativen Entfernung von unteren Weisheitszähnen. Inaugural Dissertation, Freie Universität Berlin Kaltreider HB, Talal N (1969) The neuropathy of Sjögren’s syndrome; trigeminal nerve involvement.
Clinically patients suffer from the typical “tic doloreux”. Trigger mechanisms can vary but are often specific movements such as chewing, biting or speaking. The neurologic examination is normal, and ancillary investigations show no specific changes. Vascular causes, like arterial loops in direct contact of the intracranial nerve roots, are implicated as causal factors. Therapies include medication (anticonvulsants), decompression or lesion of the ganglion, vascular surgery in the posterior fossa, and medullary trigeminal tractotomy.
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. Therapy Sarcoid and granulomatous disease Infection (leprosy, otitis media, Lyme disease, Ramsay Hunt syndrome) Neoplasm or mass Trauma Cardiofacial syndrome (lower lip palsy) Differential diagnosis for Bell’s palsy Polyneuropathies: AIDP (often bilateral) Pathogenesis Neoplastic: Leptomeningeal carcinomatosis Infection: Leprosy Lyme disease (often bilateral) Otitis media, acute or chronic, cholesteatoma Ramsey Hunt syndrome Birth trauma: Cardiofacial syndrome Congenital dysfunction Hemifacial microsomia Mobius syndrome Prenatally: face compression aginst mother’s sacrum, abnormal posture.