Case Files: Neuroscience (Case Files) by Rahul Jandial, Evan Y. Snyder Eugene C. Toy

By Rahul Jandial, Evan Y. Snyder Eugene C. Toy

Genuine existence medical circumstances FOR the elemental SCIENCES AND USMLE STEP 1 four celebrity DOODY'S evaluate! "The fable of the trouble of the neurosciences for the common clinical scholar is allotted with this book....This is a truly helpful publication for overall healthiness technological know-how scholars. the combination of real-life scientific instances with neuroscience recommendations is helping scholars to target the $64000 points. this can be a great contribution to the sector with little in universal with different evaluate books during this field."--Doody's evaluate carrier you wish publicity to scientific situations to go path tests and ace the USMLE Step 1. Case documents: Neuroscience provides 50 real-life scientific situations illustrating crucial innovations in microbiology. every one case contains and easy-to-understand dialogue correlated to key easy technological know-how recommendations, definitions of keywords, neuroscience pearls, and USMLE-style overview questions. This interactive procedure is helping you examine rather than memorize. 50 scientific circumstances, every one with USMLE-style questions medical pearls highlighting key neuroscience strategies Primer on the right way to technique scientific difficulties and imagine like a physician confirmed studying method in accordance with award-winning learn boosts your shelf examination rankings (20081118)

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He presents to your office in Minneapolis, MN, this time with double vision when he attempts to look to either his left or right side. Following several further tests, you diagnose him presumptively based on the multiple attacks and remissions of weakness and eye problems as having multiple sclerosis (MS), which is a disease of the white matter of the central nervous system. ◆ ◆ ◆ Describe the characteristics of white matter of the brain. What is the mechanism of the weakness caused by white matter degeneration?

This lesion prevents the oculomotor nuclei and the abducens nuclei from coordinating their movements through the MLF. With lateral gaze, the contralateral medial rectus fails to adduct the eye, while the ipsilateral lateral rectus abducts the eye. The dyscoordinated movements of the eye result in diplopia. MRI scans are the preferred imaging modality CLINICAL CASES 33 for diagnosis of this disease. Approximately 80% of individuals with a clinical diagnosis of MS will exhibit white matter abnormalities on MRI scans.

Mechanism of weakness: MS causes the gradual deterioration of the protective myelin sheaths around axons (demyelination) that facilitate signal conduction. Without myelin, the neurons cease to effectively conduct their electrical signals, resulting in a myriad of clinical symptoms (some presented above). MS is categorized as an autoimmune disease where lymphocytes attack the myelin surrounding axons as if it were a foreign agent. Treatment options: Beta interferon can help to reduce the number of exacerbations.

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