What Do I Do Now

Part of the “What Do I Do Now?” series, Cerebrovascular Disease uses a case-based approach to cover common and important topics in the examination, investigation, and management of stroke, embolism, thrombosis, hemorrhage, and other critical presentations of cerebrovascular disease. Each chapter provides a discussion of the diagnosis, key points to remember, and selected references for further reading. For this edition, all cases and references have been updated and new cases have been added, including the following: ischemic stroke in cancer, posterior reversible encephalopathy syndrome (PRES), primary angiitis of the central nervous system, symptomatic spinal vascular malformation, and vascular dementia. Cerebrovascular Disease is an engaging collection of thought-provoking cases that clinicians can utilize when they encounter difficult patients. The volume is also a self-assessment tool that tests the reader’s ability to answer the question, “What do I do now?”Less

Emergency Neurology is designed as a resource for clinicians at all levels of training in all fields of medicine who treat patients with urgent and emergent neurological syndromes. It uses a novel approach focusing on the ‘clinical impasse’ that so often occurs in complex cases, and emphasizes the creative intellectual process clinicians relish. Authored by Morris Levin, along with colleagues from the Dartmouth-Hitchcock Medical Center, this resource presents 32 common urgent/emergent cases divided in to four distinct sections: (1) Diagnostic Questions (ADULT), (2) Treatment Considerations (ADULT), (3) Ethical, Neuropsychiatric and Legal issues, and 4) Pediatric issues. The chapters are short and to the point, bearing in mind the increasing work demands on physicians, with key questions addressed much as a consultant would do over the phone or in the hallway, and a list of key clinical points appears at the end of each case discussion, followed by a list of suggested articles or chapters for those interested in doing further reading on the subject.Less

This resource applies a case-based approach of consultation, and presents 31 actual cases that provide key points to remember, as well as recommendations for further reading at the end of each case. It also includes EEGs and imaging where applicable.Less

This resource presents a representative set of 33 ‘mini-cases’ of headache and facial pain, and is divided into three sections that cover the typical ground for head/face pain consultation: (1) Diagnostic Questions, (2) Treatment Considerations, and (3) Prognostic, Social and Legal Issues. Recommendations are based on the most current evidence available, and diagnostic thinking is presented along the lines of the International Classification of Headache Disorders, second edition (ICHD-II).Less

Part of the “What Do I Do Now?” series, Movement Disorders uses a case-based approach to cover common and important topics in the examination, investigation, and management of Parkinson’s disease, gait disorders, dystonia, and other movement disorders. Each chapter provides a discussion of the diagnosis, key points to remember, and selected references for further reading. For this edition, all cases and references have been updated and 15 new cases have been added, including the following: genetic testing in Parkinson’s disease, dementia with Lewy bodies, fragile X tremor ataxia syndrome, use of botulinum toxin in dystonia, catatonia, and serotonin syndrome. Movement Disorders is an engaging collection of thought-provoking cases that clinicians can utilize when they encounter difficult patients. The volume is also a self-assessment tool that tests the reader’s ability to answer the question, “What do I do now?”Less

Part of the “What Do I Do Now?” series, Neuro-Ophthalmology uses a case-based approach to cover common and important topics in the examination, investigation, and management of afferent (visual), efferent (eye movement), eyelid, pupil, and orbital disorders. Each chapter provides a discussion of the diagnosis, key points to remember, and selected references for further reading. For this new edition, all cases and references have been updated and several new cases have been added. Neuro-Ophthalmology is an engaging collection of thought-provoking cases that clinicians can use when they encounter difficult patients. The volume is also a self-assessment tool that tests the reader’s ability to answer the question, “What do I do now?”Less

This book comprises a collection of case studies of patients with acute and critical neurological disease, along with pertinent discussion of approaches to each particular condition. Case studies provide a way to examine how difficult it is to approach these patients situated in the neurosciences intensive care unit. Some patients need close observation and management of emerging problems, others need a neurosurgical intervention or a neurointerventional procedure, a few patients are in extremis. The examples provided in this book are quintessential to the practice of neurocritical care. Some are less common conditions that need to be recognized and appropriately treated. Another purpose of this book is to introduce the reader to the field of neurocritical care and to show what goes on. The book shows the complexity of care and urgent decision-making involved in treating patients who deteriorate. Practical suggestions are included for each topic it covers. Not only is treatment of serious neurological disorders discussed but also prognostication in practice and end-of-life care discussions. In some ways this book summarizes the entire spectrum of presenting acute illness and how best to intervene.Less

This online resource provides clinicians with a framework for dealing with neurogenetic conditions using real case studies to illustrate the most important and topical neurogenetic disorders. It covers a wide range of inherited conditions, including forms of dystonia, Parkinson’s disease, spastic paraplegias, mitochondrial diseases, myopathies, neuropathies, and much more. Particular attention is paid to practical issues regarding how to make a genetic diagnosis and how to counsel the family. We will also address some contemporary issues in neurogenetics, such as the impact of direct-to-consumer genetic testing. Each chapter focuses on crucial issues regarding the clinical assessment, investigations and management of conditions, and key clinical points are listed at the end of the chapter, along with a list of suggested further reading. Less

Part of the What Do I Do Now?” series, Neuroimmunology uses a case-based approach to cover common and important topics in the examination, investigation, and management of central and peripheral demyelinating diseases, vasculitis, and other immune system related neurological disorders. Each chapter provides a discussion of the diagnosis, key points to remember, and selected references for further reading. For this edition, all cases and references have been updated and new cases have been added, including POEMS, CASPR2 Antibody Syndrome, Isaac’s Syndrome, Histiocytosis, and Churg-Strauss. Neuroimmunology is an engaging collection of thought-provoking cases which clinicians can utilize when they encounter difficult patients. The volume is also a self-assessment tool that tests the reader’s ability to answer the question, “What do I do now?”Less

Neuroinfections presents 35 subjects, each with a different neurologic infectious or inflammatory disorder. A short vignette provides salient clinical symptoms and signs, laboratory studies, spinal fluid and imaging findings for each patient. A highly focused discussion leads the reader to the final diagnosis. Important features of the history, neurologic examination, findings on CSF and imaging are emphasized. A unique feature of the resource is that every patient described is a real-time case that the author has seen or on whom he provided consultation. Anyone who reads every case in this book will know the essentials needed to diagnose and care for patients with infectious or inflammatory diseases of the nervous system.Less

This online resource provides a concise yet comprehensive review of common neurologic disorders. The pathophysiology, presentation, diagnosis, and management of these entities is discussed in detail, and the focus is on patients presenting with vertigo, disequilibrium, hearing loss, pulsatile and non-pulsatile tinnitus, facial nerve weakness, and complications of the otitis media. Vascular tumors and anomalies, trauma to the temporal bone, Meniere's disease, as well as cerebellopontine lesions such as vestibular schwannoma and meningioma are also discussed, with special emphasis on clinical applications. The appropriate diagnostic work up and treatment options as well as controversies are included in the context of evidence-based medicine and best practice approach. Judicious use of relevant MRI/CT scans and audio-vestibular tests are discussed in detail. Appropriate illustrations and tables that summarize algorithms and protocols for managing these disorders are also included.Less

This resource helps the reader to recognize and appropriately treat a variety of pain disorders using a case study format. Divided into three section, chronic pain conditions, chronic pain and related disorders, and treatment overview, and derived from consultation requests from providers in medical practice, the cases are written in a format that encourages the reader to formulate a differential diagnosis and treatment plan for a variety of pain problems. Less

Part of the “What Do I Do Now?” series, Pediatric Neurology uses a case-based approach to cover common and important topics in the diagnosis and treatment of neurological conditions in children. Each chapter provides a discussion of the diagnosis, key points to remember, and selected references for further reading. For this edition, the table of contents has been reorganized, and all cases and references have been updated. New cases have been added, including Charcot Marie Tooth, NMDA receptor antibody-mediated encephalopathy, Guillain-Barré syndrome, transverse myelitis, tics/Tourette syndrome, conversion disorder, chronic daily headache, and Chiari I malformation. Pediatric Neurology is an engaging collection of thought-provoking cases that clinicians can utilize when they encounter difficult patients. The volume is also a self-assessment tool that tests the reader’s ability to answer the question, “What do I do now?”Less

Peripheral Nerve and Muscle Disease uses a case-based approach to cover common and important topics in the diagnosis and treatment of neuromuscular disorders. Neuromuscular cases are always challenging. This is because even with nerve conduction studies and electromyography diagnostic certainty can still be difficult. Even with recent advances in serologic and genetic testing diagnostic certainty may be elusive. Each chapter provides an overview of the approach to the problem in question followed by a discussion of the diagnosis, key points to remember, and selected references for further reading. For this edition, new cases include Lambert-Eaton syndrome, botulism, facioscapulohumeral muscular dystrophy, and several types of neuropathy. Peripheral Nerve and Muscle Disease is an engaging collection of thought-provoking cases that clinicians can use when they encounter difficult patients on the ward or in the clinic. The volume is also a self-assessment tool that tests the reader’s ability to answer the question “What do I do now?”Less

Stroke is a complex disease with heterogeneous etiology. Its clinical presentation mirrors the complexity of human brain. The last 25 years saw the field change drastically, with significant advances in neuroimaging techniques, new medications for cardiovascular risk factor management and therapies for acute management. A lot more can be done nowadays about stroke patients both in the acute setting and secondary prevention. Despite the technologic and therapeutic advances, clinical acumen and diagnostic reasoning remain as relevant as ever. This case-based book offers an insightful look into the clinical practice of Stroke through the eyes of seasoned specialists in a tertiary academic center. The deductive reasoning inherent to neurologic diagnosis and localization is strongly emphasized; clinical description is accompanied by relevant imaging studies and management recommendations are evidence-based and accompanied by up-to-date recommended readings. Although not an exhaustive account of stroke presentations, the book includes a combination of rare and more commonly encountered cases, which mirrors the day-to-day reality of a stroke neurologist.Less

Women’s Neurology details how to best care for women with neurological disorders. It can be challenging for physicians to stay on top of the latest research about how sex and gender affect the course of specific diseases, medication effects, and best neurological care. The book’s raison d’être is therefore to heighten caregivers’ awareness about the gender differences in neurological care. It spans the neurological issues that occur at different portions of women’s lives, including reproductive health, pregnancy, and issues around healthy aging. The book addresses a range of topics about women’s health and gender-specific neurological care. Topics include issues that are unique to women, as well as those that may affect both men and women, but have a different risk, prevalence, presentation or treatment considerations for women. The book’s format is based on the “What Do I Do Now?” texts, using case examples of common problems and questions that involve women with neurological disease and discussing how to best address the key issues. The aim is to give practical advice for everyday problems clinicians face in caring for women.Less