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CURRENT Medical Diagnosis & Treatment 2013
Chapter 24. Nervous System Disorders
Sections: Headache, Facial Pain, Epilepsy, Dysautonomia, Sensory Disturbances, Weakness & Paralysis, Transient Ischemic Attacks, Stroke, Stroke: Introduction, Lacunar Infarction, Cerebral Infarction, Intracerebral Hemorrhage, Spontaneous Subarachnoid Hemorrhage, Intracranial Aneurysm, Arteriovenous Malformations, Intracranial Venous Thrombosis, Spinal Cord Vascular Diseases, Intracranial & Spinal Mass Lesions, Primary Intracranial Tumors, Metastatic Intracranial Tumors, Intracranial Mass Lesions in AIDS Patients, Primary & Metastatic Spinal Tumors, Brain Abscess, Nonmetastatic Neurologic Complications of Malignant Disease, Pseudotumor Cerebri (Benign Intracranial Hypertension), Selected Neurocutaneous Diseases, Tuberous Sclerosis, Neurofibromatosis, Sturge-Weber Syndrome, Movement Disorders, Benign Essential (Familial) Tremor, Parkinsonism, Huntington Disease, Idiopathic Torsion Dystonia, Focal Torsion Dystonia, Myoclonus, Wilson Disease, Drug-Induced Abnormal Movements, Restless Legs Syndrome, Gilles de la Tourette Syndrome, Dementia, Multiple Sclerosis, Neuromyelitis Optica, Vitamin E Deficiency, Spasticity, Myelopathies in AIDS, Myelopathy of Human T Cell Leukemia Virus Infection, Subacute Combined Degeneration of the Spinal Cord, Wernicke Encephalopathy & Korsakoff Syndrome, Stupor & Coma, Head Injury, Spinal Trauma, Syringomyelia, Degenerative Motor Neuron Diseases, Peripheral Neuropathies, Discogenic Neck Pain, Brachial & Lumbar Plexus Lesions, Disorders of Neuromuscular Transmission, Myasthenia Gravis, Myasthenic Syndrome (Lambert-Eaton Syndrome), Botulism, Disorders Associated With Use of Aminoglycosides, Myopathic Disorders, Muscular Dystrophies, Myotonic Dystrophy, Myotonia Congenita, Polymyositis & Dermatomyositis, Inclusion Body Myositis, Mitochondrial Myopathies, Myopathies Associated With Other Disorders, Periodic Paralysis Syndromes.
Topics Discussed: central nervous system dysfunction; neurology.
Excerpt:"
Headache is such a common complaint and can occur for so many different reasons that its proper evaluation may be difficult. New, severe, or acute headaches are more likely than chronic headaches to relate to an intracranial disorder; the approach to such headaches is discussed in Chapter 2: Common Symptoms. Chronic headaches may be primary or secondary to another disorder. Common primary headache syndromes include migraine, tension-type headache, and cluster headache. Important secondary causes to consider include intracranial lesions, head injury, cervical spondylosis, dental or ocular disease, temporomandibular joint dysfunction, sinusitis, hypertension, depression, and a wide variety of general medical disorders. Although underlying structural lesions are not present in most patients presenting with headache, it is nevertheless important to bear this possibility in mind. About one-third of patients with brain tumors, for example, present with a primary complaint of headache.During acute attacks, many patients find it helpful to rest in
a quiet, darkened room until symptoms subside. A simple analgesic
(eg, aspirin, acetaminophen, ibuprofen, or naproxen) taken right
away often provides relief, but treatment with prescription therapy
is sometimes necessary...."
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