Multiple Sclerosis For The Non Neurologist

Recent rapid changes in the field of multiple sclerosis management have made the task of staying well-informed a challenge for neurologists, and even more so for other healthcare practitioners who are involved in symptom evaluation and treatment. Multiple Sclerosis for the Non-Neurologist is an up-to-date resource for physicians, residents, fellows, and others who care for patients with MS. It contains authoritative information on all aspects of this complex disease, including monitoring requirements for patients with MS, potential risks and adverse events of disease modifying or symptomatic therapies, and possible drug interactions and contraindications of medications.

Publisher's Note: Rapid advances in the field of multiple sclerosis (MS) management have made it especially challenging for neurologists and other health care providers to stay well informed in this complex area. This up-to-date, practical resource is designed for physicians, residents, and fellows in all medical specialties - anyone who encounters patients with MS and needs authoritative clinical guidance on all aspects of this fast-changing field. Presents a wealth of information organized by medical specialty, covering MS-specific monitoring requirements, potential risks and adverse events of disease modifying or symptomatic therapies, possible drug interactions and contraindications of medications, and more. Covers recent changes in the field of MS management, including epidemiology and pathophysiology, diagnosis and differential diagnosis, and basic immunology. Includes case studies with expert commentary, as well as current references. Contains separate chapters on MS imaging, sexual dysfunction, psychology, mood disorders, pediatric MS, gait and balance disorders, surgery, dental issues, pain management, anesthetic issues, nursing, palliative and end-of-life care, exercise training, and patient/caregiver resources. Enhance Your eBook Reading ExperienceRead directly on your preferred device(s), such as computer, tablet, or smartphone. Easily convert to audiobook, powering your content with natural language text-to-speech.

This book is a practical guide for primary care physicians, psychiatrists, and other non-neurologist clinicians who encounter patients with neurologic problems. The book begins with overviews of neurologic symptoms, the neurologic examination, diagnostic tests, and neuroradiology, and then covers the full range of neurologic disorders that non-neurologists encounter. Chapters follow a consistent structure with key elements highlighted for quick scanning. Each chapter begins with Key Points and includes Special Clinical Points, Special Considerations in the Hospitalized Patient, and When a Non-neurologist Should Consider Referring to a Neurologist. Each chapter ends with an Always Remembersection emphasizing the most important practical issues and a series of self-study questions.

This issue of Medical Clinics, Guest Edited by Dr. Tracey A. Milligan, is devoted to Neurology. Articles in this issue include: Diagnosis of Neurologic Disorders; Dementia: Diagnosis and Treatment; Cerebrovascular Disease: Primary and Secondary Prevention; Seizures and Epilepsy; Migraine; Multiple Sclerosis and Autoimmune Neurology: Autoimmune Disease of the Brain and Spinal Cord; Concussion Evaluation and Management; Parkinsonism and Tremor; Compression and Entrapment Neuropathies; Peripheral Neuropathies; Falls and Gait Disorders; Nonmigraine Headache and Facial Pain; and Examination of the Dizzy Patient.

This issue of Medical Clinics, Guest Edited by Dr. Tracey A. Milligan, is devoted to Neurology. Articles in this issue include: Diagnosis of Neurologic Disorders; Dementia: Diagnosis and Treatment; Cerebrovascular Disease: Primary and Secondary Prevention; Seizures and Epilepsy; Migraine; Multiple Sclerosis and Autoimmune Neurology: Autoimmune Disease of the Brain and Spinal Cord; Concussion Evaluation and Management; Parkinsonism and Tremor; Compression and Entrapment Neuropathies; Peripheral Neuropathies; Falls and Gait Disorders; Nonmigraine Headache and Facial Pain; and Examination of the Dizzy Patient.

An empowering guide for increasing your quality of life, navigating challenges, and embracing opportunities Julie Stachowiak, PhD is the About.com Guide to Multiple Sclerosis. As an epidemiologist who is also a person living with MS, Julie has an in-depthunderstanding about the scientific developments around MS and the personal side of living with a chronic illness. In the Multiple Sclerosis Manifesto, Julie shows you how to create your own personal MS manifesto and provides practical tools and reassurance to help you ìget betterî in your life, from optimizing medical care and managing symptoms, to strengthening relationships, dealing with emotions, and embracing activism. Committed to making the hard parts easier and the good parts last longer, Julie show you how to figure out what you need, identify opportunities, understand challenges, and get your needs met. With the Multiple Sclerosis Manifesto, youíll know how to: Create your personal mission statement Protect yourself by learning more about medications you are currently taking or considering to take Determine what you want in a doctor and how to evaluate the doctor you have Celebrate your successesóand why itís essential that you do Make disclosing your MS status to friends, family and others easier Find a support group

Whatever the practice setting—acute care, rehabilitation, outpatient, extended care, or in a school—turn to this handy guide to the neurological examination. It covers all of the common neuromuscular conditions, disorders, and diseases you might encountered in patients throughout their lifespans. Thumb tabs and nearly 240 illustrations insure you can find just what you’re looking for.

Better understand your patients' complete medical profile and provide the best possible care! This one-of-a-kind reference provides a practical look at neurological disease and how it affects, and is affected by, other disease. It helps neurologists manage patients with co-existing medical conditions, and helps internists understand and treat the neurological manifestations of patients' primary diseases. A new emphasis on diagnosis and management-including advances in pharmacology, genetic-based therapies, and new imaging techniques-makes this 4th Edition more clinically valuable than ever! Focused content highlights the vital links between neurology and other medical specialties, promoting a better understanding of all disciplines, as well as enhancing patient care. Comprehensive coverage of advances in pharmacology, such as new antibiotics for infectious diseases, helps you successfully manage a full range of diseases and disorders. An interdisciplinary team of authors provides insight into the neurological aspects of the conditions you see in daily practice. Easy-to-read chapters apply equally well to neurologists and non-neurologists, providing essential knowledge that covers the full spectrum of medical care. Expanded chapters emphasize key diagnostic and therapeutic information, including appropriate testing and treatments for neurological disease. An emphasis on advances in pharmacology and new imaging techniques helps you better manage your patients and understand how new drugs or therapies will affect your patients and practice. New chapters on auditory and vestibular disease, ocular disease, and cutaneous disease provide a well-rounded look at the specialty. Updated illustrations make complex concepts easier to understand and apply.

Multiple Sclerosis is recognised as a growing problem. In some Scandinavian countries, Holland, Britain and North America, the number of sufferers is rising by the day. In the UK alone, it is estimated that between 50,000 and 60,000 people suffer from this debilitating disease; in the USA figures of 350,000 are quoted. What are the causes of the problem? And what can be done about it? Could it be possible to prevent MS? When we look at the countries where there is no occurrence of MS whatsoever; the immediate answer is YES. Jan de Vries has studied and treated Multiple Sclerosis for over 45 years. He has learned that every MS patient is different and that their problems must be treated individually. He emphasises the importance of diet and environment sufferers must build up their immune system. Even the smallest interference with that delicate mechanism, the human body, can trigger off problems out of all proportion to the cause. For example, silver mercury amalgam fillings in teeth can affect your health. This book draws attention to a variety of factors and explains how they can be dealt with to improve the quality of life for all MS sufferers. It is a relevant and important alternative approach to the problem.

Given the evolution of cerebrospinal testing (CSF) testing methods, the near future is certain to see an explosion of new CSF analysis methodologies. Broad-based and extensively illustrated, Cerebrospinal Fluid in Clinical Practice provides in-depth coverage of CSF examination and analysis, CSF physiology and pathophysiology, approach to diagnosis, and future directions in CSF analysis. It examines the alterations of the composition of CSF in relation to diseases and disorders of the nervous system, emphasizing the findings that are useful in clinical practice. This expansive reference is perfect regardless of your level of experience in central nervous system diseases. Provides in-depth coverage of CSF examination and analysis, CSF physiology and pathophysiology, approach to diagnosis, and future directions in CSF analysis. Explores the gamut of all CNS infections for a broad but detailed review of the scope of neurological disease. Contains detailed discussion on the proper use of specific diagnostic screens on CSF, so you may gain knowledge on how new diagnostic methods impact clinical medicine. Incorporates extensive illustrations and tables, with visual emphasis on diagnostic, laboratory, and anatomic data.

The latest neurologic findings are presented here in a crisp, clinical focus that incorporates recent advances in the molecular biology of neurologic disease. This edition will debut at the Neurological Institute of New York's centennial in the fall of 2009.

Multiple Sclerosis (MS) is generally understood to be an inflammatory autoimmune disease of the central nervous system. While we still are not certain of the root cause of MS, research results suggest that unknown environmental factors and the presence of specific genes seem the most probable targets. MS causes an inflammatory response in the central nervous system leading to neurodegeneration, oligodendrocyte death, axonal damage, and gliosis. Over the past five years ongoing research has greatly expanded our understanding of the pathogenesis of MS, detailed insight into the epidemiology and genetic factors related to MS, the introduction of new technologies and tests to better diagnose and predict the future course of the disease and the introduction of new treatments targeting MS. This collection of review chapters provides a comprehensive reference into the science and clinical applications of the latest Multiple Sclerosis research and will be a valuable resource for the neuroscience research community and the clinical neurology community of researchers and practitioners. A comprehensive tutorial reference detailing our current foundational understanding of Multiple Sclerosis Includes chapters on key topics including the genetics of MS, MRI imaging and MS, and the latest treatment options Each chapter is translational and focuses on current research and impact on diagnosis and treatment options

The Effective Clinical Neurologist presents the most systematic guide available for the doctor or medical student learning the art of the neurological examination and treatment. The patient-centered method is presented in logical steps, walking the reader through the process in a clear and detailed, yet personal style. The authors begin by placing neurological medicine in its current cultural and economic environment and progress to presenting the specific process of interacting with the patient.This book is the only guide to the art of achieving optimal doctor-patient interaction and communication, which are essential to the practicing neurologist. The third edition of this classic reference is fully updated to include the impact of electronic communication and to incorporate the many technological advances that can be applied to the neurological evaluation. Other changes in the environment in which the clinician practices include the changes in procedure brought about by managed care. This edition is organized into four parts, beginning with a section on the clinician-neurologist and the scope, methods, and uniqueness of this area of medicine. Part II focuses on the patient encounter - the taking of a history, systemic and neurological examination, interpretation of tests, giving the patient information, and conducting the "dismissal interview." Case examples illustrate the methods discussed. Part III presents the various types of encounters that occur, including those that involve inpatient care, outpatient care, consultations, and the inclusion of medical students and other trainees. Medico-legal aspects of neurological care are also presented. Part IV concludes with a summing up of the approach to patient care that is presented in the book and offers 10 Commandments of Doctoring.

Immunogenetics is a 12-chapter book that begins with the elucidation of the major histocompatibility complex genes and their role in autoimmune and infectious diseases. Subsequent chapters explore the human major histocompatibility complex, including implications of their complement genes for linkage disequilibrium and disease associations. This book also describes the genetics of human immunoglobulins; T-cell clones; genes of the major histocompatibility complex of the mouse; and the generation, characterization, and use of monoclonal antibodies of murine and human origin. Specific diseases are also discussed; these include spondoarthritides, rheumatoid arthritis, systemic lupus erythematosus, multiple sclerosis, and autoimmune thyroid disease. This book will be of beneficial value to specialists in infectious diseases, endocrinology, connective tissue diseases, and neurology, as well as to medical scientists in immunology and molecular biology.

A Primer of Neuroimmunological Disease is a significant new resource for anyone interested in conditions such as multiple sclerosis(MS), myasthenia gravis, and neurological infections. It is a practical and balanced guide to the diagnosis and treatment of neuroimmunological disease. A Primer of Neuroimmunological Disease distinguishes itself by providing a range of features not generally included in texts on neuroimmunology. These include broad presentation of information in the form of figures and tables; strong cohesion among topics by focusing on a few prototypic neuroimmunological diseases, which serve as a foundation from which to explore other neuroimmunological diseases; a single author perspective, with references across chapters; and a focus on the overlap between neuroimmunological and neuroinfectious diseases. Neurologists, immunologists, infectious disease specialists, neuroscientists and others interested in neuroimmunological diseases such as MS will find A Primer of Neuroimmunological to be a state-of-the-art resource.

Divided into four parts, this volume comprehensively covers the evolution of patient-centered care, the six interactive components of the patient-centered clinical method, teaching and learning, and research including findings and reviews. It explains the basis and development of the clinical method.

The Social Security Administration (SSA) operates the world's largest and most stringent disability program, processing more than 3.5 million claims each year, with multiple sclerosis (MS) representing the third most common neurological diagnosis cited as the cause for disability. The purpose of this project is to determine whether current medical knowledge supports the SSA's stated policies regarding MS. The seven major research questions addressed during this review are as follows: Question 1a: What is the reliability of new McDonald criteria (incorporating supplementary information from radiologic and laboratory studies including magnetic resonance imaging [MRI], visual evoked potential [VEP], and cerebrospinal fluid [CSF] analyses) compared with long-term follow-up diagnosis of clinically definite MS according to the Poser criteria? Question 1b: What is the inter-rater reliability of diagnosis of MS according to Poser or McDonald criteria among neurologists or between neurologists and non-neurologist physicians? Question 2: What clinical indicators, including particularly time-course of impairments, predict physical or mental impairment at 12 months? Question 3a: Among patients with MS, do current disease-modifying treatments result in long-term improvements in physical or mental outcomes compared to placebo or usual care? Question 3b: Among patients with MS, do treatments aimed at symptom management result in improvements in physical or mental outcomes compared to usual care? Question 4: Among individuals with MS, what physical, mental, laboratory, or radiographic findings have been associated with inability to work? Question 5: Among individuals with MS, how does elevated temperature or other environmental factors impair the capacity to work?

Timely diagnosis and management of neurological diseases during pregnancy poses major therapeutic challenges to neurologists and other non-neurologist health care providers. Pregnancy is a unique period in life associated with significant hormonal and other physiologic changes in female patients, which may trigger or alter the course of neurological and psychiatric disorders. In addition, many diagnostic procedures that can be performed in non-pregnant women are prohibited during pregnancy for safety reasons. Therapeutic decisions and management of a pregnant patient with neurological disorders heavily depends on the issue of the reasonable balance between the risks of no treatment versus active treatment for the mother and her fetus. This book provides a review of the latest findings in this field, giving the neurologist and non-neurologist the information they need to determine the best treatment. Neurological disorders covered include multiple sclerosis, stroke and epilepsy. Discusses how neurological disorders should be managed in a pregnant patient Includes contributions from leading authorities