Clinical Neurology  Introduction

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Clinical Neurology Introduction

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1. Clinical Neurology Introduction László Vécsei Department of Neurology University of Szeged

3. A characteristic finding is the presence of Lewy bodies in some of the remaining nerve cells

6. Huntington’s disease

7. 1. Neurological disorders 1.Cerebrovascular disorders (infarction, hemorrhages) 2.Pain and headache (back pain, migraine, cluster headache, tension type headache, secondary headaches) 3.Neuroinflammatory disorders (multiple sclerosis, neuroborreliosis, Lyme disease, meningitis, encephalitis and other infections) 4.Extrapyramidal disorders (Parkinson’s disease, Huntington’s disease etc.) 5.Epilepsy (focal and generalised seizures etc.) 6.Neuromuscular disorders (ALS, myophathies etc) 7.Neuro-oncology, Neuro-urology, Neuro-surgery, Neuro-psychology, Neuro-ophthalmology, Neuro-traumatology etc.

8. 2. What are the tasks of the neurologist attending to the patients? 1. He should know how to take history by asking the right questions. 2. Having examined the patients, he should be able to localize the pathologic changes. 3. On the basis of history and results of the physical examination, order the necessary tests in order to set up a diagnosis (differential diagnosis). 4. Deciding on the appropriate diagnostic steps is a crucial part of the neurologist's work, as the right path has to be found between unnecessary and expensive tests and those which are strictly requied. 5. Furthermore, his tasks include analyzing the test results thus obtained, establishing a diagnosis and embarking upon a therapy.

9. 3. Diagnostics in neurology 1. CT, MRI, DSA, SPECT, PET (CT-angiography, MRI-angiography, receptor specific SPECT investigations, MRI-spectroscopy etc.) 2. EEG, EPs, EMG, ENG 3. CSF (cells, proteins etc.) 4. Neuropathology

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