The Behavioral and Cognitive Neurology of Stroke by Olivier Godefroy

By Olivier Godefroy

The care of stroke sufferers has replaced dramatically in recent times. in addition to advancements within the emergency care of the situation, there were marked advances in our realizing, administration and rehabilitation of residual deficits. This publication is set the care of stroke sufferers, concentrating on behavioral and cognitive difficulties. It presents a finished assessment of the sector overlaying the diagnostic worth of those stipulations within the acute and later levels, their standards when it comes to remedy and administration and the chance and value of long term incapacity. This booklet will entice all clinicians concerned with the care of stroke sufferers, in addition to to neuropsychologists, different rehabilitation therapists and study scientists investigating the underlying neuroscience.

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Neurosurg. Psychiatry, 65, 703À8. , Montagne, B. and Deste´e, A. (1997). Parkinsonism consecutive to an hemorrhagic lesion of the substantia nigra. Mov. Disorders, 12(Suppl. 1), 2. Lee, M. S. and Marsden, C. D. (1994). Movement disorders following lesions of the thalamus or subthalamic region. Mov. Disorders, 9, 493À507. Leenders, K. , Frackowiak, R. , et al. (1986). Ipsilateral blepharospasm and contralateral hemidystonia and parkinsonism in a patient with unilateral rostral brainstemthalamic lesion: structural and functional abnormalities studied with CT, MRI and PET scanning.

Later age at onset, acute onset, rapid or stepwise progression of the disease, and multiple vascular risk factors have all been reported as counter-indicating idiopathic Parkinson’s disease. ’’ Gait abnormalities are marked by start and turn hesitation, slow and short steps, wide base, freezing, and postural instability, whereas festination is absent and arm swing is unaffected. Exceptionally, vascular parkinsonism may mimic other degenerative diseases, such as progressive supranuclear palsy (resembling a primary form with more asymmetric limb and lower body involvement), multiple system atrophy (patients with cerebellum and pyramidal signs due to stroke with hypotension induced by antihypertensive drugs), or corticobasal degeneration (combined basal and parietal infarctions).

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