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Encephalitis (continued ) limbic, 653 paraneoplastic, 585 meningitis versus, 636 postinfectious, viral encephalitis differentiated from, 636 644 Rasmussen, 653 viral See Viral encephalitis von Economo, 653 sleep disturbance due to, 340 Encephalitis lethargica, 340, 653 Encephalitis periaxialis diffusa, 782f, 782 783 Encephaloceles, 859f, 859 861 Encephalomyelitis disseminated, multiple sclerosis versus, 786 following rabies vaccine, 792 hemorrhagic, acute necrotizing, 792 793, 793f myalgic, 436 paraneoplastic, 583t, 585f, 585 586 postinfectious, postvaccinal, 790 792, 791f, 791 792 Encephalopathy dialysis, 971 hepatic (portal-systemic), 967 969 hypertensive, 728 730, 729f seizures due to, 290 hypoglycemic, 965 966 hypoxic, seizures due to, 291 ischemic-hypoxic (ischemic-anoxic), 959 963, 962f in meningitis, bacterial, 595t metabolic, seizures due to, 290 myoclonic, of infants (infantile opsoclonus-myoclonus syndrome), 827 828 neonatal, hypoxic-ischemic damage and, 875 876 with nicotinic acid de ciency, 991 pancreatic, 980 punch-drunk, 763 764, 906 with sepsis and burns, 971 septic, 363 spongiform, transmissible, 653 656 See also Creutzfeldt-Jakob disease (CJD); other speci c diseases thyroid, 978 980 uremic, 969 971 Endarterectomy See Carotid endarterectomy Endemic typhus, 623 Endocarditis bacterial septic embolism resulting from acute, 703
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subacute, 608 nonbacterial, thrombotic (marantic) cerebral embolism and, 735 embolic infarction due to, 701 Endocrine diseases See also speci c disorders fatigue associated with, 435 myopathy, 1097, 1235 1238 psychoses, 1330 1331 Endolymph, 247f Endorphins, 117 118 End-plate potentials, 1093f, 1093 1094 in myasthenia gravis, 1254 End-plate spikes, in electromyography, 1102 Endurance, lack of, 1198 Enkephalin, 118 Enterovirus meningitis, 633 Entrapment neuropathies, 1171 1172 Enuresis, 513 nocturnal, 349, 513 Envenomations, 1260t, 1280 1281 Environmental agnosia, 407 Enzymes in cerebrospinal uid, 16 originating in muscle cells, serum levels of, 1096 1097 Eosinophilia-myalgia syndrome, 1211 Eosinophilic fasciitis, 1210 Eosinophilic monomyositis, 1210 Eosinophilic myositis, 1210 Eosinophilic polymyositis, 1210 Ependyma, abnormalities of, 543 544 Ependymitis, in meningitis, bacterial, 595t Ependymoblastomas, 567 Ependymomas, 547, 558, 567 568, 568f spinal, 1080, 1080f Epicondylitis, medial and lateral, 188 Epicritic pain system, 111 Epidemic labyrinthitis, 263 Epidemic myalgia, 1203 Epidemic neuromyasthenia, 1203 Epidemic typhus, 623 Epidemic vertigo, 263 Epidermal nevus syndrome, 872 Epidermoid cysts, 570 suprasellar, 573 574 Epidural abscesses cranial, 604 605 spinal, 605, 1060 1061 back pain with, 181 Epidural hematoma, acute, 755t Epidural hemorrhage, acute, 757 758, 758f Epilepsia partialis continua, 87, 281 Epilepsia procursiva, 278
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Epilepsy See also Seizures centrencephalic, 283 clinical approach to, 285 292 corticoreticular, 283 discharging lesion in, 281 283 driving and, 298 299 EEG in, 28, 283 284 gelastic, 278 genetic factors in, 285, 286t hereditary hearing loss with, 951 of hereditary metabolic disease, 830 of infancy and childhood, 883 884 benign, with centrotemporal spikes, 279 laboratory anomalies associated with, 284 myoclonic, 87 88 juvenile, 272, 274, 275, 290 nocturnal, 343 344 with occipital spikes, 279 280 pathology of, 284 285 postinfarction, 738 posttraumatic, 762 re ex, 280 281 rolandic, 279 sylvian, 279 treatment of, 292 299 antiepileptic drugs in, 292t, 292 296, 293t dietary, 299 regulation of physical and mental activity in, 299 for status epilepticus, 296 298 surgical, 298 vagal nerve stimulation for, 299 vertiginous, 258 volvular, 278 Epilepsy surgery, 298 Epileptiform discharges, 28 Episodic memory, 376, 377t Epstein-Barr virus (EBV) infections, congenital, 883 Equilibrium disorders of, 63 in cerebellar disorders, 77 gait and, 100 Equine gait, 102t, 103 104 Erectile dysfunction, 471 Ergotamine, for migraine, 154, 155 Ergotism, 1032 1033 Erythema chronicum migrans, 618 620, 620f meningitis associated with, 633, 634 Erythrocyanotic headache, 160 161 Erythromelalgia, 189 190, 465 Erythromycin for bacterial encephalitis, 602 for neurosyphilis, 618
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INDEX
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Essential mixed cryoglobulinemia, 1138 1139, 1145 1146 Essential myoclonus, 87 Essential tremor, 81t, 81 82, 82f pathophysiology of, 85 treatment of, 82 83 Esthesioneuroblastoma, 198 Estrogen, stroke due to, 710 Etat marbre, 835, 878 Ethambutol, for tuberculous meningitis, 612 Ethopropazine (Parsidol), for parkinsonian tremor, 83 Ethosuximide (Zarontin), for seizures, 292t, 296 Ethylene glycol ingestion, 1007 Ethylene oxide intoxication, peripheral neuropathy due to, 1132 Etiologic diagnosis, 3 Eulenberg disease, 1266t, 1268 1270 Euphoria, 358, 450 in multiple sclerosis, 779 Event-related potentials, endogenous, 32 33 Evoked potentials, 29 33, 30t auditory, brainstem, 31f, 31 32 event-related, endogenous, 32 33 in multiple sclerosis, 784 785 somatosensory, 32, 33f visual, 30f, 30 31 Exercise-induced syncope, 325 Exercise intolerance, 1198 Exertional headache, 147, 160 Exner writing area, 414 Exophthalmic ophthalmoplegia, 1235 Exostoses, multiple, spinal cord compression and, 1083 Explosive personality, 1302t External speech, 413 Exteroceptors, 129 Extracranial arteries, dilatation of, headache due to, 146 Extradural hemorrhage, 727 Extrapyramidal disorders acquired metabolic diseases presenting as, 975 976 congenital, 877 879 dysarthria, 427 following head injury, 763 with hereditary metabolic disease, 830 834 progressive, acquired metabolic diseases presenting as, 975 976 Extrapyramidal motor system, 55 Extrapyramidal neuroleptic side effects, 1024 1025, 1328 Extremity pain, 188 190
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Eye movements, 222 241 in comatose patient, 313 314 incoordination of, 77 nuclear and infranuclear disorders of, 228 241 anatomy and, 228f, 228 229, 229f, 230t cranial nerve lesions and, 230 234, 231t, 232f of eyelids and blinking, 239 241 mixed gaze and ocular muscle paralysis, 236 237 nystagmus, 237 239 painful ophthalmoplegia, 234t, 234 236, 235t strabismus, 229 230 supranuclear control of, 222 228 anatomy and physiology of, 222 223 of horizontal gaze, 223 224 paralysis of conjugate gaze and, 226 228 testing of conjugate gaze and, 225 226, 226t of vertical gaze, 224 225, 225f vestibulocerebellar in uences on, 225 Eyelid disorders, 239 241 Eyestrain headache, 145 F F wave, 1100 Fabry disease, 737, 839, 1154t, 1159 polyneuropathy and, 1159 stroke associated with, 839 in children, 709 Facet joints, 168 Facet syndrome, back pain with, 180 Facial hemiatrophy, 1183 1184 Facial myokymia, hemifacial, 1184 Facial nerve, 1180 1185 anatomy of, 1180 1181, 1182f hypersensitivity of, 1184 1185 injury of, with head injury, 749 Facial-oral apraxia, 49 Facial pain of dental origin, 165 of sinus origin, 165 with stroke, 738 of uncertain origin, 165 Facial palsy, 1181 1183 Bell s, 240, 1181 1182 bilateral, 1183, 1195 congenital, 880 in HIV/AIDS, 656 supranuclear forms of, 1183 Facioscapulohumeral muscular dystrophy, 1217 1218, 1218t
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Fahr syndrome, hypoparathyroidism and, 834 835, 835f Failed back syndrome, 183 Faintness, 322 See also Syncope after head injury, delayed, 754 in hysteria, 328 Fajersztajn sign, 176 Falls, in elderly people, 521 Famciclovir, for herpes zoster infections, 643 Familial amyloid polyneuropathy, 1153t Familial myoclonus, 87 Familial paroxysmal choreoathetosis, 68 Familial spastic paraplegia, 1084 Familial tremor, 81 82, 82f pathophysiology of, 85 treatment of, 82 83 Farber disease, 806t in infants, 806t, 810 Fasciculation(s), 39, 1199 benign, persistent, 1277 1278 in peripheral nerve disease, 1116 Fasciculation potentials, in electromyography, 1103f, 1103 1104 Fasciitis, 1241t eosinophilic, 1210 Fast channel syndrome, 1260t, 1262 Fastigial nucleus, 73 Fat deposition, spinal, in Cushing disease, 1083 Fat embolism, 756 Fatal familial insomnia, 340 341 Fatigue, 433 437 clinical signi cance of, 433 434 differential diagnosis of, 436 437 effects on normal people, 433 with medical disease, 434 436 in multiple sclerosis, 780 as psychiatric symptom, 434 Fatty acid metabolism biochemistry of, 1234 disordered, clinical features of, 1234 Fazio-Londe disease, 945t, 947 Fear, 449 450 Febrile seizures, 280, 288 Felbamate, for seizures, 295 Femoral neuropathy, 1170 1171 Fentanyl, for pain, 124t Ferguson-Critchley syndrome, 949 Ferric chloride test, for metabolic defects, 801t Festinating gait, 102t, 104 Fetal alcohol syndrome (FAS), 1012 1013 Fetal development, neural, 496 497 Fetal period, 493 495, 494f 496f Fetus, viral infections of, 648 Fibrillation, 39
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