Neurology For Lawyers Medico-Legal Practitioner Series by Ken Cummings, Walter Scott, WJK Cumming

By Ken Cummings, Walter Scott, WJK Cumming

Neurology might be the most tricky topics in drugs for the layman to appreciate. This name within the sequence provides a lucid account of what occurs to the worried process in illness and harm. possibly life-threatening stipulations similar to head harm and meningitis are discussed,and the e-book additionally extends to the administration of stipulations of a extra continual nature similar to a number of sclerocis and peripheral nerve harm. a variety of healing procedures are defined and a beneficial consultant to terminology is additionally supplied.

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If neural deafness is identified, then investigation of the intracranial portion of the nerve by MR or CT scanning is needed. The vestibular system The vestibular system comprises of the three semicircular canals, the utricle and the saccule. The semicircular canals are arranged approximately at right angles to each other and their position is such that any movement of the head in space produces a neural discharge which is proportionate to the velocity of movement. Provided both vestibular systems are functioning normally, then the patient does not describe vertigo when the head is moved.

After exiting from the skull, lesions in the parotid gland are common causes of facial palsy. Weakness of the facial muscles is common in myasthenia gravis (see below, p 160). Bell’s palsy This is defined as a facial paralysis of acute onset for which no cause can be found. It is imperative to recognise that Bell’s palsy defines a facial palsy for which no alternate cause has been identified. Bell’s palsy must not be used as an alternate description of a facial palsy. Thus, every patient who presents 23 Neurology with facial weakness requires examination to exclude other potential causes, and only when they have been excluded should a diagnosis of Bell’s palsy be made.

11 Optic chiasm, showing division of the visual pathways 17 Neurology side and from the nasal half of the retina on the opposite side. These fibres ‘sweep out’ from the temporal lobe and terminate on the lateral geniculate body, with some fibres going to the superior colliculus. These latter fibres are concerned with reflex activity within the eye, the fibres going to the lateral geniculate body concerned with vision. The final pathway is from the lateral geniculate body to the calcarine cortex in the occipital lobe (geniculocalcarine pathway).

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