The clinical examination of the nervous system

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FROM THE PREFACE TO THE SEVENTH EDITION The steady advance of clinical neurology has again necessitated a thorough revision of this book. Numerous additions and alterations have been made — some chapters partly re-written. A number of new illustrations have been introduced, chiefly in the chapter on ventriculography and encephalography, in accordance with the increasing importance of these diagnostic methods. (At present it needs emphasizing, however, that these methods should be regarded as supplementary methods only.) A short description of angiography has been included. A brief outline of the examination of unconscious patients has also been added. The additional X-ray pictures have all been reproduced from the negative films. As the older X-ray pictures, reproduced from the positives, have been retained, this entails a lack of uniformity, which, however, may be useful to the beginner, who should become familiar both with the positive and negative films. In deciding what to include and what to omit I have been guided by the experience gained in the daily work in my clinic. With three exceptions all the photos reproduced in this book are from cases observed in my clinic, and all the X-ray photos are taken by the X-ray department of the hospital.

Author(s): Monrad Krohn
Edition: 7th
Publisher: Harper & Bros.
Year: 1938

Language: English
Pages: 446
City: New York

CONTENTS
PACE
PREFACE TO THE SEVENTH EDITION - - V
INTRODUCTION - - - - - vii
ANAMNESIS------ i
STATUS PR^ESENS - - - - - 6
1. MENTAL STATE 9
2. CRANIAL NERVES - - - 19
I. THE OLFACTORY NERVE - 19
II. THE OPTIC NERVE - - 20
III. NERVUS OCULOMOTORIUS - ~ 29
IV. NERVUS TROCHLEARIS - 29
V. THE TRIGEMINAL NERVE - 42
VI. NERVUS ABDUCENS - ~ 29
VII. THE FACIAL NERVE - - 46
VIII. THE ACOUSTIC NERVE - "57
IX. THE GLOSSO-PHARYNGEAL - - 64
X. THE PNEUMOGASTRIC - - 64
XI. ACCESSORIUS - - - 66
XII. HYPOGLOSSUS - - - 68
ARTICULATION - - - 69
CRANIUM - - .
- " 7°
SPINE -' - 72
3. THE MOTOR SYSTEM - - "73
ASSOCIATED MOVEMENTS- - 98
CO-ORDINATION - - - - 10O
CEREBELLAR SIGNS - - - 101
4. SENSORY SYSTEM - - - - 109
I. SUPERFICIAL SENSATION - - III
II. DEEP SENSATION - 115
III. COMBINED SENSATION - - II9
SENSORY PATHS AND SEGMENTATION 120
5. REFLEXES - - - - -
I. DEEP REFLEXES -
II. CUTANEOUS REFLEXES
III. REFLEXES OF SPINAL AUTOMATISM -
IV. POSTURAL REFLEXES -
V. ORGANIC REFLEXES - - -
VARIOUS DIAGNOSTIC SIGNS OF REFLEX
NATURE -
REFLEX FORMULAE
TROPHIC AND VASOMOTOR STATE -
7. THE STANDING POSITION -
8. THE GAIT -
SIMULATION -
ELECTRICAL EXAMINATION -
CHRONAXIMETRY -
EXAMINATION OF CEREBRO-SPINAL FLUID
PUNCTURE OF THE CISTERNA MAGNA
-
APPENDIX
:
I. BINET-SIMON TESTS
II. PSYCHOSOMATIC EXAMINATION -
III. ON DIPLOPIA -
IV. VESTIBULAR TESTS
V. ANATOMICAL DIAGRAMS,
MOTOR CHARTS
VI. PHARMACOLOGICAL TESTS O
TIVE NERVOUS SYSTEM
VII. ON THE INTERPRETATION OF X-RAY
PICTURES OF THE SKULL
VENTRICULOGRAPHY
ENCEPHALOGRAPHY -
ANGIOGRAPHY -
VIII. ON THE FIRST ROUTINE EXAMINATION -
ON ADMISSION TO HOSPITAL
IN THE O.P. DEPARTMENT
EXAMINATION OF UNCONSCIOUS PATIENTS
IX. ON REPEATED EXAMINATIONS AND SOME
SUPPLEMENTARY TESTS
SENSORY AND
125
125
134
I46
151
152
157
l60
l6l
163
165
168
171
189
189
204
207
215
230
234
- 24I
265
275
279
286
296
300
300
301
303
305
INDEX 311