Abstract
The majority of patients referred to neurologists and a large proportion of patients seen by primary care providers complain of headaches, dizziness or vertigo, episodes of loss of consciousness, sleep disorders, and transient symptoms such as confusion, amnesia, weakness, blurred vision, and numbness or tingling sensations. Since most residency programs focus on in-patient experience, the graduating resident is often unprepared for the deluge of patients with such complaints. He or she must be able to sift through the history to extract the critical information and, most important, to ask the pertinent questions which elicit diagnostic information. Lurking within this patient load are undoubtedly a significant number with serious illnesses which must be detected and treated promptly.
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References
Headache
Afridi SK, Giffin NJ, Kaube H, et al. A positron emission tomographic study in spontaneous migraine. Arch Neurol. 2005;62:1270–5.
Dodick DW, Chronic daily headache. N Engl J Med 2006; 354:158–65.
Frese A, Eikermann A, Frese K, et al. Headache associated with sexual activity. Neurology. 2003;61:796–800.
Friedman DI, Jacobsen DM. Diagnostic criteria for idiopathic intracranial hypertension. Neurology. 2002;59:1492–5.
Headache Classification Subcommittee of the International Headache Society. International Classification of Headache Disorders. Cephalalgia. 2004;24(Suppl 1):1–160.
Loder E. Triptan therapy in migraine. N Engl J Med. 2010;363:63–70.
Schievink W. Spontaneous spinal cerebrospinal fluid leaks and intracranial hypotension. JAMA. 2006;295:2286–96.
Silberstein SD, Lipton RB, Goadsby PJ. Headache in clinical practice. 2nd ed. London: Martin Dunitz; 2002.
Sprenger T, Boeker H, Tolle TR. Specific hypothalamic activation during a cluster headache attack. Neurology. 2004;62:516–7.
Waeber C, Moskowitz MA. Migraine as an inflammatory disorder. Neurology. 2005;64(Suppl 2):S9–15.
Weiss HD, Stern BJ, Goldberg J. Post-traumatic migraine: Chronic migraine precipitated by minor head or neck trauma. Headache 1991;31:451–59.
Vertigo
Baloh R, Kerber K. Clinical neurophysiology of the vestibular system. 4th ed. New York, NY: Oxford University Press; 2010.
Brandt T, Daroff RB. The multisensory physiological and pathological vertigo syndromes. Ann Neurol. 1980;7: 195–203.
Fife TD, Tusa RJ, Furman JM, et al. Assessment: vestibular testing techniques in adults and children. Neurology. 2000;55:1431–41.
Furman JM, Cass SP. Balance disorders. A case study approach. Philadelphia, PA: F.A. Davis; 1996.
Furman JM, Cass SP. Benign paroxysmal positional vertigo. N Engl J Med. 1999;341:1590–6.
Halmagyi GM, Curthoys IS. A clinical sign of canal paresis. Arch Neurol. 1988;45:737–9.
Hotson JR, Baloh RW. Acute vestibular syndrome. N Engl J Med. 1998;339:680–5.
Near-Syncope, Syncope and Seizure
Chung SS, Gerber P, Kirlin KA. Ictal eye closure is a reliable indicator for psychogenic nonepileptic seizures. Neurology. 2006;66:1730–1.
Grubb BP. Neurocardiogenic syncope. N Engl J Med. 2005;352:1004–10.
Grubb BP, Olshansky B, editors. Syncope: mechanisms and management. Armonk, NY: Futura; 1997.
Thijs RD, Wagenar WA, Middlekoop HAM, et al. Transient loss of consciousness through the eyes of a witness. Neurology. 2008;71:1713–8.
Wyllie E, Gupta A, Lachhwani DK, editors. The treatment of epilepsy. principles and practice. 5th ed. Baltimore, MD: Williams and Wilkins; 2010.
Sleep Disorders
Dauvilliers Y, Arnulf I, Mignot E. Narcolepsy with cataplexy. Lancet. 2007;369:499–511.
Kryger MH, Roth T, Dement WC. Principles and practice of sleep medicine. 5th ed. Philadelphia, PA: Elsevier; 2010.
Lodi R, Tonon C, Vignatelli L, et al. In vivo evidence of neuronal loss in the hypothalamus of narcoleptic patients. Neurology. 2004;63:1513–5.
Ripley B, Overeem A, Fujiki N, et al. CSF hypocretin/orexin levels in narcolepsy and other neurologic conditions. Neurology. 2001;57:2253–8.
Silber MH. Chronic insomnia. N Engl J Med. 2005;353:803–10.
Yaggi HK, Concato J, Kernan WN, et al. Obstructive sleep apnea as a risk factor for stroke and death. N Engl J Med. 2005;353:2034–41.
Transient Neurologic Symptoms
Critchley M. Types of visual perseveration. “Paliopsia” and illusory visual spread. Brain. 1951;74: 267–99.
Demirkiran M, Jankovic J. Paroxysmal dyskinesias: clinical features and classification. Ann Neurol. 1995;38:571–9.
Fisher CM. Transient global amnesia. Arch Neurol. 1982;39: 605–8.
Geller TJ, Bellur SN. Peduncular hallucinosis. Magnetic resonance imaging confirmation of mesencephalic infarction during life. Ann Neurol. 1987;21:602–4.
Gonzalez-Martinez V, Comte F, de Verbizier D, Carlander B. Transient global amnesia. Arch Neurol. 2010;67: 510–1.
Ishiyama G, Ishiyama A, Jacobson K, Baloh RW. Drop attacks in older patients secondary to an atologic cause. Neurology. 2001;57:1103–6.
Klijn CJM, Kapelle J, Van Schooneveld MJ, et al. Venous stasis retinopathy in symptomatic carotid artery occlusion. Stroke. 2002;33:695–701.
Siatkowski RM, Zimmer B, Rosenberg PR. The Charles Bonnet syndrome. Visual perceptive dysfunction in sensory deprivation. J Clin Neuro-Ophthalmology. 1990;10:215–18.
Venance SL, Cannon SC, Fialho D, et al. The primary periodic paralyses: diagnosis, pathogenesis and treatment. Brain. 2006;129:8–17.
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Alpert, J.N. (2012). Common Symptoms in the Neurology Clinic. In: The Neurologic Diagnosis. Springer, New York, NY. https://doi.org/10.1007/978-1-4419-6724-4_10
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