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Growth disorders. --- Metabolism --- Disorders
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Loss of the sense of smell or taste is often a sign of neurological disease. Evaluating chemosensation (the senses of smell and taste) during neurological examination can help early detection of neurodegenerative conditions such as Parkinson's and Alzheimer's disease. The importance of such testing is now receiving increasingly high profile in the medical curriculum. In this book, olfactory conditions are completely updated and the sense of taste is now included in similar detail. It is written by experts in the field, covering anatomy and physiology of human olfaction and taste, how they can be measured and their relevance to a wide range of major disorders such as diabetes, kidney disease, Alzheimer's and Parkinson's disease. The 'Olfactory Vector Hypothesis' that suggests a neuropathogen may enter the nose en route to the brain is evaluated in detail. This introduction to smell and taste disorders is an essential guide for neurologists, neurosurgeons, otolaryngologists, medical trainees, and chemosensory scientists.
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Drawing on the expertise of an international team of authors, Case Studies in Movement Disorders is a compilation of illustrative cases, demonstrating a step-by-step approach to diagnosing and managing these complex conditions. An extensive collection of over sixty videos shows both common and uncommon presentations of a wide range of movement disorders, and the accompanying text guides readers systematically through the clinical history, examination and investigation findings, and diagnosis, and finally discusses the clinical issues raised. Both surgical and pharmacological management options are presented, helping readers understand some of the controversies involved in treatment. The cases are drawn from all of the major groups of movement disorders: ataxia, chorea, dystonia, myoclonus, parkinsonism, tics, and tremor. This will be invaluable for both neurologists in training and more experienced professionals seeking to develop their diagnostic skills, especially when faced with uncommon conditions or uncommon manifestations of common disorders.
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"Appele´s presbyphagie, les troubles de la de´glutition lie´s au vieillissement naturel ne sont pas anodins chez la personne a^ge´e. Ils sont principalement lie´s a` une baisse de l'efficacite´ de la fonction de de´glutition, qui devient moins ope´rante au fur et a` mesure de l'avance´e en a^ge. Ces troubles sont souvent bien tole´re´s et compense´s, ils passent parfois me^me inaperc¸us. Cependant, ils n'en demeurent pas moins un enjeu de soin majeur et un re´el proble`me de sante´ publique, car leurs conse´quences peuvent aller jusqu'a` engager le processus vital de la personne a^ge´e. Si manger et boire touchent tout un ensemble de domaines (celui de la sante´, du social, des rituels, sans oublier celui du plaisir et de nos cinq sens), ces deux actes sont totalement lie´s, quand ils sont possibles, au me´canisme de la de´glutition. D'ou` l'importance, que l'on soit une personne a^ge´e ou un accompagnant/aidant, d'e^tre informe´ sur le fonctionnement de la de´glutition et sensibilise´ aux changements lie´s au vieillissement de ce me´canisme, ainsi qu'a` l'apparition d'e´ventuelles fausses routes, pour savoir que mettre en place comme adaptations au quotidien. Cet ouvrage propose e´galement des petits exercices permettant d'entretenir et de maintenir au mieux le fonctionnement de la de´glutition, ainsi que quelques ide´es de recettes et de menus adapte´s a` la presbyphagie. Pour que manger et boire puisse conjuguer au maximum plaisir, se´curite´ et sante´ ... [Source : 4e de couv.].
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