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Fast Facts: Diagnosing Amyotrophic Lateral Sclerosis

出版社
出版日期
2019/11/26
閱讀格式
EPUB
書籍分類
學科分類
ISBN
9781912776122

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A diagnosis of amyotrophic lateral sclerosis (also known as Lou Gehrig's disease or motor neuron disease) is a progressive neurodegenerative disorder that exerts a notorious life-shortening physical toll. Understandably, clinicians are keen to avoid a wrong diagnosis when there are such serious consequences, but any delay in diagnosis can result in unnecessary, and sometimes harmful, interventions, and prevents prompt implementation of much-needed physical and emotional support. Starting from the premise that ALS is not one disease but a syndrome, with a spectrum of upper and lower motor neuron involvement, this highly readable resource examines the causes of diagnostic delay and how to avoid them. With no diagnostic test to confirm the disease, no mandatory investigations and very few plausible 'ALS mimics', the authors take a pragmatic approach to what must always be a clinical diagnosis. With case presentations and teaching points to aid understanding, 'Fast Facts: ALS' will give clinicians the confidence to confirm or exclude a diagnosis of ALS, so that individuals facing this most challenging of conditions can receive rapid multidisciplinary support to maximize the quality of their remaining life. Contents: ‧ Defining the syndrome ‧ Epidemiology and pathophysiology ‧ The first symptoms ‧ Differential diagnosis ‧ Investigations ‧ Emerging diagnostic biomarkers
  • Cover
  • Title Page
  • Copyright
  • Contents
  • List of abbreviations
  • Introduction
  • Defining the syndrome
    • Differing nomenclature
    • The ‘3 Ps’
    • Natural history
    • Classification
  • Epidemiology and pathophysiology
    • Epidemiology
    • Etiology
    • Pathogenic themes
    • Modeling ALS
  • The first symptoms
    • The typical history
    • Limb symptoms
    • Bulbar symptoms
    • Examination
    • Less common presentations
  • Differential diagnosis
    • Causes of diagnostic delay
    • A pragmatic approach to diagnosis
    • Hidden clues
    • Lower motor neuron-predominant syndromes
    • Upper motor neuron-predominant syndromes
    • Other neurodegenerative disorders
    • Brainstem-predominant syndromes
    • Retroviral syndromes
    • Paraneoplastic syndromes
    • Implausible differential diagnoses
  • Investigations
    • Blood tests
    • Electrodiagnostic testing
    • Imaging
    • Lumbar puncture
    • Genetic testing
    • Muscle biopsy
    • Role of investigations in diagnostic criteria
  • Emerging diagnostic biomarkers
    • Biofluid biomarkers
    • Electrodiagnostic techniques
    • Advanced neuroimaging
  • Useful resources
  • Index

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