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I

Baehr, Duus' Topical Diagnosis in Neurology © 2005 Thieme

All rights reserved. Usage subject to terms and conditions of license.

III

Duus’

Topical Diagnosis

in Neurology

Anatomy · Physiology · Signs · Symptoms

4th completely revised edition

Mathias Baehr, M.D.

Professor of Neurology and Chairman

Department of Neurology

University of Goettingen

Goettingen, Germany

Michael Frotscher, M.D.

Professor of Anatomy and Chairman

Department of Anatomy and Cell Biology

University of Freiburg

Freiburg, Germany

With contributions by

Wilhelm Kueker

Founding author Peter Duus

Translated by Ethan Taub, M.D.

400 illustrations, most in color,

by Professor Gerhard Spitzer and Barbara Gay

Thieme

Stuttgart · New York

Baehr, Duus' Topical Diagnosis in Neurology © 2005 Thieme

All rights reserved. Usage subject to terms and conditions of license.

1st Greek edition 1992

IV

Library of Congress Cataloging-in-Publication Data

Baehr, Mathias.

[Duus’ neurologisch-topische Diagnostik. English] Duus’ topical diagnosis in neurology : anatomy, physiology, signs, symptoms/Mathias Baehr, Michael Frotscher ; with contributions by Wilhelm Kueker ; translated by Ethan Taub ; illustrated by Gerhard Spitzer. ­ 4th, rev. ed.

p. ; cm.

Rev. translation of the 8th German ed. c2003. Includes index.

ISBN 3­13-612804­4 (GTV : alk. paper) ­ ISBN 1­58890-215­3 (TNY : alk. paper)

1.Nervous system­Diseases­Diagnosis.

2.Neuroanatomy. 3. Anatomy, Pathological.

4. Nervous system­Pathophysiology. I. Frotscher, M. (Michael), 1947- . II. Duus, Peter, 1908-. Topical diagnosis in neurology. III. Title. IV. Title: Topical diagnosis in neurology. [DNLM: 1. Nervous System Diseases­diagnosis. 2. Nervous System­anatomy & histology.

3. Nervous System­physiopathology. WL 141 B139d 2005a] RC347.D8813 2005

616.8’04754­dc22 2005013120

1st Brazilian

(Portuguese) edition 1985 1st Indonesian 2nd Brazilian

(Portuguese) edition 1990 edition 1996

1st Chinese edition 1996

1st English edition 1983 2nd English edition 1989 3rd English edition 1998

1st French edition 1998

1st German edition 1976 2nd German edition 1980 3rd German edition 1983 4th German edition 1987 5th German edition 1990 6th German edition 1995 7th German edition 2001 8th German edition 2003

1st Italian edition 1987

1st Japanese edition 1982 2nd Japanese edition 1984 3rd Japanese edition 1988 4th Japanese edition 1999

1st Korean edition 1990

1st Polish edition 1990

1st Russian edition 1996

1st Spanish edition 1985

1st Turkish edition 2001

© 2005 Georg Thieme Verlag, Rüdigerstrasse 14, 70469 Stuttgart, Germany

http://www.thieme.de

Thieme New York, 333 Seventh Avenue, New York, NY 10001 USA http://www.thieme.com

Cover design: Cyclus, Stuttgart

Typesetting by primustype Hurler, Notzingen Printed in Germany by Appl, Wemding

ISBN 3­13-612804­4 (GTV)

 

ISBN 1­58890-215­3 (TNY)

1 2 3 4 5

Important note: Medicine is an ever-changing science undergoing continual development. Research and clinical experience are continually expanding our knowledge, in particular our knowledge of proper treatment and drug therapy. Insofar as this book mentions any dosage or application, readers may rest assured that the authors, editors, and publishers have made every effort to ensure that such references are in accordance with the state of knowledge at the time of production of the book.

Nevertheless, this does not involve, imply, or express any guarantee or responsibility on the part of the publishers in respect to any dosage instructions and forms of applications stated in the book. Every user is requested to examine carefully the manufacturers’ leaflets accompanying each drug and to check, if necessary in consultation with a physician or specialist, whether the dosage schedules mentioned therein or the contraindications stated by the manufacturers differ from the statements made in the present book. Such examination is particularly important with drugs that are either rarely used or have been newly released on the market. Every dosage schedule or every form of application used is entirely at the user’s own risk and responsibility. The authors and publishers request every user to report to the publishers any discrepancies or inaccuracies noticed.

This book is an authorized and revised translation of the 8th German edition published and copyrighted 2003 by Georg Thieme Verlag, Stuttgart, Germany. Title of the German edition: Duus’ Neurologischtopische Diagnostik

Contributor: Wilhem Küker, M.D., Radiological

Clinic, Department of Neuroradiology, University

Hospital Tübingen, Germany

Translator: Ethan Taub, M.D., Klinik im Park, Zurich, Switzerland

Illustrators: Gerhard Spitzer, Frankfurt/M;

Barbara Gay, Stuttgart

Some of the product names, patents, and registered designs referred to in this book are in fact registered trademarks or proprietary names even though specific reference to this fact is not always made in the text. Therefore, the appearance of a name without designation as proprietary is not to be construed as a representation by the publisher that it is in the public domain.

This book, including all parts thereof, is legally protected by copyright. Any use, exploitation, or commercialization outside the narrow limits set by copyright legislation, without the publisher’s consent, is illegal and liable to prosecution. This applies in particular to photostat reproduction, copying, mimeographing, preparation of microfilms, and electronic data processing and storage.

Baehr, Duus' Topical Diagnosis in Neurology © 2005 Thieme

All rights reserved. Usage subject to terms and conditions of license.

V

Preface

This is the first complete revision of Duus’ textbook of topical diagnosis in neurology since the death of its original author, Professor Peter Duus, in 1994. As is well known, the intervening time has witnessed major developments, both in the clinical neurosciences and in basic research. In particular, modern imaging techniques such as magnetic resonance imaging and positron emission tomography on the one hand, and the new molecular biological understanding of the development, plasticity, and pathology of the nervous system on the other, have brought about substantial progress in our knowledge in the field of neuroscience. Yet, despite all of the advances in ancillary diagnostic techniques, topical neurological diagnosis—the correct attribution of symptoms or syndromes to lesions at specific sites in the nervous system—remains today the primary task of the clinical neurologist.

In this entirely new, thoroughly revised edition of “Duus,” we have tried to preserve the remarkably effective didactic conception of the book while bringing it up to date. We have replaced older case studies based mainly on history by new ones more closely reflecting current practice, provided multicolored illustrations to ease and enhance comprehension, and added state-of-the-art neuroradiological images to demonstrate the correlation of structure and function in nervous system lesions. We have also newly color-coded the section headings to enable readers to distinguish at a glance between neuroanatomical (blue) and clinical (green) material, without having to disrupt the thematic continuity of the text.

Welcome changes in the undergraduate medical curriculum over the past two decades have vastly increased the exposure of medical students in the socalled “preclinical” years to clinical case material. To make the book more accessible to these students, we have written a new first chapter entitled “Elements of the Nervous System,” and we have also added a brief summary of basic concepts at the beginning of each of the other chapters.

The authors thank Georg Thieme Verlag and Dr. Kundmueller for their diligence and for many constructive discussions, as well as Mrs. Gay for her outstanding work on the illustrations.

We hope that this “new Duus,” like the earlier editions, will merit the appreciation of its audience, and we look forward to receiving readers’ comments in any form that they choose.

Professor M. Baehr Professor M. Frotscher Associate Professor W. Küker

Baehr, Duus' Topical Diagnosis in Neurology © 2005 Thieme

All rights reserved. Usage subject to terms and conditions of license.

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