You are on page 1of 1442
Colaboradores Jeffrey C. Allen, M.D. Chief Hyman-Newman Institure for Neurology and Neurosurgery, Reth Israel Medical Center, New York; Professor of Neurology, Albert Einstein College of Medicine, Bronx, New York 58F. Cancer ysistema nerviaso: Tratamiento de los ume ves primarios del sistema nervioso en ls lactantes y les nitios Division of Pediatrie Neurolo Anthony A. Amato, M.D. Associate Professor of Neurology, Harvard Medical School, Boston Department of Neurology, and Chief, Neuromuscular Division, Brigham and Women’s Hospital, Be 85, Enfermedades de los miseulasexquelévicos Massachusetts; Vice Chairman n, Massachusects Michael J. Aminoff, M.D., D.Sc., ERCP. Professor of Neurology, University of California, School of Medicine, San Francisco, California; Attending Physician, Department of Neurology, Medical Center atthe University of California, San Francisco 554. Complicaciones newrolégicas de las enfermedades sistemicas: En el adults; O4A. Efectos de fas toxinas y a flsicos sobre el sstemn nervioso: Efectos de las taxinas profesio- ‘nales sobre el sistema nerviase; O4E. Efectos de Its taxinas y agentes fisicos cobve el sistema nerviose: Efecro de los agentes flsicon sobre el sistema nervioso Lisa C, Arguello, M.Ed., C.C. Clinical Audiologist, Wake Medical Center, Winston-Salem, North Carolina 19, Pirdida de andicién y sinnisus sin mareo 0 vértign 41, Newrootolagia AL Forest University Baptist Stephen Ashwal, M.D. Professor of Pediatric Neurology, Department of Pediatrics, Loma Linda University School of Medicine, Loma Linda, California 7, Retraso global y egresion del desarrollo Viken L. Babikian, M.D. Professor of Neurology, Boston University School. of Medicine; Director and Co-Director, Stroke Service, Boston Medical Center, Boston, Massachusetts 37D. Newroimagen: Ecografia de fa vascularizacion cerebral Joachim M. Baehring, M.D. Assistant Professor of Neurology and Neurosurgery, Yale iniversity School of Medicine, New Haven, Connecticut SBE, Ciincery sistema nerviaso res primarios del sistema nervioso en los adultos Tratamiento de los tumo- Laura J. Balcer, M.D., M.S.C.E. Associate Professor, Department of Neurology, University ‘of Pennsylvania School of Medicine, Philadelphia 15. Alteraciones del nervio dptica y de la retina J.D. Bartleson, M.D. Associate Profestor of Neurology, Mayo Graduate Schoo! ‘of Medicine, Rochester, Minnesota; Consultant, Depart ment of Neurology, Mayo Clinic, Rochester, Minnesota 21. Dolor craneal y facial ‘Teacy T. Batchelor, M.D., MP. Assistant Professor of Neurology, Harvard Medical School, Boston, Massachuse Center, Director of Massachusetts General Hospital, Boston 58. Cicer y sistema nerview; 58 vias: Epidemiolggia de los tumores cerebrales primaries, 38E. Cancer y sistema nerviow: Tratamiento de los tumores pri: ; Executive Director, Brain Tumor and Neuromedical Oncology, mario: del sistema nervioso en ls lactantes y las niton Roy W. Beck, M.D., Ph.D. Executive Director, Jacb Center for ‘Tampa, Florida 15, Alzeraciones del nervio épticey de la resina Health Research, Madhuri Behari, M-D., D.M. Professor and Head, All India Institute of Medical Sciences, New Delhi 59C: Inecciones del sistema werviawa: Infecciomes micdticas 59D. Inpecciomes del sistema nervior: Infecciones paravitarias Anita L, Belman, M.D. Professor of Neurology and Pediatrics, Stare University of Now York Health Sciences Center at Stony Brook School of Medicine, New York; Attending Neurologist, University Hospital, Stony Brook, New York SOE. Inficciones del sistema nerviase: Manifesaciones mew roligicas de la infecciom por el-virus de la inmunodficiencia Imana en los nines Bruce O. Berg, Professor of Neu M.D. ology an Pediatrics Emeritus, University of California Medical Center, San Francisco, S58, Complicacianes neuroldgicas de las enfermedades sie émicas: En lo wilas Joseph R. Berger, M.D, Chairman, Department of Neurology, Kentucky, Professor off Internal, Medicine Kentucky Medical School, Lexington University. of Universiey of 5, Abordaje clinico del eaupor y ol coma sf COLABORADORES John A. Bertelson, M.D. Instructor, Department of Psychiatry, Harvard M School, Boston; Ronald F. Coles Fellow, Behavioral Neurology and Neuropsychiatry, McLean Hospital Belmo 9, Depresion y prices en la prictica newrolégica ical Massachusetts José Biller, M.D. Professor and Chairman, Departs went of Neurology, Indiana University School of Medicine; Chief, Neurology Services, Department of Neurology, Indiana University Medical Center, Indianapolis Enfermedades ascitlares del sicema merviavo: Tetus en miios 57A. Enfermedades vast Enfermedad vascular cerebral isquemica: ‘Thomas D. Bird, M.D. Professor of Neurology and Medicine, anil Head, Disision of Neurogenetics, University of Washington School of Medicine; Research Neurologist, Education and Clinical Center, Veterans Administration Medical Center, Seattle, Washington Research 44. Newragenttiea clinica David F. Black, M.D. Instructor of Neurology, Mayo Medical School; Senior Associate Consultant, Department, of Neurology, .Mayo Clinic, Rochester, Minnesota 2E, Dolor eraneal y facial Christopher J. Boes, M.D. Assistant Professor of Neurology, Mayo Medical School Consultant, Deparment of Neurology, Mayo Clinic, Rochester, Minnesota 5. Ceflea dolor crancefaciad E, Peter Bosch, M.D. Professor of Neurology, Mayo Medical School, Rochester, Minnesota; Consultant in Neurology, Mayo. Clinic, Scottsdale, Arizona 82. Alteraciones de los nervios perifvicas Brian C. Bowen, M.D., Ph.D. Professor of Radiology, Neurology, and Neurological Surgery, and Director, Clinical MR Research, Department of Radiology, University of Miami School of Medicine, Flor 37B. Newroimagen: Radiolopia vascular por resomancia magiética y romaprafia compurarisada; S7F. Enfermedades raveularer del sistema nevoiow: Enfermedad vascular de la médula espinal Helen M, Bramlett, Ph.D, Assistant Professor, Department of Neurological Sungery University of Miami School of Medline, Miami, Florida 56A, Traumatismas del sistema nevviowe: Newrolagia bsica de lor raumatismor merviowor Michael H. Brooke, M.B., B,Ch,, FIR.C.P.C, Professor Emeritus, University of Alberta; Clinical Professor, University of Calg ; Edmonton, Canada 28, Proximal, Distal, and Generalized Weakness 28, Debilidad proximal, distal y general Enfermedades de los msisculos esquelétices ada; 85. Joseph Bruni, M.D., ER.C.P.C Associate Professor of Medicine, University of Toronto Faculty of Medicine; Consultant Neurologist, St. Michael’s Hospital, Toronto, Canada Ieraciiw episiica de Sa consciencia Thomas N. Byrne, M.D. Clinical Professor of Neurole Internal Medic yi Neurosurgery, and Yale University: School of Medicine, New Haven, Connecticut Parnplejia y sindvomes de io médule espinal David J. Capobianco, M.D. Assisuunt Professor of Neurology, Mayo Medical School, Rochester, Minnesota; Consultant, Department. of Neurology, Mayo Clinic, Jacksonville, Florida 75. Cefialen y dolor craneafaciat David A. Chad, M.D. Professor of Neurology and Pathology, University of Massachusetts Medical School, Worcester, Attending Neurologist, and Director, MDA Clinic, University af Massachusetts Memocial Health Care, Worcester 81, Trastornos le las ratcesy plexos nervioso ‘Tanuja Chitnis, M.D. Instructor in Neurology, Center for Neur Harvard Medical School; Associate Neurologist, Department of Neurology, Brigham and Women’s slowic Diseases, Hospital, Boston, Massachusetts 45, Newroinmunclogia Sudhansu Chokroverty, M.D. Professor of Neurology, New York Medical College. Vathallas Associate Chairman of Neurology, Chairman. Division of Neurophysiology, and Director, Center for Sleep Medicine, Saint Vincent's Hospital and. Medical Center, New York 74, El suetioy sus trascorm David P Ciaverella, DO. Radiology Division, The Oregon Clinic, Portland 9, Trastormas ile los bucsos,articulaciones, igamentor ¥ Paul E. Cooper, M.D., FRCPC. Associate Professor of Neurology, University of Western ‘Ontario Faculty of Medicine; Chief of Clinical Neuro-logi cal Sciences, St. Joseph's Health Centre, London, Ontario, Canada 47. Nesruenducrinalegia John R. Corboy, Assistant MD. fessor of Neurology, University of Colorado School of Medicine; Staff Neurologist, University of Colorado Health Sciences Center, and Denver V.A. Medical Center, Denver, Colorado 46. Neurovirolagia Terry A. Cox, M-D., Ph.D. Division of Epidemiology and Clinical Research, National Eye Insticute, ‘of Health, Bethesda, Maryland 17. Aleernciones pupilaves y palpebrales jonal Instn Thomas O. Crawford, M.D. Associate Professor of Neurology and Pediatrics, Johns Hopkins University School of Medicine; Child Neurolo Jolins Hopkins Hospital, Bakimore, Maryland 30 EI nitiohipoténico 4D. fessor of Neurology, Mayo Medical School: Mayo: Clinic, F, Michael Cutre: Assistant Pi Consultant, Department of Neurology, Rochester, Minnesota 75, Ceflen dolor evancefacial Josep Dalmau, M.D., Ph.D. Associate Professor, Department of Neurology, University (of Pennsylvania School of Medicine, Philadephia 58H. Cin cas del sistema ner ry sistema nerves: Trastornes parancoplist Ranan DasGupta, MRCS. Specialise Registrar in. Ur Department of Uro Neurology, National Hospital for Neurology and United Kingdom Neurosurgery, Queen Square, London 42, Newrowrolagia David M. Dawson, M.D. Professor of Neurology, Harvatd Medical Schoo! and Brigham and Women’ (60. Esclerais mislripley obras enfermedades Aesmiclinis ‘Hospital, Boston, nflamatoria es del sistema nervioso central Roberta L. DeBiasi, M.D. Assistant Professor of Pediatrics andl Neurology, University fof Colorado, Health Sciences Center/The Children’s Hospital, Denver SOR. Infeciones del sistema nerviaso: Infecciomes vivicas Steven ‘I. DeKosky, M.D. Professor and Chair, Department of Neurology; Diree Alzheimer’s Discate Research Center, University. of Pittsburgh, Pennsylvania 72, Demencias COLABORADORES xl W. Dalton Dietrich, M.D. Kinetic Concepts Distinguished Chair in Ni rosurgery ancl Professor of Neurological Surgery, Neurology, and. Cell if Miami School of Medicine; Scientific Dircetor, The Miami Project to Cure Paralysis, University of Miami School of Medicine, Miami, Florida Biology and Anatomy, University S6A. Tranmatismes del sistema nerviass: Newrolagia dsc de los sranmatiomos nerviwes Bruce H. Dobkin, M.D. Professor of Neurology, Neurologic’ Rehabilitation and Re School of Medicine, Los Angeles rch Program, University of California, Las Angeles 54. Principies y prscicas de la rebabilitacion newralégica David W. Dodick, M.D. Associate Professor of Neurology, Mayo Medical School Rochester, Minnesota; Consultant, Department. of Neurology, Mayo Clinic, Scottsdale, Arizona 75. Cefalea y dolor erancofincial Sean P. Donahue, M.D., Ph.D. Associate Professor of Ophthalmology, Neurology, and Pediatrics, Vanderbilt University School of Medicine, Nashville, Tennessee 39, Newrooftalmolagia: sistema motor ocular Molly V. Dorfman, B.A. Clinical Research Associate, B ain Tumor ¢ Massachusetts General Hospital, Boston 58A, Ciincer y sistema nervios: Epidemiolayia de les sumores térebrales primaries Darin D. Do Assistant Pec weherty, M.D. sar of Psychiatry, Harvard Medical School Assistant Director, Psychiatric Neuroimaging Research, Massachusetts General Hospital, Boston 37E, Newroimagen: Newroimagen funcional Ronald G. Emerson, M.D. Professor of Clinical New College of Physicians and Surgeons, New York 404, Nesrafisiolggin clinica: Electrocnccfalegrafia y tenciales evocados logy, Columbia University Bric J. ross, D.O. Instructor of Neurology, and Associate Consultant, Depart ment of Neurology, Mayor Cli 5.6 Scottsdale, Arizona lor erancafecial Steven F, Falcone, M.D. Assistant Professor of Radiology and Neurological Surgery, University of Miami School ‘af Medicine /Jacks Memorial Medical Center, Miami, Florida 37A. Newroimagen: Newroimagen estructural xiv COLABORADORES. Martha J. Farah, Ph.D. Professor of Psychology, University of Pennsylvania, Philadelphia 11. Agnosias Bliahu 8. Feen, M.D. Neurology Resident, University Hospitals of Cleveland, Cleveland, Ohio 51. Principias de los ewidados intensivos newrolénicor ‘Todd B. Feinberg, M. Neurobchavior Center, Beth Isracl Medical Center, New York 11. Agnorias Karin Ferneyhough Hoth, M.A. Graduate Research Assistant, University of Lowa, Iowa City 38, Newropscolagia Richard G. Fessler, M.D. Profesor of Surgery, Section of Neurological Surgery, University of Chicago, Chicago, Hlinois 56C. Traumazismas del sistema nervioso: Tranmatiomes dela médula espinal Pasquale F. Finelli, M.D. Professor of Neurology, University of Connecticut School lof Medicine, Farmington; Associate Director of Neurology. Hartford Hospital, Hartford, Connecticut 20, Alteraciones del gusto y del ofa Alan J. Fischman, M.D., Ph.D. Professor, Harvard Medical School; Director of Nuclear Medicine, Massachusetts General Hospital, Boston 37E. Newroimagen: Newroimagen funcional Laura Flores-Sarnat, M.D, Postdoctoral Research Fellow in Neuropathology, Cedars Sinai Medical Center, Los Angeles, California 66, Trasrormes del desarrollo dl rstema nervioso Clare J. Fowler, FRCP. Professor of Uro-Neurology, Institute of Neurology, Institute of Urology, University College Con sultant in Uro-Neurology, The National Hospital tor Neurology and Neurosurgery, London, United Kingdom 42, Causas newroligicas de disfuncién verical, internal sexual; 42. Newrourolagia Tandon; David 8. Geldmacher, M.D. Associate Professor, Department of Neurvlogy, of Virginia, Charlottesville S7F. Enfermedades vascularcs del sistema nevviose. Enfermedad vascular de la médula espinal Dniversity David N. Gershfield, M.D. Fellow in Neuromuscular Disorders and Clinical Neuro- physiology; Department of Neurology and Neurological Sciences, Stanford School of Medicine, Stanfoed, California 4. Delirio University Pierre Giglio, M.D. Department of Neuro-Oncology, The Unive ‘MD Anderson Cancer Center, Houston ‘58C. Cincer y sistema nervioso: Manifestaciones clinicns _ycomplicaciones Mark R. Gilbert, M.D. Associate Professor, Department of Neuro-Oncology, The University of Texas MD An 58C » complicaciones jerson Cancer Center, Houston Cancer y sistema nervions: Manifestaciones cliniens Meredith R. Golomb, M.D., M.Sc, Department of Neurology, Indiana University Center, Indianapolis 57E. Enfermedades varculares del sistema nervioso: Tere Medical R. Gilberto Associate Professor of Radiology, Harvard Medical Schoo Director of Neuroradiology, Hospital, Boston 58D. Cincer y sistema nervioso: Newroimagen Massachusetts General ‘Maurice R. Hanson, M.D. Physician, Clinical Neurology and Neurophysiology, Cleveland Clinic Florida, Fort Lauderdale 76. Newropaias crancales Kenneth M, Heilman, M.D. James D. Rooks, Jr. Distinguished Professor, Department of Neurology, University of Florida College of Medicine Program Director and Chief of Neurology, Veterans Florida 10. Trastormos motores intencionales y aprasias Administration Medical Center, Gainesville Reid R. Heffner, Jr., M.D. Professor and Chair, Department of Anatomical Sciences, School of Medicine and Biomedical Sciences, University at Buffalo, New York S8B. Cincer y sistema nerviow: Parslagia y genética molecular de los tumares del sitema nerviono John W. Henson, M.D. Associate Professor of Neurology, Harvard Medical School; re Neurologist, Massachuserts Asto Boston S8D. Cincer y sistema nerviow: Newroimagen eneeal Hospital, Deborah ©, Heros, M.D. Director of Neuro-Oncology, Mt, Sinai Comprehensive Cancer Center, Miami Beach, Florida 52. Principios de newrocirusia ae Roberto ©. Heros, M-D., RA. Professor, and Program Director, Department of Neurological Surgery, University of Miami School of Medicine, Miami, Florida 52, Principios de newracirysia Co-Chairman, Alan Hill, M.D., Ph.D. Professor and Head, Division of Neurology, British Columbia's Children’s Hospital, Vancouver, Canada 86, Problemas neurolégices del recién nacido Fred H. Hochberg, M.D. Attending Neuro: Oncologist. Massachusetts General Hospital, Boston SBE. Cicer y sistema nervioso: Tratamiento de los tume es primavios del sistema nervioso en los adultos Brain Tumor Cent James F. Howard, Je., M.D. Chief, Neuromuscular Disorders Section, Department of Neurology, The University of North Carolina ar Chapel Hill School of Medicine, Chapel Hill 84. Enfermedades dela transmisién newromuscular David J. Hunter, M.D., Sc.D. Professor of Epidemiology, Harvard School of Public Health, Boston, Massachusetts ‘S8A. Cincer sistema nerview: Epidemislogia de las sumorescorebvales primarios Padmaja Kandula, M.D. Department of Neurology, V. Center, Nashville, Tennessee 50, Principios del ratamiento del dolor wlerbilt University Medical Carlos S. Kase, M.D. Professor of Neurolog Medicine; Attending Neurologist, Boston. University Medical Center, Boston, Massachusetts 57B, Enfermedades vasculares del sistema nerviasa: Hemorragia intracraneat Boston, University School. of Bashar Katirji; M.D., F.A.C.P. Professor of Neurology, Case Western Reserve Univ School of Medicine; Director, Electromyography Laboratory, and Chief, Neuromuscular University Hospitals of Cleveland, Cleveland, Ohio 368, Newrofiiolegta clinica: Flectromiggvafia clinica Division, Daniel I. Kaufer, M.D. Associate Professor, Director, Memory and Cognitive Disorders Program, The University of North Carolina Medical School, Chapel Hill 72. Demencias Department of Neurology, and COLABORADORES Samia J. Khoury, M-D. Associate Professor 0 Director, Partners MS. Center Hospital, Bost 45, Newroinmunolegia ‘Neurology, Harvard Medical School; Brigham and Women’s Massachusetts Howard 8, Kirshner, M.D, Profesior and Vice Chair, Department of Neurology, Vanderbilt University School of Medicine; Director, Stroke Service, Vanderbilt University Hospital, and Program Stroke Service, Vanderbilt Stallworth Rehabilitation Hospital; Consultant in Neurology, Nashville VA Medical Center, St. Thomas Hospital, Nashville, Tennesee 6. Abordaje de los trastornor inteloctuales y de la memo ria: 12A. Trastornos del lenguaje y de la articulacio Afasia; 128. Trastornas del lenguaje y de ta ar iba: Disarovia y aprasin del habla Director, Edwin H. Kolodny, M.D. Neurogenetics Unit, Department of Neurology an Pediatrics, New York University School of Medicine, New York 68. Errovesinmatos del metaboliowo del sistema nerviow John F. Kurtzke, M.D. Professor Emeritus of Neurology, Georgetown University School of Medicine, Washington, D.C; Distinguished Professor of Neurology, Uniformed Services University of the Health Sciences, Bethesda, Maryland; Consultant in Neurology and Neurocpidemiology, Neurology. Service, Vecerans Affairs Medical Center, Washington, D.C, 43. Newrocpidemiolagia Anthony E. Lang, M.D., ER.C.P.C. Profewor of Neurology, University of Toronto Faculty of Medicine; Director of Movement Disorders, The Toronto Western Hospital, Division of the University, Health Necwork, Tororo, Canada 24, Trastornes del movimiento: diagndsico 9 valoracién Patrick J. M. Lavin, M.B., B.Ch., B.A.O., MRCP. Profesor of Neurology and Ophthalmology, Vanderbilt University Medical School, Nashwille, Tennessee 16, Trastornos de las movimientas aculares: diplopia, nis- tagma y atras escilaciones oculares: 39. Newroofalmolagia: sistema motor ocular Ronald P. Lesser, M.D. Professor of Neurology, Johns Hopkins University School of Medicine, Baltimore, Maryland 73, Epilepsias Alan H, Lockwood, MD Professor of Neurology and Nuclear Medicine, State University of New York at Buffalo School of Medicine and ssi COLABORADORES Biomedical Sciences; Director of Operations, Center for Posicron Emission Tomography, Veterans Administration Western New York Health Care System, Buffalo (02. Encefaiopatins tvicas y metabilicas Oscar L. Lopez, M.D. Associate Professor of Neurology and Psychiatry, Univer sity of Pi 72. Demencias David N. Louis, M.D. Professor of Pathology, Harvard Medical Schoo! Massachusetts General Hospital, Boston Molecular Associate Ch Pathology Unit, f of Pathology, S&B. Cancer y sistema nerviow: Patologia y genética malecular de los tumores del sistema nervioso Betsy B, Love, M.D. Glinical Assistant Professor of Neurology, Indiana University School of Medicine, Indianapolis “A, Enfermedades Enfermedad vascular cerebral izquémica asculares del sistema nerviow Robert G. Mair, Ph.D, Professor of Psychol University of New Hampshire, Durham 20. Alteraciomes del gusto y del of Donald W, Marion, M.D. Professor and Chairman, Department of Neurological Surgery, Boston | University Medicine: Neurosurgeon-in-Chief, Boston Medieal Center, Boston, Masachusees SOB, Traumaciemor del sietema merviow: crancoencefilicos School of Tranmasisoes ‘Christopher J. Mathias, M.B.B.S., D.Phil., FRCP, Professor of Neurovascular Medicine, Imperial College Schoo! of Medicine and University Department of Clinical Neurology of Neurolo London; Consultant Physicia Unit, St. Mary's Hospital; Autonomic Unit, The National Hospital for Neurology and Neurosurgery, Lon 83. Thastornor del sistema nerviaco autinome Instr University College Medicine feurovasc ular on, United Kingdom Michael J. McLean, M.D., Ph.D. Associate Professor, De artment of Neurology, Vaneerbilt University Medical Center, Nashville, Tennessee 49. Principios de neurofarmaculagia y serapéutica Mario F. Mendez, M.D., Ph.D. Direct mvior Unit, VA Greater Los Angeles Healthcare System; Professor of Neurology and Pyschiatry and Biobehavioral Sciences, David Getlen , Neurobsel School of Medicine at the University of California at Los Angeles 4. Delirio David J. Michelson, M.D. Fellow in Chil Neurology. Department of Pediatrics, Loma Linda University School of Medicine, Loma Linda, California 7. Retraso global y regresiin del desarrollo Van S. Milles, M.D. Texas Child Neurology, LLP, Plano, Texas 7L, Sinalromes newrocutineas Karl B, Misulis, M.D., Ph.D. Clinical Professor of Neurology, Vanderbilt University School of Medicine, Nashville; Neurologist, Semmes Murphey Clinic, Jackson, Tennessee 26. Hemiplejia y monoplejia; 32 Anomalias sensitivas de dns exrremidades, sronco y carn; 34, Lumbalgia y dolor de las extremidades inforioret Hiroshi Mitsumoto, M.D., D.Sc, Wesley J Columbia University College of Physicians and Su Director, The and Lou Gehrig MNA/ALS Research Center; Head, Neuromuscular Diseases Division, (Columbia-Presbyterian Hospitals, New York 80. Enfermedades Howe Professor, Department of Neurolog Eleanor fe las motonewronas superiores ¢ infé Paul L, Moots, M.D. Associate Professor of Neurology, Vanderbilt University Medical Center, Nashville, Tennessee 50, Principtas del sraramienzo del dolor Carlos T. Moraes, MLD. Associate Professor of Neuro and Anatomy, University of Miami School of Medicine, Miami, Florida (69, Trastornas mitocondriales BY and Cell Biolog Brian Murray, M.B., B.Ch., B.A.O., M.Sc. Consultant Neurologist, Department of Neurology, Mater Miscricordiae and University Hospital, Dublin, Ireland) 56D. Traumatiomos de e los nerviasperifericas; 80. Enfermedades de las motoneuro sistema nerviass: Trammatismas nas superiorese inferiores Ruth Nass, MD. Professor of Clinical Neur logy, New York University School of Medicine; Attending Pediatric Neurologist, New York University Medical Center, New York 67. Trastormos del des Carissa Nebl, B.S. Graduate Research Assistant, University of Towa Hospitals and Clinies, Towa City 8 Thastormes de la conducta y de la personalidad Michael J. Olek, D.O. Assistant Professor of Neurology; Director, Multiple Sclerosis Center, University of California at Irvine, Irvine (60. sclerosis miltipley otras enfermedades inflamatorias Aesomiclinizantes del stema nervios central Gregory M. Pastores, M.D. Assistant Professor, Neurology and Pediattics, New York University School of Medicine, New York (68. Ervores innatos del metabolism del sistema nervioso Jane §. Paulsen, Ph.D. Professor, Departments of Psychiatry, Neurology, Pyychology, and Neurosciences, Roy and Lucille Carver College af Medicine, The University of Lowa, Lowa City Director, Psychology Division in Paychiatry, The University Cf lowa Hospitals and Clinics, lowa City 8, Trastornos de fa conducta y de la personalidad Timothy A. Pedley, M.D, Henry and Lucy Moses Professor of Neurology and Chairman, University Department of Columbia College of Surgeons; js-in-Chief, ‘The Neurological Institute, of New York, Columbia. Presbyterian Medical Center, New York 3A, Newrofisiolania Hlectroencefalenrafia y potenciales evecados Neurology Physicians. and Atle Perry, M.D. Assoc Department of Patholog, Immunology, Division of Neuropathe University School of Medicine, Pathology, Barnes-Jewish and St. Louis Children’s Hospi ie Professor, and Washington Associate Professor af tal, St. Louis, S8B, Cancer 9 si wo; Patologia y gemévica molecular de les tumores del sistema nervioso Alan Pestronk, M.D. Professor of Neurology and Pathology, Neuromuscular Clinical Laboratory, Washing sigy School of Medicine, St. Louis, Missouri 29. Dolor y and Director lambros musculares Ronald F. Pfeiffer, M.D. Professor and Vice Chaieman, Department of Neurology, University of Tennessee Health Science Center, Memphis 13, Dir David C. Preston, M.D, Professor of Neurology, Case Western Reserve University School of Medicine; Director of the Neuromuscular COLABORADORES xvii Ohio University Hospitals of Cleveland, Cleveland, 28, Debilidad proximal, distal ygenevalisada Bruce H. Price, M.D, Assistant P Boston; Assistant in Neurology, Hospital, McLean Hospital, Belmont, Massichuserts fessor in Neurology, Harvard Medical School, Massachusetts General Boston; Chief, Department of Neurology, 9. Depresion y psicais en ta prictica neuroligica Louis J. Pricek, M.D. Investigator, Howard Hughes Medical Insticute, and Professor, Department of Neurology, ‘alifornia at San Francisco, San Francisco 70, Patologia de los camalesiénice:trastormesepisiicas y len University of as del sistema nerviows Robert M. Quencer, M.D. Professor and Chairman of Radiology, Surgery and Ophthalmology, University of Miami School of Medicine /Jackson Memorial Medical Center, Miami, Florida 37A. Newroimagen: Newroimagen estructural Neurological Robert A. Ratcheson, M.D, Harvey Huntington Brown, Jr, Professor and Chairman of Neurological Surgery, Case Western Reserve University School of Medicine; Director of Neurological Surgery University Hospitals of Cleveland, Cleveland, Ohio 57C. Enfermedades vasculares ‘del sirtema nervioso bemorragia suburacnoiden; del sistema Ancuriomas intracranealer y 57D. Es Malformaciones arteriavencsas fermedades Scott L, Rauch, M.D, Associate Chief’ off Paychiatty, Harvard! Medical: School; Director, Psychiatric Neuroimaging Research, and Asso ciate Chief of Psychiatry for Neuroscience Research, Massachusetts General Hospital, Boston 37E. Newroimagen: Neuroimagen funcional Michael Ronthal, M.B.B.Ch., PR.C.P. Associate Professor of Neurology, Harvard Medical School Deputy Chief of Neurology, Beth Isreal Deaconess Medical Center, Boston, Massachusetts 33, Dolor en el Richard B. Rosenbaum, M.D. Clinical Professor of Neurology, Oregon. Health and Sciences University and Neurology: Division, ‘The Oregon Clinic, Portland 79. Trastormes ile los es Bernd F, Remler, M.D. Professor of Neurology and Ophthalmology, Medical College of Wisconsin; Staff’ Physician, Department sill COLABORADORES Neurology, Froedtert Milwaukee, Wisconsin 3. Caidas y drop attacks Memorial Lutheran Hospital, B. Steve Roach, M.D. Professor of Neurology, Wake Forest University School of Medicine; Director, Comprehensive Epilepsy Program, Wake Forest University Baprist Medical Center, Winston. Salem, North Carolina 71, Sindromes neurocutdnees Gary A. Rosenberg, M.D. Professor and Chairman of Neurology, Departments of Neurology;, Neurosciences, Cell Biology and Physiology, University of New Mexico Health Sciences Center; Chief ‘of Neurology Service, University of New Mexico Hospital, Albuquerque 45. Edema cerebral y erastornes de Ia circulacién det Uiquida cefalorraguideo Myrna R. Rosenfeld, M.D., Ph.D, Associate Professor of Neurology; Division Chief, Nearo- Oncology, University of Pennsylvania School of Medicine, Philadelphia 58H. Caincer y sistema nervioso: Trastornes pare ncoplas cos del sistema mervions Leslie J. Gonzalex Rothi, Ph.D. Professor of Neurology, University of Florida, Gainesville; Research Career Scientist and Director, Brain Rehabil tation Research, Center, VA, Medical Center, Gainesville Florida 10. Trastornas motores intencionalesy aprasias Armando Ruiz, M.D. Voluntary Assistant Professor of Radiology, University of Miami School of Medicine, Miami, Plorida 37A. Newroimagen: Newroimagen estructural; 37B, Nowrvimagen: Radiolegia vascular por resonancia magoai cay omegrafia computarisada Marcin Sadowski, M.D., Ph.D. Assistant Professor of Neurology, New’ York University School of Medicine; Attending Physician, New York Uni versity Medical Center and Bellevue Hospital, New York 596. Infecciones del sistema werviose: Enfermedades por priones Gauray Saigal, M.B.B.S. Neuroradiology Fellow, Uni Medicine, Miami, Florida 37B. Neuroimagen: Radiolegia vascular por resonancia magnéticn y tomanrafia compuzarizada sity of Miami School of Donald B. Sanders, M.D. Professor of Medicine, Division ‘of Neurology, ‘Duke University Medical Center, Durham, North Carolina 84, Enfermedades deta sransmisiin neuromuscular Johnny 8, Sandhu, M.D. Department of Radiology, University of Miami School of Medicine, Miami, Florida 37C. Newroimagen: Anasomia neursangiogrifica y enfermedades vasculares cereirales comunes; 53. Principios de ta verapia endovascular Paul Santiago, M.D. Spine Fellow, Section of Neurological Surgery, University of Chicago, Chicago, llinois 56C, Tranmatiomos del sistema nerviow: Trawmatismos dela médula espinal Cesar C. Santos, M.D, Associate Professor of Neurology and Pediatric Neurology. Section Head, Pediatric Neurology, Wake Forest University School of Medicine; Chief, Section of Pediatric Neurology and Director, Neurology Training Program, Wake Forest University Baptist Medical Center, Winston-Salem, North Carolina 71, Sinatromes neurocusdneos Harvey B, Sarnat, M.D., PR.C.P.C, Professor of Pediatrics (Neurology) and Pathology’ (Neuro: pathology), David Geffen School of Medicine at UCLA: Director, Division of Pediatric Neurology and Neuto- pat hhologist, Cedars-Sinai Medical Center, Los Angeles, California 66. Trastornes del desarrollo del sistema nervioso David Schiff, M.D. Associate Professor of Neurology, Neurological Surgery and. Medicine; Co-director, Neuro-Oncology Center, University of Virginia Medical Center, Charlot 596, sville Ciimcer y sistema nervioso: Mevistass en ef sistema James W. Schmidley, M.D. Professor of Neurology, University of Arkansas for the Medical Sciences, Little Rock 7G. Enfermedades vasculares del. sistema. nerviose Vasculitis del sistema nervioso central James M. Schumacher, M.D, Neurological Associates, P.A., Sarasota, Florida ‘52, Principios de neurocirugia Neil B. Schwartz, M.D, Chief Resident, Department of Neurology, Stanford University Medical Center, Palo Alta, California AC. Efectos de las toxinas y agentes fsicas sobre el sistema nervioso: Newrotoxinas de animales plancas; 64D. Ejector de Ins taxinas y agentes fsics sobre el sistema nevvies: Taxinas Warren R. Selman, M.D. Profewor of Neurological Surgery, Case Western Reserve University Medicine; Department of Neurological Surgery, University Hospitals of Cleveland, Cleveland, Ohio Enfermedades vasculares del sistema nerviese: Aneurismas intracrancales y hemorragia subarncnoides 57D. Enfermedades vasculares del sistema Malformaciones arteriovenoias School of Vice Chairman, D. Malcolm Shaner, M.D. Assistant Clinical Professor of Neurology, UCLA Schoo! of Medicine; Consultant in Neurology, Southern, California Permanente Medical Group, Los Angeles 87. Problemas newrolégicos del embarazo Kathleen M. Shannon, M.D. Associate Professor, Department of Neurological Sciences, Rush-Presbyterian-St. Luke's Medical Center, Chicago, Uinois Trastornos del movimiento Barbara E. Shapiro, M.D., Ph.D. Associate Professor of Neurology, Case Western Reserve University School of Medicine; Director of Neuromuscular Research, University Hospitals of Cleveland, Cleveland, Ohio 28. Debilidad proximal, distal y generalisada Michael C, Shares, M.D. Department of Neurological Surger Pittsburgh School of Medicine, Pennsylvania 56B. ‘Tramativmos del sistema ner ia: Traumatismor Roger P, Simon, M.D. Adjunct. Professor, Department of Pharmacology. & Physiology and Neurology, Oregon Health Sciences University; Robert Stone Dow Chair of Neurology, and Director of Neurobiology. Research, Legacy Clinical Research and Technology Center, Portland, Oregon 63. Enfermedades secundarias 1 deficit nutricionales del sistema nervioso central Sumit Singh, MLD, Assistant Professor, Department of Neurology, All India Institute of Medical Sciences, New Delhi 59D. Infecciones del sistema nerviss: Infécciones paras: arias Evelyn M. L, Sklar, M.D. Professor of Clinical Radiology and Neurological Surgery. University of Miami School of Medicine; Professor of Glinical Radiology and Neurological Surgery, University of Miami-Jackson Memorial Medical Center, Miami, Flotida 37A. Newroimagen: Newroimagen estructural COLABORADORES xls Benn E, Smith, M.D. Assistant Professor of Neurology, Mayo Medical School Rochester, Minnesota; Consultant in Neurology, Mayo Clinic, Scottsdale, Arizona 82, Alteraciones de loz merviasperifericos Bruce D. Snyder, M.D. Clinical Professor of Neurology, Univ Medical School, Minneapolis 61. Encsfulopatia bipisica/anéxicn ¢ iquémica nity of Minnesota Yuen T: So, M.D., Ph.D, Associate Professor of Neurology and Neurosciences; Director, Neurology Clinics, Stanford University Medical Center, Stanford, California 68. Enfermedades secundarias w déficir nutricionales del sistema nervioso central: 648. Efectos de las raxinas y agentes fisicos sobre ef sistema nervioso: Efectos det abuso de dragas sobre el sistema nervieso; 64C. Efectos de las toxins y agentes {fisicos sobre el sistema nerviow: Newrotasinas de animales y ‘plameas: 64D Efectos de Iai tina y agentes fics sobre el i Toxinas marinas Marylou V. Solbrig, M.D. Assistant Adjunct Professor of Neurology, University of California, Schoo! of Medicine; Attending University of ¢ Irvine, Medical Center, Irvine 59A. Infecciones del sstema nervioso: Inficciones bacteria: suas SOB. Infecciones del stem nervioso; Infoceiomes virias José I. Suaren, M.D, Assistant Professor of Neurology and Neurosurgery, Case Western. Reserve Critical Care Unit Aleveland, Ohio 51, Principios de los cuidadsintensivos neuro University; Director, Neurosciences Hospitals of Cleveland, University 8. H. Subramony, M.D. Profesor and. Vice Chairman, Department of Neurology, University of Mississippi School of Medicine; Attending. Physician, University Hospitals. and Clinics; Consulting, Physician, Methodist Rehabilitation Center, Jackson, Mississippi 23, Trastornos atdsics; 78. Trastornas del cevehelo y ata Jeflrey L. Sunshine, M.D., Ph.D, Assistant Radiology, and Neurosurgery, Case Wester Reserve University School of Medicine; Assistant Director of MRI, University Hospitals xl, Cleveland, Ohio Enfermedades vasculares del sistema nervios Ancurismas intracrancales y hemorragia tubaracnoiden; 57D. Enfermedades nerves: Malformaciones arteriovenesas Professor of Neurology, of Clevel 57¢ rasculares del sirtema Sx COLABORADORES Jerry W. Swanson, M.D. Professor of Neurology, Mayo Medical School; Consultant, Department of Neurology and Chair, Headache Division, Mayo Clinic ‘Minnesora 21, Dolor craneal yfiaciat: 78, Cefaten y dolor erancofacial Roches Patrick J. Sweeney, M-D., E.A,C,P, Department. of Neurology, Western University School of Medicine; Director, Neurology Residency Program, The Cleveland Clinic Foundation, Cleveland, Ohio 76, Newrepatias crancales Case Reserve Stephen J. Tapscott, M.D., Ph.D. Associate Member, Divisions of Human Biology and Clinical Research,. Fred Hutchinson Cancer Research Center, Seattle, Washington 44. Newragenética clinica Robert W. Tarr, M.D, Associate Professor of Radiology and Neurosurgery, Case Western Reserve University School af Medicine; Director of Interventional Neuroradiology, University Hospitals of Cleveland, Cleveland, Ohio Enfermedades vasculares det sistema nervioso Aneuriowas intracrancales y hemorragia subaracnoidea; 57D. Enfermedades vasculares del sistema uerviows: Malfor macioncs arteriovenosas ‘Charles H. Tegeler, M.D. Professor of Neurolow tory, and Head, Section on Stroke and Cerebrovascular Disease, Wake Forest University Baptist Medical Center, Winston-Salem, North Carolina 37D. Newrvimagen: cerebral Director, Neurosonology Lab-ora Feqarafia de la vaseularicacion Philip D. Thompson, M.B.B. Professor of Neurology, Medicine, University of Adelaide; Consultant Neurologist and Head, Department’ of Neurology, Royal Adelaide Hospital, Adelaide, South Austral 25. Trastornos de lo marcha » Ph.D., FRAC? University Department of Robert L, Tomsak, M.D., Ph.D Associate. Professor of Ophthalmology and Neurology. Case Western Reserve University School of Medicine, Direct Division of Clinical Neuro-ophthalmology, University Hospitals of Cleveland, Cleveland, Ohio 14, Perdida de visién; 40. Newrooftalmalegia: sistema risual aferente William Hl. Trescher, M.D. Assistant Professor. of Neurology, Johns. Hopkins University School of Medicine, Kennedy Krieger Institute, Baltimore, Maryland 73. Epilepsias Manjari ‘Tripathi, D.M, Aviseant Professor of Neurology, Neurosciences Center, All India Instiuate of Medical Sciences, New Delhi 59C Infeeciones del rstema nervioss:Infecciones micéicas B. Todd Troost, M.D. Professor and. Chairman. of Neurology, University. School of Medicine,. Winston-Salen Carolina 18, Marco y vértign; 19. Pérdida de andicién y tinnitus sin marco 0 vertigo; 41, Newroatolagia Wake. Forest North Kenneth L. Tyler, M.D. Reuler- Lewin Family Proissor of Neurology and Professor , University of Colorado Health Sciences Center; Chief, Neurology Denver Veterans Affairs Medical Center and Eastem Colorado Health Care System, Denver 46, Neurovivolegia; 59B, Infecciones del sistema nervies Infeciones viricas ‘of Medicine, Microbiology, and Immunoloy Service Blizabeth C. ‘Tyler-Kabara, M.D., Ph.D, Chief Resident, Neurological Surgery, University. of Pittsburgh, Pittsburgh, Pennsylvania SOB. Traumasiomos del sistema nervioso: Tranmariemos crancoencefitices Edward Valenstein 10. Trastornas motores intencionales y apraxias Ashok Verma, M.D., DM. Assoxiate Professor of Neurology, University of Miami School of Medicine; Attending Neurologist and Neurology Training Program Director, Jackson Memorial Hospital Staff Neurologist, Miami VA Medical Center, University of Miami School of Medicine, Miami, Florida 59, Infoiones del sistema nerviesi; 59A. Infecciomes el si ‘oma nerves: Infccionesbacterianns, 59C. Infeciones det st ‘na nerviose: Infeciomes miciticas; SOD. Infeccones del stema nserviase: Infécciones parnsitarias; 59F. Infécclones del vse ana nerviss: Manifestaciones newraldgicas de fa inftciom por «1 virus dela inmonodeficiencia humana en adultes, 59F. Tn ftcciones del sistema nervinso: Manifeitaciones weuroligicas de ‘in infeccién por ol virus de ta inmunodeficiencia humana en {os nitos, 596. Infeeciones del sistema nerves: Enfermedades or prioncs; 69. Trastornas mitocondrinles Alfredo D. Voloschin, M.D. Neuro-Oncology Research Fellow, Massachusetts General Hospital and Harvard Medical School, Boston S8F. Ciincer y sistema ner vivo: Tratamicn resp Wagar Waheed, M.D. Instructor in Ni Washington University School of Medicine, St. Louis, Missouri 29. Dolor y calambres muscilares dle las tue avis del sistema nerviow en tas lactantés y lor mites Ajay K. Wakhloo, Ph.D. Professor of Radiology, Neurological Surgery, and Bio: Met ingineering, University of Miami; Die Neuroendovascular Surgery & Interventional Neuro: radiology, and Dire Surgery and Stroke Research (CNS), University of Miami Sch ; Center for Neuroendovascular ol of Medicine, Miami, Florida 37C. Newrvimagen: Ans fomia newroangiogrificn ¥ enfermedades vascularescerebrales comunes; 53. Principios de la terapia endovascular Michael Wall, M.D. Professor of Neurol 1By and Ophthalmology, University of Iowa College of Medicine; Staff Physician, University of Iowa Hospitals and Clinics and Veterans Administration Medical Center, Iowa City 22, Sindromes del tronco del encéfalo Mitchell . Wallin, M.D., M.P.H. Assistant Professor of Neurology, Georgetown University School of Medicine; M.S, Clinic Director and Chief, Neuroepidemiology, Neurology Service, VA. Medical Center, Washington, D.C 43. Newroepidemiolania Robert T, Watson, M.D. Profesor of Neurology and Senior Associate Dean for Educational, Affairs, University of Florida School. of Medicine, Gaineseville 10, Trastornos motores i cionalesy aprasias COLABORADORES xxi Stephen G. Waxman, M.D., Ph.D. Professor and Chairman of Neurology, Yale University School af Medicine, New Haven; Director, Paralyzed Veterans of America Neuroscience Research Center, Yale University. School of Medicine; Rehabilitation Research Center, VA Hospital, West Haven, Connecticut 7, Paraplejia y sindromes de la médula espinal Patrick Wen, M.D. Associate Professor of Neurology, Harvard Medical School, Division of Neuro-Oncology, Department of Neurology Brigham and Women’s Hospital and Center for Neuro Oncology, Dana Farber Cancer Institute, Boston 586. lincer y sistema nerviow: Metdtasis en el sistema ‘Thomas Wisniewski, M.D. Associate Professor of Neurology, Patholog York University School of Medicine 596, Infecciones del priones Paychiatry, New ema nervioso: Enfermedades por Osama . Zaidat, M.D. Assistant Professor of Neurology, Case Western, Reserve University; Neurointensivist, University. Hospitals. of Cleveland, Cleveland, Ohio 51. Principia {og cuidados intensives newrolégicas Prefacio a la cuarta edicién Al preparar en 1990 Newrolegia clinica ya destacamos los peincipios ent que basa preficio a Ia primera edicién de mos el texto, A, escribimos entonces que desde hacia tiempo hhabiamos notado la necesidad de un libro de texto de neurolo- fia que comprendiera todas as subespecialidades de la neuro- logia clinica, y que proporcionase no tan sélo una deseripcién de las enfermedades neurologicas y de su fisiopatologia, sino que también con diagndstico y tratamiento, Desta jtuyese un planteamiento prietica de sa amos entonees que la neuro: Joga es tanto una disciplia intelectualmente compleja (a causa de la complejidad misma del sistema nervioso) como faseinan te, puesto que el estudio de las enfermedades neurolbgicas nos descubre el modo de fancionamiento del cerebro y dela mente Ya en 1990 reconociamos los importantes avances tecnologicos ye investigaciin que estaban ocuriendo, y nos enfrentsbamos 2 un futuro no muy Iejano en que se entendiesen mejor un ‘mayor admero de enfermedades neurolégicas, fuese posible correpir numerosos defectos bioquimicos, y resultase asimismo posible conseguir una regeneraci6n efeetiva del sistema nervio- so central y del sistema nervioso periférico. A pesar de todo, tanto entonces como también ahora pensamos que la tecnolo- ‘gia no debe converte nlunca en el maestro del clinico, sino ‘que tan sélo debe ser st ayudante, Trece anos después de aqucl prefacio, sus palabras coban ain mis significado, y nos eacontramos mis cerca de las espe ranaas que apuntibamos entonces, aunque pensamos que el texto sigue siendo fil asus principios bisicas originales. La primera edicion de Newroleyia clinica gané el Most Ouestanding Book Award de la Association of American Publishers 1 aho 2000, cuando se publicé la tercera edicién del text, Professional and Scholarly Publication Division). En desgraciadamentefallecié David Marsden, que habia erabajado como fundador y coeditor de las tres primeras ediciones. Fn cesta cuarta edicion damos la bienvenida a un nuevo eoeditor, Joseph Jankovic: ta cuarta edicin ha sido completamente reescritay casi la rnitad de los capitulos han sido preparados por nuevos autores. Ademis, publicamos capinulos nuevos sobre cirugia endovas nos de los canales de clr, tastomos mitocondriales y trasto Este libro constituye un compendio de las eruditas contr buciones de todos los colabaradores que escribieron los capt tulos y nos proporcionaron las iustraciones y el material de Tntemet. Les estamos a todos muy agradecidos por su desinte resad entrega a la dacencia de la neurologia. Un proyecto de cesta magnitud no hubiera sido posible sin el estimulo y el er terio de Susan Pioli, Executive Publisher for Global Medicine de Elsevier, quien participé de forma muy activa en cada uno de los estadios de elaboracion del texto. Asimismo, para enca ra global hay que destacar el importante trabajo coordinador de Mary Beth Murphy, Senior Development Edi tor de Elsevier. También agradecemos la ayuda de Joan Sin clair, Production Manager, y de Kelly Mabie, Production Faito, sin cuya energia y efisiencia sin duda alguna este texto no hab lNegado a publicarse. Finalmente, agradecemos tam: bién Ia colaboracién de nucstros lectores, cuyos comentarios cen la coleccién de textos de Neural ppigina web de Internet nos han sido de gran valor 2 mejo- rar nuestros instrumentos de docencia Durante estes tece aos, el conjunto de publicaciones rela ciomadas con Newrolagia clinica se ha ampliado para ineluir et Pocket Companion, ol Re ‘otros idiomas y, Jo-que es mis importante, nuestra pigina web sw Manual, varias traducciones a de Internet HI Po imenes del texto, sldrd al mercado poco tiempo después de la evewwinigp.coms chet Companion to NICP, una sinopsis de los dos vol publicaciin de Neurolggia clinica. Este libro sigue siendo una vers refundida, condensada y mis accesible del material cl nicamente mis significativo que se encuentra en los dos volt ‘menes del texto completo, El Pocket Companion constcuye un libro de consulta ripida en que s© remite al lector a los dos volimenes del texto completo para un mejor anilisis de los temas alli analizados. I Review Manwat for Neurolggy in Clinical Practice, est to por Karl Misuls y editado por los cuatro mismos editores del eto, # publicard también poco después de la apa rarest cli pregunus y respuestas, esti organizado segin los capitulos de la cuarta ediciin de Newrolepie clinica. Las preguntas son iti les parala pr cin de Fate libro, euyo formato es del tipo paracion de los eximenes para médicos residents; asimismo, las respuestas proporcionan las explicaciones pert nentes y remiten a lector a los dos vollimenes del texto com pleto para un mejor andlisis de los temas consultados Walter @. Bradley, DM, ERCP. Robert B. Daraff, M.D. Gerald M. Fenidbel, MD. Jouepl Jantoric, M.D. ssl Parte III Enfermedades neuroldégicas Capitulo 55 Complicaciones neurolégicas de las enfermedades sistémicas A. ENELADULTO Michael J. Aminoff Afecciones carclicasy sistema nervioso 107k Embolia cardiogénica 1072 Sincope 1072 Parada cardiaca 07a ‘Complicaciones de la cateterizaciny la cirugiacardiacas 1073 ‘Complicaciones neurolégicas de la medicacin 1074 Endocarditis infeociosn 074 Enfermedades de a Ancurisms aéetico ortii Coartacién de ls sorta Sindrome del robo de I subclvia CComplicaciones de l cirugia s6etica Enfermedades del tejido conjantvo y vasculitis Polarteritis nodosa, sindrome de Churg-Strauss Ysindrome misto de tejido conjuntio Arteritis de élulas gigantes Granmlomatons de Wegener Angi isla del sistema nervioso Arts rcumatoide Lapas ex Sindrome de Sjogzea Esclerois sistémica progresiva Enfermedad de Bebe Policordrtisrecidivance Enfermedades respirators 1079 Hipoxia 1080 Hipercapnia 1080 Hipocapnia oso Sindrome de respuesta inllamatoria dstémica 1080 ‘Sarcoidosis 1080 Trastoros hemnatologieos con anemia 108i ‘Anemia megaloblistia 1081 Anemia drepanoxitica 1081 Talasemias os2 Sindromes acantexiticos os Trastornos hematolégicos peoliferativas 1082 Levoemiss os Discrasias de cll plamsticas (082 Este capitulo revisa las complicaciones ncurologicas de las ‘enfermedades sistemicas en el adulto, El Capitulo 558 revisa Jo mismo en los nifios, Algunos trastomnos se revisan en ambos ‘apitulos aunque con distinto éafass, Linfoma oss Policitrmia oss Enfcemedades hemoerigicas oss Hemoilis loss (Orras enfermedades hemorigices Los Enfermedades hemeerigicasiatrogenicas oss Sindromes de anticuerpos antifosolipidos loss Hepatopatiss 108s Encefalopaia poral sstémica 1085 Depencracién hepatocerebral erdmica no Wilko 1085 Trasplante de higado 1086 Eneefalopatis pancreitiea 1086 Enfermedaes gastrointestinsles 1086 Insufcieneia renal 1087 Complicaciones neurologicas dels diss 1087 Complicaciones neurologicas del taspante de inn 1088 Desequilbios de elecrolicos 1088 Sod 1088, Porasio loss Cake 1089 Magnesio 1089 Enfermedades de a hipasis lose Adenomas de hipfiss lose Enfermedad y sindrome de Cushing 1089 Hipopituiarismo 1090 Diabetes insipid 1090 Enfermedades tiroidess 1090 Hipertroidisnno 1090 Hiporicidismo, 1091 Tiroidits de Hashimoto 1091 Enfermedades parabioideas 1091 Hiperparatiroidism 1091 Hipoparatiroidismo 1091 Glindulas adecnales 1091 Feocromocitoma 1091 Enfermedad de Addison 1091 Diabetes mellius 1091 Hipoglucemia 1ovz AFECCIONES CARDIACAS Y SISTEMA NERVIOSO Las complicaciones neuroligias son una causa importante de ‘morbilidad en pacientes con afeccién cardiaca, Una enferme- dad cardiaca 0 su tratamiento quiriirgico pueden provocar mn 1072 ENFERMEDADES NEUROLOGICAS émbolos de origen cardiac, y la disfuncion cardiaca puede pprovocar una hipoperfusién cerebral global, que prowoque un sincope, un ictus ola muerte, dependiendo de la gravedad y la dduracion de la isquemia cardiaca Embolia cardiogénica Las émbolos de origen cardiaco aparecen con méxima fre ‘euencia en pacientes con estenosis mitral yfblacim auricu lar, trombos int ima auricular, endocarditis infecciosa sindrome del seno cenfermo y fibrilacion ventricular. Otrascausas pueden ser el infarto de miocardio recente, e trombo o la turbulencia auc cularesizquierdos, el prolapso de a vilvula mitral, la cakifca

You might also like