Case Studies in Neurological Rehabilitation

Rehabilitation medicine is one of the fastest growing specialities in medicine. The largest sub-set of this field is neurological rehabilitation. This timely book, presented as a series of case studies, describes the wide range of clinical scenarios encountered by the rehabilitation medicine team and advises on management issues and options. Areas covered include ethical, medico-legal and social factors, touching on issues such as service organisation and patient reintegration. The book concludes with a set of multiple choice questions to test understanding and as the basis for preparation for professional examinations. This will be essential reading for all trainees in rehabilitation medicine, specialists from fields such as neurology where an understanding of the principles is important, and professionals from supportive allied health disciplines including physiotherapy, occupational therapy, speech therapy and nursing. - A concise, case-based and practical summary of the field - Accessible to all members of the rehabilitation medicine team - Includes MCQs for self-testing and exam preparation CONTENTS Preface; Part I. The Rehabilitation Consultation; The Rehabilitation Unit: Part II. Medical Issues in Brain Injury Rehabilitation: 1. Post-traumatic seizures; 2. Episodic agitation following Herpes Simplex Encephalitis; 3. Hypopituitarism; 4. Anxiety following head injury; 5. Hydrocephalus following Saubarachnoid Haemorhage; 6. Autonomic impairment following brain injury; 7. Locked-in Syndrome; 8. Pharmacological management of attention impairment; 9. Rehabilitation of Pontine Myelinolysis; 10. Assessment of frontal lobe function; 11. An aggressive patient; Progressive neurological disorders: 12. Ataxia in Multiple Sclerosis; 13. Psychiatric manifestations in Huntington Disease; 14. End Stage Duchenne Muscle Dystrophy; 15. Recurrent aspiration in a Parkinson's patient; Medical complications of immobility: 16. Thromboembolism; 17. Osteoporosis; 18. Pressure sores; 19. Heterotopic ossification; Orthotics in neurological rehabilitation: 20. Secondary Scoliosis; 21. Post Polio Syndrome; 22. Charcot Joint; Ethical and medico-legal controversies: 23. Wandering patients; 24. Rehabilitation of ethnic minorities; 25. Service provision for Chronic Fatigue Syndrome; Chronic pain: 26. Central pain syndrome; 27. Complex Regional Pain Syndrome; 28. Shoulder pain following stroke; Medically Unexplained Disabilities: 29. Conversion Syndrome; 30. Somatisation in Multiple Sclerosis; 31. Complementary and alternative medicine; Spasticity management: 32. Management of spastic Equino-varus deformity; 33. Management of severe generalised spasticity; Ventilatory support in Rehabilitation: 34. Artificial ventilation in Guillain Barre Syndrome; 35. Diaphragmatic paralysis; Sphincteric dysfunction: 36. Botulinum Toxin for Neuropathic Bladder; 37. Bowel Dysfunction following spinal injury; Communication disability: 38. Expressive aphasia; 39. Jargon aphasia; 40. Hypokinetic dysarthria; Sensory disability: 41. Cortical Blindness; 42. Visual Spatial Neglect; Prescriptions for independence: 43. Exercise prescription; 44. Vocational Rehabilitation; 45. Driving assessment; Part III. Multiple Choice Questions in Neurological Rehabilitation: Multiple Choice Questions Answers