A Physiological Approach to Clinical Neurology - download pdf or read online

By James W. Lance

ISBN-10: 0407358501

ISBN-13: 9780407358508

A Physiological method of scientific Neurology. related day delivery. OOKS SHIPPED precedence AIRMAIL - This reproduction released 1970, xi 246p huge fabric dj, index, bibliography, photogr plates, rarely used, VG+, a clean and fresh copy.A Physiological method of scientific Neurology. James W. Lance. Hardback. mild blue dirt jacket a few put on. Appleton Century Crofts major brown leatherette hardback. comparable day delivery. Copyright 1970 Mrs. Lance. 246 pages. isbn 0407358501.

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Pain is often accompanied by segmental hyper­ aesthesia and reflex muscle contraction. The pattern of pain or para­ esthesiae elicited in history-taking guides the clinician in making a selective sensory examination t o test the hypothesis suggested by the history. The management of painful syndromes depends upon a n under­ standing of the pathophysiology of pain, which includes the emotional reaction of the patient. New knowledge of pathways associated with the perception of pain makes it possible to relieve intractable pain without impairing the patient's ability to distinguish between sharp and blunt stimuli.

Ther. 8, 521-542 1^ Mark, V. , Ervin, F. R. and Yakovlev, P. I. (1963). 'Stereotactic Thalamotomy III. A. Archs. Neurol. 8, 528-538 25 PAIN AND OTHER SENSATIONS ^* McLeod, J. G. (1958). ' / . Physiol, 140, 462-478 1 ' Melzack, R. and Wall, R D. (1962). ' Brain 85, 331-356 ^8 Nathan, P. W. and Rice, R. C. (1966). ' Neurology 16, 533-544 ^» Rose, J. E. and Mountcastle, V. B. (1959). ' In American Physiological Society Handbook of Physiology, Ed. by J. Field. Sect. 1, Vol. 1, pp. 387-429. Baltimore; Williams and Wilkins Sinclair, D.

This can be demon­ strated by increasing the intensity of stimulation of the medial popliteal nerve. 4). To minimize excita­ tion of motor fibres, the stimulus voltage is usually restricted to Μ or 1*2 threshold, that is, the voltage required to produce the smallest discernible Η reflex. The Η reflex has qualities similar to the monosynaptic stretch reflex of animals. Repetitive stimulation of the monosynaptic arc in the cat will cause an increase in excitability of the reflex lasting for some minutes after stimulation ceases, probably because of 56 PHASIC MUSCLE REFLEXES increased mobilization of transmitter substance at the synapse^'"^'^^.

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A Physiological Approach to Clinical Neurology by James W. Lance


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