Clinical Neurology of the Older Adult

Author: Joseph I. Sirven
Published: February 2002
Publisher: Lippincott Williams & Wilkins
ISBN: 0781727898
Hardcover Book
Number of Pages: 576

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Sirven (neurology, Mayo Clinic) and Malamut (psychology, Drexel U.) present a guide for students and practitioners to information regarding the course of normal aging and its impact on the nervous system, diseases that affect the elderly, and their treatment. The scope includes the major categories of neurological illness in the peripheral and central nervous systems. The material is organized into sections that address diagnostic tests, the symptoms of common neurological problems, and specific diseases such as epilepsy or dementia. Ethical and psychosocial dimensions are also covered.

Table of Contents
Contributing Authors
Preface
Acknowledgments
Sect. I Introduction: What Makes the Older Adult Unique?
1 Neurologic Examination of the Older Adult 1
2.1 Imaging of the Aging Brain 5
2.2 Diagnostic Tests in the Older Adult: EEG 18
2.3 Diagnostic Tests in the Older Adult: EMG 26
3 Age-Related Changes in Pharmacokinetics, Drug Interactions, and Adverse Effects 29
4 Neurologic Considerations in the Postmenopausal Woman 45
5 Cognitive Changes Associated with Normal Aging 56
Sect. II Common Signs and Symptoms in the Older Adult
6 Acute Confusional State: Delirium, Encephalopathy 65
7 Transient Loss of Consciousness: Syncope and Seizure 76
8 Dizziness and Vertigo in Older Adults 90
9 Definition and Epidemiology of Falls and Gait Disorders 108
10 Disorders of Speech and Language in Older Adults 117
11 Tremor 127
12 Neuro-Ophthalmology 137
13 Sleep in the Older Person 158
14 Headaches 176
15 Back and Neck Pain 191
16 Incontinence and Sexual Dysfunction in the Elderly 200
Sect. III Specific Neurological Conditions Affecting the Older Adult
17 Ischemic Cerebrovascular Disease 214
18 Cognitive Effects of Stroke and Hemorrhage 228
19 Spontaneous and Traumatic Cerebral Hemorrhage in the Elderly 240
20 Cognitive Effects of Head Trauma in the Older Adult 249
21.1 Diagnostic Evaluation and Treatment of Dementia 259
21.2 Dementia Disorders: Behavioral and Cognitive Aspects 273
22 Movement Disorders in the Older Adult 292
23 Cognitive Effects of Movement Disorders 306
24 Diseases of the Spinal Cord and Vertebrae 324
25 Peripheral Nervous System Disorders: Neuropathies, Myopathies, Motor Neuron and Neuromuscular Junction Disorders 333
26 Nonviral Infectious Diseases of the Nervous System 349
27 Viral Illnesses in the Nervous System of the Elderly 363
28 Neuro-Oncology of the Elderly 372
29 Introduction: Neurological Manifestations of Systemic Disease 388
29.1 Neurological Manifestations of Systemic Disease: Cardiology and Pulmonary 388
29.2 Neurological Manifestations of Systemic Disease: GI and Endocrine 395
29.3 Neurological Manifestations of Systemic Disease: Disturbances of the Kidneys, Electrolytes, Water Balance, Rheumatology, Hematology/Oncology, Alcohol, and Iatrogenic Conditions 405
30 Acute and Chronic Seizures in the Older Adult 436
Sect. IV Psychosocial Issues in the Older Adult
31 Recognition and Management of Late Life Mood Disorders 447
32 Somatization in Older Adults 463
33 Neurorehabilitation 478
34 Long-Term Care Options for the Aging 500
35 Ethical and Legal Issues in the Care of Elderly Patients with Neurological Illnesses 510
Resources 524
Subject Index 537

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