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Cerebral Autosomal-Dominant Arteriopathy With Subcortical Infarcts and Leukoencephalopathy Davous P. CADASIL a review with proposed diagnostic criteria. Eur J Neurol 1998 5 219-233. Desmond DW, Moroney JT, Lynch T, et al. CADASIL in a North American family clinical, pathologic, and radiologic findings. Neurology 1998 51 844-849. Dichgans M, Mayer M, Uttner I, et al. The phenotypic spectrum of CADASIL clinical findings in 102 cases. Ann Neurol 1998 44 731-739. Kalimo H, Ruchoux MM, Viitanen M,...

Diagnostic Criteria for Psychophysiological Insomnia

Complaint of insomnia combined with a complaint of diminished performance during waking hours. 2. Learned associations that prevent sleep are identified a. Forcing sleep, which suggests inability to sleep at the desired time, but with the ability to sleep in the course of other relatively monotonous activities, such as watching television or reading. b. Awakenings conditioned by the room or sleep-related activities, indicated by poor sleeping at home, but improved sleeping away from home or...

Diagnostic Criteria for Toxin Induced Sleep Disorder

Complaint of insomnia or excessive sleepiness. 2. Complaint is temporally associated with the presence of an environmental or ingested toxic agent (e.g., heavy metals or organic toxins, etc.). 3. No evidence of any other medical or psychiatric disorder other than that associated with the toxicity accounting for the complaint. 4. The diagnostic criteria for any other sleep disorder causing complaints of insomnia or excessive sleepiness are not met.

Familial Hemiplegic Migraine

The clinical spectrum of Familial Hemiplegic Migraine associated with mutations in a neuronal calcium channel. N Engl J Med 2001 345 17-24. Ducros A, Joutel A, Vahedi K, Cecillon M, Ferreira A, Bernard E, et al. Mapping of a second locus for familial hemiplegic migraine to 1q21-q23 and evidence of further heterogeneity. Ann Neurol 1997 42 885-890. Joutel A, Bousser MG, Biousse V, Labauge P, Chabriat H, Nibbio A, et al. A gene for familial hemiplegic migraine...

Tension Headache

Lipton RB, Cady RK, Stewart WF, Wilks K, Hal C. Diagnostic lessons from the Spectrum Study. Neurology 2002 58 S27-S31. Ozge A, Bugdayci R, Sasmaz T, et al. The sensitivity and specificity of the case definition criteria in diagnosis of headache a school-based epidemiological study of 5562 children in Mersin. Cephalalgia 2003 23 138-145. Rossi LN, Cortinovis I, Menegazzo L, Brunelli G, Bossi A, Macchi M. Classification criteria and distinction between migraine and tension-type headache in...

Munchausen Syndrome By Proxy

Generally a pediatric diagnosis, Munchausen syndrome by proxy (MSBP) may be diagnosed both by inclusion and by exclusion. Table 57 identifies the specific criteria to be followed. Unfortunately, Neuropathological Subtypes in Frontotemporal Dementia 1. When the predominant neuropathological abnormalities are tau-positive inclusions (with associated neuron loss and gliosis), and insoluble tau has a predominance of tau with three microtubule-binding repeats, the most likely diagnoses are as...

Medicationoveruse Headache

Whereas a cause and effect has not been firmly established, overuse of symptomatic migraine drugs, opioid or butalbital compounds, or analgesics is implicated in the development of chronic daily headaches with either a migraine-like or a mixed migraine-like and tension-type-like presentation. Whereas overuse is defined in terms of treatment days (not doses) per month, the stipulation on a regular basis is significant i.e., 2 to 3 days per week on an ongoing basis. Taking symptomatic medications...

External Compression Headache

International Headache Society Diagnostic Criteria for External Compression Headache A. Results from the application of external pressure in the forehead or the scalp. B. Is felt in the area subjected to pressure. D. Is prevented by avoiding the precipitating cause. E. Is not associated with organic cranial or intracranial disease. Adapted with permission from Headache Classification Subcommittee of the International Headache Society. The International Classification of Headache Disorders, 2nd...

Modified Dandy Criteria for Idiopathic Intracranial Hypertension

Signs and symptoms of increased intracranial pressure headaches, nausea, vomiting, transient visual obscurations, papilledema . 2. No localizing neurologic signs, with the exception of unilateral or bilateral cranial nerve VI paresis. 3. Cerebrospinal fluid can show increased pressure, but otherwise without cytological or chemical abnormalities. 4. Normal to small symmetric ventricles must be demonstrated by neuroimaging. Note the typical patient profile typical patient see Table 13 of a...

Headache Related To Intrathecal Injections

In the International Headache Society IHS classification category, headache related to intrathecal injections is a direct effect of the agent with the following diagnostic criteria Table 6 if the headache is because of presumed chemical meningitis, the IHS criteria specify the criteria listed in Table 7. From a clinical standpoint, there may be diagnostic confusion of headache because of a low cerebrospinal fluid CSF pressure or post-lumbar puncture LP headache, as opposed to a pure headache...

Development Of A Diagnostic Measurement Instrument

Eddy and Clanton 26 have identified six steps expert clinicians take in making a diagnosis 1 aggregation of groups of findings into patterns, 2 selection of a pivot or key finding, 3 generation of a potential cause list, 4 pruning of the cause list, 5 selection of a diagnosis, and 6 validation of the diagnosis. The process of aggregation may allow a number of smaller individual findings to be subsumed under one construct. For example, in carpal tunnel syndrome the symptoms of numbness in the...