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This thoroughly updated and expanded second edition continues to be the singular reference for comprehensive clinical instruction in the use of high-frequency ultrasound for assessing peripheral nerves and their disorders, particularly focal neuropathies. Revised to integrate current advances in the field, new applications, and next-generation equipment, this top of the line text uses a "how-to" approach to describe clinical evaluation, inclusive of both normal and pathological findings with discussions of relevant non-neurologic tissue. The book begins with a review in ultrasound physics, instrumentation, image optimization, and anatomy before presenting a highly visual tour through multiple nerves of the neck, shoulder, and upper and lower limbs with new chapters on the evaluation of muscle and ultrasound guided principles. Anatomical chapters have been substantially updated to feature additional nerves and advanced concepts with updated drawings and unprecedented visualization of smaller nerve segments captured by cutting-edge equipment. Chapters include clinical cases unique to this edition that demonstrate the use of ultrasound in conjunction with clinical and electrophysiologic assessment to optimize diagnosis. In-text video callouts directly connect chapter content to over 430 detailed video examinations accessible online to better facilitate understanding of the ultrasound image. The definitive reference on peripheral nerve ultrasound and focal neuropathies, this practical text and atlas is the prime resource for neurologists, physiatrists, radiologists, sports medicine physicians, and other providers seeking to combine ultrasound with electrodiagnosis for entrapments of the upper and lower limbs. Key Features: Utilizes a "how-to" skills approach for imaging peripheral nerves with ultrasound and understanding anatomic, clinical, electrodiagnostic, and imaging considerations for focal neuropathies Thoroughly revised and updated Second Edition New chapters on imaging muscle and ultrasound-guided procedure Introduces ultra-high frequency imaging with many new sections covering less commonly scanned and smaller nerves Incorporates brand new clinical cases throughout to survey an array of disorders and conditions including an extended series on foot drop Includes hundreds of detailed anatomical drawings and state-of-the-art images with corresponding videos online New audiovisual EMG waveforms provided by Ernest W. Johnson, MD Purchase includes digital access for use on most mobile devices or computers
Honorable Mention, 2015 PROSE Award in Clinical Medicine Practice With a ìhow-toî approach, the author meticulously describes the clinical evaluation of the peripheral nerves throughout the body using high-frequency ultrasound. Evaluations include both normal and pathologic findings, as well as discussions of relevant non-neurologic tissue. The book opens with an introduction to ultrasound physics, instrumentation, and image optimization. The remainder of the text is a highly visual tour through the multiple nerves of the shoulder, neck, and upper and lower limbs, focusing on sonographic technique and correct interpretation of findings. Clinical cases that integrate anatomic localization with clinical and electrodiagnostic assessment are incorporated throughout. Also includes a bound-in DVD with live motion video loops of the examinations to correspond with stills in the book to demonstrate the important dynamic information ultrasound provides. Ultrasound Evaluation of Focal Neuropathies features: Comprehensive yet practical text and atlas with detailed discussion of the strengths and weaknesses of clinical and electrodiagnostic assessments Thorough guide to ultrasound techniques and appearance of normal and abnormal peripheral nerves Clinical cases that pair the imaging information with clinical and electrodiagnostic findings are interwoven throughout with analysis of anatomy relevant to the peripheral nerves being studied Hundreds of high-quality images and line drawings to correlate anatomy and reflect probe placement Companion DVD with motion loops is provided to facilitate understanding of the dynamic image
In recent years, sonography of the peripheral nervous system has gained widespread acceptance. New diagnostic applications have emerged, and the field of ultrasound-guided interventions has expanded significantly: regional anesthesia, peripheral nerve blocks, and similar techniques are now frequently performed under ultrasound guidance by anesthesiologists and pain physicians alike. This atlas of peripheral nerve ultrasound is designed to meet the daily needs of both radiologists and clinicians by allowing rapid review of typical features, knowledge of which is important for successful diagnosis and intervention. The side by side presentation of ultrasound images with anatomical cryosections and photographs of transducer positions allows for reliable sonographic identification of even tiny nerves in regions of complex topography. The practical value of the atlas is further enhanced by correlations with high-resolution MRI scans.
Neuromuscular Ultrasound demonstrates the use of ultrasound as an alternative to electrodiagnosis in the evaluation of neuromuscular disorders through detailed descriptions and clear illustrations. Drs. Francis Walker and Michael S. Cartwright discuss techniques for visualizing muscles and nerves without painful testing for better patient compliance and more efficient diagnosis. Color illustrations, pearls for the clinician, and ultrasound videos online at www.expertconsult.com, ensure that you'll be able to apply this technology effectively in your practice. - Access the fully searchable text online at www.expertconsult.com, along with ultrasound videos that demonstrate ultrasound evaluation in real time. - Diagnose and manage your patients more quickly and easily by visualizing muscles and nerves without painful testing. - Master the nuances of using ultrasound through the visual instruction of clear images and illustrations. - Minimize patient discomfort while maximizing optimal patient evaluation with a practical focus that covers using ultrasound as a screening tool, provides clinical pearls, and includes comparisons to electrodiagnosis. - Apply the full range of ultrasound applications, including interventional uses (such as ultrasound-guided botulinum toxin and steroid injections), ultrasound of polyneuropathies (often found in diabetics), and more.
Revised, updated, and expanded second edition of the premier learning guide for residents, McLean EMG Guide emphasizes skills and concepts required for success in mastering basic electrodiagnostic techniques. This step-by-step approach to performing and interpreting EMG and nerve conduction studies will prepare trainees, fellows, and attendings to meet the challenges encountered in daily practice with confidence. The book is broken into short formatted chapters covering instrumentation, basic nerve conduction and needle EMG techniques, interpretation, applications for common clinical problems, and a new chapter on ultrasound. The procedures are laid out as illustrated tables with specifics for lead placement, stimulation, sample waveforms, and photographs to guide electrodiagnostic set-ups. Clinical presentation, anatomy, recommended studies, normal values, pearls and tips, and key findings are presented throughout in bulleted text for a thorough, more focused guidebook. Multiple choice questions and answers with rationales reinforce learning for those wishing to review concepts through self-guided assessment. Key Features Updates to all chapters with new figures and diagrams and more multiple-choice questions with answers Brand new chapter on the use of ultrasound with electrodiagnosis Checklists with key steps and takeaways for each study Clear, easy-to-understand tables and photos illustrate each set-up and study Codifies what you need to know to make a diagnosis in the EMG laboratory Print purchase includes on-line access to the full contents for mobile or desktop use
This is the first truly foundational, introductory text designed to help novice practitioners master the fundamentals of musculoskeletal ultrasound. For the new practitioner who has yet to hold a transducer, Dr. Strakowski makes beginning easy and presents detailed step-by-step instructions for operating the equipment, obtaining good images, and successfully interpreting sonograms. Organized for maximum learning value, the book is packed with high-quality color images, tables, and tips to enhance understanding of proper technique and proficiency in musculoskeletal ultrasound. This “quick start” manual provides a simplified approach to essential physics, terminology, instrumentation and image optimization, proper scanning technique, and ergonomics. It is also designed to instruct in the recognition of the normal sonographic appearance of muscle, nerves, and tendons; other tissue, foreign bodies, masses, and artifacts; and use in interventional procedures. The final chapter offers recommendations for getting started in practice. The book’s clear, concise presentation will help new practitioners, residents, and medical students take the first steps in using ultrasound in the musculoskeletal clinic with confidence and skill. Key Features: A concise, visual introduction to musculoskeletal ultrasound technical fundamentals, image acquisition, and interpretation Designed to help new practitioners get comfortable quickly with scanning technique and sonographic appearance of musculoskeletal tissue, artifacts, foreign bodies, and masses Covers the basics of ultrasound guidance for injections Packed with nearly 300 high-quality images and “Remember” boxes with clinical pearls
This open access book offers an essential overview of brain, head and neck, and spine imaging. Over the last few years, there have been considerable advances in this area, driven by both clinical and technological developments. Written by leading international experts and teachers, the chapters are disease-oriented and cover all relevant imaging modalities, with a focus on magnetic resonance imaging and computed tomography. The book also includes a synopsis of pediatric imaging. IDKD books are rewritten (not merely updated) every four years, which means they offer a comprehensive review of the state-of-the-art in imaging. The book is clearly structured and features learning objectives, abstracts, subheadings, tables and take-home points, supported by design elements to help readers navigate the text. It will particularly appeal to general radiologists, radiology residents, and interventional radiologists who want to update their diagnostic expertise, as well as clinicians from other specialties who are interested in imaging for their patient care.
Neurosonology is non-invasive, portable, and has excellent temporal resolution, making it a valuable and increasingly popular tool for the diagnosis and monitoring of neurological conditions when compared to other imaging techniques. This guide looks beyond the use of neurovascular ultrasound in stroke to encompass a wide range of other neurological diseases and emergencies. It offers a practical approach to the examination of patients, interpretation of ultrasound studies, and the application of neurosonology to the development of management and treatment strategies. Each chapter incorporates a thorough and clear procedural methodology alongside scanning tips for trainees; this step-by-step approach is further enhanced by example images and focused diagnostic questions. Authored and edited by international experts, this practical manual of neurosonology is an invaluable resource for neurologists, neurosurgeons, intensivists, radiologists, and ultrasonographers.
Clinical Neurophysiology, Third Edition will continue the tradition of the previous two volumes by providing a didactic, yet accessible, presentation of electrophysiology in three sections that is of use to both the clinician and the researcher. The first section describes the analysis of electrophysiological waveforms. Section two describes the various methods and techniques of electrophysiological testing. The third section, although short in appearance, has recommendations of symptom complexes and disease entities using electroencephalography, evoked potentials, and nerve conduction studies.
This first of its kind richly illustrated book provides a tabular and schematic representation of all the peripheral nerves in the human body using a standardized landmark-based algorithm for the definition of the nerve’s “Point of optimal visibility (POV)”. In this atlas the nerves of the human body are depicted with high-frequent ultrasound probes with frequencies up to 24 MHz: it presents not only the “known” large nerves (N. ischiadicus, N. femoralis, N. medianus etc.), but also the tiny nerves you have learned in your anatomy sessions but forgotten in the course of time! Based on clear illustrations using palpaple/visible external and easily accessible internal landmarks, it offers “nerve sonographers” a clear sonoanatomic guidance on how to easily find the nerve. Additionally, it describes the exact positioning of the probe so that each nerve can be found at its point of optimal visibility. These mental maps for nerve sonographeurs are intended not only for beginners but also for “advanced” specialists requiring instructions on how to easily find even tiny peripheral nerves: especially for neurologists, anaesthesiologists, radiologists, pain practionioners, rheumatologists and surgeons who seek a clear standardized step by step manual on “Where do I find a nerve the easiest?”