SPRINGFIELD, IL – Dana Crosby, MD, MPH, has been named chair of the Department of Otolaryngology-Head and Neck Surgery at Southern Illinois University School of Medicine. She is also the director of rhinology and endoscopic skull base surgery, director of otolaryngic allergy and is also the otolaryngology residency program director. The department provides care focused on ears, nose and throat (ENT), with eight subspecialty/fellowship-trained ENT surgeons offering specialized treatments for patients. Crosby now hopes to expand specialty offerings to make SIU Medicine the destination for all

Cases for Discussion Case 1: 32 year old school teacher is referred for evaluation of headache. She has had headaches since age15 mainly during her 'periods'. She experiences mood disturbance, irritability and depressive symptoms 2 days prior to her periods before the onset of headache. Either before or during her headache she sees some hazy spot from the center of her vision with shimmering light of different patterns spreading across her peripheral vision, followed by constriction of her visual field and this lasts for 20-30minutes. Her headache is usually in the fronto-temporal area (one

Methodology of nerve conduction studies Motor nerves Sensory nerves Myoanatomic Atlas for Clinical EMG For a patient with weakness due to neuromuscular disease , the EMG and nerve conduction studies are probably reasonably diagnostic in about 75% of cases. Role of EMG evaluation in muscle hyperactivity syndromes . This article reviews the electromyographic features and pathophysiology of fasciculations, high frequency discharges, myokymia, and neuromyotonia. Nerve conduction studies Electrodiagnostic criteria for the diagnosis of acute and chronic inflammatory demyelinating polyneuropathies

Cases for Discussion Case #1: Highest level gait disorder? This 84-year-old man was referred for deteriorating gait and memory, beginning 3-5 years ago. These problems began insidiously and progressed gradually. Throughout this time, he had been sleeping in a Lazy Boy chair because of chronic low back pain. He now walks with a walker. Carbidopa-levodopa 25/100 two tablets tid did not help. Exam revealed orientation to place but not time. Recall was 0 of 3 words. He could not spell WORLD backward and could not draw intersecting pentagons. He was mildly bradykinetic and had mild paratonia in all

Pearls, Perils, and Pitfalls In the Use of the Electroencephalogram Omkar N. Markand, M.D., F.R.C.P.C. Semin Neurol 23(1):7-46, 2003. © 2003 Thieme Medical Publishers Posted 07/22/2003 Abstract and Introduction Abstract Despite advances in neuroimaging techniques over the past three decades that have helped in identifying structural lesions of the central nervous system, electroencephalography (EEG) continues to provide valuable insight into brain function by demonstrating focal or diffuse background abnormalities and epileptiform abnormalities. It is an extremely valuable test in patients

KEY TERMS nystagmus: An involuntary rhythmic oscillation of the eyes. internuclear ophthalmoplegia (INO): With attempted gaze to one side, failure of the adducting eye to move beyond the midline, with nystagmus developing in the abducting eye. INO is due to a lesion affecting the medial longitudinal fasciculus on the same side as the adducting eye. optic disk: The area of the retina entered by the optic nerve. Marcus Gunn pupil: A pupil that may react to light but does not hold the reaction, or, paradoxically, may dilate slowly; the consensual reflex may be more prompt than the direct reflex