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x.qxd 3/10/08 10:01 AM Page 723<br />

opening pressure, CSF 34<br />

ophthalmic zoster 502<br />

opioids 671–3<br />

clinical features 671–2<br />

delirium 176<br />

opioid withdrawal using 672<br />

Oppenheim’s disease 366<br />

optic apraxia 131<br />

optic ataxia 131<br />

optic nerve testing 11<br />

orientation 9<br />

double (�reduplicative paramnesia)<br />

135–6<br />

see also disorientation<br />

orthostatic tremor 72<br />

etiology 73, 74<br />

treatment 75<br />

ovine spongiform encaphalopathy<br />

(scrapie) 528<br />

oxycodone, restless legs syndrome 582<br />

pain<br />

chest see chest pain<br />

leg/limb<br />

and moving toes 583–4<br />

phantom 132<br />

in tardive dyskinesia 686<br />

palatal myoclonus 77<br />

palilulia 120–1<br />

clinical features 8, 120<br />

differential diagnosis 121<br />

echolalia 141<br />

stuttering 120<br />

verbal perseveration 121<br />

palinopsia 142, 146<br />

palmomental reflex 15, 122<br />

palsy see paralysis<br />

pancreatic cancer, depression 211<br />

PANDAS (pediatric autoimmune<br />

neuropsychiatric disorders<br />

associated with streptococcal<br />

infections) 370, 371<br />

obsessive–compulsive disorder in 639<br />

treatment 371, 639<br />

panencephalitis<br />

progressive rubella 170, 507–8<br />

subacute sclerosing see subacute<br />

sclerosing panencephalitis<br />

panic attacks (anxiety attacks; acute<br />

anxiety) 225, 226–7, 631–2<br />

depersonalization in 133<br />

etiology 226–7, 633<br />

panic disorder 226, 631–2<br />

nocturnal/non-REM sleep 632<br />

vs night terrors 573<br />

vs nightmare disorder 572<br />

in social phobia 637<br />

panic disorder 226, 631–4<br />

clinical features 631–2<br />

course 632<br />

differential diagnosis 633<br />

etiology 632–3<br />

treatment 633–4<br />

panicogens 632<br />

pantothenate kinase-associated<br />

neurodegeneration<br />

(Hallervorden–Spatz syndrome)<br />

364–5<br />

clinical features 364<br />

dementia 168, 169, 172<br />

dystonia 169, 364<br />

parkinsonism 168<br />

paralysis (palsy)<br />

conversion 296–7<br />

facial see facial palsy<br />

sleep 575<br />

supranuclear see supranuclear palsy,<br />

progressive<br />

paramnesia, reduplicative 135–6<br />

paraneoplastic syndrome, limbic<br />

encephalitis as 554<br />

paranoia see delusional disorder<br />

paranoid personality disorder vs<br />

schizophrenia 612<br />

paranoid schizophrenia 609<br />

vs alcohol hallucinosis 693<br />

vs delusional disorder 617<br />

paraphasias 45<br />

paraplegia, conversion 297<br />

parasitosis 617<br />

parathyroid disorders 168, 172<br />

Fahr’s syndrome in 485<br />

parenteral opioid abuse 672<br />

paresis see general paresis (of the insane);<br />

hemiparesis<br />

parietal lobe lesions, supernumerary limbs<br />

132<br />

Parkinson disease 87, 88<br />

clinical features 344–5<br />

akathisia 93, 345<br />

dementia 168, 345, 350<br />

depression 212, 345, 350<br />

course 345<br />

differential diagnosis 347–8<br />

diffuse Lewy body disease 347, 352<br />

neuroleptic malignant syndrome 684<br />

progressive supranuclear palsy 348,<br />

353<br />

etiology 345–7<br />

treatment 348–9<br />

parkinsonism 14, 87–91<br />

clinical features 14, 87–90<br />

depression 212<br />

primitive reflexes 122<br />

REM sleep behavior disorder 345,<br />

571<br />

rest tremor 74<br />

stuttering 120<br />

conversion 297<br />

dementia with 89, 163, 164, 167–8<br />

differential diagnosis 90–1, 347, 348,<br />

352<br />

akinesia 91<br />

diffuse Lewy body disease 352<br />

Index 723<br />

rabbit syndrome 689<br />

etiology 87–9<br />

corticobasal ganglionic degeneration<br />

89, 168, 354<br />

diffuse Lewy body disease 88–9,<br />

350, 351, 352<br />

drugs 88, 89, 686–7<br />

manganese intoxication 90, 168,<br />

472, 473<br />

post-encephalitic 500<br />

progressive supranuclear palsy 89,<br />

168, 352<br />

idiopathic see Parkinson disease<br />

treatment 91, 473<br />

vascular see vascular parkinsonism<br />

parotitis, epidemic see mumps<br />

paroxysmal atrial tachycardia 227<br />

paroxysmal dystonias 84, 86<br />

partial (focal) seizures<br />

amnesia 184<br />

autosomal dominant 267–8<br />

complex 252–6<br />

cataplexy in 138<br />

catatonia in 95<br />

continuous/closely spaced (complex<br />

partial status epilepticus) 259,<br />

260<br />

conversion 298<br />

differential diagnosis 270–1<br />

lateralizing and localizing symptoms<br />

and signs 269–70<br />

pseudo- 271<br />

reflex 258<br />

REM sleep behavior disorder vs 571<br />

delusions and hallucinations in 144,<br />

145, 146<br />

EEG features 268–9<br />

ictal activity 28<br />

Schneiderian first rank symptoms 148<br />

simple 250–2<br />

amusia in 137<br />

anxiety attacks in 227<br />

aphasia in 48<br />

continuous/closely spaced (simple<br />

partial status epilepticus) 258–9,<br />

260<br />

depersonalization in 133<br />

differential diagnosis 74, 270, 286<br />

EEG 28<br />

lateralizing and localizing symptoms<br />

and signs 269<br />

obsessions and compulsions in 135<br />

reflex 257<br />

Schneiderian first rank symptoms in<br />

148<br />

supernumerary limbs in 132<br />

treatment/management 273, 274<br />

passivity, delusions of 147<br />

schizophrenia 608<br />

pavor nocturnus see night terrors<br />

pediatric conditions see adolescence;<br />

childhood onset; PANDAS

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