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x.qxd 3/10/08 10:01 AM Page 730<br />

730 Index<br />

trauma, head/brain (closed head injury)<br />

(continued)<br />

post-traumatic stress disorder and<br />

293, 641<br />

rating scales 290<br />

treatment 289–93<br />

see also axonal injury, diffuse; dementia<br />

pugilistica; violence<br />

tremor 14, 72–5<br />

clinical features 14, 72–3<br />

conversion 297<br />

delirium and see delirium; delirium<br />

tremens<br />

diagnostic tests 14, 72<br />

differential diagnosis 74<br />

asterixis 74, 97<br />

myoclonus 74, 77<br />

rabbit syndrome 689<br />

dystonic 74<br />

essential see essential tremor<br />

etiology 73–4<br />

see also fragile X-associated<br />

tremor/ataxia syndrome<br />

physiologic 74<br />

simulated 74<br />

treatment 75<br />

trientine, Wilson’s disease 362<br />

triethyltin intoxication 474, 475<br />

trigeminal nerve<br />

involvement in zoster 502<br />

testing 11–12<br />

trimethyltin intoxication 474<br />

trinucleotide (triplet) repeats<br />

dentatorubropallidoluysian atrophy<br />

361<br />

fragile X mental retardation 1 gene<br />

359, 409–10<br />

Huntington’s disease 357<br />

myotonic dystrophy 372<br />

triplet repeats see trinucleotide repeats<br />

trisomy 21 see Down’s syndrome<br />

trochlear nerve testing 11<br />

Tropheryma whippelii infection see<br />

Whipple’s disease<br />

tryptophan<br />

depletion 626<br />

metabolism, and post-partum blues<br />

631<br />

TSC1 and TSC2 mutations 405<br />

tuberculomas 512, 513<br />

tuberculosis 512–13<br />

tuberous sclerosis (Bourneville disease)<br />

404–5<br />

clinical features 404–5<br />

mania 222<br />

seizures 267, 404–5, 405<br />

tumors, intracranial (brain etc.) 596–600<br />

clinical features 596–7<br />

amnesia 185, 186, 596–7<br />

dementia 165, 167, 596<br />

depression 213, 597<br />

mania 218, 220, 597<br />

personality change (incl. frontal lobe<br />

syndrome) 246, 247, 248, 596<br />

psychosis 241, 597<br />

seizures 263–4, 597, 600<br />

course 597<br />

differential diagnosis 600<br />

Alzheimer’s disease 339<br />

radiation encephalopathy 459<br />

etiology 597–600<br />

von Recklinghausen’s disease 406<br />

imaging of 20, 21, 597<br />

primary 597–9<br />

treatment 600<br />

see also cancer; transient tumor attacks<br />

and specific sites and types<br />

tumors, non-intracranial/peripheral<br />

in limbic encephalitis, locating 554<br />

in von Recklinghausen’s disease 406<br />

22q11.2 deletion syndrome see<br />

velocardiofacial syndrome<br />

two-point discrimination tests 12–13<br />

uremia and uremic encephalopathy 481<br />

clinical features 481<br />

delirium 176<br />

seizures 262<br />

systemic lupus erythematosus vs 550<br />

utilization behavior see environmental<br />

dependency syndrome<br />

V waves 24<br />

vaccination, disseminated<br />

encephalomyelitis following see<br />

encephalomyelitis, acute<br />

disseminated<br />

vagus nerve testing 12<br />

valproic acid and sodium valproate<br />

(divalproex)<br />

alcoholism<br />

for abstinence 667<br />

for withdrawal symptoms 665<br />

in mania 222, 622, 623<br />

toxicity 168, 171, 483<br />

vanishing white matter<br />

leukoencephalopathy 243<br />

varenicline 674, 675<br />

varicella–zoster virus see chickenpox;<br />

herpes zoster<br />

variegate porphyria 483, 484<br />

vascular dementia, definition 433<br />

vascular disorders 433–53<br />

vascular malformations, intracranial,<br />

seizures 264<br />

vascular parkinsonism (arteriosclerotic<br />

parkinsonism) 168, 435–6<br />

differential diagnosis 435–6<br />

Parkinson’s disease 348<br />

vasculitis<br />

stroke in 285<br />

in Sydenham’s chorea 559<br />

see also angiitis; cranial arteritis;<br />

polyarteritis nodosa<br />

vasopressin see antidiuretic hormone<br />

VDRL test 509<br />

velocardiofacial (22q11.2 deletion)<br />

syndrome 410–11<br />

clinical features 410<br />

mania 221<br />

psychosis 241, 410<br />

venous drainage, brain 275–7<br />

venous reflux and transient global amnesia<br />

448<br />

venous thrombosis, cerebral see cerebral<br />

veins<br />

ventricles (cerebral)<br />

enlargement (ventriculomegaly), in<br />

hydrocephalus 601, 602<br />

hemorrhage<br />

differential diagnosis 286<br />

stroke 281, 284, 286<br />

treatment 288<br />

third, colloid cysts 599<br />

ventriculoencephalitis, cytomegalovirus see<br />

cytomegalovirus<br />

ventriculoperitoneal shunting 602<br />

in normal-pressure hydrocephalus 603<br />

verbal (speech) perseveration 8, 121<br />

vertebral and/or basilar artery<br />

anatomy 276<br />

occlusion/insufficiency 278<br />

cataplexy vs 138<br />

in cranial arteritis 437–8<br />

vestibulocochlear nerve testing 12<br />

vibratory sensation, assessment 12<br />

violence<br />

in complex partial seizures 255<br />

differential diagnosis 271<br />

in REM sleep behavior disorder 570–1<br />

viral encephalitis 295, 495–508<br />

clinical features<br />

amnesia 186<br />

catatonia 95–6<br />

delirium 180<br />

dementia 171<br />

psychosis 242<br />

seizures 265–6<br />

HSV see herpes simplex virus<br />

encephalitis<br />

viscosity of thought in interictal<br />

personality syndrome 245<br />

visual agnosia 16, 57–8<br />

differential diagnosis 56, 58<br />

visual extinction 17<br />

testing 17, 63<br />

visual hallucinations 142<br />

etiology 144, 145–6<br />

alcohol hallucinosis 693<br />

antiparkinsonian agents 349<br />

depression 626<br />

hallucinogen-related flashbacks<br />

659<br />

schizophrenia 607<br />

visual neglect 16–17, 63<br />

differential diagnosis 64

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