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scan performed early in the illness without contrast infusion usually shows the high-density clot within cortical veins as well, but only if carefully studied by altering the viewing window at the machine s console Treatment consists of large doses of antibiotics and temporization until the thrombus recanalizes Although not of proven bene t (as it is in bland cerebral vein thrombosis), we have used heparin in these circumstances unless there are very large biparietal hemorrhagic infarctions Because of the high incidence of occlusion of cortical veins that drain into the sagittal sinus and the highly epileptogenic nature of the attendant venous infarction, we have also administered anticonvulsants prophylactically, but there is no adequate clinical study to guide the clinician in this regard Recovery from paralysis may be complete, or the patient may be left with seizures and varying degrees of spasticity in the lower limbs.

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It should be reiterated that all types of thrombophlebitis, especially those related to infections of the ear and paranasal sinuses, may be simultaneously associated with other forms of intracranial purulent infection, namely bacterial meningitis, subdural empyema, or brain abscess Therapy in these complicated forms of infection must be individualized As a rule, the best plan is to institute antibiotic treatment of the intracranial disease and to decide, after it has been brought under control, whether surgery on the offending ear or sinus is necessary To operate on the primary focus before medical treatment has taken hold is to court disaster In cases complicated by bacterial meningitis, treatment of the latter usually takes precedence over the surgical treatment of complications, such as brain abscess and subdural empyema Aseptic thrombosis of intracranial venous sinuses and cerebral veins is discussed in Chap.

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2 with initial condition ba (t) = 0 and Pba = b . Note that there is no process noise in the bias dynamic equation. Since no other forms of error are being modeled, a = ba . Therefore, the augmented single channel error model becomes x 0 1 0 0 x v 0 0 g 1 v . = (4.82) 0 1 0 0 R ba 0 0 0 0 ba

11. Dumbbell laterals: From a standing posi-

34 (page 735), on cerebrovascular disease; aspects related to intracranial pressure are discussed in Chap 30, on CSF circulation..

of hardware items, all of which stay at the same celestial latitude and longitude as viewed from any fixed location. These are the geostationary satellites, which lie in a human-made ring around our planet. These satellites orbit several thousand kilometers above the equator, and they revolve right along with Earth s rotation (Fig. 1-4).

MACKINTOSH NJ: IQ and Human Intelligence Oxford, Oxford University Press, 1998 MAGUIRE EA: Neuroimaging, memory and the human hippocampus Rev Neurol 157:791, 2001 MAGUIRE EA, FRACKOWIAK RSJ, FRITH CD: Recalling routes around London: Activation of the right hippocampus in taxi drivers J Neurosci 17:7013, 1997 MAYEUX R, FOSTER NL, ROSSOR MN, WHITEHOUSE PJ: The clinical evaluation of patients with dementia, in Whitehouse PJ (ed): Dementia Philadelphia, Davis, 1993, pp 92 129 MAYEUX R, STERN Y: Subcortical dementia Arch Neurol 44:129, 1987 MCHUGH PR: The basal ganglia: The region, the integration of its symptoms and implications for psychiatry and neurology, in Franks AJ, Ironside JW, Mindham RHS, et al (eds): Function and Dysfunction in the Basal Ganglia New York, Manchester Press, 1990, pp 259 268 MCHUGH PR, FOLSTEIN MF: Psychiatric syndromes of Huntington s chorea: A clinical and phenomenologic study, in Benson DF, Blumer D (eds): Psychiatric Aspects of Neurologic Disease.

Vince Lombardi often spoke of his role models: his father, Harry (who had the letters of the words WORK and PLAY tattooed on his hands, finger by finger); his college coach, Jim Crowley, a member of the famed Four Horsemen of Notre Dame; the Jesuit priests who taught him at Fordham; West Point s Red Blaik; and NFL legends George Halas and Paul Brown.

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New York, Grune & Stratton, 1975, pp 267 286 MCLEAN GE, JOHANSSON B, BERG S, et al: Substantial genetic in uence on cognitive abilities in twins 80 or more years old Science 276:1560, 1997 MILLER JW, PETERSON RC, METTER EJ, et al: Transient global amnesia: Clinical characteristics and prognosis Neurology 37:733, 1987 MILLER JW, YANAGIHARA T, PETERSON RC, KLASS DW: Transient global amnesia and epilepsy Arch Neurol 44:629, 1987 MISHKIN M: A memory system in the monkey Phil Trans R Soc Lond B 298:85, 1982 MISHKIN M, DELACOUR J: An analysis of short-term visual memory in the monkey J Exp Psychol Anim Behav Proc 1:326, 1975 MORRIS JC: Frontotemporal dementias, in Clark CM, Trojanowski JQ: Neurodegenerative Dementias New York, McGraw-Hill, 2000, pp 279 290 NEARY D, SNOWDEN JS, GUSTAFSON L, et al: Frontotemporal lobar degeneration: A consensus on clinical diagnostic criteria Neurology 51: 1546, 1998.

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