Neurologic clinics
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Review Comparative Study
The episodic dyscontrol syndrome and aggression.
This article concerns the syndrome of episodic dyscontrol, not psychopathic behavior. It is discussed as a symptom of many disorders, both psychologic and physical; organic causes and correlates, pathophysiology, and pharmacologic treatment are given.
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Guidelines are given for the differential diagnosis of dementia and depression, with an emphasis on Alzheimer's dementia. Treatment for both the family and the patient is discussed.
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The neuroradiologist and the clinician are partners in the search for pathology; the clinician must help the radiologist tailor the study by indicating where pathology is likely to be. The orbit, the sellar and parasellar regions, and new imaging modalities and interventional techniques are discussed in this light.
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Outlined is a coherent differential diagnostic approach to the neuro-ophthalmic syndrome of the "red orbit" that is accompanied by visual loss or diplopia that too frequently is misconstrued as intracranial pathology.