Opioids.

Abstract:

:The major clinical uses for opioids are to control pain, suppress cough, and to treat diarrhea. These drugs, however, have the potential for abuse. It is postulated that the significant mood-altering effects of opioids combined with their pharmacology, in which tolerance and physical and psychological dependence occur, account for their abuse liability. A classification of the groups of patients that commonly present with complications of opioid use is reviewed briefly before discussing the clinical pharmacology of the opioids and their acute and toxic effects.

journal_name

Neurol Clin

journal_title

Neurologic clinics

authors

Foley KM

subject

Has Abstract

pub_date

1993-08-01 00:00:00

pages

503-22

issue

3

eissn

0733-8619

issn

1557-9875

journal_volume

11

pub_type

杂志文章,评审
  • Transient neurologic dysfunction in migraine.

    abstract::Neurologic symptoms are a prominent and often disturbing component of the migraine syndrome in many patients. Collectively termed "aura," migraine-related neurologic symptoms include visual, sensory, language, and motor disturbance. They occur in about one quarter of migraine patients, are classically transient, and a...

    journal_title:Neurologic clinics

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    doi:10.1016/j.ncl.2008.11.002

    authors: Foroozan R,Cutrer FM

    更新日期:2009-05-01 00:00:00

  • Epilepsy surgery.

    abstract::Epilepsy surgery is assuming greater importance in treating patients with partial epilepsy whose seizures are uncontrolled with antiepileptic drugs. Many good candidates for surgical treatment are not presented with the option of surgery. The evaluation for epilepsy surgery is extensive and includes several stages of ...

    journal_title:Neurologic clinics

    pub_type: 杂志文章,评审

    doi:

    authors: Devinsky O,Pacia S

    更新日期:1993-11-01 00:00:00

  • Spine and spinal cord trauma: diagnosis and management.

    abstract::Spine trauma is a devastating clinical condition that affects many people annually on a worldwide basis. Management of spinal trauma has become much more surgically oriented with advances in stabilization techniques over the past two decades. The degree of injury to the spinal cord dictates the prognosis of the patien...

    journal_title:Neurologic clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.ncl.2012.09.012

    authors: Zhang S,Wadhwa R,Haydel J,Toms J,Johnson K,Guthikonda B

    更新日期:2013-02-01 00:00:00

  • Legal aspects of epilepsy.

    abstract::Legal issues must be considered in caring for patients with epilepsy. Doctors caring for people with epilepsy may be legally involved in three primary ways: as the agent of social control, as patient advocate, and as the target of liability or malpractice suits. This article examines these factors and the implications...

    journal_title:Neurologic clinics

    pub_type: 杂志文章,评审

    doi:

    authors: Hughes JT,Devinsky O

    更新日期:1994-02-01 00:00:00

  • Headache epidemiology. Emphasis on migraine.

    abstract::Through the use of IHS criteria, large population-based epidemiologic studies in Denmark, the United States, France, Canada, and elsewhere have shed light on the descriptive epidemiology of migraine. Although migraine is a remarkably common cause of temporary disability, many migraineurs, even those with disabling hea...

    journal_title:Neurologic clinics

    pub_type: 杂志文章,评审

    doi:10.1016/s0733-8619(05)70265-6

    authors: Silberstein SD,Lipton RB

    更新日期:1996-05-01 00:00:00

  • Functional visual loss.

    abstract::Neurologists frequently evaluate patients complaining of vision loss, especially when the patient has been examined by an ophthalmologist who has found no ocular disease. A significant proportion of patients presenting to the neurologist with visual complaints have nonorganic or functional visual loss. Although there ...

    journal_title:Neurologic clinics

    pub_type: 杂志文章

    doi:10.1016/j.ncl.2010.03.012

    authors: Bruce BB,Newman NJ

    更新日期:2010-08-01 00:00:00

  • Neurologic presentations of systemic vasculitides.

    abstract::Vasculitis or angiitis refers to a group of inflammatory disorders of the blood vessels that cause structural damage to the affected vessel, including thickening and weakening of the vessel wall, narrowing of its lumen, and, usually, vascular necrosis. Systemic vasculitis is classified according to the vessel size and...

    journal_title:Neurologic clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.ncl.2009.09.015

    authors: Minagar A,Fowler M,Harris MK,Jaffe SL

    更新日期:2010-02-01 00:00:00

  • Tension-type headache.

    abstract::The substantial societal and individual burdens associated with tension-type headache (TTH) constitute a previously overlooked major public health issue. TTH is prevalent, affecting up to 78% of the general population, and 3% suffer from chronic TTH. Pericranial myofascial nociception probably is important for the pat...

    journal_title:Neurologic clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.ncl.2008.11.010

    authors: Bendtsen L,Jensen R

    更新日期:2009-05-01 00:00:00

  • Prion Diseases.

    abstract::Prions diseases are uniformly fatal neurodegenerative diseases that occur in sporadic, genetic, and acquired forms. Acquired prion diseases, caused by infectious transmission, are least common. Most prion diseases are not infectious, but occur spontaneously through misfolding of normal prion proteins or genetic mutati...

    journal_title:Neurologic clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.ncl.2018.07.005

    authors: Tee BL,Longoria Ibarrola EM,Geschwind MD

    更新日期:2018-11-01 00:00:00

  • Positron emission tomography (PET) and single-photon emission computed tomography (SPECT) of brain tumors.

    abstract::In summary, PET and SPECT are versatile imaging modalities capable of providing dynamic information regarding the metabolism and physiology of brain and brain tumor. PET and SPECT are useful adjuncts to MRI and CT scanning in the important clinical areas of presurgical estimations of tumor grade. In addition, PET can ...

    journal_title:Neurologic clinics

    pub_type: 杂志文章,评审

    doi:

    authors: Rozental JM

    更新日期:1991-05-01 00:00:00

  • Management of traumatic brain injury in the intensive care unit.

    abstract::Traumatic brain injury is a common and complex clinical entity that deserves better and continued research on interventions and initial treatment postinjury. Current medical management of traumatic brain injury is articulated on minimizing secondary injury by optimizing cerebral perfusion and oxygenation and preventin...

    journal_title:Neurologic clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.ncl.2008.02.001

    authors: Ling GS,Marshall SA

    更新日期:2008-05-01 00:00:00

  • Update in the Management of Idiopathic Intracranial Hypertension.

    abstract::Idiopathic intracranial hypertension is a syndrome of increased intracranial pressure of unknown cause that most often occurs in women of childbearing age. Most patients are overweight or obese with a history of recent weight gain. Following a brief review of the symptoms and signs, we discuss the approach to assessme...

    journal_title:Neurologic clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.ncl.2020.09.008

    authors: Thurtell MJ,Kawasaki A

    更新日期:2021-02-01 00:00:00

  • Biological neurotoxins.

    abstract::The authors divide biological toxins into animal, plant, and bacterial classes and discuss each within a context of demographic, clinical and research examples. Advances in our knowledge are highlighted, and the authors relate the implications of this knowledge to target-specific neurologic involvement. ...

    journal_title:Neurologic clinics

    pub_type: 杂志文章,评审

    doi:10.1016/s0733-8619(05)70220-6

    authors: Goetz CG,Meisel E

    更新日期:2000-08-01 00:00:00

  • Legal aspects of termination of treatment decisions.

    abstract::A large body of medical and ethical opinion holds that it is justifiable to terminate medical treatment for permanently unconscious persons. But opponents of particular decisions to withhold or withdraw treatment may argue that the decisions violate laws against homicide, pose a threat to the lives of other less sever...

    journal_title:Neurologic clinics

    pub_type: 杂志文章

    doi:

    authors: Beresford HR

    更新日期:1989-11-01 00:00:00

  • Toxic neuropathies.

    abstract::Many substances, organic and manufactured, may induce peripheral nerve damage when exposed to them. The expected clinical phenotype is of a distal, sensory or sensorimotor polyneuropathy, often painful, with axonal characteristics on electrodiagnostic and histopathologic analysis. Treatment is limited; often, the only...

    journal_title:Neurologic clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.ncl.2004.12.003

    authors: Grogan PM,Katz JS

    更新日期:2005-05-01 00:00:00

  • Phantom limb pain and related disorders.

    abstract::Postamputation phenomena, including painful and nonpainful phantom sensations occur following loss of limbs and other body parts. Peripheral and central nervous system mechanisms play a role in persistent phantom pain. Understanding the pathophysiology of this syndrome has improved in recent years. Comprehensive evalu...

    journal_title:Neurologic clinics

    pub_type: 杂志文章,评审

    doi:10.1016/s0733-8619(05)70105-5

    authors: Weinstein SM

    更新日期:1998-11-01 00:00:00

  • Imaging of neurologic conditions during pregnancy and the perinatal period.

    abstract::Throughout pregnancy and the puerperium, a variety of hormonal and physiologic changes occur that are associated with pregnancy-specific neurologic conditions, which may also influence known preexisting medical conditions or bring previously unknown neurologic conditions to clinical attention. This article reviews the...

    journal_title:Neurologic clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.ncl.2012.06.003

    authors: Delfyett WT,Fetzer DT

    更新日期:2012-08-01 00:00:00

  • Recognizing and classifying epileptic seizures and epileptic syndromes.

    abstract::The appropriate diagnosis of the patient with epilepsy is first dependent on a determination of the type of seizure. When the type of seizure has been determined, consideration must be given to the nature of the epileptic syndrome, including concerns regarding the etiology of the attacks. The gradual evolution of the ...

    journal_title:Neurologic clinics

    pub_type: 杂志文章

    doi:

    authors: Porter RJ

    更新日期:1986-08-01 00:00:00

  • Stroke due to Vasculitis in Children and Adults.

    abstract::The vasculitides are diseases characterized by inflammation of blood vessels and inflammatory leukocytes in vessel walls. There is an increased propensity for ischemic stroke, resulting from compromise of vessel lumina with distal tissue ischemia; and hemorrhagic or nonhemorrhagic stroke, and aneurysmal formation and ...

    journal_title:Neurologic clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.ncl.2019.01.004

    authors: Younger DS

    更新日期:2019-05-01 00:00:00

  • Complications of stereotactic brain surgery.

    abstract::The authors review iatrogenic complications of stereotactic surgery, including tumor biopsy, cyst or abscess aspiration, movement disorder surgery, and radiosurgery. The expected morbidities and steps taken to reduce complications are also discussed. ...

    journal_title:Neurologic clinics

    pub_type: 杂志文章,评审

    doi:10.1016/s0733-8619(05)70366-2

    authors: Kondziolka D,Firlik AD,Lunsford LD

    更新日期:1998-02-01 00:00:00

  • Disorders of face perception and recognition.

    abstract::Face recognition is one of the most complex visual tasks performed by the human brain. Data from monkeys suggest that area IT may play a key role in identifying faces, and functional imaging research suggests that the human homologue of IT may be located in the medial occipitotemporal cortex, where a FFA has been loca...

    journal_title:Neurologic clinics

    pub_type: 杂志文章,评审

    doi:10.1016/s0733-8619(02)00106-8

    authors: Barton JJ

    更新日期:2003-05-01 00:00:00

  • Metabolic and mitochondrial myopathies.

    abstract::Metabolic and mitochondrial myopathies encompass a heterogeneous group of disorders that result in impaired energy production in skeletal muscle. Symptoms of premature muscle fatigue, sometimes leading to myalgia, rhabdomyolysis, and myoglobinuria, typically occur with exercise that would normally depend on the defect...

    journal_title:Neurologic clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.ncl.2014.05.001

    authors: Sharp LJ,Haller RG

    更新日期:2014-08-01 00:00:00

  • Medical management of motor fluctuations.

    abstract::Given the magnitude of the problem of motor fluctuations in patients who have Parkinson's disease treated with levodopa, a significant effort has been expended by physicians, researchers, and pharmaceutical manufacturers over the years to find effective treatments. This article briefly reviews the medical options for ...

    journal_title:Neurologic clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.ncl.2008.05.006

    authors: Dewey RB Jr

    更新日期:2008-08-01 00:00:00

  • Relevance of experimental allergic encephalomyelitis to multiple sclerosis.

    abstract::What the study of EAE has taught us that has relevance to human demyelinating diseases is discussed. ...

    journal_title:Neurologic clinics

    pub_type: 杂志文章

    doi:

    authors: Arnason BG

    更新日期:1983-08-01 00:00:00

  • Growth factors and oncogenes in human malignant glioma.

    abstract::Normal cell replication is regulated by growth factors such as epidermal growth factor (EGF) and platelet-derived growth factor (PDGF) that act through binding to specific surface receptors on target cells. Oncogenes may exert their transforming activity by encoding proteins that mimic the function of the normal regul...

    journal_title:Neurologic clinics

    pub_type: 杂志文章,评审

    doi:

    authors: Westermark B,Nister M,Heldin CH

    更新日期:1985-11-01 00:00:00

  • Nonsurgical interventions for spine pain.

    abstract::Nonsurgical, conservative approaches to spine pain include medication and physical therapy. In addition, several invasive procedures have been developed to provide relief when conservative options fail. These include facet joint injection and radiofrequency ablation techniques, translaminar and transforaminal epidural...

    journal_title:Neurologic clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.ncl.2007.01.010

    authors: Levin KH

    更新日期:2007-05-01 00:00:00

  • Medicolegal aspects of iatrogenic injuries.

    abstract::There is often a fine line between medical malpractice and maloccurrance. Physicians need to develop techniques and skills that enhance the patient-physician relationship based on honesty and informed consent. Documentation and proper maintenance of medical records is demanded by the current legal and health care syst...

    journal_title:Neurologic clinics

    pub_type: 杂志文章

    doi:10.1016/s0733-8619(05)70376-5

    authors: Weintraub MI

    更新日期:1998-02-01 00:00:00

  • Health Care in Brazil: Implications for Public Health and Epidemiology.

    abstract::A network of family-based community-oriented primary health programs, or Programa Agentes Communita˙rios de Saúde, and family health programs, or Programa Saúde da Família, introduced almost 2 decades ago were the Brazilian government's health care models to restructure primary care under the Unified Health System, or...

    journal_title:Neurologic clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.ncl.2016.06.002

    authors: Younger DS

    更新日期:2016-11-01 00:00:00

  • Electronystagmography 1990.

    abstract::Electronystagmography in 1990 should identify a vestibular abnormality with which to associate the clinical symptoms. The vestibular test battery method and interpretation reveals its application in neurotologic diagnosis. ...

    journal_title:Neurologic clinics

    pub_type: 杂志文章,评审

    doi:

    authors: Brookler KH

    更新日期:1990-05-01 00:00:00

  • The immunopathophysiology of multiple sclerosis.

    abstract::This review explores the principle features of the immunopathology of multiple sclerosis (MS), particularly relapsing-remitting MS. It highlights the emerging concepts in the pathogenesis of MS in the context of known features of pathology, including the characterization of cytokine networks promoting inflammatory dam...

    journal_title:Neurologic clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.ncl.2010.12.009

    authors: Wu GF,Alvarez E

    更新日期:2011-05-01 00:00:00