Neurology in the psychiatry Boards.

On the basis of his experience as an examiner, the author discusses the problems encountered in assessing psychiatrists' abilities in clinical neurology for certification by the American Board of Psychiatry and Neurology. Hoping to stimulate discussion among trainees, training programs, and the Board, he outlines five paradigms designed to survey neurological knowledge and skill potentially needed by psychiatrists in various situations; these are reduced to specific topics on which Board candidates should be questioned. Relationships between training and examination expectations are discussed.

Cervical myelopathy complicating cerebral angiography. Report of a case and review of the literature.

Transverse cervical myelopathy, at C-6 level, followed injection of Renografin-60 into the right thyrocervical trunk during cerebral angiography. Review of the literature yielded only two cases in which attempted posterior fossa angiography resulted in cervical myelopathy. Two more cases were found.

Neurologic status and prognosis after cardiopulmonary arrest: I. A retrospective study.

A retrospective survey of survivors of cardiorespiratory arrest included 34 patients. Twenty-one had a good outcome neurologically and 13 were seriously impaired. Depth and duration of postarrest coma correlated significantly with poor neurologic function.

Primary respiratory arrest due to basilar aneurysm.

A healthy woman had two episodes of transient, complete respiratory arrest without preceding neurologic abnormalities. Following the second episode, she lapsed into coma and autopsy disclosed a thrombosed basilar artery aneurysm. Primary respiratory arrest is a rare condition but should prompt extensive and immediate neurologic evaluation.

Treatable aspects of the dementia syndrome.

With attentive medical management, the elderly demented patient can live in greater comfort, dignity and independence. Errors in supervision can result in a drug intoxication, misdiagnoses, and personal neglect. Many of the elderly have a chronic dementing illness, and disability often is accelerated by complications.