Disorders of ocular motility (e.g., third, fourth, and sixth nerve palsies).
Quickly jumping from a physical finding (like an absent ankle jerk) to the relevant differential list.
Patten reversed the paradigm. He structured his book around , not final diagnoses. For example, instead of asking, "What are the signs of a brain tumor?", Patten asks, "A patient presents with a progressive headache and focal seizures—what are the possible anatomical and etiological causes?"
Gradual worsening over months or years points to neurodegenerative diseases or slow-growing tumors. 2. The Power of Neuroanatomical Mapping neurological differential diagnosis john patten pdf
Result in spasticity (increased muscle tone), hyperreflexia (exaggerated reflexes), and an upward Babinski sign.
Lesion in the optic tract or occipital lobe (commonly a stroke). The Flaccid or Spastic Limb
No book is perfect, especially one whose core content was finalized in the late 1980s (2nd edition). Disorders of ocular motility (e
noted that earlier printings of the second edition contained several typos (errata) due to hasty production. Where to Access
John Patten’s work remains a "rite of passage" for neurology trainees. It transforms neurology from a "black box" of mystery into a structured, logical discipline. While modern imaging like MRI has changed the speed of diagnosis, Patten’s book ensures that the remains the primary tool for the physician [2, 3].
Table of contents (24 chapters) * Front Matter. Pages i-xiii. * History-Taking and Physical Examination. John Philip Patten. ... * Springer Nature Link Neurological Differential Diagnosis by John P. Patten 30 Sept 1977 — He structured his book around , not final diagnoses
Table of contents (24 chapters) * Front Matter. Pages i-xiii. * History-Taking and Physical Examination. John Philip Patten. ... * Springer Nature Link
Instead of chapters organized by disease (e.g., "Multiple Sclerosis" or "Stroke"), the book is structured around symptoms and clinical findings, such as: Sensory disturbances Ataxia Diplopia Headache