Chapter 1 - Examination of the Face and Head

Video 1-1. Left hemiatrophy and hyperreflexia in a patient with Moya Moya, ischemic stroke during infancy, and poststroke seizures.
Video 1-2. A 47-year-old man with Down syndrome had posterior wiring and fusion between the inferior posterior margin of the occipital bone and the posterior arch of C3 in 1989. Prior to surgery, he was reading at the second grade. Down syndrome occurs in 1 of every 691 live births in the United States. Approximately 40 to 80% of individuals with Down syndrome develop Alzheimer disease-like dementia by the fifth to sixth decade of their life.
Video 1-3. Left upper extremity claudication in a patient with advanced left subclavian artery stenosis associated with Takayasu arteritis.
Video 1-4. Pfeiffer syndrome. The patient had broad, short thumbs and big toes, and had prior surgical correction of craniosynostosis.


Video 1-5.Triple flexor response (Babinski sign). Application of a stimulus to the lateral aspect of the left foot provoked hip flexion, knee flexion, dorsiflexion of the foot, and extension of the large toe with extension and abduction of the other toes.