The Osler Institute

Excellence in Continuing Medical Education


“…I believe it is a ‘great course’”  *  “I feel [the course] helped me pass.”  *

The Osler Institute has over thirty years of experience in preparing physicians for their board examinations. We can help you today.
A survey of Osler participants shows significantly higher pass rates for Osler students compared with those who did not take our course.
The difference in pass rates is difficult to explain away by self-selection in attendance over-representing those who would have passed without taking the Osler course.

“Osler gives … unfair advantage” said a Board Trustee. “He’s wrong and right,” reported an Osler participant who heard the trustee’s comment. “The course does give candidates an advantage – but it’s not unfair.” This student had failed his boards before taking the Osler course but told us that he passed easily after doing the course. “This time didn’t even feel like an exam. It was like having a discussion with a colleague.”

The Osler course can work for you too.  

Objectives Methods
Increase basic knowledge and clinical skills Home study questions with answers and review
 Prepare candidates for written board exams  Seminar with Powerpoints and lecture-note syllabus
Provide practicing physicians with a review and update Practice test for your written exam
Neurology Recertification Home Study Audio July 2012

Osler_Cover_Art_Audio.png Learn on the go - with nearly 24 hours of material recorded at our live review courses. . The Osler Institute utilizes state of the art equipment to record each of our review courses. Then, based on participant feedback, compiles a set of lectures including the top ranked speakers for each of the topics covered.  Each CD includes a full day of lectures in MP3 format - listen to on your computer, MP3 compatible CD player , or load onto your MP3 player
Included with each set is an electronic copy of the syllabus that corresponds with the audio lectures.

Topics Include:
Newborns by Karen Keough **** Disorders of Infancy by Karen Keough **** Neurogenerative Metabolic Disorders by Karen Keough **** Infections, Developmental Disorders, Brain Tumors by Karen Keough **** Anterior Horn Cell by Lara Katzin **** Myopathies by Lara Katzin **** Neuromuscular Junction by Lara Katzin **** Dementia by Eugeniu Muntean **** Aphasia Ataxia and Localization by Eugeniu Muntean **** Cerbral Spinal Fluid by Eugeniu Muntean


Movement Disorders 1 by Morris Levin **** Movement Disorders 2 by Morris Levin **** MS and Demyelinating Diseases by Morris Levin **** Neurological Emergencies by Morris Levin **** EEG and Evoked Potential by Ali Bozorg *** Sleep and Sleep Disorders by Ali Bozorg **** Epilepsy by Ali Bozorg **** Focal Neuropathies by Heber Valera **** Peripheral Neuropathies by Heber Valera **** Spinal Cord Compression by Heber Valera


Infections and AIDS by Morris Levin **** Coma by Morris Levin **** Headache by Morris Levin **** Neurogenetics by Ajay Gupta **** Inborn Errors of Metabolism by Ajay Gupta **** Neurocutaneous Disorders by Ajay Gupta **** Acute Stroke by Majaz Moonis **** Stroke Prevention by Majaz Moonis **** Intracranial Hemorrhage by Majaz Moonis **** Stroke Syndromes by Majaz Moonis
Comprehensive Review in Clinical Neurology


This review textbook, written by residents and an experienced faculty member from Cleveland Clinic, is designed to ensure success on all sorts of standardized neurology examinations. Presented in a comprehensive question-and-answer format, with detailed rationales, Comprehensive Review in Clinical Neurology is a must-have for both aspiring and practicing neurologists and psychiatrists preparation to take the RITE, the American Board of Psychiatry and Neurology written exams, and various recertification exams.

--Detailed explanations reinforce learning.
--Presents a combined perspective from both residents and seasoned faculty.
--Q&A format mimics key certification and in-training examination formats.

Table Of Contents
1 Cranial Nerves and Neuro-ophthalmology  2 Vascular Neurology  3 Neurocritical Care  4 Headache  5 Adult and Pediatric Epilepsy and Sleep  6 Movement Disorders 7 Neuroimmunology 8 Neuro-oncology  9 Neuromuscular I (Neurophysiology, Plexopathy, and Neuropathy)  10 Neuromuscular II (Adult and Pediatric Muscle, Autonomic Nervous System, and Neuromuscular Junction Disorders) 11 Neuromuscular III (Disorders of the Spinal Cord and Motor Neurons)  12 Cognitive and Behavioral Neurology  13 Psychiatry 14 Child Neurology15 Infectious Diseases of the Nervous System 16 Neurologic Complications of Systemic Diseases and Pregnancy  17 Nutritional and Toxic Disorders of the Nervous System    Index 727
About the Author(s)
Esteban Cheng-Ching MD Clinical Associate Cleveland Clinic Neurological Institute Department of Neurology Cleveland, Ohio

Lama Chahine MD Fellow Parkinson’s Disease and Movement Disorders Center University of Pennsylvania Philadelphia, Pennsylvania

Eric P. Baron DO Staff Cleveland Clinic Neurological Institute Center for Headache and Pain Center for Regional Neurology Cleveland, Ohio

Alexander Rae-Grant MD Clinical Associate Professor of Medicine, Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, Staff Neurologist, Neurological Institute, Cleveland Clinic, Cleveland, OH
Practical Neurology Visual Review (previously Practical Neurology DVD Review)
NeurologyVisualReview.jpg Now in a fully revised and updated Second Edition, Practical Neurology Visual Review previously known as (Practical Neurology DVD Review) continues to be a powerful educational tool for mastering the clinical practice of neurologic diagnosis. The book opens new venues for teaching and learning the essentials of neurology by utilizing an interactive patient-based audiovisual electronic format.

Discover today’s most practical guide to neurologic diagnosis.
• C-based format includes 131 real-world scenarios to sharpen readers’ critical thinking and diagnostic skills.
• Over 370 multiple-choice questions reinforce essential knowledge.
• Over 130 online video clips address common and unusual neurologic presentations.
• Principles of bedside neurology include description and localization of findings, differential diagnosis, evaluation, management, and counseling.

NEW to the Second Edition…
• Full-color design facilitates visual learning.
• 50 new Cs from two institutions provide new diagnostic challenges.
• Additional diagnostic images highlight critical pathologic features.
• QR codes located in the print book allow easy access to videos via any smartphone or tablet QR reader
• Companion website features digital interactive Cpresentations
• Presentations by expert instructors ensure clear and accurate descriptions of neurologic conditions, their signs, and symptoms.

Table Of Contents
Preface *** Acknowledgment  *****  SECTION 1: NEUROMUSCULAR Disorders: C1: Bilateral Carpal Tunnel in Pregnancy  ***  C2: Ulnar Neuropathy at the Elbow  ***  C3: Combined Median and Ulnar Neuropathy  ***  C4: Peripheral Facial Nerve Palsy  ***  C5: Hypoglossal Nerve Palsy  ***  C6: Brachial Plexopathy (Parsonage-Turner Syndrome)  ***  C7: Polyneuropathy/ Sensory Neuronopathy  ***  C8: L-5 Radiculopathy (Disc Herniation)  ***  C9: Femoral Neuropathy  ***  C10: Foot Drop: History of Arthroscopic Surgery  ***  C11: Motor Neuron Disease  ***  C12: Myasthenia Gravis  ***  C13: Myotonic Dystrophy  *****  SECTION 2: SPINAL CORD DISORDERS: C14: Posttraumatic Cervical Syringomyelia  ***  C15: Lumbar Myelomeningocele/Spina Bifida  ***  C16: Cervical Myelopathy (Sarcoidosis)  ***  C17: Autoimmune Melopathy (Stiff Person Syndrome)  ***  C18: Ischemic Myelopathy (Antiphospholipid Antibody Syndrome)  ***  C19: Paraparesis after Nitrous Oxide Anesthesia  *****  SECTION 3: BEHAVIORAL NEUROLOGY: C20: Nonfluent Aphasia Secondary to Left Frontal Infarction  ***  C21: Nonfluent Aphasia Secondary to LICA Occlusion  ***  C22: Fluent Aphasia Secondary to Left Posterior Temporal Infarction  ***  C23: Wernicke Aphasia Secondary to Left MCA Infarction  ***  C24: Primary Progressive Aphasia  ***  C25: Frontotemporal Dementia  *** C26: Alien Hand Syndrome Secondary to Left Frontal/Callosal Infarction  ***  C27: Alexia without Agraphia  ***  C28: Gerstmann Plus Syndrome  ***  C29: Anterior Opercular Syndrome (Foix-Chavany-Marie)  ***  C30: Amnesia (PCA Infarct)  ***  C31: Dementia (Early Alzheimer Disease)  ***  C32: Dementia (Late Alzheimer Disease)  *** C33: Dementia with Lewy Bodies  *****  SECTION 4: CEREBROVASCULAR DISORDERS: C34: Asymptomatic Carotid Artery Stenosis  ***  C35: Vertebrobasilar TIAs: Basilar Artery Stenosis  ***  C36: Dysphagia/Imbalance: Vertebral Artery Stenosis  ***  C37: Pure Motor Hemiparesis due to Capsular Lacunar Infarction  ***  C38: Ataxic Hemiparesis due to Pontine Infarction  ***  C39: Left Internal Carotid Artery Dissection  ***  C40: Wallenberg Syndrome Secondary to Vertebral Artery Dissection  ***  C41: Multiple Cerebral Infarctions due to Antiphospholipid Antibody Syndrome   ***  C42: Pseudobulbar Palsy (Multiple Strokes)   ***  C43: Watershed Infarcts  ***  C44: Moyamoya Syndrome Associated with Down Syndrome  ***  C45: Takayasu’s Arteritis  ***  C46: Recurrent Facial Palsies (VZV) Followed by Cerebral Infarction  ***  C47: Multiple Lobar Hemorrhages due to Cerebral Amyloid Angiopathy  ***  C48: Pure Sensory Stroke due to Thalamic Hemorrhage  ***  C49: Lacunar Hemichoreathetosis  ***  C50: Alexia Without Agraphia due To Biopsy Negative Primary CNS Angiitis  ***  C51: Superior Sagittal Sinus Thrombosis  *****  SECTION 5: MOVEMENT DISORDERS:C52: Resting Tremor (and a “Stroke of Luck”)  ***  C53: Essential Tremor  ***  C54: Dystonic Tremor  ***  C55: Parkinson’s Disease  ***  C56: Multiple System Atrophy, Parkinsonism  ***  C57: Corticobasal Syndrome, Corticobasal Degeneration  ***  C58: Progressive Supranuclear Palsy  ***  C59: Cervical Dystonia  ***  C60: Cerebral Palsy/Dystonia  ***  C61: Palatal Tremor due to Medullary Infarction  ***  C62: Hemichorea/Hemiballism   ***  C63: Paraneoplastic Chorea/Sensory Neuronopathy  ***  C64: Hemifacial Spasm   ***  C65: Tic Disorder  ***  C66: Hemidystonia (Neurosarcoidosis)  ***  C67: Acute Dystonic Reaction  *****  SECTION 6: CEREBELLAR DISORDERS: C68: Ataxia due to Bilateral PICA Infarctions  ***  C69: Friedreich’s Ataxia  ***  C70: Cerebellar Ataxia  ***  C71: Hereditary Ataxia  ***  C72: Spinocerebellar Ataxia Type 3  ***  C73: Multiple System Atrophy/Cerebellar Type  ***  C74: Lipid Storage Ataxia: Niemann-Pick Type C  *****  SECTION 7: DEMYELINATING DISORDERS:  C75: Bilateral Internuclear Ophthalmoplegia Secondary to Multiple Sclerosis  ***  C76: Nystagmus/Ataxia Secondary to Relapsing-Remitting Multiple Sclerosis  ***  C77: Multiple Sclerosis (Pontine Lesion)  ***  C78: Spastic Gait/Dysarthria due to Primary Progressive Multiple Sclerosis  *****  SECTION 8: NEURO-OPHTHALMOLOGY: C79: Horner’s Syndrome in Patient with Wallenberg Syndrome  ***  C80: Adie’s Tonic Pupil/Ross Syndrome  ***  C81: Anterior Ischemic Optic Neuropathy  ***  C82: Postoperative Acute Left CN III Palsy  ***  C83: Progressive Left CN III Palsy Secondary to Cavernous Sinus Mass Lesion  *** C84: Abducens Palsy  ***  C85: Chronic Progressive External Ophthalmoplegia  ***  C86: Right Homonymous Hemianopia Due to PCA Infarct  ***  C87: Upbeat Nystagmus: Wernicke’s Encephalopathy   *****  SECTION 9: NEUROINFECTIOUS: C88: Herpes Zoster (Postherpetic Neuralgia)  ***  C89: Recurrent Aseptic Meningitis  ***  C90: Post-encephalitic Parkinsonism  ***  C91: Creutzfeldt-Jakob Disease  *****  SECTION 10: NEURO-OTOLOGY: C92: Vertigo/Imbalance Secondary to Isolated Vermian Infarction  ***  C93: Deafness/Tinnitus Secondary to Vestibular (Acoustic) Schwannoma  ***  C94: Vertiginous Dizziness  ***  C95: Benign Paroxysmal Positional Vertigo  *****  SECTION 11: NUTRITIONAL/METABOLIC: C96: Wernicke’s Encephalopathy Secondary to Hyperemesis Gravidarum  ***  C97: Cerebrotendinous Xanthomatosis  *****  SECTION 12: HEADACHES/PAIN: C98: Migraine Headaches/Pregnancy  ***  C99: Cluster Headaches  ***  C100: CSF Hypotension Syndrome  ***  C101: Ideopathic Intracranial Hypertension (Pseudotumor Cerebri)  *** C102: Trigeminal Neuralgia  ***  C103: Atypical Facial Pain  *****  SECTION 13: EPILEPSY AND SPELLS: C104: Partial Complex Seizures  ***  C105: Partial Seizures with Elementary Symptomatology  ***  C106: Tuberous Sclerosis Complex  ***  C107: Epilepsia Partialis Continua  ***  C108: Frontal Lobe Epilepsy  ***  C109: Cough Syncope  *****  SECTION 14: SLEEP MEDICINE: C110: Obstructive Sleep Apnea  *****  SECTION 15: GAIT DISORDERS: C111: Lower-Body Parkinsonism (Gait Apraxia)  ***  C112: Vascular Parkinsonism and Normal Pressure Hydrocephalus  ***  C113: Hemiplegic Gait/Spasticity  ***  C114: Hemiparkinsonian Gait  ***  C115: Adult-Onset Dystonic Gait  ***  C116: Psychogenic Gait  *****  SECTION 16: NEURO-ONCOLOGY: C117: Leptomeningeal Malignancy (Lymphoma)  ***  C118: Paraneoplastic Chorea  *****  SECTION 17: NEUROLOGICAL EMERGENCIES/URGENCIES: C119: Acute Cerebellar Infarction (PICA) with Early Hydrocephalus  ***  C120: Iatrogenic Emergencies  *****  SECTION 18: BORDERLAND BETWEEN NEUROLOGY AND PSYCHIATRY: C121: Conversion Disorder (Psychogenic Gait)  ***  C122: Somatization Disorder (Psychogenic Stuttering)  ***  C123: Psychogenic Tremor  *****  SECTION 19: BORDERLAND BETWEEN NEUROLOGY AND MEDICINE: C124: Post-Cardiac Arrest Syndrome  ***  C125: Tetany in Electrolytic Derangement  ***  C126: Acquired Neuromyotonia in Rheumatologic Disease  *****  SECTION 20: CLINICOPATHOLOGICCORRELATIONS: C127: Primary CNS Angiitis  ***  C128: Cerebrotendinous Xanthomatosis   ***  C129: Polymyositis/Myasthenia Gravis  ***  C130:   Multiple System Atrophy-Cerebellar type  ***   C131: Neoplastic Brachial Plexopathy  ***   

Authors :
José Biller MD, FACP, FAAN, FAHA Professor and Chairman, Department of Neurology, Loyola University Chicago, Stritch School of Medicine, Maywood, IL

Alberto Espay Associate Professor, Department of Neurology, University of Cincinnati, UCNeuroscience Institute, Cincinnati, Ohio 
Neurology Board Review: Pearls of Wisdom, Third Edition

NROPW  Why waste time guessing at what you need to know for the neurology board exam?  Maximize your exam preparation time with this quick-hit question and answer review. The unique question and single-answer format eliminates the guesswork associated with traditional multiple-choice Q&A reviews and reinforces only the correct answers you'll need to know on exam day. Emphasis is placed on distilling key facts and clinical pearls essential for exam success. Great for certification and re-certification, this high-yield review for the boards is the perfect compliment to larger texts for intense, streamlined review in the days and weeks before your exam.

Table of contents

Author comments

Dr.  Michael Labanowski is the Director of Neurophysiology and Sleep Disorder Center at the South East Alabama Medical Center in Dothan, Alabama.
Dr.  Nicholas Lorenzo is the founding Editor-in-Chief of eMedicine Neurology Online Reference and the Founder of Neurological Consulting of Nebraska, Kansas and Minnesota.
Neurology Recall

Authors:James Q Miller MD, Nathan Fountain MD
Designed with a symptom-oriented approach, the updated Second Edition of Neurology Recall is practical for both medical students and generalists who need a refresher course in neurology.
The book is written by residents and clinicians and facilitates rapid review and memorization with a concise question-and-answer format covering the basic and specialized areas of neurology. You'll also find these features: small, portable size, affordable price, bookmark to help you self-test by covering the answers, and an extensive index.

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Lodging charges are not included in the registration fee.
If not staying under the Osler Room Block at the course hotel there is a $43 per day charge for the Banquet Fee which covers the cost of the meeting rooms, lunches and refreshments

Cancellation Policy: Subject to a $100 fee, refunds will be made for cancellations received at least 14 days before the course begins.

The Osler Institute is going green and providing our attendees with the latest technology to assist in their review. Each registrant will receive upon arrival at the course, a USB drive with searchable PDF copies of the presentations offered during the review. In addition a printed syllabus is available for a small additional fee.

“…well worth it. I'll be back”*

“The faculty was outstanding. The most pleasant thing was learning a tremendous amount”*

*Comments by Osler participants