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Remember that because the movie clips all have top-left registration, a movie clip s _x property holds its left edge position (in the preceding code, that s mc1_x) The right edge of a movie clip can then be found by adding the movie clip s width Example: mc1_x = left edge; mc1_x + mc1_width = right edge

Tests That Should Be Considered in Every Patient Electrodiagnostic studies (EMG and NCS) MRI of brain CK Serum copper, ceruloplasmin, zinc and, CBC

As it turns out, if the left half of the && operator evaluates to false, the right half of the expression will never be evaluated and the entire expression will evaluate to false. Why Because if the left operand is false, it doesn t matter what the right operand is true or false, the expression will evaluate to false. Be aware of this as you construct your expressions.

Tests That Should Be Considered in the Context of the Individual Patient CSF evaluation including cytology, acid-fast and fungal cultures, RPR, and ACE level Lyme serology in serum and CSR DNA mutational analysis for HSP MRI of cervical and thoracic spinal cords

ALS, amyotrophic lateral sclerosis; UMN, upper motor neuron; LMN, lower motor neuron; CSF, cerebrospinal uid; MRI, magnetic resonance imaging

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The approach of not evaluating the remainder of an expression if the evaluation of the first portion of the expression determines the value of the expression is known as short circuit evaluation or minimal evaluation.

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complete blood counts should be considered in any ALS suspect, particularly if any of the aforementioned features is present Myasthenia is arguably the most important consideration in bulbar presentations of ALS, due to its prevalence and the opportunity for treatment that it provides Involvement of extraocular muscles, signi cant uctuation of weakness, absence of tongue atrophy, and absence of UMN signs all increase the probability of a diagnosis of myasthenia Other disorders that should be considered, dependent on time course, include the in ammatory myopathies, oculopharyngeal muscular dystrophy, X-linked spinobulbar muscular atrophy, head and neck cancer, multiple cranial neuropathies resulting from in ammatory disorders such as sarcoidosis and Wegener s granulomatosis, from meningeal-based neoplasms, as well as structural disorders of the brainstem including neoplasms and syringobulbia There are rare bulbar syndromes that are rarely confused with PBP in view of their age of onset Both are presumed to be hereditary in nature Fazio Londe syndrome is a syndrome that typically affects children in the rst decade Stridor, palatal weakness, dysphagia, and in some cases ventilatory failure occur Unlike many MNDs, prominent facial weakness and occasional ophthalmoplegia may occur There are no UMN features The disorder is presumed to be inherited in a recessive fashion Progression is rapid, and death typically occurs within a few years The syndrome of Brown Vialetto Van Laere presents in the rst or second decade It is not purely an MND as sensorineural hearing loss accompanies a PBP It may progress to involve the limbs as well, with suggested UMN involvement in the form of hyperactive deep tendon re exes The inheritance pattern and the clinical course are variable Other neurological systems may be involved, including ataxia, retinal pigmentary degeneration, seizures, and dysautonomia51 There are a number of seemingly pure LMN disorders affecting the limbs that may mimic PMA Included among these are LMN syndromes that may defy current classi cation schemes51 MMN is a presumed immunemediated disorder of motor nerve producing painless weakness, typically initially affecting a single, distal upper extremity On average, it affects a younger population than ALS but there is a substantial overlap Initially, the weakness may be evident in a nerve rather than in segmental distribution This pattern of weakness, as well as weakness in the relative absence of atrophy, should raise consideration of this apparent demyelinating motor neuropathy Unfortunately, with progression, these diagnostic clues may become obscured by disease progression The presence of motor nerve conduction block on nerve conduction studies and anti-GM1 antibodies strongly implicates MMN as does a response to treatment Neither test is suf ciently sensitive for a negative test result to exclude MMN from consideration MR imag-.

Earlier in this book, you learned about the curly braces ({}) that surround the body of every function. These braces also play an important role in statement construction. Just as parentheses can be used to group terms of an expression together, curly braces can be used to group multiple statements together. Here s an example:

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