Neurology

Sleep disturbances after traumatic brain injury

Sleep disturbances after traumatic brain injury

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A traumatic brain injury can change physical, cognitive, and emotional functioning, which can include changes in the patient's sleeping patterns.

Case Study in Urgent Care: Head injury

Case Study in Urgent Care: Head injury

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A 71-year-old man is brought to the emergency department by his family after he tripped and fell in his backyard 30 minutes before presentation.

Practice guideline released for sudden unexpected death in epilepsy

Practice guideline released for sudden unexpected death in epilepsy

The guideline highlights the incidence, risk factors, and preventive approaches of SUDEP.

Cannabis-based medicine may reduce seizures in certain epilepsy patients

Cannabis-based medicine may reduce seizures in certain epilepsy patients

Cannabidiol appears to reduce seizures for some patients with Lennox-Gastaut syndrome.

FDA approves first direct-to-consumer genetic health risk test

FDA approves first direct-to-consumer genetic health risk test

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The test will provide information on an individual's genetic predisposition to 10 diseases or conditions.

Benign paroxysmal positional vertigo: a clinical practice guideline

Benign paroxysmal positional vertigo: a clinical practice guideline

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The American Academy of Otolaryngology—Head and Neck Surgery foundation has released an updated clinical guideline for benign paroxysmal positional vertigo.

FDA approves Ocrevus to treat primary progressive multiple sclerosis

FDA approves Ocrevus to treat primary progressive multiple sclerosis

The FDA approved Ocrevus to treat adults with primary progressive multiple sclerosis and relapsing forms of the disease.

Obstructive sleep apnea in adults: a new clinical practice guideline

Obstructive sleep apnea in adults: a new clinical practice guideline

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Six guidelines establish updated clinical practice recommendations for the evaluation, diagnosis, and treatment of obstructive sleep apnea in adults.

Antithrombotic drug use linked to higher risk of subdural hematoma

Antithrombotic drug use linked to higher risk of subdural hematoma

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A higher incidence of subdural hematomas is associated with the increased use of antithrombotic drugs, particularly vitamin k antagonists among older patients.

Pharmacologic treatment of insomnia: a new clinical practice guideline

Pharmacologic treatment of insomnia: a new clinical practice guideline

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The American Academy of Sleep Medicine recommends that the new pharmacologic guidelines be used in conjunction with other AASM guidelines for insomnia.

Children more likely to have a headache before a stroke than adults

Children more likely to have a headache before a stroke than adults

Although ischemic strokes are still very rare in children, 46% of pediatric ischemic stroke patients over 3 years of age said they had a headache before the stroke.

Stem cell therapy may be effective for multiple sclerosis

Stem cell therapy may be effective for multiple sclerosis

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Younger age, relapsing forms of MS, fewer prior immunotherapy treatments, and lower baseline EDSS score were factors associated with better outcomes for stem cell transplantation.

Exercise may improve cognitive function after stroke

Exercise may improve cognitive function after stroke

The most effective programs offered patients exercises aimed at strength, balance, stretching, and aerobic fitness.

MRI may detect autism before age 1

MRI may detect autism before age 1

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MRI scans showed that the brain size of infants grew faster between 12 and 24 months, the same time that behavioral signs of autism appeared.

Apixaban linked to higher rates of stroke than warfarin in patients with atrial fibrillation

Apixaban linked to higher rates of stroke than warfarin in patients with atrial fibrillation

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Rivaroxaban once daily and dabigatran twice daily showed evidence of lower thromboembolic rates.

Emflaza approved by FDA for Duchenne muscular dystrophy

Emflaza approved by FDA for Duchenne muscular dystrophy

The corticosteroid was approved to treat Duchenne muscular dystrophy in patients 5 years and older.

Licorice consumption during pregnancy may be harmful for offspring

Licorice consumption during pregnancy may be harmful for offspring

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Girls whose mothers consumed high amounts of licorice during pregnancy have more advanced pubertal maturation at age 12 years.

Noise-induced hearing loss a problem for US adults

Noise-induced hearing loss a problem for US adults

Discussions between patients and personal health care providers about hearing loss symptoms, tests, and ways to protect hearing might help with early diagnosis of hearing loss.

Regular proton pump inhibitor use associated with an increased risk of dementia in the elderly

Regular proton pump inhibitor use associated with an increased risk of dementia in the elderly

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Regular proton pump inhibitor use in the elderly was associated with an increased risk of incident dementia compared with no proton pump inhibitor use, according to researchers.

Cannabis health risks and benefits: a report from NASEM

Cannabis health risks and benefits: a report from NASEM

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Cannabis health end points include therapeutic effects, cardiometabolic risk, mental health, respiratory disease, and substance abuse.

Migraine increases stroke risk in surgical patients

Migraine increases stroke risk in surgical patients

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Surgical patients with a history of migraine have an increased risk of perioperative ischemic stroke and a higher 30-day hospital readmission rate.

"Zombie" outbreak in New York City caused by ultrapotent cannabinoid use

"Zombie" outbreak in New York City caused by ultrapotent cannabinoid use

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The potency of synthetic cannabinoids is consistent with strong depressant effects that account for "zombie-like" behavior.

Dementia rates decline over the last decade in the United States

Dementia rates decline over the last decade in the United States

The prevalence of dementia dropped about 24% between 2000 and 2012.

The FDA approves first drug for Duchenne muscular dystrophy

The FDA approves first drug for Duchenne muscular dystrophy

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Data showed an increase in dystrophin production that could predict clinical benefit among patients with DMD.

Lead poisoning: Current practice guidelines

Lead poisoning: Current practice guidelines

An aging national infrastructure and paint in old homes increase the risk for lead poisoning and significant health-related problems in children and adults.

Early interferon beta-1b treatment beneficial in patients with multiple sclerosis

Early interferon beta-1b treatment beneficial in patients with multiple sclerosis

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Results of the BENEFIT 11 trial show that many clinical outcomes were improved with earlier interferon beta-1b treatment.

Unchecked MRI results

Unchecked MRI results

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A clinician sends an 18-year-old patient for a same-day MRI but forgets to review the results with the same urgency.

Managing concussion in primary care

Managing concussion in primary care

The incidence of concussion is increasing in children and adults, as is the demand for clinicians who can diagnose and treat both patient groups.

Patients with atrial fibrillation and stroke risk treated with aspirin over oral anticoagulants

Patients with atrial fibrillation and stroke risk treated with aspirin over oral anticoagulants

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Specific patient characteristics predicted the type of therapy more likely to be prescribed.

Intensive blood pressure reduction offers no added benefit in stroke outcomes

Intensive blood pressure reduction offers no added benefit in stroke outcomes

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For patients with intracerebral hemorrhage, intensive blood pressure reduction has similar outcomes compared with standard treatment.

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