Neurology

Mid-adulthood hypertension linked to dementia risk in women

Mid-adulthood hypertension linked to dementia risk in women

Among women, but not men, mid-adulthood hypertension correlated with a 65% increased dementia risk.

Case Study: Headache, neck stiffness, and fever

Case Study: Headache, neck stiffness, and fever

By

A 55-year-old man with a history of hypertension and migraines is sent by his primary care provider to the emergency department for a spinal tap to rule out meningitis.

Case Study: A subdural hematoma after a fall

Case Study: A subdural hematoma after a fall

A 65-year-old Hispanic man presents to the emergency department via EMS after an unwitnessed fall from a presumed standing height.

When patients need services that don't exist

When patients need services that don't exist

By

It can be difficult to care for complex patients when they need services that do not exist.

Individuals born in states with high stroke mortality have increased risk of dementia

Individuals born in states with high stroke mortality have increased risk of dementia

By

Birth in a high stroke mortality state was associated with a significantly increased risk of dementia.

CTE found in high proportion of deceased football players

CTE found in high proportion of deceased football players

A new study finds compelling evidence of a strong link between chronic traumatic encephalopathy and North American football.

Stroke incidence has decreased over time in men

Stroke incidence has decreased over time in men

The incidence of all strokes decreased over time in men, but not women, due to a decrease in ischemic stroke.

Sleep disorders may increase risk for Alzheimer's disease

Sleep disorders may increase risk for Alzheimer's disease

By

Obstructive sleep apnea and sleep-disordered breathing are associated with amyloid deposition.

CPAP not effective in reducing cardiovascular events, mortality

CPAP not effective in reducing cardiovascular events, mortality

The use of PAP, compared with no treatment or sham, was not associated with reduced risks of cardiovascular outcomes or death for patients with sleep apnea.

Necrotizing myopathy: muscle weakness

Necrotizing myopathy: muscle weakness

Clinicians in all settings are in a position to identify patients with potential myopathic processes and complete an initial diagnostic work-up.

Physical activity may not reduce the risk of dementia

Physical activity may not reduce the risk of dementia

By

Results from a 27-year follow-up study found no association between physical activity and a lower risk of dementia.

Sleep disturbances after traumatic brain injury

Sleep disturbances after traumatic brain injury

By

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

By

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

By

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

By

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

By

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

By

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

By

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

By

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

By

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

By

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

By

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

By

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.

Sign Up for Free e-newsletters