Neurology Clinical Feature Archive
The results highlight the importance of evaluating and monitoring cognitive function in individuals with recent critical illness or major infections, especially if they are already at risk for dementia.
The new guidelines will facilitate the design and development of clinical trials to test new therapies to minimize the burden of neurologic disability produced by neurosarcoidosis.
Multiple system atrophy is a rare, progressive neurodegenerative condition for which there is currently no cure.
Recent high-quality clinical trial evidence has demonstrated that medications commonly prescribed for migraine prevention in pediatric patients were not superior to placebo for reducing headache symptoms.
A 32-year-old woman presents to the emergency department with gradually worsening generalized headache 8 days after giving birth to her second child.
Raising Awareness of Pseudobulbar Affect: Knowing the Signs, Symptoms, and Treatment for Patients With Uncontrollable Laughing or Crying
Pseudobulbar affect is a significant national health issue in the United States, with approximately 2 million individuals affected.
DBS has been known to generate other movement-related disorders such as dyskinesias, blepharospasm, and hypokinesia.
Current oral contraceptive products contain lower doses of estrogen than those used in the past, prompting reconsideration of risks and benefits.
Poor control of asthma and obstructive sleep apnea can feed off one another, according to Michelle Zeidler, MD, pulmonologist at the University of California, Los Angeles, and director of the UCLA Sleep Fellowship Program.
Migraine is highly prevalent in children and adolescents, affecting almost 10% of children between 5 and 15 years old and 30% of adolescents between 15 and 19 years old.
Patients with ALS require multidisciplinary care and rehabilitative interventions; maximizing independent function and quality of life are the goals.
Medical records of 48 children examined by Asperger show that he specifically called for 12 of the children to be transferred to the Am Spiegelgrund facility, the 'euthanasia' institution founded in 1940.
A 42-year-old man presents to the emergency department with vertigo that is worse with head motion as well as vomiting, but has no headache or abdominal pain.
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.
A 65-year-old Hispanic man presents to the emergency department via EMS after an unwitnessed fall from a presumed standing height.
Clinicians in all settings are in a position to identify patients with potential myopathic processes and complete an initial diagnostic work-up.
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.
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 end points include therapeutic effects, cardiometabolic risk, mental health, respiratory disease, and substance abuse.
An aging national infrastructure and paint in old homes increase the risk for lead poisoning and significant health-related problems in children and adults.
A clinician sends an 18-year-old patient for a same-day MRI but forgets to review the results with the same urgency.
The incidence of concussion is increasing in children and adults, as is the demand for clinicians who can diagnose and treat both patient groups.
Increasing evidence has shown a link between pesticide exposure and the risk for Parkinson's disease. How real is this link on the golf course?
Glasgow Coma Scale may underestimate severity of isolated traumatic brain injury in patients aged ≥65 years
Study results suggest that GCS may be less accurate in predicting the extent of injury in elderly adults.
Insomnia can be treated via nonprescription medications and modalities.
If a patient is truly bradykinetic, their blink rate will be decreased.
Headache is one of the most common complaints in outpatient practice. There are 10 things that clinicians need to know to help treat their patients with headache.
A nurse practitioner asks about a 21-year-old man who reports that his family is telling him that he is forgetful.
After consulting a neurologist, the nurse practitioner determined a diagnosis of REM sleep behavior disorder.
Misdiagnosing abuse can have tragic consequences, as children returned to abusive situations may experience additional abuse or even death.
Cognitive behavioral therapy may have long-term positive effects in patients with insomnia who have chronic use of hypnotic drugs.
Referring to infants as "addicted" to opiates is clinically incorrect and creates stigma surrounding treatment.
A man, aged 56, presented with complaints about episodes of vertigo and disabling headaches.
Young people might not understand the health consequences of participating in stunts that help them feel like part of the crowd.
Most aspects of cognitive function declined during the studies evaluated and vitamin B supplementation reduced circulating homocysteine concentrations, as expected.
Airflow disturbances during sleep need to be recognized and evaluated before harm comes to the patients themselves or those around them.
Effective treatment requires the recognition of addiction as a brain disease and an understanding of its underlying physiology and pathophysiology.
A family faces a life and death decision when a patient is given a poor prognosis after experiencing a major stroke from eclampsia.
A patient is visibly frustrated after a stroke results in expressive aphasia.
A reluctant, asymptomatic patient visits an ophthalmology clinic for a 'minor' injury at his wife's prompting.
Accurate identification, assessment and evaluation of concussions will enable clinicians to determine when it is safe for young athletes to return to competition.
Behavioral, nonpharmacologic and pharmacologic interventions are available to facilitate restorative sleep and ensure sustained alertness.
IV benzodiazepine is the preferred treatment for prolonged epileptic seizures in the ED, but it can be difficult for first responders to administer.
A chart of medications available to treat Attention Deficit Hyperactivity Disorder (ADHD).
What is a good screening test for evaluation of closed head injury?
Proponents regard neuroenhancements as "study aids," with potentially positive academic benefits. Opponents cite lack of safety and efficacy evidence and serious risks.
Does the concentration of hypertonic saline affect intracranial pressure reduction in patients with traumatic brain injury?
To ensure that therapeutic interventions begin in time, providers must be able to recognize the clinical presentation of an acute ischemic stroke.
This chronic autoimmune disorder is caused by antibodies that block muscle cells from receiving neurotransmitters from the nerve cell.
Rosmarinus officinalis is rich in iron, calcium and vitamin B6, and has been credited with improving cognition and memory.
Long-acting ADHD medications improve adherence and demonstrate efficacy similar to that of immediate-release dose formulations.
Are dual-energy x ray absorptiometry scans safe for patients taking anti-seizure medication?
Dizziness, photophobia, nausea and an unsteady gait develop following a routine annual check up.
Dehydroepiandrosterone may help ease anxiety and depressive symptoms, and medication-induced extrapyramidal symptoms in schizophrenics.
Around 20% of pediatric patients with ADHD will develop antisocial personality disorder in adulthood.
Is there a window of opportunity when surgical intervention is most successful for patient's with Parkinson disease?
A patient with a tracheostomy for severe obstructive sleep apnea has not responded to several treatments to decrease secretions from the plastic tube. What's the next step?
What treatment would you recommend for aborting a migraine in a patient with known coronary artery disease?
A patient is suspected of having hepatic encephalopathy (HE) attributable to liver failure from alcoholism.
How concerned should clinicians be about serotonin syndrome when prescribing a triptan with a selective serotonin reuptake inhibitor (SSRI)?
A hypertensive patient with migraines experienced undesirable side effects (irritability and weight gain) while taking the nonselective beta-blockers nadolol (Corgard) and propranolol (Inderal).
Obese adults are at risk for many serious health conditions, including diabetes, coronary heart disease, hypertension, stroke, obstructive sleep apnea (OSA), depression and liver disease.
After vacationing on a houseboat, a woman could not stop feeling like she was rocking, especially when walking.
Experts are not certain why reversed sleep-wake cycles occur in patients with dementia, but it may be related to late-day confusion, end-of-day exhaustion and reduced lighting, among other factors.
Suddenly unable to remember the year or the president's name, an otherwise healthy man is admitted for observation.
The most common dementia in the elderly, Alzheimer disease places tremendous physical and emotional strain on patient and caregiver alike.
Insomnia affects the mind as well as the body. Treatment should combine psychological intervention, behavioral change, and possibly drug therapy.
How should a clinician treat a patient with recurring migraines, that also has a history of drug seeking behavior?
The acetylcholinesterase inhibitors have produced excellent results in patients with Alzheimer's disease or dementia, but are they also beneficial for students preparing for exams?
Clinician seeks advice on handling a patient with dramatic psuedoseizures that are provoked by nontoxic environmental stimuli.
A middle-aged man suffers a devastating stroke when his clinicians fail to pick up on his symptoms.
What is the relationship between myofascial trigger points and migraine headaches?
Treatments for elderly patients who have dementia and sleep disorders.
Medications are often used for treatment of adults with attention-deficit hyperactivity disorder (ADHD), but many patients remain symptomatic despite treatment with stimulants or other drugs.
Physician assistant evaluation revealed disorder's true source.
Is it okay to combine promethazine with migraine medications?
The man's heretofore unknown neurologic condition calls the original diagnosis into question.
When used as prescribed, these drugs are not addictive. However, abuse is on the rise, and clinicians need to be able to identify the signs.
A randomized trial of 66 patients with fibromyalgia suggests that Tai Chi might be helpful for both pain and sleep disturbance symptoms.
Given the importance of long-term treatment and management of this population, primary-care clinicians are ideally suited to play a lead role.
Is loss of consciousness no longer a must for a concussion diagnosis?
Butterbur, once discouraged because of its potential to cause liver damage, is now widely used in Europe to combat allergic rhinitis, asthma, and migraine.
A thorough understanding of the therapies available to patients with dementia or Parkinson's disease is essential to improving outcomes.
Evaluation and management of chronic insomnia, the most prevalent sleep disorder, may require behavioral as well as pharmacologic therapies.
Should all patients with fibromyalgia undergo sleep studies?
Upper respiratory infection triggers complications in a healthy college student.
The most up-to-date evidence on Bell's palsy
Illness, medications, shift work, and other factors may interfere with normal sleep patterns. New techniques can indicate the best treatment.
It's surprisingly common, yet both patients and clinicians tend to think there's little that can be done. That used to be true — but not anymore.
Seeking neurologic treatment for fatigue and headaches, the patient's poor liver function pointed in another direction.
Foods with with artificial coloring, flavoring, and preservatives stimulate hyperactivity
The conclusion of this two-part report looks into the management and therapeutic options available to clinicians treating this population.
Seizures in the elderly often mimic other conditions, such as transient ischemic attack or dementia. Don't be fooled into a misdiagnosis.
The most recent findings on tardive dyskinesia
Lemon balm, known for its calmative effects, is frequently recommended for patients with insomnia, anxiety, and other nervous system-related conditions.
With no past medical history of note, the sudden onset of his condition necessitated a trip to the emergency department.
Rufinamide is for patients with Lennox-Gastaut syndrome.
Hoarseness and slowed ocular movements were the first signs in a yearlong hunt for a diagnosis.