Although peripheral nerve decompression has been found to be effective in relieving some symptoms for burn patients, there is still some uncertainty.
Although evidence of cognitive impairment in MSA is admittedly more limited than in Parkinson disease, it is now substantial enough to address modification of diagnostic criteria to include the potential for cognitive impairment at any stage of the disease.
Neuraxial anesthetics and analgesics are associated with fewer systemic adverse effects.
Despite mounting evidence suggesting the contrary, the debate on the potential benefits of patent foramen ovale closure for migraine is still ongoing.
Evaluating the risk factors of neurocognitive decline in HIV.
Withholding negative research results not only skews scientific evidence but also puts into question the whole validity of medical research.
Ischemic and hemorrhagic strokes are a common complication of infective endocarditis, but guidance on intervention is varied.
Risk for mortality in posttraumatic epilepsy is high, and negative outcomes affecting cognitive, affective, and physical function are common.
Presport evaluations are a great opportunity to check in with players about their mental health, and to guide those who are suffering to the relevant specialist.
While parkinsonian disorders share a common mechanism of protein aggregation, manifestations are quite varied.
The 2 treatments for cluster headache with Level A recommendations are either not readily accessible via public or private insurance or are not recommended in a large subset of patients with cardiovascular disease.
Findings from animal studies indicate that anesthetics may be neurotoxic and could result in long-term central nervous system alterations and cognitive dysfunction.
Research has shown significant gaps in knowledge on palliative services among neurology residents, resulting in low referral rates.
Despite a recent study concluding that oxygen therapy for cluster headache is not cost-prohibitive, many private payers and Medicare and Medicaid do not cover the effective therapy. Matthew Robbins, MD, Stewart Tepper, MD, and others weigh in on the controversial decision.
John Stoffel, MD, Professor of Urology, Service Chief, and Associate Chair for Ambulatory Urology in the University of Michigan Department of Urology discusses the management of urinary retention in patients with MS.
There are guidelines that should be followed when treating patients with insomnia.
There is speculation that dystonia is the result of dysfunction occurring in either the cerebellum or basal ganglia or as a result of an abnormal interaction between the two.
Physicians must remember that they will be a business owner in addition to being a health care provider.
While several theories have evolved over the years, none have unequivocally provided robust evidence to fully explain the clinical spectrum of migraine.
MRI may be used to identify Parkinson disease biomarkers that can inform diagnosis, track disease progression, and elucidate the neurobiological underpinnings of symptoms.
Brief periods of oxygen deprivation to the brain have been shown to provide neuroprotective effects that reduce stroke infarct size and improve recovery times.
Assessments showed a 66% reduction in pain during the session and a 33% reduction in pain at the end of the session.
The main challenge is to determine when treating tardive dyskinesia with any pharmacological agent would provide a net benefit.
Nearly 10% of pediatric patients with migraine also experience various episodic syndromes. Drs Amy Gelfand and Diana Lebron weigh in on what to look for to help you achieve the right diagnosis.
Multidisciplinary treatment may consist of psychological support and physical or occupational therapy along with the medical care provided by the referring physician.
Nearly 10% of pediatric patients with migraine also experience various episodic syndromes involving gastrointestinal pain, vomiting, or vertigo.
Many in the medical field are wondering whether now may be the right time for medical malpractice reform.
Debate continues as to whether ocular tremor represents a clinical marker of Parkinson's disease or a compensatory movement related to other bodily tremors.
Woman with SLE complains of headache, confusion, and mild somnolence to the emergency department.
Catastrophizing makes pain more painful, makes it last longer, and makes pain much harder to treat.
Accountable Care Organizations (ACOs) are increasingly taking responsibility for health care management, record-keeping, and payment.
Putative pathogensis insights have grown tremendously in the past 10 years.
Doctors suggest that urban landscapes may be a cause for headaches.
While post-traumatic headache (PTH) often resolves within 3 months, a substantial number of patients experience chronic PTH.
Investigators identified a series of prodromal signs that appear anywhere from 1 to 18 years before a clinical diagnosis of SCA2.
There is up to a 4-fold increase in risk in people with a first-degree relative affected by migraines, and twin studies have demonstrated heritability of approximately 42%.
For survivors of nontraumatic cardiac arrest, brain injury becomes a major factor in disability and long-term survival.
New guidelines for progressive supranuclear palsy provide very specific and sensitive criteria that allow for identification of clinical features of the disease at much earlier stages.
A hostile medical litigation climate is one of the major problems with the existing malpractice insurance system, driving significant losses of access to quality health care.
Several mechanisms involving trigeminovascular activation are often proposed in the literature as mechanisms underlying nonhemorrhagic headache in patients with AVM.
Neurologists need to engage their emergency medicine colleagues to identify protocols and pathways for when to trigger appropriate neurological consultation or initiate acute stroke therapies.
A patient should be notified of the possibility of developing an ICD before initiating any dopaminergic treatment for PD, particularly dopamine agonists.
This year's annual meeting of the American Academy of Neurology takes place in Boston, MA from April 22-28, 2017.
As the population ages, and as both the incidence of diabetes and the survival rates after chemotherapy treatment increase, the number of patients with neuropathic pain is expected to rise.
The characteristics of migraine may change throughout a woman's reproductive stages, and may require different treatment strategies.
The main objection to nonreporting of negative results is that it contributes to a body of knowledge that is at best, incomplete, and at worst, wrong.
The transition process can be challenging for patients and families, requiring a great deal of preplanning by providers.
The International League Against Epilepsy has revised its epilepsy classification system in an effort to inform epilepsy research and aid drug development.
The large number of recalls of medical devices has pointed to a need for more active monitoring of product performance from the standpoints of both safety and efficacy.
New evidence on diabetic neuropathy has emerged since the ADA's last published a position statement in 2005.
Future research should focus on whether cogniphobia can be a modifiable factor in the treatment of patients with migraine.
There are several drug-based and non-pharmacological treatments available that can help reduce symptoms of depression in patients with epilepsy.
Female athletes face a greater incidence of and longer recovery time from concussion compared with males.
Comorbid psychological conditions affect cognitive function in Parkinson's disease, and treatment can be complicated by overlapping symptoms.
The National Academies of Sciences, Engineering, and Medicine have released a report
The new guidelines offer guidance on dosing, including reduced starting and maintenance dosing and safety precautions for diagnosing and treating complications.
Functional MRI may provide a less-invasive option for evaluating memory function in patients undergoing epilepsy surgery.
The review found that there is substantial evidence that supports folic acid supplementation during pregnancy.
Keeping abreast of changing payment models and regulations is key to maximizing your practice's finances.
SPECT imaging can be more accurate in the diagnosis of traumatic brain injury and post-traumatic stress disorder than CT or MRI.
The guidelines were developed by a group of RLS experts from the US and Europe who utilized the American Academy of Neurology's 2004 guideline development manual.
Recovery time varies depending on which class of medication the patient is overusing.
Learn about the key scientific sessions taking place at CNS 2016 and follow along with Neurology Advisor for full meeting coverage.
Acupuncture, neurostimulation, and other alternative treatments have been associated with up to a 50% reduction in headache days.
Neuroimaging and if necessary, genetic testing, can help to confirm an FTD diagnosis.
The 4th World Parkinson Congress takes September 20-23, 2016 in Portland, Oregon.
A proper MS diagnosis can only be made after obtaining imaging from the entire brain and understanding the clinical context.
The new guidelines include a step-by-step diagnostic algorithm for use in the clinical setting, as well as a special emphasis on neurobehavioral impairment.
Neurologists should collaborate with other specialties in order to increase awareness of migraine prevalence in men.
It has been proposed that the gut microbiome may be an important environmental risk factor in MS.
Myoclonic seizures may be easily mistaken for a possible tic disorder if the proper patient monitoring is not conducted during diagnosis.
It's important for pediatric neurologists to spend time preparing the patient for the transition to adult care.
According to a 2010 report based on a survey of caregivers of people with DLB, 78% of cases were initially misdiagnosed.
Medication, plus a relatively sedentary lifestyle, places people with epilepsy at great risk of metabolic syndrome and its various complications.
While supplementation has produced a positive response in disease activity, adverse events based on dosing are concerning.
The guidelines are the result of a consensus of an international task force of MG experts.
One of the biggest hurdles is getting the patient to be honest and open with you about bladder problems.
The registry is a centralized data collection system that analyzes data on quality of care and patient outcomes.
More than 50% of patients with migraine are treated with opioids in the ED despite known risks.
The DMD space is becoming increasingly crowded as the FDA works to identify a drug worth approving.
Some patients who are approaching seizure control can achieve improvement or seizure freedom by addressing sleep issues.
Neurology Advisor reviews the upcoming agenda for the CMSC annual meeting.
Theodore Henderson, MD, PhD, suggests that perhaps it's time to check our bias at the door.
With a lack of official treatment guidelines, clinicians should remember to treat the patient, not just the condition.
Huma U. Sheikh, MD, provides highlights of recent clinical research in headache.
Children and teens with chronic headache pain should be screened for anxiety and depression.
Physical comorbidities are mediated by depression in MS.
Those treated with phenytoin saw a 30% reduction in retinal nerve fiber loss.
Hundreds of neurologists advocate for Congress to support the Telestroke FAST Act and the BRAIN Initiative.
Patients undergoing cardiac surgery should be evaluated for cardiovascular disease to assess stroke risk.
Dr Mary Zupanc of CHOC Children's recounts a challenging case of refractory seizures in a child with a history of arteriovenous malformation and intracranial hemorrhage.
When first-line therapies fail, physicians must consider several factors when choosing the next course of treatment for their RRMS patients.
The diagnosis and management of concussion is still a grey area for sports medicine specialists.
Antibodies in the CSF may be able to seek out and eliminate JC polyomavirus variants.
Research has shown a confounding link between nicotine and reduced risk of Parkinson's disease.
There is much promising research ongoing in the world of migraine prevention and treatment.
New research suggests that fibromyalgia is primarily a peripheral nerve disorder that causes central nervous system sensitization.
Combat veterans face an elevated risk of developing PTSD and comorbid depression, which severely affects quality of life.
Taking proper precautions before, during, and after pregnancy can help promote a safe and healthy experience for both mother and baby.
Exercise and general increases in daily physical activity can help improve balance, reduce fatigue, and regain mental clarity in patients with MS.
Neurology Advisor Articles
- Coffee Consumption May Decrease Stroke Risk
- Prochlorperazine More Effective Than Ketamine for Headache Relief in the Emergency Department
- CTE Confirmed With Antemortem PET Imaging, Autopsy in Professional Football Player
- Some Antiepileptic Drugs Associated With Increased Risk for Toxic Epidermal Necrolysis
- Cognitive Impairment in Multi-System Atrophy: Is It Time to Update Diagnostic Criteria?
- Treating Cluster Headache: Weighing Current Therapies
- Alzheimer Disease Linked to High Cumulative Doses of Zolpidem in Elderly
- NBT System Gets FDA Clearance for Depression Treatment
- Coffee Consumption May Decrease Stroke Risk
- Better Migraine Pain Relief With IV Non-Opioid Combination vs IV Hydromorphone
- Reports of Agranulocytosis Prompt Monitoring for Investigational Parkinson's Drug
- Nusinersen Improves Motor Function, Survival in Infants With Spinal Muscular Atrophy
- Noninvasive Brain Stimulation System Approved for Depression
- Hypertension Guidelines Updated by AHA/ACA
- Bone Mineral Density Associated With Intracranial Aneurysm Presence, Size