Features

Pain Changing the Way We Think About Pain: Insights From Beth Darnall, PhD

Changing the Way We Think About Pain: Insights From Beth Darnall, PhD

Catastrophizing makes pain more painful, makes it last longer, and makes pain much harder to treat.

Practice Management Evaluating Accountable Care Organization Cost Savings

Evaluating Accountable Care Organization Cost Savings

MACRA sets standards for annual flat fee updates, with a 2-track fee schedule update called the Quality Payment Program.

Neurodegenerative Diseases Do Mood Disorders Indicate Premature Aging?

Do Mood Disorders Indicate Premature Aging?

Putative pathogensis insights have grown tremendously in the past 10 years.

Migraine and Headache Why Modern Architecture May Be Giving You a Headache

Why Modern Architecture May Be Giving You a Headache

Doctors suggest that urban landscapes may be a cause for headaches.

Migraine and Headache Treating Post-Traumatic Headache After Concussion

Treating Post-Traumatic Headache After Concussion

While post-traumatic headache (PTH) often resolves within 3 months, a substantial number of patients experience chronic PTH.

Movement Disorders Identifying Prodromal Symptoms of Ataxia Type 2 for Early Intervention

Identifying Prodromal Symptoms of Ataxia Type 2 for Early Intervention

Investigators identified a series of prodromal signs that appear anywhere from 1 to 18 years before a clinical diagnosis of SCA2.

Migraine and Headache Genetics in Migraine: Identifying a Treatment Target for Hemiplegic Migraine

Genetics in Migraine: Identifying a Treatment Target for Hemiplegic Migraine

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%.

General Neurology Practice Guidelines: Body Cooling May Prevent Brain Injury After Cardiopulmonary Resuscitation

Practice Guidelines: Body Cooling May Prevent Brain Injury After Cardiopulmonary Resuscitation

For survivors of nontraumatic cardiac arrest, brain injury becomes a major factor in disability and long-term survival.

Movement Disorders New Clinical Guidelines: Distinguishing Variations of Progressive Supranuclear Palsy

New Clinical Guidelines: Distinguishing Variations of Progressive Supranuclear Palsy

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.

Practice Management Challenges of Medical Liability Reform

Challenges of Medical Liability Reform

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.

Migraine and Headache Headache and Arteriovenous Malformations: Strategies for Identification, Treatment

Headache and Arteriovenous Malformations: Strategies for Identification, Treatment

Several mechanisms involving trigeminovascular activation are often proposed in the literature as mechanisms underlying nonhemorrhagic headache in patients with AVM.

Stroke Improving Stroke Diagnosis Accuracy: An Interview With David Newman-Toker, MD, PhD

Improving Stroke Diagnosis Accuracy: An Interview With David Newman-Toker, MD, PhD

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.

Movement Disorders Impulse Control Disorders in Parkinson's Disease: Building Physician, Patient Awareness

Impulse Control Disorders in Parkinson's Disease: Building Physician, Patient Awareness

A patient should be notified of the possibility of developing an ICD before initiating any dopaminergic treatment for PD, particularly dopamine agonists.

AAN 2017 Coverage AAN 2017: What To Expect at This Year's American Academy of Neurology Annual Meeting

AAN 2017: What To Expect at This Year's American Academy of Neurology Annual Meeting

This year's annual meeting of the American Academy of Neurology takes place in Boston, MA from April 22-28, 2017.

Neuropathic Pain Neuropathic Pain: Navigating the Challenges of an Elusive Disease

Neuropathic Pain: Navigating the Challenges of an Elusive Disease

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.

Migraine and Headache Migraine Across Female Reproductive Stages

Migraine Across Female Reproductive Stages

The characteristics of migraine may change throughout a woman's reproductive stages, and may require different treatment strategies.

Practice Management Concerns Arise Over Reporting of Negative Clinical Trial Data

Concerns Arise Over Reporting of Negative Clinical Trial Data

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.

Practice Management Q&A: Strategies for Transitioning Pediatric Patients to Adult Care

Q&A: Strategies for Transitioning Pediatric Patients to Adult Care

The transition process can be challenging for patients and families, requiring a great deal of preplanning by providers.

Epilepsy International League Against Epilepsy Updates Epilepsy Classification System

International League Against Epilepsy Updates Epilepsy Classification System

The International League Against Epilepsy has revised its epilepsy classification system in an effort to inform epilepsy research and aid drug development.

Practice Management Medical Device Approval and Safety: Raising Our Standards

Medical Device Approval and Safety: Raising Our Standards

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.

Neuropathic Pain Diabetic Neuropathy Guidelines Updated by ADA

Diabetic Neuropathy Guidelines Updated by ADA

New evidence on diabetic neuropathy has emerged since the ADA's last published a position statement in 2005.

Migraine and Headache Cogniphobia in Migraine: The Fear and Avoidance of Thinking

Cogniphobia in Migraine: The Fear and Avoidance of Thinking

Future research should focus on whether cogniphobia can be a modifiable factor in the treatment of patients with migraine.

Epilepsy Addressing Comorbid Depression in Epilepsy: Challenges in Diagnosis and Treatment

Addressing Comorbid Depression in Epilepsy: Challenges in Diagnosis and Treatment

There are several drug-based and non-pharmacological treatments available that can help reduce symptoms of depression in patients with epilepsy.

Traumatic Brain Injury Addressing Gender Differences in Concussion Diagnosis and Treatment

Addressing Gender Differences in Concussion Diagnosis and Treatment

Female athletes face a greater incidence of and longer recovery time from concussion compared with males.

Movement Disorders Effect of Depression and Anxiety on Cognition in Parkinson's Disease

Effect of Depression and Anxiety on Cognition in Parkinson's Disease

Comorbid psychological conditions affect cognitive function in Parkinson's disease, and treatment can be complicated by overlapping symptoms.

General Neurology Cannabis: Current Evidence and Research Recommendations

Cannabis: Current Evidence and Research Recommendations

The National Academies of Sciences, Engineering, and Medicine have released a report

Pain Updated Guidelines on Intrathecal Therapy for Pain

Updated Guidelines on Intrathecal Therapy for Pain

The new guidelines offer guidance on dosing, including reduced starting and maintenance dosing and safety precautions for diagnosing and treating complications.

Epilepsy Guidelines for Using fMRI for Presurgical Evaluation of Epilepsy

Guidelines for Using fMRI for Presurgical Evaluation of Epilepsy

Functional MRI may provide a less-invasive option for evaluating memory function in patients undergoing epilepsy surgery.

Pediatric Neurology USPSTF: Benefits of Folic Acid in Pregnancy Still Substantial

USPSTF: Benefits of Folic Acid in Pregnancy Still Substantial

The review found that there is substantial evidence that supports folic acid supplementation during pregnancy.

Practice Management Expert Q&A: How to Maximize Revenues and Prepare for Payor Changes

Expert Q&A: How to Maximize Revenues and Prepare for Payor Changes

Keeping abreast of changing payment models and regulations is key to maximizing your practice's finances.

Traumatic Brain Injury Advanced Neuroimaging Can Guide Interventions in Traumatic Brain Injury

Advanced Neuroimaging Can Guide Interventions in Traumatic Brain Injury

SPECT imaging can be more accurate in the diagnosis of traumatic brain injury and post-traumatic stress disorder than CT or MRI.

Neuropathic Pain Practice Guidelines: Restless Legs Syndrome

Practice Guidelines: Restless Legs Syndrome

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.

Migraine and Headache The Diagnosis and Treatment of Medication Overuse Headache

The Diagnosis and Treatment of Medication Overuse Headache

Recovery time varies depending on which class of medication the patient is overusing.

CNS 2016 Coverage Child Neurology Society Annual Meeting 2016: What to Expect

Child Neurology Society Annual Meeting 2016: What to Expect

Learn about the key scientific sessions taking place at CNS 2016 and follow along with Neurology Advisor for full meeting coverage.

Migraine and Headache Alternative Treatments for Migraine: A Research Update

Alternative Treatments for Migraine: A Research Update

Acupuncture, neurostimulation, and other alternative treatments have been associated with up to a 50% reduction in headache days.

Neurodegenerative Diseases When It's Not Alzheimer's: The Differential Diagnosis of Frontotemporal Lobar Degeneration

When It's Not Alzheimer's: The Differential Diagnosis of Frontotemporal Lobar Degeneration

Neuroimaging and if necessary, genetic testing, can help to confirm an FTD diagnosis.

WPC 2016 Coverage 4th World Parkinson Congress: What to Expect

4th World Parkinson Congress: What to Expect

The 4th World Parkinson Congress takes September 20-23, 2016 in Portland, Oregon.

Multiple Sclerosis Differentiating Multiple Sclerosis Mimics on MRI

Differentiating Multiple Sclerosis Mimics on MRI

A proper MS diagnosis can only be made after obtaining imaging from the entire brain and understanding the clinical context.

Pediatric Neurology Guidelines Update: Diagnosing Fetal Alcohol Spectrum Disorder

Guidelines Update: Diagnosing Fetal Alcohol Spectrum Disorder

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.

Migraine and Headache Bridging the Gap Between Male, Female Migraine Diagnosis

Bridging the Gap Between Male, Female Migraine Diagnosis

Neurologists should collaborate with other specialties in order to increase awareness of migraine prevalence in men.

Multiple Sclerosis Gut Bacteria and Its Emerging Role in Multiple Sclerosis

Gut Bacteria and Its Emerging Role in Multiple Sclerosis

It has been proposed that the gut microbiome may be an important environmental risk factor in MS.

Epilepsy Differential Diagnosis: Tic Disorders vs Myoclonic Epilepsy

Differential Diagnosis: Tic Disorders vs Myoclonic Epilepsy

Myoclonic seizures may be easily mistaken for a possible tic disorder if the proper patient monitoring is not conducted during diagnosis.

Pediatric Neurology Guidelines for Transition From Pediatric to Adult Neurology Care

Guidelines for Transition From Pediatric to Adult Neurology Care

It's important for pediatric neurologists to spend time preparing the patient for the transition to adult care.

Neurodegenerative Diseases When It's Not Alzheimer's: The Differential Diagnosis of Dementia With Lewy Bodies

When It's Not Alzheimer's: The Differential Diagnosis of Dementia With Lewy Bodies

According to a 2010 report based on a survey of caregivers of people with DLB, 78% of cases were initially misdiagnosed.

Epilepsy Managing the Risk of Metabolic Syndrome in Epilepsy

Managing the Risk of Metabolic Syndrome in Epilepsy

Medication, plus a relatively sedentary lifestyle, places people with epilepsy at great risk of metabolic syndrome and its various complications.

Multiple Sclerosis Pros and Cons: Vitamin D Supplementation in Multiple Sclerosis

Pros and Cons: Vitamin D Supplementation in Multiple Sclerosis

While supplementation has produced a positive response in disease activity, adverse events based on dosing are concerning.

Neuromuscular Disorders Consensus Guidelines for the Treatment of Myasthenia Gravis

Consensus Guidelines for the Treatment of Myasthenia Gravis

The guidelines are the result of a consensus of an international task force of MG experts.

Multiple Sclerosis Managing Bladder Dysfunction in Multiple Sclerosis

Managing Bladder Dysfunction in Multiple Sclerosis

One of the biggest hurdles is getting the patient to be honest and open with you about bladder problems.

Practice Management Axon Registry Aims to Improve Outcomes for Patients, Physicians

Axon Registry Aims to Improve Outcomes for Patients, Physicians

The registry is a centralized data collection system that analyzes data on quality of care and patient outcomes.

Migraine and Headache New Guidelines for Migraine Treatment in the Emergency Department

New Guidelines for Migraine Treatment in the Emergency Department

More than 50% of patients with migraine are treated with opioids in the ED despite known risks.

Neuromuscular Disorders Duchenne Muscular Dystrophy Update: FDA Weighs Its Options

Duchenne Muscular Dystrophy Update: FDA Weighs Its Options

The DMD space is becoming increasingly crowded as the FDA works to identify a drug worth approving.

Epilepsy Addressing Sleep Problems To Improve Seizure Control in Epilepsy

Addressing Sleep Problems To Improve Seizure Control in Epilepsy

Some patients who are approaching seizure control can achieve improvement or seizure freedom by addressing sleep issues.

CMSC 2016 Coverage What to Expect at CMSC 2016

What to Expect at CMSC 2016

Neurology Advisor reviews the upcoming agenda for the CMSC annual meeting.

Neurodegenerative Diseases Re-Examining Infectious Causes of Alzheimer's Disease

Re-Examining Infectious Causes of Alzheimer's Disease

Theodore Henderson, MD, PhD, suggests that perhaps it's time to check our bias at the door.

Epilepsy Treating Epilepsy in Patients With Intellectual Disability

Treating Epilepsy in Patients With Intellectual Disability

With a lack of official treatment guidelines, clinicians should remember to treat the patient, not just the condition.

Migraine and Headache Migraine Preventive Medicine: Research Update

Migraine Preventive Medicine: Research Update

Huma U. Sheikh, MD, provides highlights of recent clinical research in headache.

Migraine and Headache Chronic Headache in Children Raises Risk of Psychiatric Comorbidities

Chronic Headache in Children Raises Risk of Psychiatric Comorbidities

Children and teens with chronic headache pain should be screened for anxiety and depression.

Multiple Sclerosis Depression in Multiple Sclerosis: A Lasting Impact

Depression in Multiple Sclerosis: A Lasting Impact

Physical comorbidities are mediated by depression in MS.

Multiple Sclerosis Epilepsy Drug May Be Neuroprotective in Optic Neuritis

Epilepsy Drug May Be Neuroprotective in Optic Neuritis

Those treated with phenytoin saw a 30% reduction in retinal nerve fiber loss.

Practice Management Neurology On the Hill: Q&A with AAN President Terrence Cascino, MD, FAAN

Neurology On the Hill: Q&A with AAN President Terrence Cascino, MD, FAAN

Hundreds of neurologists advocate for Congress to support the Telestroke FAST Act and the BRAIN Initiative.

Stroke Stroke Risk After Cardiac Surgery

Stroke Risk After Cardiac Surgery

Patients undergoing cardiac surgery should be evaluated for cardiovascular disease to assess stroke risk.

Epilepsy Case Study: Surgical Tx of Refractory Seizures in a Child with Hx of AVM, ICH

Case Study: Surgical Tx of Refractory Seizures in a Child with Hx of AVM, ICH

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.

Multiple Sclerosis Beyond First-Line: Natalizumab vs Fingolimod for Relapsing-Remitting Multiple Sclerosis

Beyond First-Line: Natalizumab vs Fingolimod for Relapsing-Remitting Multiple Sclerosis

When first-line therapies fail, physicians must consider several factors when choosing the next course of treatment for their RRMS patients.

Traumatic Brain Injury Overcoming the Grey Area of Concussion Diagnosis

Overcoming the Grey Area of Concussion Diagnosis

The diagnosis and management of concussion is still a grey area for sports medicine specialists.

Multiple Sclerosis Can We Vaccinate Against PML in Multiple Sclerosis?

Can We Vaccinate Against PML in Multiple Sclerosis?

Antibodies in the CSF may be able to seek out and eliminate JC polyomavirus variants.

Movement Disorders The Troubling Link Between Parkinson's and Smoking: Can We Deny the Benefits?

The Troubling Link Between Parkinson's and Smoking: Can We Deny the Benefits?

Research has shown a confounding link between nicotine and reduced risk of Parkinson's disease.

Migraine and Headache Migraine Preventive Medicine: A Research Update

Migraine Preventive Medicine: A Research Update

There is much promising research ongoing in the world of migraine prevention and treatment.

Pain Fibromyalgia: A Peripheral Pain Disorder?

Fibromyalgia: A Peripheral Pain Disorder?

New research suggests that fibromyalgia is primarily a peripheral nerve disorder that causes central nervous system sensitization.

Neurobehavioral Disorders Diagnosis and Treatment Challenges of PTSD and Comorbid Depression

Diagnosis and Treatment Challenges of PTSD and Comorbid Depression

Combat veterans face an elevated risk of developing PTSD and comorbid depression, which severely affects quality of life.

Epilepsy Managing Epilepsy Before, During, and After Pregnancy

Managing Epilepsy Before, During, and After Pregnancy

Taking proper precautions before, during, and after pregnancy can help promote a safe and healthy experience for both mother and baby.

Multiple Sclerosis Exercise Benefits Mental, Physical Well-Being in Multiple Sclerosis

Exercise Benefits Mental, Physical Well-Being in Multiple Sclerosis

Exercise and general increases in daily physical activity can help improve balance, reduce fatigue, and regain mental clarity in patients with MS.

Epilepsy Epilepsy and Migraine: A Common Ground?

Epilepsy and Migraine: A Common Ground?

The two disorders overlap across several planes, indicating the possibility of a shared pathopysiology.

Practice Management ICD-10 Is Here: Are You Ready?

ICD-10 Is Here: Are You Ready?

Our sister site MPR has partnered with ICD-10 Charts to offer a free interactive ICD-9 conversion tool and reference charts that cover the most commonly used codes by therapeutic area.

Movement Disorders Treatment Challenges in Parkinson's Disease Psychosis

Treatment Challenges in Parkinson's Disease Psychosis

Parkinson's disease psychosis is underreported and is difficult to treat, but a new drug in late-stage development is a promising therapy.

Neurodegenerative Diseases Addressing REM Sleep Behavior Disorder in Parkinson's

Addressing REM Sleep Behavior Disorder in Parkinson's

Over 60% of people with Parkinson's disease will have REM sleep behavior disorder, endangering them and their partners during the night.

Sleep Disorders Adopting Quality Care Measures for Sleep Medicine

Adopting Quality Care Measures for Sleep Medicine

With an increasing emphasis on value, health care providers who treat sleep disorders should focus on adopting quality measures to ensure patient-centered care.

Migraine and Headache Diagnosing Headache: Patient, Provider Communication is Key

Diagnosing Headache: Patient, Provider Communication is Key

A patient presenting with headache may have a broad range of symptoms. Here's how to narrow down your diagnosis.

Autism Spectrum Disorder To Screen or Not to Screen? The Debate on Autism Diagnosis

To Screen or Not to Screen? The Debate on Autism Diagnosis

Could a proposal by an expert panel undermine years of progress made in the identification and intervention of autism?

Pain Addressing Peripheral Neuropathy in Prediabetes

Addressing Peripheral Neuropathy in Prediabetes

Addressing neuropathy early on in prediabetes is essential to successful symptom management.

Sleep Disorders Narcolepsy and Autoimmune Response: The Missing Link

Narcolepsy and Autoimmune Response: The Missing Link

Researchers are nearly convinced narcolepsy is the result of an autoimmune response, but one crucial factor is still missing.

Migraine and Headache Addressing Common Comorbidities in Pediatric Headache

Addressing Common Comorbidities in Pediatric Headache

A multi-faceted approach is best when treating pediatric headache.

Neurodegenerative Diseases Advances in Neuroimaging for Amyotrophic Lateral Sclerosis

Advances in Neuroimaging for Amyotrophic Lateral Sclerosis

Neuroimaging could enable better classification of patients and provide information on affected brain regions.

Stroke Migraine, Contraceptives, and Stroke: What's the Connection?

Migraine, Contraceptives, and Stroke: What's the Connection?

Overlapping clinical characteristics between women with migraine and those using contraceptives may indicate an elevated risk of stroke.

General Neurology Diabetes and the Brain: The Effects of Hyperglycemia on Brain Health

Diabetes and the Brain: The Effects of Hyperglycemia on Brain Health

Long-term exposure to hyperglycemia may have ill effects on the brain, making diabetes patients more prone to dementia and cognitive impairment.

AAN 2015 Coverage AAN 2015: What You Can Expect to See, Hear, and Learn

AAN 2015: What You Can Expect to See, Hear, and Learn

Natalia Rost, MD, shares her thoughts on the upcoming agenda for AAN 2015.

Epilepsy Addressing the Association Between Stress and Seizure Frequency

Addressing the Association Between Stress and Seizure Frequency

Stress is the most common self-reported trigger of seizure in people with epilepsy.

Pain Benefits of Cognitive Behavioral Therapy for Fibromyalgia

Benefits of Cognitive Behavioral Therapy for Fibromyalgia

Studies have shown CBT to be as effective as medication and less costly for fibromyalgia treatment.

General Neurology Determination and Associated Controversies of Brain Death

Determination and Associated Controversies of Brain Death

Determinations of brain death are becoming increasingly clouded by special circumstances, religious beliefs, and inconsistencies across state lines.

Neurocognitive Disorders Thiamine: A Simple Solution to Reverse Wernicke Syndrome

Thiamine: A Simple Solution to Reverse Wernicke Syndrome

Thiamine, a simple supplement that helps reverse Wernicke syndrome, is often underused and misused.

Autism Spectrum Disorder Combating Misconceptions About Vaccines and Autism

Combating Misconceptions About Vaccines and Autism

Misconceptions about vaccines and autism persist despite growing scientific evidence that no link exists.

Sleep Disorders Get Some Shut Eye: Are the New Sleep Recommendations Safe?

Get Some Shut Eye: Are the New Sleep Recommendations Safe?

Sleep experts weigh in on whether the NSF's new sleep recommendations are appropriate and beneficial for the general population.

Movement Disorders Exploring the Role of GCH1 in Parkinson's Disease

Exploring the Role of GCH1 in Parkinson's Disease

The role of GCH1 mutations in Parkinson's disease is complicated by the mutation's seemingly exclusive role in dopa-responsive dystonia.

Epilepsy Benefits and Complications of the Ketogenic Diet for Epilepsy

Benefits and Complications of the Ketogenic Diet for Epilepsy

Implementing a ketogenic diet in patients with drug-resistant epilepsy could produce significant reductions in seizure frequency.

Traumatic Brain Injury Emerging Mobile Technology for Concussion Detection and Management

Emerging Mobile Technology for Concussion Detection and Management

Advancements in mobile detection technology allow immediate assessment, but can't replace a medical professional's diagnosis.

Multiple Sclerosis Addressing Depression, Anxiety, and Fatigue in Multiple Sclerosis

Addressing Depression, Anxiety, and Fatigue in Multiple Sclerosis

The most recognized symptom of MS is fatigue, a hard to treat comorbidity that can manifest into other conditions.

Stroke Stroke in Young Adults: Risk Factors and Prognosis

Stroke in Young Adults: Risk Factors and Prognosis

The affect of stroke on young adults goes far beyond functional disabilities.

General Neurology The Evolution of Care and Cost in Teleneurology

The Evolution of Care and Cost in Teleneurology

The role of teleneurology can grow far beyond critical stroke care, but only if medical liabilities and insurance steps out of the way.

Migraine and Headache Carving Out an Identity for Vestibular Migraine

Carving Out an Identity for Vestibular Migraine

Vestibular migraine may have finally won its own diagnostic criteria, but the condition is still shrouded in uncertainties.

Stroke Controversies in Blood Pressure Management During Stroke

Controversies in Blood Pressure Management During Stroke

With no established guidelines, much of the decisions for management of hypertension during stroke are based on clinician experience.

Neurodegenerative Diseases Vitamin D as a Neuroprotective Agent for Amyotrophic Lateral Sclerosis

Vitamin D as a Neuroprotective Agent for Amyotrophic Lateral Sclerosis

Vitamin D deficiency is known to contribute to neurodegenerative diseases like dementia, however its connection to ALS is not yet well understood.

Sign Up for Free e-newsletters