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Epilepsy Vagus Nerve Stimulation in Pediatric Epilepsy: Weighing the Risks and Benefits

Vagus Nerve Stimulation in Pediatric Epilepsy: Weighing the Risks and Benefits

Studies that have evaluated the use of VNS in children, including those as young as 6 months old, and have generally concluded that it is well tolerated and improves quality of life.

Headache Migraine Advisor Identifying Intracranial Hypertension in Children: Added Challenges

Identifying Intracranial Hypertension in Children: Added Challenges

Pediatric neurologist Lalitha Sivaswamy, MD, discusses challenges in diagnosing primary intracranial hypertension in pediatric patients.

Stroke Patent Foramen Ovale Closure for Stroke Prevention: Key Principles for Clinical Practice

Patent Foramen Ovale Closure for Stroke Prevention: Key Principles for Clinical Practice

Even with thorough testing, declaring a patent foramen ovale as the most likely culprit responsible for a cryptogenic stroke remains a challenge.

Movement Disorders Parkinson Disease Prevalence Severely Underestimated: Parkinson's Foundation Prevalence Project

Parkinson Disease Prevalence Severely Underestimated: Parkinson's Foundation Prevalence Project

The Parkinson's Foundation Prevalence Project estimates that within the next 2 years, 930,000 people in the United States will be living with the condition; that number is anticipated to rise to 1.2 million by 2030.

Headache Migraine Advisor Tumor-Related Headache: Path to Diagnosis, Treatment Isn't Always Obvious

Tumor-Related Headache: Path to Diagnosis, Treatment Isn't Always Obvious

Headaches are a common occurrence in the general population and are often present in patients with an underlying brain tumor, although it is not yet clear to what degree they are related.

Movement Disorders Advisor The Ethics of Consumer Genetic Testing for Huntington's: Peaked Interest Has Clinicians Concerned

The Ethics of Consumer Genetic Testing for Huntington's: Peaked Interest Has Clinicians Concerned

Direct-to-consumer genetic testing would enable consumers to bypass the safeguards set forth by professional guidelines, which could potentially increase the risk for harm associated with testing.

Epilepsy Addressing Psychiatric Comorbidities in Pediatric Epilepsy: Expert Opinions

Addressing Psychiatric Comorbidities in Pediatric Epilepsy: Expert Opinions

Cognitive and linguistic deficits have been cited as risk factors for psychiatric comorbidity in pediatric epilepsy, along with family factors such as parenting style and quality of the parent-child relationship.

Multiple Sclerosis Advisor Cannabis for Multiple Sclerosis: Prescriber's Perspective

Cannabis for Multiple Sclerosis: Prescriber's Perspective

Cannabis has been shown to reduce the use of prescription drugs that have more numerous and serious side effects, including opioids, benzodiazepines, and antidepressants.

Headache Migraine Advisor Addressing Rare Headache Disorders: Acute Confusional Migraine

Addressing Rare Headache Disorders: Acute Confusional Migraine

Acute confusional migraine has not been specifically studied and many clinicians remain unaware of the condition, which may result in underestimation of the prevalence.

Neuropathic Pain The Role of Neurogenic Inflammation in Fibromyalgia Pathophysiology

The Role of Neurogenic Inflammation in Fibromyalgia Pathophysiology

Geoffrey Littlejohn, MD, provides a clinical perspective on the pathophysiology of fibromyalgia and the role of neurogenic inflammation in the disease process.

Multiple Sclerosis Advisor Dietary Supplements in MS: Exercising Caution With OTC Remedies

Dietary Supplements in MS: Exercising Caution With OTC Remedies

Until more robust studies are completed, clinicians should encourage a dialogue with their patients to discuss the use of and questions regarding over-the-counter supplements and alternative medicines.

Movement Disorders Advisor Weighing the Risks of Deep Brain Stimulation

Weighing the Risks of Deep Brain Stimulation

DBS has been known to generate other movement-related disorders such as dyskinesias, blepharospasm, and hypokinesia.

Headache Migraine Advisor Hormonal Contraceptives and Migraine: Is It Time to Revisit Stroke Risk?

Hormonal Contraceptives and Migraine: Is It Time to Revisit Stroke Risk?

Current oral contraceptive products contain lower doses of estrogen than those used in the past, prompting reconsideration of risks and benefits.

Multiple Sclerosis Advisor Exercise in MS: Personalized Approach for Improved Outcomes

Exercise in MS: Personalized Approach for Improved Outcomes

A revised focus on exercise training for MS is advocated by a number of recent reviews, all showing benefits to cardiovascular and muscular fitness and improved quality of life in MS.

Practice Management Should Physicians Treat Family and Friends? Three Experts Weigh In

Should Physicians Treat Family and Friends? Three Experts Weigh In

Several notable medical societies have issued ethical statements discouraging physicians from treating family members and friends.

Neuromuscular Disorders Understanding ICU-Acquired Neuromuscular Dysfunction: Triggers, Risk Factors, and Treatments

Understanding ICU-Acquired Neuromuscular Dysfunction: Triggers, Risk Factors, and Treatments

ICU-acquired weakness syndromes manifest themselves in a range of ways among patients — as a spectrum of disease rather than in specific form.

Epilepsy Epilepsy's Mobility Problem: Advocating for Changes in Transportation Laws, Public Resources

Epilepsy's Mobility Problem: Advocating for Changes in Transportation Laws, Public Resources

In individuals who can adequately access healthcare appointments, medications, and other treatments, the combination of driving restrictions and sparse or nonexistent public transportation options interferes with daily living and their overall quality of life.

Movement Disorders The Future of Freezing of Gait in Parkinson's: Exploring Potential Treatments and Preventive Strategies

The Future of Freezing of Gait in Parkinson's: Exploring Potential Treatments and Preventive Strategies

More than half of patients diagnosed with Parkinson disease experience freezing of gait.

Neuropathic Pain Examining the Therapeutic Possibilities of Nutrition in Fibromyalgia

Examining the Therapeutic Possibilities of Nutrition in Fibromyalgia

Providing guidance to improve dietary behavior, which may include supplementation to achieve an optimal nutritional status, can contribute to improved control of fibromyalgia symptoms.

Headache Migraine Advisor Confronting Postdural Puncture Headache in Clinical Practice

Confronting Postdural Puncture Headache in Clinical Practice

Nonpharmacological strategies, including bed rest, have a lack of evidence supporting their use in the treatment of postdural puncture headache.

Movement Disorders Emerging Innovations in Parkinson Disease Treatment: Q&A With Dr Matthew Brodsky

Emerging Innovations in Parkinson Disease Treatment: Q&A With Dr Matthew Brodsky

Surgical interventions for Parkinson disease are experiencing a swell in innovation, thanks in part to the entry of two additional medical device companies into a field previously dominated by one company.

Multiple Sclerosis Advisor Time Matters in MS: Expert Q&A With Alexander Rae-Grant, MD

Time Matters in MS: Expert Q&A With Alexander Rae-Grant, MD

In April 2018, the American Academy of Neurology released updated guidelines for the treatment of multiple sclerosis (MS). The new recommendations are based on a panel review of 20 Cochrane reviews and 73 full-text articles pertaining to starting, switching, and stopping disease-modifying treatment in patients with clinically isolated syndrome, relapsing-remitting MS, and progressive forms of MS.

Headache Migraine Advisor Addressing Migraine That Mimics Stroke

Addressing Migraine That Mimics Stroke

Neurology Advisor spoke with Dr Peter McAllister about how to best discern migraine with aura from stroke.

Multiple Sclerosis Advisor Evolution of NEDA: Q&A With Cleveland Clinic's Dr Robert Bermel

Evolution of NEDA: Q&A With Cleveland Clinic's Dr Robert Bermel

Each component of NEDA has limitations — for example, measures of brain atrophy may be confounded by various factors, and the correlation between short-term measures of EDSS progression and long-term disability outcomes is unclear.

Headache Migraine Advisor Managing Pediatric Migraine: Current Therapies and Future Directions

Managing Pediatric Migraine: Current Therapies and Future Directions

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.

Neuropathic Pain Expert Insight: A Closer Look at Neurological Manifestations of Sjogren Syndrome

Expert Insight: A Closer Look at Neurological Manifestations of Sjogren Syndrome

Experts discuss the symptoms and prevalence of neurological manifestations in Sjogren syndrome.

General Neurology Fungal Infections of the CNS: Diagnostic and Treatment Approaches

Fungal Infections of the CNS: Diagnostic and Treatment Approaches

While immunocompromised patients are the most susceptible to CNS fungal infections, they can also occur in immunocompetent patients undergoing invasive procedures such as neurosurgery and in patients exposed to contaminated devices or drugs.

Neuromuscular Disorders Primary Periodic Paralysis: Advice for Clinicians & Future Directions

Primary Periodic Paralysis: Advice for Clinicians & Future Directions

Neurology Advisor speaks with Annabelle Baughan, a retired hematologist-oncologist, and discusses her personal experience with Andersen-Tawil syndrome.

AAN 2018 Coverage Multiple Sclerosis Guidelines: AAN's Recommendations for Initiating, Switching, Stopping Disease-Modifying Therapy

Multiple Sclerosis Guidelines: AAN's Recommendations for Initiating, Switching, Stopping Disease-Modifying Therapy

The new guidelines focus on helping clinicians decide when to initiate, switch, or discontinue disease-modifying therapies for multiple sclerosis.

Movement Disorders Understanding Impulse Control Disorders in Parkinson Disease: Developments and Treatments

Understanding Impulse Control Disorders in Parkinson Disease: Developments and Treatments

In this article, we explore research findings to provide a deeper understanding of the factors associated with increased risk for impulse control disorders in Parkinson disease. Deputy Director of the Parkinson's UK charity, Professor David Dexter, also provides insights on the mechanisms of impulse control disorders and the implications of new findings on the management of Parkinson disease.

AAN 2018 Coverage American Academy of Neurology Annual Meeting 2018: What to Expect

American Academy of Neurology Annual Meeting 2018: What to Expect

Neurology Advisor will provide live coverage of the 2018 American Academy of Neurology Annual Meeting from Los Angeles, CA.

Autism Spectrum Disorder The Consequences of Compensation in Autism

The Consequences of Compensation in Autism

Although compensating for their difficulties may help people with ASD connect with others, get jobs, and successfully navigate social situations, accumulating research suggests it can also lead to exhaustion, burnout, anxiety, and depression.

Headache Migraine Advisor Headache in Older Adults: Unique Causes and Treatments

Headache in Older Adults: Unique Causes and Treatments

It is important for clinicians to quickly and accurately determine potential underlying causes and to prescribe treatments that take into account comorbidities and medications that older patients may be taking for them.

Movement Disorders Neurosurgery in Parkinson Disease: A Brief History and Look Forward

Neurosurgery in Parkinson Disease: A Brief History and Look Forward

Although deep brain stimulation, similar to all Parkinson disease therapies, cannot cure, modify, or slow progression of the disease, some recent research suggests that the symptom alleviation and quality-of-life improvement it provides might lead to mild improvements in longevity.

Multiple Sclerosis Advisor Multiple Sclerosis Treatment in Millennials: Expert Q&A

Multiple Sclerosis Treatment in Millennials: Expert Q&A

As the most effective treatment for a patient with multiple sclerosis is one that is specifically tailored to the patient's individual needs and preferences, recognition of the unique characteristics, preferences, and trends shared by the millennial generation should drive innovative solutions.

Movement Disorders Old Challenges and New Directions in Managing Tardive Dyskinesia

Old Challenges and New Directions in Managing Tardive Dyskinesia

"Since the current generation of psychiatrists has been raised on second-generation antipsychotics and has relatively little experience with first-generation antipsychotics, keeping tardive dyskinesia in mind is not, on the whole, part of their experience or training," said Christoph U. Correll, MD.

Multiple Sclerosis Advisor Respiratory Muscle Training in Multiple Sclerosis: Assessing the Evidence

Respiratory Muscle Training in Multiple Sclerosis: Assessing the Evidence

Early intervention in the case of respiratory compromise in patients with multiple sclerosis has the potential to prevent infection and maintain pulmonary function.

Stroke Assessing and Treating Cognitive, Mood Impairments in Patients With Stroke

Assessing and Treating Cognitive, Mood Impairments in Patients With Stroke

The ultimate goal of stroke assessment is to enable physicians to make treatment decisions that are individualized and appropriate to the patient's needs, thereby improving patient outcomes.

Neuromuscular Disorders Primary Periodic Paralysis: A Physician's Personal Experience as a Patient

Primary Periodic Paralysis: A Physician's Personal Experience as a Patient

Neurology Advisor spoke with Annabelle Baughan, a retired hematologist-oncologist, who shared her personal experience with Andersen-Tawil syndrome.

General Neurology Navigating the Ethics of Agents for Pharmacological Cognitive Enhancement

Navigating the Ethics of Agents for Pharmacological Cognitive Enhancement

The focus on enhanced cognitive function could sideline equally important aspects of life such as health and relationships.

Headache Migraine Advisor The Symbiosis of Headache and Sleep

The Symbiosis of Headache and Sleep

Clinicians discuss the clinical implications of headache and comorbid sleep disturbances.

Practice Management The Little Guy vs Big Data: Is ICD-10 Coding Still Valuable in Health Care?

The Little Guy vs Big Data: Is ICD-10 Coding Still Valuable in Health Care?

While ICD-10-CM may be an improvement on an old process, big data is the revolution that has the potential to change health care forever.

Epilepsy A Convenient Truth: The Problem With Seizure Under-Reporting and How to Fix It

A Convenient Truth: The Problem With Seizure Under-Reporting and How to Fix It

Before we begin to rely more heavily on technology for seizure detection, clinician-patient trust needs to improve.

Movement Disorders Palliative Care in Movement Disorders: Recommendations for Improvement

Palliative Care in Movement Disorders: Recommendations for Improvement

Parkinsonism syndromes are associated with progressive disability and increased mortality, with symptom burden comparable to that of advanced cancer.

Headache Migraine Advisor Clarifying Cardiovascular Risk in Migraine

Clarifying Cardiovascular Risk in Migraine

Although the main risks associated with migraine include ischemic and hemorrhagic stroke, new evidence suggests that the risks for venous thromboembolism and atrial fibrillation — but not heart failure or peripheral artery disease — are also higher.

Stroke Stroke in Women: Risk, Prevention, and Treatment

Stroke in Women: Risk, Prevention, and Treatment

For more details about differences in stroke risk, prevention, and treatment in women, Neurology Advisor spoke with Elisabeth B. Marsh, MD, from Johns Hopkins School of Medicine and Kristy Yuan, MD, from the University of Pennsylvania.

Neuromuscular Disorders Genetics May Hold the Key to Decoding Periodic Paralysis

Genetics May Hold the Key to Decoding Periodic Paralysis

The cluster of diagnoses known as periodic paralyses — including hypokalemic periodic paralysis, hyperkalemic periodic paralysis, and Anderson-Tawil syndrome — are rare genetic disorders of spontaneous muscle weakness or paralysis that can last from minutes to days.

Practice Management Navigating the Waters of Medical Malpractice and Defensive Medicine

Navigating the Waters of Medical Malpractice and Defensive Medicine

Malpractice liability reform would best be analyzed on a specialty-by-specialty basis.

Headache Migraine Advisor Headache in the Elderly: Careful Considerations for Primary and Secondary Causes

Headache in the Elderly: Careful Considerations for Primary and Secondary Causes

New cases of headache in older adults should be carefully evaluated for a differential diagnosis of primary headache and to examine underlying causes of secondary headache.

Neuromuscular Disorders Shortcomings in ALS Research: Strategies for Improvement

Shortcomings in ALS Research: Strategies for Improvement

Researchers recently identified 5 key challenges that collectively hinder the design of amyotrophic lateral sclerosis clinical trials and the development of new treatments.

Migraine and Headache Erenumab for Episodic Migraine: A Closer Look at the Data

Erenumab for Episodic Migraine: A Closer Look at the Data

For individuals with migraine frequency of 4 to 14 episodes per month, prophylactic medications and analgesics are required.

Headache Migraine Advisor Genetic and Imaging Markers in Migraine: Ready for Prime Time?

Genetic and Imaging Markers in Migraine: Ready for Prime Time?

Benefits of migraine markers include facilitating diagnosis, monitoring treatment, and discovering more about the pathogenesis of the disorder.

General Neurology Ethical Considerations in New Coma Research

Ethical Considerations in New Coma Research

Research on therapies that may rouse a patient in a persistent vegetative state needs to include the ethical considerations of waking a patient in a state of incomplete recovery.

Movement Disorders Anesthesia in Parkinson Disease Requires Cautious Care

Anesthesia in Parkinson Disease Requires Cautious Care

Anesthetic medications have been identified as a potential cause of morbidity in this population due to their interaction with the drugs used to manage Parkinson disease.

Practice Management Call for Conflict-of-Interest Disclosures in Manuscripts

Call for Conflict-of-Interest Disclosures in Manuscripts

Conflict-of-interest statements should be included in medical journals in order to enhance transparency.

Headache Migraine Advisor Managing Headache in Pregnancy: Q&A With Matthew Robbins, MD

Managing Headache in Pregnancy: Q&A With Matthew Robbins, MD

Headache screening should be a routine part of a prenatal visit so that if and when a patient presents with an attack, a suitable plan of action is already established.

Neurodegenerative Diseases Advance Directives for Dementia: Honoring Patient Wishes When You Don't Know What They Are

Advance Directives for Dementia: Honoring Patient Wishes When You Don't Know What They Are

Because of dementia's prolonged disease course, advance care decisions and planning are often overlooked until it is too late.

Headache Migraine Advisor Treating Tension-Type Headache: Contradictions in Real-Life vs Research Expose Cracks in Differential Diagnosis

Treating Tension-Type Headache: Contradictions in Real-Life vs Research Expose Cracks in Differential Diagnosis

While there is some moderate quality evidence supporting the use of onabotulinumtoxinA for the treatment of tension-type headache, it is not adequate enough to influence current clinical practice.

Practice Management Applying Conscious vs Unconscious Thinking in Your Medical Practice

Applying Conscious vs Unconscious Thinking in Your Medical Practice

This clinician discusses the application of conscious vs unconscious thinking in a medical practice.

Headache Migraine Advisor Migraine and Multiple Sclerosis: Connection or Coincidence?

Migraine and Multiple Sclerosis: Connection or Coincidence?

Increasing evidence suggests a relationship between migraine and MS that is beyond basic comorbidity.

Pain Common Causes of Chronic Pain Management Malpractice Claims

Common Causes of Chronic Pain Management Malpractice Claims

There is a growing emphasis on provider responsibility with the increasing focus of the overprescribing of opioids.

Neurodegenerative Diseases Exercise, Physical Therapy May Provide Long-Term Functional Improvement in Huntington Disease

Exercise, Physical Therapy May Provide Long-Term Functional Improvement in Huntington Disease

Interventions aimed at motor and cognitive impairments in Huntington disease may result in long-term functional improvement.

Migraine and Headache Caffeine as Headache Trigger and Treatment: Two Sides of the Same Coin

Caffeine as Headache Trigger and Treatment: Two Sides of the Same Coin

The judicious use of caffeine as adjuvant therapy to over-the-counter pain relievers can improve or relieve pain for patients with migraine or tension-type headaches.

General Neurology Decision Support Systems: Helpful or Harmful?

Decision Support Systems: Helpful or Harmful?

The automated diagnosis suggestion at the top of the EKG strip is the output of what is known as a decision support system.

Practice Management Defensive Medicine: Where Do We Draw the Line?

Defensive Medicine: Where Do We Draw the Line?

The scourge of defensive medicine — the practice of recommending tests or treatments for the purpose of avoiding or mitigating litigation — is discussed in this opinion piece.

Movement Disorders Sex Differences in Parkinson Disease: Implications for Diagnosis, Treatment

Sex Differences in Parkinson Disease: Implications for Diagnosis, Treatment

Several studies have uncovered sex-dependent variations in the symptomatic manifestations of Parkinson disease, as well as in the response to dopamine therapies.

Neurobehavioral Disorders Understanding Poststroke Depression: Risk Factors and Treatment

Understanding Poststroke Depression: Risk Factors and Treatment

Depression is one of the most commonly reported complications resulting from stroke.

Neurodegenerative Diseases Obesity and Alzheimer Disease: Exploring Risk Modification

Obesity and Alzheimer Disease: Exploring Risk Modification

Throughout the life course, higher body mass index and obesity are linked to cognitive decline, brain atrophy, reduced white matter and integrity of the blood-brain barrier, and elevated risk for late-onset Alzheimer disease.

Multiple Sclerosis McDonald Criteria Update: Further Distinction Between Relapsing-Remitting, Primary-Progressive MS

McDonald Criteria Update: Further Distinction Between Relapsing-Remitting, Primary-Progressive MS

The 2017 revision takes aim at better differentiating relapsing-remitting and primary-progressive forms of multiple sclerosis.

Traumatic Brain Injury Managing Chronic Pain Associated With Traumatic Brain Injury

Managing Chronic Pain Associated With Traumatic Brain Injury

Chronic pain is common after traumatic brain injury.

Neurodegenerative Diseases When and How to Approach Driving Cessation in Patients With Dementia

When and How to Approach Driving Cessation in Patients With Dementia

The responsibility for discussing cessation of driving in patients with mild cognitive impairment or dementia often rests on the clinician, who may have little preparation for this difficult conversation.

Movement Disorders Predicting Rates and Patterns of Progression in Parkinson Disease

Predicting Rates and Patterns of Progression in Parkinson Disease

Numerous factors are likely contribute to the rate of progression, with different combinations of factors showing relevance for individual patients.

Migraine and Headache Exploring Current and Developing Migraine Behavioral Treatments: Expert Q&A

Exploring Current and Developing Migraine Behavioral Treatments: Expert Q&A

Although pharmacotherapy remains the standard strategy for migraine management, there are many patients for whom nonpharmacological approaches are indicated.

Neuropathic Pain Improving Outcomes of Peripheral Nerve Surgery

Improving Outcomes of Peripheral Nerve Surgery

Although peripheral nerve decompression has been found to be effective in relieving some symptoms for burn patients, there is still some uncertainty.

Movement Disorders Cognitive Impairment in Multi-System Atrophy: Is It Time to Update Diagnostic Criteria?

Cognitive Impairment in Multi-System Atrophy: Is It Time to Update Diagnostic Criteria?

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.

Pediatric Neurology Ask the Expert: Neuraxial Anesthesia in Neonates

Ask the Expert: Neuraxial Anesthesia in Neonates

Neuraxial anesthetics and analgesics are associated with fewer systemic adverse effects.

Migraine and Headache Patent Foramen Ovale and Migraine: Is It Time to Close the Book?

Patent Foramen Ovale and Migraine: Is It Time to Close the Book?

Despite mounting evidence suggesting the contrary, the debate on the potential benefits of patent foramen ovale closure for migraine is still ongoing.

Neurocognitive Disorders Risk Factors for Neurocognitive Decline in HIV

Risk Factors for Neurocognitive Decline in HIV

Evaluating the risk factors of neurocognitive decline in HIV.

General Neurology Publication Bias in Neurology Research: Why It Matters and Why It Needs to Change

Publication Bias in Neurology Research: Why It Matters and Why It Needs to Change

Withholding negative research results not only skews scientific evidence but also puts into question the whole validity of medical research.

General Neurology Infective Endocarditis: Best Practices for Treating Neurologic Complications

Infective Endocarditis: Best Practices for Treating Neurologic Complications

Ischemic and hemorrhagic strokes are a common complication of infective endocarditis, but guidance on intervention is varied.

Epilepsy Posttraumatic Epilepsy: Understanding Risk, Severity, and Outcomes

Posttraumatic Epilepsy: Understanding Risk, Severity, and Outcomes

Risk for mortality in posttraumatic epilepsy is high, and negative outcomes affecting cognitive, affective, and physical function are common.

Traumatic Brain Injury Mental Health and Head Injuries: Are We Asking the Right Questions?

Mental Health and Head Injuries: Are We Asking the Right Questions?

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.

Movement Disorders Atypical Parkinsonian Disorders: Reviewing the Complex Web of Proteinopathies

Atypical Parkinsonian Disorders: Reviewing the Complex Web of Proteinopathies

While parkinsonian disorders share a common mechanism of protein aggregation, manifestations are quite varied.

Migraine and Headache Treating Cluster Headache: Weighing Current Therapies

Treating Cluster Headache: Weighing Current Therapies

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.

General Neurology Anesthesia and Long-Term Cognitive Decline: Is There a Link?

Anesthesia and Long-Term Cognitive Decline: Is There a Link?

Findings from animal studies indicate that anesthetics may be neurotoxic and could result in long-term central nervous system alterations and cognitive dysfunction.

Movement Disorders Defining Unique Needs for Palliative and Hospice Care in Huntington Disease

Defining Unique Needs for Palliative and Hospice Care in Huntington Disease

Research has shown significant gaps in knowledge on palliative services among neurology residents, resulting in low referral rates.

Migraine and Headache Expert Opinion: Coverage Gaps Leave Cluster Headache Undertreated

Expert Opinion: Coverage Gaps Leave Cluster Headache Undertreated

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.

Multiple Sclerosis Ask the Expert: Managing Urinary Retention in Multiple Sclerosis

Ask the Expert: Managing Urinary Retention in Multiple Sclerosis

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.

Sleep Disorders Guidelines for Diagnosing and Treating Insomnia

Guidelines for Diagnosing and Treating Insomnia

There are guidelines that should be followed when treating patients with insomnia.

Movement Disorders Managing Dystonia With Noninvasive Brain Stimulation: Therapy Update

Managing Dystonia With Noninvasive Brain Stimulation: Therapy Update

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.

Practice Management Buying a Practice? Here's What You Should Know

Buying a Practice? Here's What You Should Know

Physicians must remember that they will be a business owner in addition to being a health care provider.

Migraine and Headache Migraine and Gastrointestinal Disorders: Elucidating an Association

Migraine and Gastrointestinal Disorders: Elucidating an Association

While several theories have evolved over the years, none have unequivocally provided robust evidence to fully explain the clinical spectrum of migraine.

Movement Disorders MRI in Parkinson Disease: Expanding Usability for Better Diagnostics

MRI in Parkinson Disease: Expanding Usability for Better Diagnostics

MRI may be used to identify Parkinson disease biomarkers that can inform diagnosis, track disease progression, and elucidate the neurobiological underpinnings of symptoms.

Stroke Ischemic Preconditioning: Exploring the Potential to Reduce the Impact of Stroke

Ischemic Preconditioning: Exploring the Potential to Reduce the Impact of Stroke

Brief periods of oxygen deprivation to the brain have been shown to provide neuroprotective effects that reduce stroke infarct size and improve recovery times.

Pain Can Virtual Reality Tech Help Curb the Opioid Epidemic?

Can Virtual Reality Tech Help Curb the Opioid Epidemic?

Assessments showed a 66% reduction in pain during the session and a 33% reduction in pain at the end of the session.

Movement Disorders Tardive Dyskinesia: Experts Weigh in on New Treatments, Ongoing Challenges

Tardive Dyskinesia: Experts Weigh in on New Treatments, Ongoing Challenges

The main challenge is to determine when treating tardive dyskinesia with any pharmacological agent would provide a net benefit.

Migraine and Headache Pediatric Episodic Syndromes Associated With Migraine: Expert Q&A (Part II)

Pediatric Episodic Syndromes Associated With Migraine: Expert Q&A (Part II)

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.

Migraine and Headache Multidisciplinary Treatment Teams for Chronic Headache: Tips for Getting Started

Multidisciplinary Treatment Teams for Chronic Headache: Tips for Getting Started

Multidisciplinary treatment may consist of psychological support and physical or occupational therapy along with the medical care provided by the referring physician.

Migraine and Headache Pediatric Episodic Syndromes Associated With Migraine: Knowing What to Look For (Part I)

Pediatric Episodic Syndromes Associated With Migraine: Knowing What to Look For (Part I)

Nearly 10% of pediatric patients with migraine also experience various episodic syndromes involving gastrointestinal pain, vomiting, or vertigo.

Practice Management The Current State of Medical Malpractice

The Current State of Medical Malpractice

Many in the medical field are wondering whether now may be the right time for medical malpractice reform.

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