Interventional pain modalities provide alternative analgesia in patients who are intolerant of pharmacologic agents, have comorbidities that require multiple medications, or have pain refractory to oral medications.
Rates of HIV-associated dementia have decreased from approximately 50% in the pre-cART era to 2% currently. However, roughly 50% of patients treated with cART have the milder forms of HIV-associated neurocognitive disorder (HAND).
Emerging findings suggest that cervical noninvasive vagus nerve stimulation using the gammaCore device may represent an option with efficacy comparable to that of surgically implanted cervical vagus nerve stimulation, with a lower risk for side effects.
Delirium is highly prevalent in critical care, especially among elderly patients and individuals with dementia. Although rates vary widely across studies, findings suggest delirium affects more than 15% of hospitalized patients. For additional discussion regarding this topic, Neurology Advisor interviewed Leopoldo Pozuelo, MD, MBA, FACP, FACLP, clinical vice chair of psychiatry and psychology at the Cleveland Clinic in Ohio.
AAN has issued a practice guideline update for vaccine-preventable infections and immunizations for individuals with multiple sclerosis (MS). A subcommittee of the AAN — tasked with developing, disseminating and implementing these guidelines — found improvements and additions to the recommendations previously issued in 2002.
Two similarly controlled landmark trials provide conflicting results regarding the clinical guidelines for management of acute hypertension in individuals with intracerebral hemorrhage. However, focusing exclusively on blood pressure targets may obscure a critical finding.
A multidisciplinary writing group organized by the AHA Emergency Cardiovascular Care Science Subcommittee released recommendations to improve the quality of adult and pediatric neurologic prognostication studies for survivors of cardiac arrest.
The link between negative respiratory effects and air pollution is intuitive however, recent research has shown a robust association between pollution and myocardial infarction, heart failure, and stroke.
Researchers find that adults who had headaches as children, cognitive and psychomotor ability are compromised. Metacognitive skills, anxiety, depression, motivation, academic performance, human social interactions, and stress symptoms are common headache triggers that may be controlled and monitored by patients.
Researchers found that radiofrequency ablation is a safe and effective therapeutic modality for treatment of resistant headaches associated with pericranial neuralgias; patients also reported less dizziness and insomnia.
Researchers found data that showed, after consultation with an expert, optimal prevention of migraine headaches for patients who present in the emergency department includes both antiseizure medications, specifically, divalproex sodium, sodium valproate, or topiramate, and β-blockers, namely, metoprolol, propranolol, and timolol. In addition, triptans are suggested, as well as antidepressants, amitriptyline, and venlafaxine.
When combined with other serotonergic agents, selective serotonin reuptake inhibitors can lead to a potentially fatal condition called serotonin syndrome, the incidence of which is likely underestimated.