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.
A team of investigators from both Brigham and Women’s Hospital and the Massachusetts Institute of Technology analyzed data on thousands of inactive ingredients in approved medications to further characterize them and enhance our knowledge of their safety.
Although the number of injuries due to roller coaster rides is low, emergency department physicians should keep the possibility in mind in cases in which there are inexplicable symptoms consistent with head injury,and ask patients about any amusement park visits in the previous 3 months.
As rates of physician burnout continue to climb, a diverse group of researchers weigh in on enhancing resilience and particularly emphasize enlightening educators about how resilience develops during residency.
Researchers found that intranasal lidocaine is effective in the treatment of acute migraine and cluster headache because of its ability to block the sphenopalatine ganglion, which is associated with facial pain from the trigeminal nerve.