Ventilatory failure in chronic neuromuscular disease
Pract Neurol. 2023 Nov 17:pn-2023-003841. doi: 10.1136/pn-2023-003841. Online ahead of print.ABSTRACTPatients with neuromuscular diseases (NMD) can present to the neurologist with symptoms and signs of respiratory failure, either acutely or as an insidious process in the outpatient setting. Since the advent of non-invasive ventilation, the outcomes of patients with ventilatory failure due to NMD have dramatically improved. However, the natural history of different NMDs requires a nuanced approach to respiratory investigation and management. Respiratory failure dictates the prognosis of many NMDs and timing the most appropr...
Source: Practical Neurology - November 17, 2023 Category: Neurology Authors: Gabriella Heloise Long Andrew Bentley Mark Roberts James B Lilleker Source Type: research
Artificial intelligence (AI) for neurologists: do digital neurones dream of electric sheep?
This article was written by four humans, with generative AI helping with formatting and image generation.PMID:37977806 | DOI:10.1136/pn-2023-003757 (Source: Practical Neurology)
Source: Practical Neurology - November 17, 2023 Category: Neurology Authors: Joshua Au Yeung Yang Yang Wang Zeljko Kraljevic James T H Teo Source Type: research
Ventilatory failure in chronic neuromuscular disease
Pract Neurol. 2023 Nov 17:pn-2023-003841. doi: 10.1136/pn-2023-003841. Online ahead of print.ABSTRACTPatients with neuromuscular diseases (NMD) can present to the neurologist with symptoms and signs of respiratory failure, either acutely or as an insidious process in the outpatient setting. Since the advent of non-invasive ventilation, the outcomes of patients with ventilatory failure due to NMD have dramatically improved. However, the natural history of different NMDs requires a nuanced approach to respiratory investigation and management. Respiratory failure dictates the prognosis of many NMDs and timing the most appropr...
Source: Practical Neurology - November 17, 2023 Category: Neurology Authors: Gabriella Heloise Long Andrew Bentley Mark Roberts James B Lilleker Source Type: research
Artificial intelligence (AI) for neurologists: do digital neurones dream of electric sheep?
This article was written by four humans, with generative AI helping with formatting and image generation.PMID:37977806 | DOI:10.1136/pn-2023-003757 (Source: Practical Neurology)
Source: Practical Neurology - November 17, 2023 Category: Neurology Authors: Joshua Au Yeung Yang Yang Wang Zeljko Kraljevic James T H Teo Source Type: research
Ventilatory failure in chronic neuromuscular disease
Pract Neurol. 2023 Nov 17:pn-2023-003841. doi: 10.1136/pn-2023-003841. Online ahead of print.ABSTRACTPatients with neuromuscular diseases (NMD) can present to the neurologist with symptoms and signs of respiratory failure, either acutely or as an insidious process in the outpatient setting. Since the advent of non-invasive ventilation, the outcomes of patients with ventilatory failure due to NMD have dramatically improved. However, the natural history of different NMDs requires a nuanced approach to respiratory investigation and management. Respiratory failure dictates the prognosis of many NMDs and timing the most appropr...
Source: Practical Neurology - November 17, 2023 Category: Neurology Authors: Gabriella Heloise Long Andrew Bentley Mark Roberts James B Lilleker Source Type: research
Hot brain: practical climate change advice for neurologists
Pract Neurol. 2023 Nov 10:pn-2023-003777. doi: 10.1136/pn-2023-003777. Online ahead of print.ABSTRACT'We are called to be architects of the future, not its victims'-Buckminster FullerPeople with chronic neurological conditions may be vulnerable to change and less able to manage its demands: neurological diseases are among the most burdensome. Whether climate change has particular effects on specific neurological diseases or not, the known impaired resilience to change affecting people with neurological diseases requires neurologists to have awareness of potential climate impacts and their management. Preparedness should in...
Source: Practical Neurology - November 10, 2023 Category: Neurology Authors: Sanjay M Sisodiya Source Type: research
Functional freezing of gait: lessons from compensation
Pract Neurol. 2023 Nov 10:pn-2023-003853. doi: 10.1136/pn-2023-003853. Online ahead of print.ABSTRACTWe highlight a specific and hitherto poorly characterised phenotype of functional gait impairments: functional freezing of gait. Unique to the presented case is the use of compensation strategies, many of which at first sight might appear to hint towards the presence of freezing of gait typical of Parkinson's disease or another form of Parkinsonism. Importantly, however, this patient's compensation strategies involved various inconsistent and incongruent elements, supporting the diagnosis of a functional neurological disord...
Source: Practical Neurology - November 10, 2023 Category: Neurology Authors: Jorik Nonnekes Marleen Tibben Lotte van de Venis Bastiaan R Bloem Source Type: research
Dural arteriovenous fistula of the craniocervical junction
We describe a 70-year-old man with subacute progressive myelopathy whose MR scan of cervical spine showed serpiginous dorsal vessels, suggesting a dural AV fistula. However, a detailed diagnostic angiogram was normal, prompting additional work-up and a wider differential, which was non-revealing. His symptoms progressed over months, but the evolution of the lesion characteristics on repeat spinal imaging still suggested a dural AV fistula. Repeat angiogram identified an infratentorial dural AV fistula arising from the meningohypophyseal artery. He improved following retrosigmoid craniotomy and clipping. Initial angiography...
Source: Practical Neurology - November 10, 2023 Category: Neurology Authors: Charalampia Koutsioumpa Dave Ho Cory Siegel Nirav Patel Stelios Smirnakis Viken Babikian Source Type: research
Supraorbital neuralgia in leprosy
Pract Neurol. 2023 Nov 10:pn-2023-003844. doi: 10.1136/pn-2023-003844. Online ahead of print.ABSTRACTTwo patients presented with side-locked frontal head pain, involving the supraorbital nerve territory, with an associated hypopigmented macule. The clinical progress and nerve biopsy in one indicated leprosy. In endemic regions, supraorbital neuralgia may be caused by leprosy sometimes without other neurocutaneous markers.PMID:37949660 | DOI:10.1136/pn-2023-003844 (Source: Practical Neurology)
Source: Practical Neurology - November 10, 2023 Category: Neurology Authors: Sanjay Sharma Pranita Sharma Umesh Kumar Chandra Sushant Kande Source Type: research
Hot brain: practical climate change advice for neurologists
Pract Neurol. 2023 Nov 10:pn-2023-003777. doi: 10.1136/pn-2023-003777. Online ahead of print.ABSTRACT'We are called to be architects of the future, not its victims'-Buckminster FullerPeople with chronic neurological conditions may be vulnerable to change and less able to manage its demands: neurological diseases are among the most burdensome. Whether climate change has particular effects on specific neurological diseases or not, the known impaired resilience to change affecting people with neurological diseases requires neurologists to have awareness of potential climate impacts and their management. Preparedness should in...
Source: Practical Neurology - November 10, 2023 Category: Neurology Authors: Sanjay M Sisodiya Source Type: research
Functional freezing of gait: lessons from compensation
Pract Neurol. 2023 Nov 10:pn-2023-003853. doi: 10.1136/pn-2023-003853. Online ahead of print.ABSTRACTWe highlight a specific and hitherto poorly characterised phenotype of functional gait impairments: functional freezing of gait. Unique to the presented case is the use of compensation strategies, many of which at first sight might appear to hint towards the presence of freezing of gait typical of Parkinson's disease or another form of Parkinsonism. Importantly, however, this patient's compensation strategies involved various inconsistent and incongruent elements, supporting the diagnosis of a functional neurological disord...
Source: Practical Neurology - November 10, 2023 Category: Neurology Authors: Jorik Nonnekes Marleen Tibben Lotte van de Venis Bastiaan R Bloem Source Type: research
Dural arteriovenous fistula of the craniocervical junction
We describe a 70-year-old man with subacute progressive myelopathy whose MR scan of cervical spine showed serpiginous dorsal vessels, suggesting a dural AV fistula. However, a detailed diagnostic angiogram was normal, prompting additional work-up and a wider differential, which was non-revealing. His symptoms progressed over months, but the evolution of the lesion characteristics on repeat spinal imaging still suggested a dural AV fistula. Repeat angiogram identified an infratentorial dural AV fistula arising from the meningohypophyseal artery. He improved following retrosigmoid craniotomy and clipping. Initial angiography...
Source: Practical Neurology - November 10, 2023 Category: Neurology Authors: Charalampia Koutsioumpa Dave Ho Cory Siegel Nirav Patel Stelios Smirnakis Viken Babikian Source Type: research
Supraorbital neuralgia in leprosy
Pract Neurol. 2023 Nov 10:pn-2023-003844. doi: 10.1136/pn-2023-003844. Online ahead of print.ABSTRACTTwo patients presented with side-locked frontal head pain, involving the supraorbital nerve territory, with an associated hypopigmented macule. The clinical progress and nerve biopsy in one indicated leprosy. In endemic regions, supraorbital neuralgia may be caused by leprosy sometimes without other neurocutaneous markers.PMID:37949660 | DOI:10.1136/pn-2023-003844 (Source: Practical Neurology)
Source: Practical Neurology - November 10, 2023 Category: Neurology Authors: Sanjay Sharma Pranita Sharma Umesh Kumar Chandra Sushant Kande Source Type: research
Hot brain: practical climate change advice for neurologists
Pract Neurol. 2023 Nov 10:pn-2023-003777. doi: 10.1136/pn-2023-003777. Online ahead of print.ABSTRACT'We are called to be architects of the future, not its victims'-Buckminster FullerPeople with chronic neurological conditions may be vulnerable to change and less able to manage its demands: neurological diseases are among the most burdensome. Whether climate change has particular effects on specific neurological diseases or not, the known impaired resilience to change affecting people with neurological diseases requires neurologists to have awareness of potential climate impacts and their management. Preparedness should in...
Source: Practical Neurology - November 10, 2023 Category: Neurology Authors: Sanjay M Sisodiya Source Type: research
Functional freezing of gait: lessons from compensation
Pract Neurol. 2023 Nov 10:pn-2023-003853. doi: 10.1136/pn-2023-003853. Online ahead of print.ABSTRACTWe highlight a specific and hitherto poorly characterised phenotype of functional gait impairments: functional freezing of gait. Unique to the presented case is the use of compensation strategies, many of which at first sight might appear to hint towards the presence of freezing of gait typical of Parkinson's disease or another form of Parkinsonism. Importantly, however, this patient's compensation strategies involved various inconsistent and incongruent elements, supporting the diagnosis of a functional neurological disord...
Source: Practical Neurology - November 10, 2023 Category: Neurology Authors: Jorik Nonnekes Marleen Tibben Lotte van de Venis Bastiaan R Bloem Source Type: research
