Could spinal fluid test give early Alzheimer’s warning?
ConclusionThe current research suggests it may be possible to identify those with Alzheimer’s using a biochemical test carried out on a spinal fluid sample. However, it is important to note that: the development of this test is at a very early stage, and the study design used here is not ideal for assessing the test’s diagnostic accuracy. Population-based testing may follow, allowing researchers to better assess the accuracy and, more importantly, how many people could be given an incorrect diagnosis of dementia based on this test. However, development still needs to be done before population-based testing could be ...
Source: NHS News Feed - March 21, 2014 Category: Consumer Health News Tags: Medical practice Neurology Source Type: news

Blood Test May Be Closer for Narcolepsy
Recent advances by Dr. Emmanuel Mignot's research group at Stanford University may move us closer to being able to diagnose narcolepsy with a blood test, as discussed in a recent piece on The Huffington Post.   Historically, narcolepsy has been difficult to diagnose and prior to the identification of its cause, was often dismissed as a psychiatric manifestation. The condition is relatively rare, affecting 1 in 2,000 people. It is characterized by excessive daytime sleepiness, hallucinations associated with sleep transitions, sleep paralysis, and often cataplexy. Cataplexy is weakness that may manifest as knee buckling o...
Source: About Sleep Disorders - February 25, 2014 Category: Sleep Medicine Source Type: news

Lumbar Puncture
Title: Lumbar PunctureCategory: Procedures and TestsCreated: 10/13/1998 4:25:00 PMLast Editorial Review: 1/29/2014 12:00:00 AM (Source: MedicineNet Migraine General)
Source: MedicineNet Migraine General - January 29, 2014 Category: Neurology Source Type: news

Lumbar Puncture in Children With Influenza or Other VirusesLumbar Puncture in Children With Influenza or Other Viruses
Lumbar puncture -- Useful, or a waste of resources in children with influenza? Influenza and Other Respiratory Viruses (Source: Medscape Today Headlines)
Source: Medscape Today Headlines - December 27, 2013 Category: Consumer Health News Tags: Infectious Diseases Journal Article Source Type: news

FDA Underlines Risk of Spinal Procedures on LMW HeparinsFDA Underlines Risk of Spinal Procedures on LMW Heparins
The FDA announced new recommendations aimed at reducing the risk of spinal bleeding with epidural and lumbar puncture procedures among patients taking enoxaparin and other low-molecular-weight heparins. News Alerts (Source: Medscape Today Headlines)
Source: Medscape Today Headlines - November 6, 2013 Category: Consumer Health News Tags: Neurology & Neurosurgery News Alert Source Type: news

How Long After Neonatal Meningitis Should An Infant Have a Hearing Screening?
Discussion Hearing loss can range from profound deafness to fairly minor loss. The causes vary based on age, type of loss (sensoryneuronal or conductive), degree and audiometric configuration. Sensorineuronal hearing loss involves the cochlea and neural connections to the brain and auditory cortex. Conductive hearing loss involves structures from the external ear to the oval window. Deafness is defined as a hearing loss > 90 dB. A differential diagnosis of hearing loss can be found here. Learning Point After bacterial meningitis children should be screened for potential hearing loss. Data supports that screening in the...
Source: PediatricEducation.org - October 28, 2013 Category: Pediatrics Authors: pediatriceducationmin Tags: Uncategorized Source Type: news

How Long After Neonatal Meningitis Should An Infant Have a Hearing Screening?
Discussion Hearing loss can range from profound deafness to fairly minor loss. The causes vary based on age, type of loss (sensoryneuronal or conductive), degree and audiometric configuration. Sensorineuronal hearing loss involves the cochlea and neural connections to the brain and auditory cortex. Conductive hearing loss involves structures from the external ear to the oval window. Deafness is defined as a hearing loss > 90 dB. A differential diagnosis of hearing loss can be found here. Learning Point After bacterial meningitis children should be screened for potential hearing loss. Data supports that screening in the ho...
Source: PediatricEducation.org - October 28, 2013 Category: Pediatrics Authors: Donna M. D'Alessandro, M.D. Tags: Uncategorized Source Type: news

How Common Are Post-Dural Puncture Headaches in Children?
Discussion Post-dural puncture headache or spinal headache as they are often called, are headaches that occur within 7 days of a lumbar puncture and remit within 14 days of the lumbar puncture. They begin or worsen within 15 minutes of being in an upright position and improve or stop within 30 minutes of lying down. The headaches are described as a throbbing, dull and severe pain worse mainly in the occipital area, but can occur with radiation to the eyes, forehead or neck. Nausea, emesis, stiff neck, and visual or auditory changes may also occur. Most spinal headaches occur within 1-2 days of the lumbar puncture and spont...
Source: PediatricEducation.org - October 14, 2013 Category: Pediatrics Authors: pediatriceducationmin Tags: Uncategorized Source Type: news

How Common Are Post-Dural Puncture Headaches in Children?
Discussion Post-dural puncture headache or spinal headache as they are often called, are headaches that occur within 7 days of a lumbar puncture and remit within 14 days of the lumbar puncture. They begin or worsen within 15 minutes of being in an upright position and improve or stop within 30 minutes of lying down. The headaches are described as a throbbing, dull and severe pain worse mainly in the occipital area, but can occur with radiation to the eyes, forehead or neck. Nausea, emesis, stiff neck, and visual or auditory changes may also occur. Most spinal headaches occur within 1-2 days of the lumbar puncture and spont...
Source: PediatricEducation.org - October 14, 2013 Category: Pediatrics Authors: Donna M. D'Alessandro, M.D. Tags: Uncategorized Source Type: news

Blame These Bumps on Mosquitoes?
Multiple itchy red bumps on a man’s ankles; relative contraindications to lumbar puncture; stroke in an addict. . . 5 more questions for you to test the breadth of your clinical knowledge. (Source: Consultant Live)
Source: Consultant Live - September 26, 2013 Category: Primary Care Source Type: news

CSF Analysis Aids GLUT1 Deficiency DiagnosisCSF Analysis Aids GLUT1 Deficiency Diagnosis
In patients suspected of having GLUT1 deficiency syndrome, lumbar puncture should be done before genetic evaluation is considered, according to Dutch researchers. Reuters Health Information (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - September 4, 2013 Category: Consumer Health News Tags: Neurology & Neurosurgery News Source Type: news

When Meningitis is Suspected, Is Lumbar Puncture Always Indicated?
How would you answer this question? Is it the right question to ask in a case of suspected meningitis? (Source: Consultant Live)
Source: Consultant Live - August 30, 2013 Category: Primary Care Source Type: news

Lumbar Puncture in New Onset Complex Febrile SeizuresLumbar Puncture in New Onset Complex Febrile Seizures
Patients presenting with a first complex febrile seizure who are at lower risk of acute bacterial meningitis may not require lumbar puncture. Western Journal of Emergency Medicine: Integrating Emergency Care with Population Health (Source: Medscape Today Headlines)
Source: Medscape Today Headlines - July 30, 2013 Category: Consumer Health News Tags: Emergency Medicine Journal Article Source Type: news

Paralysed with Fear: The Story of Polio by Gareth Williams – review
The history of polio and its treatment is one of dead ends, missed opportunities and downright skulduggeryMost British doctors and nurses working today will never have treated a case of polio. The closest most of us ever come to the polio virus is swallowing a sugarcube containing the oral vaccine or taking our children for their jabs. Today, we stand on the brink of eradicating polio from the world.Yet for anyone over the age of 50, polio still casts nightmarish shadows of babies entombed in iron lungs, children hobbling in leg irons and adults confined in wheelchairs. Seemingly appearing out of nowhere in unstoppable epi...
Source: Guardian Unlimited Science - July 17, 2013 Category: Science Tags: The Guardian Culture Health Vaccines and immunisation Reviews Books Polio Science and nature Source Type: news

What are the Recommendations for Neuromaging Because of Headaches?
Discussion Headaches are not only painful but can significantly affect the lives of patients and families. Education and support for patients is key to managing headaches. Detailed diaries not only help with initial diagnosis but also chronic management. Common headache types include: Tension headache Location – bilateral Intensity – mild or moderate Description – non-pulsating tightening or pressure Activities – not aggravated by usual activities Duration – 30 minutes – continuous Frequency – < 15 days/month for episodic tension headache, > 15 days per month for more than 3 mon...
Source: PediatricEducation.org - July 15, 2013 Category: Pediatrics Authors: Donna M. D'Alessandro, M.D. Tags: Uncategorized Source Type: news