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Heterogeneity in neurologic education and care in Asian and Oceanian region
The Asian subcontinent and Oceania (comprising islands in the Pacific Ocean) are home to more than 60% of the world's population. The burden of neurologic disease and sickness is thereby high and medical care is in high demand. There are many developing countries with diverse cultural, economical, political, religious, and historical backgrounds within the Asian and Oceanian region.1,2 Recently, enhanced medical care in these developing countries has resulted in greater longevity, which has increased the burden on those providing health care. The prevalence of neurologic illness has also increased and has emerged as a prio...
Source: Neurology - August 25, 2014 Category: Neurology Authors: Mehndiratta, M. M., Mehndiratta, P., Gulati, N. S., Wasay, M. Tags: All Clinical Neurology, All Education, CME GLOBAL PERSPECTIVES Source Type: research

Atypical isolated nuclear oculomotor nerve syndrome: A diagnostic challenge (P1.031)
CONCLUSION: This report will raise the awareness about nuclear oculomotor nerve syndrome and lead to a potentially successful therapeutic approach.Disclosure: Dr. Liao has nothing to disclose. Dr. Kamiya Matsuoka has nothing to disclose.
Source: Neurology - April 8, 2015 Category: Neurology Authors: Kamiya Matsuoka, C., Liao, B. Tags: Cerebrovascular Disease and Interventional Neurology: Case Reports Source Type: research

Demographics, Comorbidities and Clinical Features in Hospitalized Patients with Myoclonus (P3.022)
CONCLUSIONS: Myoclonus was particularly associated with renal impairment in the presence of a toxic exposure, most commonly opioids or anticonvulsants, and unlike patients with anoxia or hepatic impairment, more often featured a negative semiology.Disclosure: Dr. Ehrlich has nothing to disclose. Dr. Swan has nothing to disclose. Dr. Robbins has received personal compensation for activities with MedLink and Prova Education. Dr. Robbins has received personal compensation in an editorial capacity for Current Pain and Headache Reports. Dr. Herskovitz has nothing to disclose. Dr. Milstein has nothing to disclose.
Source: Neurology - April 8, 2015 Category: Neurology Authors: Ehrlich, D., Swan, M., Robbins, M., Herskovitz, S., Milstein, M. Tags: Movement Disorders: Myoclonus, Paroxysmal Dyskinesias, and Parkinson ' s Disease Source Type: research

An Unusual Case Of Cadasil With Occipital Lobe Involvement (P6.006)
CONCLUSION: We discuss the unique features of a rare case of occipital lobe predominant CADASIL lacking the typical anterior temporal lobe involvement. This case exemplifies the heterogeneity of clinical findings that may be associated with NOTCH3 mutations.Disclosure: Dr. Mishra has nothing to disclose. Dr. Rao has nothing to disclose. Dr. Flippen has received personal compensation for activities with MAP Pharmaceuticals/Allergan. Dr. Flippen has received personal compensation in an editorial capacity for the Journal of Graduate Medical Education and Up-To-Date. Dr. Flippen has received Dr. Fogel has received personal com...
Source: Neurology - April 8, 2015 Category: Neurology Authors: Mishra, S., Rao, N., Flippen, C., Fogel, B., Hathout, G., Thomas, M., Kattan, J., Trikamji, B. Tags: Treatments, Therapeutics, and Biomarkers Poster Discussion Session Source Type: research

Daytime Sleepiness and Sleep Inadequacy as Risk Factors for Dementia
Conclusion: Our results suggest that sleep inadequacy and increased daytime sleepiness are risk factors for dementia in older adults, independent of demographic and clinical factors.Dement Geriatr Cogn Disord Extra 2015;5:286-295
Source: Dementia and Geriatric Cognitive Disorders Extra - July 11, 2015 Category: Geriatrics Source Type: research

Shortage of neurologists in the Brazilian Amazon
Neurologic disorders, including headache, epilepsy, and cerebrovascular disease, are common sources of medical consults and hospital admissions.1 Conditions such as stroke, the world's second leading cause of death, are medical emergencies that demand fast and efficient actions to reduce mortality and disability rates. These 2 points highlight the growing importance of neurology health care in developing countries.
Source: Neurology - November 9, 2015 Category: Neurology Authors: dos Santos-Lobato, B. L., Pontes-Neto, O. M. Tags: Medical care, Models of care, Health care reform, Methods of education, Other Education GLOBAL PERSPECTIVES Source Type: research

$10 million gift to UCLA from Wendy and Leonard Goldberg is largest ever to support migraine research
UCLA Health Sciences has received a $10 million gift, most of which will support multidisciplinary research on migraine, a debilitating neurological disorder that affects 36 million people in the U.S. The gift was made by philanthropists Wendy and Leonard Goldberg. Wendy Goldberg is an editor and author; her husband, Leonard, is an award-winning film and television producer and executive. More than 90 percent of sufferers are unable to work during their migraine attacks, costing employers $13 billion a year in lost work days; and every 10 seconds, someone in the U.S. goes to an emergency room with a migraine-related compla...
Source: UCLA Newsroom: Health Sciences - December 8, 2015 Category: Universities & Medical Training Source Type: news

Heart Health -- Love, Happiness, Gratitude, and Learning
"Money is of no value to me. Love gives you more. You can't get rid of love, when you give more, you get more." --Warren Buffett My friend Emily Sachs Wong texted me these words after having dinner with Warren Buffett, I have no idea what they were eating and for the first time in my life I wasn't interested. Perhaps because when someone says something like that, you just let it soak in. I was struck by the fact that he so clearly expressed what seemed to me to be a profound statement about what is important in life. Emily Sachs Wong and Warren Buffett February is heart month and organizations like Go Red for Women are fo...
Source: Healthy Living - The Huffington Post - February 19, 2016 Category: Consumer Health News Source Type: news

Development of Neurology-Specific Scenarios for Assessing Quality Improvement Knowledge Application During Residency Using the Revised Quality Improvement Knowledge Application Tool (QIKAT-R) (P2.377)
Conclusions: The QIKAT-R tool, when used with neurology-specific scenarios, can provide valid assessments of QI knowledge application among neurology residents, and serve as a novel way to introduce residents to the AAN Quality Measures and IOM Aims for high-quality healthcare.Disclosure: Dr. Kassardjian has nothing to disclose. Dr. Leep has received royalty payments from American Association of Neuromuscular and Electrodiagnostic Medicine.
Source: Neurology - April 3, 2016 Category: Neurology Authors: Kassardjian, C., Leep Hunderfund, A. Tags: Research Methodology and Education: Patient Safety and Quality Source Type: research

Prevalence, Associated Factors, and Impact on Quality of Life of Migraine in a Community in Northeast China.
CONCLUSION: Migraine is a highly prevalent disease that can significantly affect quality of life. Age, sex, education level, depression, CHD, COPD, IS, and hypertension were all associated with migraine. PMID: 27128478 [PubMed - as supplied by publisher]
Source: Journal of Orofacial Pain - April 30, 2016 Category: ENT & OMF Tags: J Oral Facial Pain Headache Source Type: research

Answers to Illuminations questions
Answers (1) False, (2) False, (3) True, (4) False, (5) True, (6) False, (7) True, (8) True. This patient has an acute, non-haemorrhagic right middle cerebral territory infarct. There was involvement of the right precentral and postcentral gyri (motor and sensory areas) on other images. The axial T2-weighted image (figure 1) demonstrates high signal in swollen/oedematous ischaemic cortex with effacement of the sulci. There is also restricted diffusion in the affected area, with corresponding high/increased signal (bright) on DWI (figure 2), and low signal (dark) on the apparent diffusion coefficient (ADC) map (figure 3). In...
Source: Archives of Disease in Childhood - Education and Practice - May 17, 2016 Category: Pediatrics Authors: Williams, H. Tags: Oncology, Journalology, Echocardiography, Epilepsy and seizures, Headache (including migraine), Infection (neurology), Neurooncology, Stroke, Child health, Radiology, Clinical diagnostic tests, Radiology (diagnostics), Competing interests (ethics) Illum Source Type: research

Needs of Internally Displaced Women and Children in Baghdad, Karbala, and Kirkuk, Iraq
Conclusions The vulnerability of this population is great, and the emotional trauma of multiple displacements, kidnapping and deaths from intentional violence is great. While some aid is reaching families, much more is needed. Though Iraq is a middle income country, reaching the IDPs in central Iraq will take much more in international assistance than is currently being received. Unfortunately, at this time of great need, assistance is being cut back throughout the region because of lack of funding.10 The local civil society organizations which have sprung up in many locations to assist IDPs, offer an avenue for targeting ...
Source: PLOS Currents Disasters - June 10, 2016 Category: Global & Universal Authors: Gilbert Burnham Source Type: research

Rupture of vertebral artery dissection aneurysm during 3D DSA
A 60-year-old man with a history of headache and vomiting had a subarachnoid hemorrhage on CT scan. On 2-dimensional (2D) digital subtraction angiography (DSA), a possible dissection aneurysm of the vertebral artery was seen (video 1 on the Neurology® Web site at Neurology.org). During 3D DSA, the aneurysm suddenly ruptured (video 2), with intracranial hemorrhage. The pressure of contrast was 200 psi, the rate was 2 mL/s, with a total volume of 12 mL. The patient was transferred to the intensive care unit but died of brain herniation and vasospasm. Few dissection aneurysms rupture during 3D DSA, but the risk is likely ...
Source: Neurology - July 10, 2016 Category: Neurology Authors: Xu, D., Wang, C., Zhang, C., Xiang, S., Xie, X. Tags: All Imaging, All Clinical Neurology, All Cerebrovascular disease/Stroke, Critical care, All Education VIDEO NEUROIMAGES Source Type: research

Three-dimensional modeling of Eagle syndrome
A 63-year-old man presented with transient episodes of left-hand weakness and right-eye vision loss following a lengthy airplane trip. The patient had reported right neck pain after sleeping awkwardly on the flight. Carotid dissection, paradoxical embolism, atherosclerotic occlusion, and thrombotic occlusion were considered possible etiologies of the associated carotid occlusion. Following a period of anticoagulation, a subsequent CT angiography (figure 1, A–C) revealed findings consistent with the styloid-carotid artery, or Eagle, syndrome.1 A 3-dimensional model was subsequently created (figure 2, A and B) utilizin...
Source: Neurology - November 20, 2016 Category: Neurology Authors: Shah, K., Miller, D. J. Tags: All Headache, All Clinical Neurology, All Cerebrovascular disease/Stroke, All Education NEUROIMAGES Source Type: research

Going Global in Neurology: An Innovative Neurology Curriculum for Trainees in Resource-limited Settings (P3.325)
Conclusions:Developing countries remain in need of neurologists. Our results suggest that comfort level in diagnosing and managing neurological patients can be challenging. Attitude questions on neuromuscular disorders saw the widest range of responses, which may reflect knowledge questions on neuromuscular disorders seeing the lowest scores. Collaborative global health curricula are a means of bridging knowledge and resources to better health care in such areas. Such experiences are mutually beneficial as it encourages UMMS trainees to consider alternatives in practice in resource-limited settings.Disclosure: Dr. Kim has ...
Source: Neurology - April 17, 2017 Category: Neurology Authors: Kim, E. K., Valizadeh, N., Mayasi, Y., Eleftheriou, E., Kaddouh, F., Hannoun, A., Patti, J., Azeem, M., Kao, T., Hohler, A., Fischer, M., Desai, S., Deb, A. Tags: Global Health Source Type: research