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Source: Neurology
Condition: Pain
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Total 95 results found since Jan 2013.
Helping Haiti: Addressing the Burden of Neurologic Disease (I10-2.004)
CONCLUSIONS: With this nationwide collaborative and interdisciplinary approach, we hope to have a dramatic impact on the perceptions and outcomes of neurologic disease and provide a continuous, but dynamic presence in Port au Prince, Haiti while training physicians, nurses, and other team members in global health perspectives.Disclosure: Dr. Santini has nothing to disclose. Dr. Alessi has received personal compensation for activities with CBS Radio, the National Football League Players Association, and Colonial Cooperative Care. Dr. Jones has nothing to disclose. Dr. Etienne has nothing to disclose. Dr. Hohler has nothing to disclose.
Source: Neurology - April 9, 2014 Category: Neurology Authors: Santini, V., Alessi, A., Jones, E., Etienne, M., Hohler, A. Tags: The Global Burden of Neurological Diseases Data Blitz Presentations Source Type: research
Emerging Subspecialties in Neurology: Neuropalliative care
Palliative medicine, as defined by World Health Organization, is the specialty that recognizes and attempts to prevent or alleviate physical, social, psychological, and spiritual suffering.1 Understanding the principles of palliative care should be an essential component of neurologic training, as the trajectory of many neurologic illnesses is progressive and incurable.2 Given the delicate nature of many of the conversations that neurologists have with patients at the time of diagnosis or during acute illness and hospitalization, expertise in discussing a patient's wishes, handling difficult conversations, and providing ad...
Source: Neurology - May 26, 2014 Category: Neurology Authors: Robinson, M. T., Barrett, K. M. Tags: Palliation pain, Palliative care RESIDENT AND FELLOW SECTION Source Type: research
Acute refractory intestinal pseudo-obstruction in MELAS: Efficacy of prucalopride
In mitochondrial myopathy, encephalopathy, lactic acidosis, and stroke-like episodes (MELAS), a multisystem mitochondrial disorder, gastrointestinal involvement is frequent with dysphagia, chronic diarrhea, anorexia, abdominal pain, delayed gastric emptying, and paralytic, often intractable, ileus.1 In this article, we report a patient with chronic gastrointestinal dysmotility and acute refractory intestinal pseudo-obstruction responsive to prucalopride.
Source: Neurology - May 26, 2014 Category: Neurology Authors: Primiano, G., Plantone, D., Forte, F., Sauchelli, D., Scaldaferri, F., Gasbarrini, A., Servidei, S. Tags: CT, Mitochondrial disorders; see Genetics/Mitochondrial disorders, Muscle disease, Class IV, Mitochondrial disorders CLINICAL/SCIENTIFIC NOTES Source Type: research
Teaching NeuroImages: Ocular bruit in carotid-cavernous sinus fistula
A 57-year-old man who had a traffic accident 1 month previously presented with left ocular pain, double vision, and left eye proptosis with ptosis and conjunctival hemorrhage. Fundus showed dilated veins with no hemorrhages or disc edema. Left ocular motility showed complete external ophthalmoplegia (figure 1). There was prominent ocular bruit in his left eye (audio file on the Neurology® Web site at Neurology.org). MRI and magnetic resonance angiography showed a dilated left superior ophthalmic vein and an extravasation into cavernous sinus (figure 2). With chemosis, ophthalmoplegia, and retro-orbital pain, the auscul...
Source: Neurology - August 11, 2014 Category: Neurology Authors: Choi, J.-Y., Baek, S.-H., Jung, J.-M., Kwon, D.-Y., Park, M. H. Tags: All Imaging, Other cerebrovascular disease/ Stroke, Clinical neurology examination, All Neuro-ophthalmology RESIDENT AND FELLOW SECTION Source Type: research
Clinical Reasoning: A 42-year-old man who developed blurred vision and dropped his iPod while jogging
A 42-year-old man noted sudden onset of blurriness in his left eye and dropped his iPod from his right hand while jogging. In the emergency room, it was noted that visual blurring resolved with right eye closure, but his ophthalmologic examination was otherwise normal. He had subtle right nasolabial fold flattening and right arm pronator drift. His examination was otherwise normal. He reported no headache, neck pain, prior trauma, prior transient neurologic deficit, or palpitations. He took no medications and did not smoke, drink alcohol, or use illicit drugs.
Source: Neurology - August 18, 2014 Category: Neurology Authors: Berkowitz, A. L., Voinescu, P. E., Feske, S. K. Tags: All Cerebrovascular disease/Stroke, Carotid artery dissection RESIDENT AND FELLOW SECTION Source Type: research
Recreational drug use and RCVS: should toxicity screens become standard in RCVS diagnostics? (P2.284)
CONCLUSIONS: As we transition into a new culture of researching marijuana derivatives to treat a multitude of neurologic diseases including pain syndromes, epilepsy, and multiple sclerosis we must also consider the vasoactive properties of the substance and potential vascular complications. This also raises the importance of improving drug screening in such patients with high suspicion of RCVS on admission and identifying high risk patients to prevent further vascular complications. Study Supported by:Disclosure: Dr. Mirchandani has nothing to disclose. Dr. Khan has nothing to disclose. Dr. Wajnsztajn has nothing to disclose.
Source: Neurology - April 8, 2015 Category: Neurology Authors: Mirchandani, N., Khan, I., Wajnsztajn, F. Tags: Cerebrovascular Disease and Interventional Neurology: RCVS and Malignant Cerebral Edema 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
Effects of Acupuncture on Neuropathic Pain: A Systematic Review and Meta-analysis (P3.306)
CONCLUSIONS: The majority of trials demonstrate a positive effect of acupuncture over control condition in the treatment of neuropathy. Further more rigorously designed studies are needed to better characterize this effect.Disclosure: Dr. Dimitrova has nothing to disclose. Dr. Murchison has received research support from the National Institute for Neurological Disorders and Stroke. Dr. Oken has received personal compensation for activities with Dr. Willmar Schwabe Pharmaceuticals as a speaker.
Source: Neurology - April 8, 2015 Category: Neurology Authors: Dimitrova, A., Murchison, C., Oken, B. Tags: Pain and Palliative Care Source Type: research
Subarachnoid Hemorrhage as the Initial Neurologic Manifestation in Thrombotic Thrombocytopenic Purpura (P6.014)
Conclusion: Upon review of the literature, ischemic infarction and intracerebral hemorrhage are uncommon complications of TTP. Our case demonstrates a unique case of subarachnoid hemorrhage as the initial neurological manifestation of TTP.Disclosure: Dr. Wei has nothing to disclose. Dr. Ramesh has nothing to disclose. Dr. Farmakidis has nothing to disclose. Dr. Nalleballe has nothing to disclose. Dr. JADEJA has nothing to disclose.
Source: Neurology - April 8, 2015 Category: Neurology Authors: Wei, J., Ramesh, A., Farmakidis, C., Nalleballe, K., Jadeja, N. Tags: Cerebrovascular Disease and Interventional Neurology II ePosters Source Type: research
Brachial Plexus Neuritis as Presenting Manifestation of Disseminated Coccidioidomycosis. (P6.323)
CONCLUSIONS:This is the first reported case of coccidioidomycosis presenting with PNS involvement. Both remote inflammatory changes and direct local fungal invasion noted in this case highlight the wide spectrum of clinico-pathological presentations seen in coccidioidomycosis infection. As this fungal disease is identified with increasing frequency, clinicians should be aware of its atypical manifestations. Study Supported by: Disclosure: Dr. Shah has nothing to disclose. Dr. Liao has nothing to disclose. Dr. Shanina has nothing to disclose. Dr. Smith has nothing to disclose.
Source: Neurology - April 8, 2015 Category: Neurology Authors: Shah, R., Liao, B., Shanina, E., Smith, G. Tags: Fungi, Parasites, and Other Infectious Disorders Source Type: research
Predicting the Network Effects of Focal Brain Lesions (S52.001)
CONCLUSIONS: Lesion-based network analysis links lesions to clinical symptoms in a way not possible with traditional lesion analysis and is likely to find broad application in elucidating brain-behavior relationships. Study Supported by: NIH/NINDS R25 grant 5R25NS065743-05Disclosure: Dr. Boes has nothing to disclose. Dr. Fischer has nothing to disclose. Dr. Ayache has nothing to disclose. Dr. Geerling has nothing to disclose. Dr. Prasad has nothing to disclose. Dr. Liu has nothing to disclose. Dr. Liu has nothing to disclose. Dr. Edlow has nothing to disclose. Dr. Caviness has nothing to disclose. Dr. Lefaucheur has nothin...
Source: Neurology - April 8, 2015 Category: Neurology Authors: Boes, A., Fischer, D., Ayache, S., Geerling, J., Prasad, S., Liu, H., Liu, Q., Edlow, B., Caviness, V., Lefaucheur, J.-P., Pascual-Leone, A., Fox, M. Tags: General Neurology: Neural Networks and Neuromodulation Source Type: research
Clinical Reasoning: A 50-year-old man with "elephantiasis" and headache
A 50-year-old man with a medical history of "elephantiasis" of the legs, status post left above the knee amputation with prosthetic limb, and hypothyroidism presented with 1 week of headache and nausea. The headache was continuous, with gradual worsening over the 7 days prior to admission, and he had minimal relief with ibuprofen. On the second day, he developed nausea. He denied any history of headaches, blurred or double vision, numbness, weakness, tingling, loss of balance, vertigo, chest pain, palpitations, or shortness of breath. In the emergency room, he was afebrile with a heart rate of 78 beats per minute and regul...
Source: Neurology - November 23, 2015 Category: Neurology Authors: Yaghi, S., Kitago, T., Elkind, M. S. V. Tags: All Cerebrovascular disease/Stroke, Embolism, Infarction RESIDENT AND FELLOW SECTION Source Type: research
Embolic Strokes and Relapsing Infective Endocarditis Due to Neisseria Subflava (P1.316)
CONCLUSIONS: N.subflava can be a causative agent for relapsing infective endocarditis complicated with embolic strokes. The management of stroke in the setting of IE is different and it is important to be aware of it to avoid complications.Disclosure: Dr. Rodriguez Alvarez has nothing to disclose. Dr. Pillai has nothing to disclose. Dr. Khanna has nothing to disclose.
Source: Neurology - April 3, 2016 Category: Neurology Authors: Rodriguez Alvarez, M., Pillai, A., Khanna, R. Tags: Other Bacterial Infections Source Type: research
The Changing Landscape of Ethical Issues in Neurology Practice and Research (P1.365)
Conclusions: As technological advancements provide neurologists with more diagnostic and treatment options ethical considerations need to be reassessed in order to ensure adherence to medical and neurological professional codes of conduct. Many of these technological advancements have provided neurologists with tools and treatment options which although appear promising, are far from universally understood or accepted. New concerns regarding Brain death, neuro-enhancement, and TBI have emerged and merit further study.Disclosure: Dr. Bergquist has nothing to disclose. Dr. Theriault has nothing to disclose. Dr. Etienne has nothing to disclose.
Source: Neurology - April 3, 2016 Category: Neurology Authors: Bergquist, P., Theriault, M., Etienne, M. Tags: Ethics and Policy Source Type: research
Neurologic Presentation of K2: A City Hospital Experience (P2.258)
Conclusions: There are many common reported toxicities with synthetic cannabinoid use. We report our neurologic experience at Harlem Hospital. The incidence of seizures was high implicating K2 as either a provoking factor of patients with underlying epilepsy or one that could lower the seizure threshold sufficiently to provoke seizure in patients with no prior history.Disclosure: Dr. Kleiman has nothing to disclose. Dr. Ravichandran has nothing to disclose. Dr. Macaluso has nothing to disclose. Dr. Brust has received personal compensation in an editorial capacity for Current Neurology and Neuroscience Reports, and The Neurologist.
Source: Neurology - April 3, 2016 Category: Neurology Authors: Kleiman, A., Ravichandran, A., Macaluso, C., Brust, J. Tags: General Neurology Source Type: research
