• Filter By:
• Specialty
• Source
• Condition
• Cancer
• Infectious Disease
• Drug
• Training
• Management
• Procedure
• Therapy
• Vaccine
• Nutrition
• Country

Teaching NeuroImages: Acute isolated oculomotor nerve palsy of microvascular origin
A 73-year-old man presented with acute-onset, right-sided ptosis and pain above the right eye. His medical history noted hypertension and diabetes. On physical examination, an isolated right oculomotor palsy was noted with preserved pupillary function. An MRI scan revealed isolated swelling of superior, inferior, and medial rectus muscle at the right side (figure). No cause other than presumed microvascular oculomotor nerve ischemia was shown.1 In patients aged 50 years or older, isolated ocular motor nerve palsies are most likely due to microvascular ischemia, but other etiologies such as aneurysm, brainstem stroke, and m...
Source: Neurology - August 14, 2016 Category: Neurology Authors: van den Wijngaard, I. R., Hagenbeek, R. E., Jellema, K., Lycklama a Nijeholt, G. J. Tags: MRI, Other cerebrovascular disease/ Stroke, All Clinical Neurology, Ocular motility RESIDENT AND FELLOW SECTION Source Type: research

Clinical Reasoning: Proptosis, headache, and fever in a healthy young woman
A 23-year-old healthy woman presented to the emergency department with a week-long history of intense, pulsatile, right-sided headache, accompanied by fever, diplopia, and right eye pain and decreased visual acuity. She reported partial relief with nonsteroidal anti-inflammatory drugs.
Source: Neurology - April 17, 2016 Category: Neurology Authors: Orquera, J., Godoy, D. A., Behrouz, R., Rabinstein, A., Di Napoli, M. Tags: All Infections, Bacterial infections, All Cerebrovascular disease/Stroke, Subarachnoid hemorrhage RESIDENT AND FELLOW SECTION Source Type: research

Clinical Reasoning: A 76-year-old man with acute-onset left-sided weakness and numbness
A 76-year-old right-handed man with no known medical problems presented 2 hours after falling at work due to the acute onset of left-sided weakness and numbness. He had experienced left knee pain the previous day, but denied vertigo, headache, neck pain, chest pain, abdominal pain, or back pain. On examination, his blood pressure was 230/118 mm Hg; pulse and respiratory rate were normal. He was anxious with normal mentation, no carotid bruits, normal cardiac rate and rhythm, clear lung fields, normal cranial nerves including facial strength, weakness in his left leg (2/5 power) and arm (4/5 power), sensory loss to painful ...
Source: Neurology - April 10, 2016 Category: Neurology Authors: Renthal, W., Alberts, M., Shang, T. Tags: All Cerebrovascular disease/Stroke RESIDENT AND FELLOW SECTION Source Type: research

Glioproliferative Lesion of the Spinal Cord Derived from Intrathecal Administration of Stem Cells (P4.234)
CONCLUSIONS: Unregulated intrathecal SCT can cause devastating complications. This patient’s highly proliferative neoplasm developing from pluripotent stem cells supports the ideological shift to employ more differentiated cells in future SCT research.Disclosure: Dr. Saad has nothing to disclose. Dr. Miller has nothing to disclose. Dr. Cagney has nothing to disclose. Dr. Chavakula has nothing to disclose. Dr. Guleria has nothing to disclose. Dr. Aizer has nothing to disclose. Dr. Ligon has nothing to disclose. Dr. Chi has nothing to disclose. Dr. Berkowitz has received royalty payments from Clinical Pathophysiology M...
Source: Neurology - April 3, 2016 Category: Neurology Authors: Saad, M., Miller, M., Cagney, D., Chavakula, V., Guleria, I., Aizer, A., Ligon, K., Chi, J., Berkowitz, A. Tags: Neuro-oncology: Neurologic Complications of Cancer Source Type: research

The History of Aspirin: from Willow Bark to Thomas Edison in the 20th Century (P2.391)
CONCLUSION: The evolution of Aspirin in the 20th century aligned with historical events leading to its place as one of the most widely used drugs in history.Disclosure: Dr. Southerland has received personal compensation in an editorial capacity for Neurology podcast.
Source: Neurology - April 3, 2016 Category: Neurology Authors: Southerland, A. Tags: History of Neurology 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

Facial Colliculus and Opalski Stroke Syndromes Caused by Vertebral Artery Dissection. Case Report (P4.349)
Conclusion: Brainstem stroke syndromes are challenging to localize before brain imaging. In this case two embolic strokes happened. The first in the right facial colliculus causing the right 6th and 7th cranial nerves palsy. The second happened in the left lateral medulla extending below the pyramidal decussation causing a classical left lateral medullary syndrome with ipsilateral hemiparesis, which constitute a left Opalski stroke syndrome.Disclosure: Dr. Alghamdi has nothing to disclose. Dr. Ayoub has nothing to disclose. Dr. Alzahrani has nothing to disclose.
Source: Neurology - April 3, 2016 Category: Neurology Authors: Alghamdi, S., Ayoub, O., Alzahrani, N. Tags: Cerebrovascular Case Reports Source Type: research

A Case of Resolution of Thalamic Pain Syndrome Following Endovascular Stenting (P4.352)
Conclusions: CPSP may be in part due to chronic hypoperfusion. Endovascular stenting may have led to the resolution of the patient’s CPSP.Disclosure: Dr. Le has nothing to disclose. Dr. Rasmussen has nothing to disclose. Dr. Noonan has nothing to disclose.
Source: Neurology - April 3, 2016 Category: Neurology Authors: Le, S., Rasmussen, J., Noonan, P. Tags: Cerebrovascular Case Reports 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

Pain after Cervical Artery Dissection (P4.381)
Conclusions: Chronic pain or new pain development is frequent after spontaneous CAD. Recognition of clinical factors that predict chronic pain could help clinicians manage pain in CAD patients more effectively.Disclosure: Dr. Youn has nothing to disclose. Dr. Prabhakaran has received personal compensation for activities with the American Heart Association.
Source: Neurology - April 3, 2016 Category: Neurology Authors: Youn, J., Prabhakaran, S. Tags: Non-Atherosclerotic Arteriopathies Source Type: research

Sustained Efficacy with IncobotulinumtoxinA in Upper-Limb Post-Stroke Spasticity Over 48 Weeks (a Phase 3, Placebo-Controlled Study with an Open-Label Extension) (P3.303)
Conclusions: For subjects with upper-limb spasticity after a stroke, repeated injections of incobotulinumtoxinA (400U each at 12-week intervals) showed sustained efficacy in reducing muscle tone and spasticity-associated disability, while confirming the favorable safety profile of incobotulinumtoxinA in this indication.Disclosure: Dr. Elovic has received personal compensation from Allergan, Inc., and Solstice Neurosciences. Dr. Brashear has received personal compensation for activities with Allergan, Ipsen, Revance and Concerta as a consultant. Dr. Brashear has received royalty payments from books royalties. Dr. Brashear h...
Source: Neurology - April 3, 2016 Category: Neurology Authors: Elovic, E., Brashear, A., Munin, M., Kaňovsky, P., Hanschmann, A., Hiersemenzel, R., Marciniak, C. Tags: Neurorehabilitation Source Type: research

Palliative Care is Underutilized in Ischemic Stroke Patients with Poor Functional Outcome (P6.089)
Conclusions:Our observations suggest that PC may be underutilized in ischemic stroke patients, particularly in those who may benefit from it the most. PC has great potential to diminish suffering through physical and psychological symptom management. Providers should at least consider PC consults for hospitalized stroke patients.Disclosure: Dr. Gropen has nothing to disclose. Dr. Sisson has nothing to disclose. Dr. Albright has nothing to disclose. Dr. Lakkur has nothing to disclose. Dr. Bakitas has nothing to disclose. Dr. Sands has received research support from Biogen. Dr. Kaur has nothing to disclose. Dr. Lyerly has no...
Source: Neurology - April 3, 2016 Category: Neurology Authors: Gropen, T., Sisson, A., Albright, K., Lakkur, S., Bakitas, M., Sands, K., Kaur, M., Lyerly, M., Burgio, K. Tags: Pain and Palliative Care: Patient Safety and Quality Source Type: research

Internal Carotid Artery Stenosis and Flow Diversion: Relationship with Headache (P6.099)
Conclusion: Recognition of flow-diversion into the ECA as a possible mechanism for headaches may help in further understanding of ICA disease, its progression, and effects of carotid revascularization on quality of life. Headache as a likely surrogate marker of carotid stenosis with flow-diversion warrants more research, and may be critical in the early identification of significant ICA stenosis and prevention of TIA or stroke.Disclosure: Dr. Herial has nothing to disclose. Dr. Miran has nothing to disclose. Dr. Qureshi has nothing to disclose. Dr. Qureshi has nothing to disclose. Dr. Qureshi has nothing to disclose.
Source: Neurology - April 3, 2016 Category: Neurology Authors: Herial, N., Miran, M. S., Saleem, M., Qureshi, I., Qureshi, A. Tags: Headache: Clinical Presentation/Diagnosis 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

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

Pages: 1  2  3  4  5  6  7