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Continuum: Lifelong Learning in Neurology

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https://www.readbyqxmd.com/read/30074561/erratum
#1
(no author information available yet)
No abstract text is available yet for this article.
August 2018: Continuum: Lifelong Learning in Neurology
https://www.readbyqxmd.com/read/30074557/common-legal-considerations-when-moving-to-a-new-medical-practice
#2
Joseph S Kass, Rachel V Rose
This article presents a hypothetical case of the legal issues a physician must consider when moving to a new medical practice, such as the enforceability of a noncompete clause, malpractice insurance, communicating this change in practice to existing patients, and custody of medical records.
August 2018: Continuum: Lifelong Learning in Neurology
https://www.readbyqxmd.com/read/30074556/unusual-headache-disorders
#3
Amaal Jilani Starling
PURPOSE OF REVIEW: Unusual headache disorders are less commonly discussed and may be misdiagnosed. These headache disorders frequently have a benign natural history; however, without reassurance, therapeutic education, and treatment, they can negatively affect the health and function of patients. RECENT FINDINGS: This article reviews the clinical features, diagnosis, workup, and proposed treatments for several unusual headache disorders including primary cough headache, primary headache associated with sexual activity, primary exercise headache, cold-stimulus headache, primary stabbing headache, nummular headache, hypnic headache, and headache attributed to travel in space...
August 2018: Continuum: Lifelong Learning in Neurology
https://www.readbyqxmd.com/read/30074555/secondary-headache-syndromes
#4
Denise E Chou
PURPOSE OF REVIEW: This article is intended to assist clinicians in distinguishing benign primary headache syndromes from serious headache presentations that arise from exogenous causes. RECENT FINDINGS: Although most cases of severe headache are benign, it is essential to recognize the signs and symptoms of potentially life-threatening conditions. Patients with primary headache disorders can also acquire secondary conditions that may present as a change in their baseline headache patterns and characteristics...
August 2018: Continuum: Lifelong Learning in Neurology
https://www.readbyqxmd.com/read/30074554/cranial-neuralgias
#5
Stewart J Tepper
PURPOSE OF REVIEW: This article describes the clinical features and diagnostic criteria, pathophysiology (when known), and treatment strategies of the major cranial neuralgias. RECENT FINDINGS: Abnormal vascular loops compressing cranial nerves are the most common known pathogenesis associated with the primary neuralgias. SUMMARY: The most frequently encountered primary neuralgias are trigeminal neuralgia, occipital neuralgia, and, rarely, glossopharyngeal neuralgia...
August 2018: Continuum: Lifelong Learning in Neurology
https://www.readbyqxmd.com/read/30074553/cluster-headache-and-other-trigeminal-autonomic-cephalalgias
#6
Mark Burish
PURPOSE OF REVIEW: This article covers the clinical features, differential diagnosis, and management of the trigeminal autonomic cephalalgias (TACs). The TACs are composed of five diseases: cluster headache, paroxysmal hemicrania, short-lasting unilateral neuralgiform headache attacks with conjunctival injection and tearing (SUNCT), short-lasting unilateral neuralgiform headache attacks with cranial autonomic symptoms (SUNA), and hemicrania continua. RECENT FINDINGS: New classifications for the TACs have two important updates; chronic cluster headache is now defined as remission periods lasting less than 3 months (formerly less than 1 month), and hemicrania continua is now classified as a TAC (formerly classified as other primary headache)...
August 2018: Continuum: Lifelong Learning in Neurology
https://www.readbyqxmd.com/read/30074552/pediatric-and-adolescent-headache
#7
Amy A Gelfand
PURPOSE OF REVIEW: This article provides the practicing neurologist with a comprehensive, evidence-based approach to the diagnosis and management of headache in children and adolescents, with a focus on migraine. RECENT FINDINGS: Four triptans are now labeled by the US Food and Drug Administration (FDA) for acute migraine treatment in adolescents, and rizatriptan is labeled for use in children age 6 and older. For preventive migraine treatment, the Childhood and Adolescent Migraine Prevention trial demonstrated that approximately 60% of children and adolescents with migraine will improve with a three-pronged treatment approach that includes: (1) lifestyle management counseling (on sleep, exercise, hydration, caffeine, and avoidance of meal skipping); (2) optimally dosed acute therapy, specifically nonsteroidal anti-inflammatory drugs and triptans; and (3) a preventive treatment that has some evidence for efficacy...
August 2018: Continuum: Lifelong Learning in Neurology
https://www.readbyqxmd.com/read/30074551/headache-in-pregnancy
#8
Matthew S Robbins
PURPOSE OF REVIEW: Headache disorders are extraordinarily common and disproportionately impact women of childbearing age. This article reviews the importance of proper diagnosis, natural history, and management of headache disorders in pregnant and postpartum women. RECENT FINDINGS: Red flags for secondary headache specifically among pregnant women include elevated blood pressure and lack of a previous headache history, as well as a prolonged duration of the headache attack in those with a prior history of migraine...
August 2018: Continuum: Lifelong Learning in Neurology
https://www.readbyqxmd.com/read/30074550/headaches-due-to-low-and-high-intracranial-pressure
#9
Deborah I Friedman
PURPOSE OF REVIEW: Headache disorders attributed to low and high intracranial pressure are commonly encountered in specialty headache practices and may occur more frequently than realized. While the headaches resulting from intracranial pressure disorders have what are conventionally thought of as defining characteristics, a substantial minority of patients do not manifest the "typical" features. Moreover, patients with intracranial pressure disorders may also have a preexisting primary headache disorder...
August 2018: Continuum: Lifelong Learning in Neurology
https://www.readbyqxmd.com/read/30074549/preventive-therapy-of-migraine
#10
Todd J Schwedt
PURPOSE OF REVIEW: This article reviews the preventive therapy of migraine, including indications, strategies for use, and available treatments. RECENT FINDINGS: Lifestyle modifications and migraine trigger avoidance are recommended as preventive measures for all individuals with migraine. The decision to recommend additional migraine preventive therapy should consider the frequency of migraine attacks and headaches, extent of migraine-associated disability, frequency of using acute migraine treatments and the responsiveness to such treatments, and patient preferences...
August 2018: Continuum: Lifelong Learning in Neurology
https://www.readbyqxmd.com/read/30074548/acute-treatment-of-migraine
#11
Bert B Vargas
PURPOSE OF REVIEW: This article provides a framework to help providers formulate a plan for the acute treatment of migraine. Topics covered include the cost-effective patient-centered approach known as stratified care and a summary of evidence-based treatment options that are currently available. Strategies for improving treatment response, troubleshooting suboptimal results, and addressing the needs of special populations are also reviewed. RECENT FINDINGS: Both the American Headache Society and the Canadian Headache Society have released evidence-based assessments and reviews of acute treatments for migraine that can be used to help guide treatment decisions...
August 2018: Continuum: Lifelong Learning in Neurology
https://www.readbyqxmd.com/read/30074547/the-migraine-postdrome
#12
Pyari Bose, Nazia Karsan, Peter J Goadsby
PURPOSE OF REVIEW: The migraine postdrome is the least studied and least understood phase of migraine. This article covers the salient features of the migraine postdrome and provides insight into the history, clinical symptoms, and future implications of this phase of migraine. RECENT FINDINGS: Prospective electronic diary studies have shown that patients are left disabled with various nonheadache symptoms in the migraine postdrome, and 81% of patients report at least one nonheadache symptom in the postdrome...
August 2018: Continuum: Lifelong Learning in Neurology
https://www.readbyqxmd.com/read/30074546/the-migraine-aura
#13
Andrew Charles
PURPOSE OF REVIEW: This article discusses the basic mechanisms of migraine aura and its clinical significance based upon evidence from human studies and animal models. RECENT FINDINGS: Prospective clinical studies have reinforced the understanding that migraine aura is highly variable from one individual to the next as well as from attack to attack in an individual. While migraine with aura clearly has a higher heritability than migraine without aura, population studies have not identified specific genes that underlie this heritability for typical migraine with aura...
August 2018: Continuum: Lifelong Learning in Neurology
https://www.readbyqxmd.com/read/30074545/the-migraine-premonitory-phase
#14
Nazia Karsan, Pyari Bose, Peter J Goadsby
PURPOSE OF REVIEW: The premonitory phase of migraine is defined as the presence of nonpainful symptomatology occurring hours to days before the onset of headache. Symptoms can include neck stiffness, yawning, thirst, and increased frequency of micturition. Clinical recognition of these symptoms is important to ensure early and effective attack management. Further understanding of the clinical phenotype and neurobiological mediation of these symptoms is important in the advancement of therapeutics research in both acute and preventive treatments of migraine...
August 2018: Continuum: Lifelong Learning in Neurology
https://www.readbyqxmd.com/read/30074544/drome-attacks
#15
Steven L Lewis
No abstract text is available yet for this article.
August 2018: Continuum: Lifelong Learning in Neurology
https://www.readbyqxmd.com/read/29851891/learning-objectives-and-core-competencies
#16
(no author information available yet)
No abstract text is available yet for this article.
June 2018: Continuum: Lifelong Learning in Neurology
https://www.readbyqxmd.com/read/29851890/erratum
#17
(no author information available yet)
No abstract text is available yet for this article.
June 2018: Continuum: Lifelong Learning in Neurology
https://www.readbyqxmd.com/read/29851886/coding-for-behavioral-neurology-and-psychiatry
#18
Raissa Villanueva, Bruce H Cohen
Medical coding is highly technical, and proper use of both Current Procedural Terminology (CPT) and the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) is difficult because of the considerable detail of the code definitions, the changes implemented yearly, and the vast change a few years ago with the transition to ICD-10-CM. Although basic office visit and hospital visit Evaluation and Management (E/M) codes have not changed in decades, new cognitive care codes have been added to the cognitive codes that fall under E/M...
June 2018: Continuum: Lifelong Learning in Neurology
https://www.readbyqxmd.com/read/29851885/assessment-of-medical-decision-making-capacity-in-patients-with-dementia
#19
Joshua J Rodgers, Joseph S Kass
Medical decision-making capacity, the patient's ability to exercise autonomy reasonably, is an essential component of both informed consent and informed refusal. The assessment of medical decision-making capacity is thus fundamental to the ethical practice of medicine. Medical decision-making capacity is not all or nothing but rather exists on a continuum and should be assessed on a decision-by-decision basis. Alzheimer disease and other neurocognitive disorders can affect a patient's medical decision-making capacity and may pose special challenges to capacity assessment...
June 2018: Continuum: Lifelong Learning in Neurology
https://www.readbyqxmd.com/read/29851884/diagnosis-and-management-of-anxiety-disorders
#20
Peter Giacobbe, Alastair Flint
PURPOSE OF REVIEW: This article provides a synopsis of the current understanding of the pathophysiology of anxiety disorders, the biological and environmental risk factors that contribute to their development and maintenance, a review of the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) diagnostic criteria, and a practical approach to the treatment of anxiety disorders in adults. RECENT FINDINGS: Despite the ubiquity of anxiety, the evidence is that most individuals with an anxiety disorder are not identified and do not receive guideline-level care...
June 2018: Continuum: Lifelong Learning in Neurology
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