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Continuum: Lifelong Learning in Neurology

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https://www.readbyqxmd.com/read/29613907/appendix
#1
(no author information available yet)
No abstract text is available yet for this article.
April 2018: Continuum: Lifelong Learning in Neurology
https://www.readbyqxmd.com/read/29613906/learning-objectives-and-core-competencies
#2
(no author information available yet)
No abstract text is available yet for this article.
April 2018: Continuum: Lifelong Learning in Neurology
https://www.readbyqxmd.com/read/29613902/liability-for-referrals-to-other-physicians
#3
Joseph S Kass
This article presents four hypothetical cases that demonstrate ways in which neurologists may be vulnerable to liability for how they manage patients they refer to other physicians for consultations. This article also discusses the importance of protecting neurologists from claims of negligence through documentation, which includes the rationale for ordering a consultation, deferring a consultation, or disagreeing with a consultant's recommendations. Lastly, the article discusses the importance of including patients in the decision-making process and detailing these conversations in the medical record...
April 2018: Continuum: Lifelong Learning in Neurology
https://www.readbyqxmd.com/read/29613901/disorders-of-the-cauda-equina
#4
Brent P Goodman
PURPOSE OF REVIEW: Conditions that affect the cauda equina are a diverse group of disorders that require timely recognition and management. This article reviews cauda equina anatomy, the diagnostic approach to disorders of the cauda equina, features of cauda equina syndrome, and diskogenic and nondiskogenic disorders of the cauda equina. RECENT FINDINGS: Establishing clinical criteria for cauda equina syndrome has been a focus of a number of reviews, although the clinician must maintain a low threshold for emergent imaging in cases of suspected cauda equina syndrome because of the suboptimal reliability of various signs and symptoms in identifying this condition clinically...
April 2018: Continuum: Lifelong Learning in Neurology
https://www.readbyqxmd.com/read/29613900/myelopathies-due-to-structural-cervical-and-thoracic-disease
#5
Amro Maher Stino, Samantha J LoRusso
PURPOSE OF REVIEW: The article discusses the current diagnostic and therapeutic approach to myelopathies occurring as a consequence of structural cervical and thoracic spine disease. RECENT FINDINGS: The exact pathophysiologic basis of cervical spondylotic myelopathy remains somewhat elusive. Diffusion-tensor imaging has emerged as a useful imaging modality that correlates more closely with clinical severity than standard MRI. Baseline disease severity, symptom duration, age, presence of impaired gait, and smoking status are significant factors related to surgical outcomes...
April 2018: Continuum: Lifelong Learning in Neurology
https://www.readbyqxmd.com/read/29613899/traumatic-spinal-cord-injury
#6
Alejandro A Rabinstein
PURPOSE OF REVIEW: This article provides an update on the acute and subacute management and prognostication of patients with traumatic spinal cord injury. RECENT FINDINGS: Immobilization of the spine and spine clearance should be individualized depending on the ability to perform a reliable neurologic examination, the presence of neck pain, and the imaging findings. Early surgery (within 24 hours) to achieve definitive cord decompression and spine stabilization may be beneficial...
April 2018: Continuum: Lifelong Learning in Neurology
https://www.readbyqxmd.com/read/29613898/hereditary-myelopathies
#7
Peter Hedera
PURPOSE OF REVIEW: Hereditary myelopathies are very diverse genetic disorders, and many of them represent a widespread neurodegenerative process rather than isolated spinal cord dysfunction. This article reviews various types of inherited myelopathies, with emphasis on hereditary spastic paraplegias and spastic ataxias. RECENT FINDINGS: The ever-growing number of myelopathy-causing genes and broadening of phenotype-genotype correlations makes the molecular diagnosis of inherited myelopathies a daunting task...
April 2018: Continuum: Lifelong Learning in Neurology
https://www.readbyqxmd.com/read/29613897/immune-mediated-myelopathies
#8
Dean M Wingerchuk
PURPOSE OF REVIEW: This article reviews the clinical presentation, diagnostic evaluation, and management of immune-mediated myelopathies. RECENT FINDINGS: The discovery of several neural autoantibodies and their antigenic targets has revolutionized the investigation and treatment of immune-mediated myelopathies. Detection of these serologic biomarkers can support or establish a diagnosis of an autoimmune myelopathy, and, in the case of paraneoplastic syndromes, indicate the likely presence of an underlying malignancy...
April 2018: Continuum: Lifelong Learning in Neurology
https://www.readbyqxmd.com/read/29613896/neoplastic-myelopathies
#9
Jing Wu, Surabhi Ranjan
PURPOSE OF REVIEW: This article discusses the diagnosis and management of neoplasms that affect the spinal cord as well as spinal cord disorders that can occur due to cancer treatments. RECENT FINDINGS: Neoplastic myelopathies are uncommon neurologic disorders but cause significant morbidity when they occur. Primary spinal cord tumors can be classified into intramedullary, intradural extramedullary, or extradural tumors. Diffuse gliomas and ependymal tumors are the most common intramedullary tumors...
April 2018: Continuum: Lifelong Learning in Neurology
https://www.readbyqxmd.com/read/29613895/infectious-myelopathies
#10
Marie F Grill
PURPOSE OF REVIEW: This article reviews bacterial, viral, fungal, and parasitic pathogens associated with myelopathy. Infectious myelopathies may be due to direct infection or parainfectious autoimmune-mediated mechanisms; this article focuses primarily on the former. RECENT FINDINGS: Some microorganisms exhibit neurotropism for the spinal cord (eg, enteroviruses such as poliovirus and flaviviruses such as West Nile virus), while others are more protean in neurologic manifestations (eg, herpesviruses such as varicella-zoster virus), and others are only rarely reported to cause myelopathy (eg, certain fungal and parasitic infections)...
April 2018: Continuum: Lifelong Learning in Neurology
https://www.readbyqxmd.com/read/29613894/metabolic-and-toxic-myelopathies
#11
Robert N Schwendimann
PURPOSE OF REVIEW: Myelopathy may occur as a consequence of various metabolic and toxic conditions. This article provides an update on the clinical presentations, diagnostic evaluations, and management of metabolic and toxic myelopathies. RECENT FINDINGS: Myelopathy and myeloneuropathy due to vitamin B12 deficiency is increasing in prevalence partly because of an aging population. Early recognition of the clinical symptoms and rapid initiation of treatment is essential...
April 2018: Continuum: Lifelong Learning in Neurology
https://www.readbyqxmd.com/read/29613893/vascular-disorders-of-the-spinal-cord
#12
Christopher L Kramer
PURPOSE OF REVIEW: Prompt recognition and timely management of vascular disorders of the spinal cord can improve patient outcomes. This article provides contemporary and practical knowledge about the most common vascular myelopathies. RECENT FINDINGS: New studies have provided additional information on the risk factors and impact of neurologic monitoring on perioperative spinal cord infarction. Additionally, recent publications have provided information on the impact of misdiagnosis, corticosteroid treatment, and postoperative prognosis in the treatment of spinal dural arteriovenous fistulas and have discussed the outcome of patients with spinal arteriovenous malformations treated with embolization, surgery, and stereotactic radiosurgery...
April 2018: Continuum: Lifelong Learning in Neurology
https://www.readbyqxmd.com/read/29613892/approach-to-myelopathy
#13
Tracey A Cho, Shamik Bhattacharyya
PURPOSE OF REVIEW: Myelopathy is commonly encountered in clinical practice and is associated with a large number of causes. This article reviews the anatomy of the spinal cord and discusses how the clinical findings, time course, and radiographic patterns can help to identify the causes of myelopathy. RECENT FINDINGS: Imaging observations such as MRI "pancake" gadolinium enhancement pattern with spondylotic myelopathy and subpial enhancement with neurosarcoidosis have improved diagnostic specificity...
April 2018: Continuum: Lifelong Learning in Neurology
https://www.readbyqxmd.com/read/29613891/an-issue-to-decompress-with
#14
Steven L Lewis
No abstract text is available yet for this article.
April 2018: Continuum: Lifelong Learning in Neurology
https://www.readbyqxmd.com/read/29432250/how-the-international-classification-of-diseases-tenth-revision-clinical-modification-affects-coding-for-pediatric-diagnoses
#15
Korwyn Williams
Accurate coding is important for proper reimbursement and documentation of care provided. Recent changes in disease classification systems have affected the coding for pediatric diagnoses. This article provides an overview of coding considerations for pediatric diagnoses, including coding for intellectual disabilities and congenital malformations.
February 2018: Continuum: Lifelong Learning in Neurology
https://www.readbyqxmd.com/read/29432249/pediatric-traumatic-brain-injury-and-concussion
#16
Meeryo Choe, Karen M Barlow
PURPOSE OF REVIEW: This article summarizes the impact and complications of mild traumatic brain injury and concussion in children and outlines the recent evidence for its assessment and early management. Useful evidence-based management strategies are provided for children who have a typical recovery following concussion as well as for those who have persistent postconcussion syndrome. Cases are used to demonstrate the commonly encountered pathologies of headache, cognitive issues, and mood disturbances following injury...
February 2018: Continuum: Lifelong Learning in Neurology
https://www.readbyqxmd.com/read/29432248/neurologic-complications-in-the-pediatric-intensive-care-unit
#17
Mark S Wainwright
PURPOSE OF REVIEW: All critical care is directed at maintaining brain health, but recognizing neurologic complications of critical illness in children is difficult, and limited data exist to guide practice. This article discusses an approach to the recognition and management of seizures, stroke, and cardiac arrest as complications of other critical illnesses in the pediatric intensive care unit. RECENT FINDINGS: Convulsive and nonconvulsive seizures occur frequently in children after cardiac arrest or traumatic brain injury and during extracorporeal membrane oxygenation...
February 2018: Continuum: Lifelong Learning in Neurology
https://www.readbyqxmd.com/read/29432247/transition-from-pediatric-to-adult-neurologic-care
#18
Ann H Tilton, Claudio Melo de Gusmao
PURPOSE OF REVIEW: With advances in medical care, the number of youths surviving with medically complex conditions has been steadily increasing. Inadequate transition planning and execution can lead to gaps in care, unexpected emergency department visits, and an increase in health care costs and patient/caregiver anxiety. Many barriers that prevent adequate transition have been identified, including insufficient time or staff to provide transition services, inadequate reimbursement, resistance from patients and caregivers, and a dearth of accepting adult providers...
February 2018: Continuum: Lifelong Learning in Neurology
https://www.readbyqxmd.com/read/29432246/evaluation-and-management-of-the-child-with-autism-spectrum-disorder
#19
Nicole Baumer, Sarah J Spence
PURPOSE OF REVIEW: Autism spectrum disorder is a neurodevelopmental disorder defined by deficits in social communication and the presence of restricted and repetitive behaviors and interests. This article provides the tools to diagnose and manage patients with autism spectrum disorder. RECENT FINDINGS: Autism spectrum disorder is a heterogeneous condition with varying presentations, multiple etiologies, and a number of comorbidities that impact the course and management of the disorder...
February 2018: Continuum: Lifelong Learning in Neurology
https://www.readbyqxmd.com/read/29432245/evaluation-of-the-child-with-developmental-impairments
#20
Clara D M van Karnebeek
PURPOSE OF REVIEW: This article discusses the diagnostic evaluation of intellectual developmental disorder, comprising global developmental delay and intellectual disability in children. RECENT FINDINGS: With a prevalence of 1% to 3% and substantial comorbidity, high lifetime costs, and emotional burden, intellectual developmental disorder is characterized by limitations in both intellectual functioning (IQ less than 70) and adaptive behavior starting before 18 years of age...
February 2018: Continuum: Lifelong Learning in Neurology
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