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Practical Neurology

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https://www.readbyqxmd.com/read/28433974/hypoactive-hypoalert-behaviour-and-thalamic-hypometabolism-due-to-intracranial-hypotension
#1
Seamus Kearney, Peter Flynn, Simon Hughes, Wendy Spence, Mark Owen McCarron
A 47-year-old man presented with a 9-year history of a hypoalert hypoactive behaviour syndrome, caused by the deep brain swelling variant of spontaneous intracranial hypotension. Along with apathy with retained cognition, he had stable ataxia, impaired upgaze and episodes of central apnoea. MRI brain showed a sagging brainstem, pointed ventricles and reduced angle between the vein of Galen and the straight sinus, but no meningeal enhancement or subdural collections. A dopamine transporter scan showed preganglionic dopamine receptor deficiency; a fluorodeoxy glucose positron emission tomography scan showed bilateral hypothalamic hypometabolism...
April 22, 2017: Practical Neurology
https://www.readbyqxmd.com/read/28433973/a-limb-girdle-muscular-dystrophy-responsive-to-asthma-therapy
#2
Eoin Mulroy, Roula Ghaoui, David Hutchinson, Miriam Rodrigues, Monkol Lek, Daniel G MacArthur, Sandra T Cooper, Nigel F Clarke, Richard Roxburgh
No abstract text is available yet for this article.
April 22, 2017: Practical Neurology
https://www.readbyqxmd.com/read/28428230/hypodense-artery-sign-in-cerebral-fat-embolism
#3
EDITORIAL
Jose David Avila
No abstract text is available yet for this article.
April 20, 2017: Practical Neurology
https://www.readbyqxmd.com/read/28428229/withdrawal-of-invasive-ventilation-in-a-patient-with-motor-neurone-disease-and-total-locked-in-syndrome
#4
Aoife Gleeson, Faye Johnson
Withdrawing invasive ventilation from a person with motor neurone disease who lacks the relevant mental capacity raises ethical issues such as the withdrawal of life-sustaining treatment and establishing best interests. There is little available information on providing optimal symptom management to these patients during the withdrawal process. We describe a man with motor neurone disease who also had total locked-in syndrome at the time of ventilation withdrawal, and we document the legal, ethical, emotional and symptom control issues encountered in supporting him...
April 20, 2017: Practical Neurology
https://www.readbyqxmd.com/read/28428228/postictal-thoracocervicofacial-purpura
#5
EDITORIAL
Paulo Victor Sgobbi de Souza, Thiago Bortholin, Wladimir Bocca Vieira de Rezende Pinto, Adrialdo José Santos
No abstract text is available yet for this article.
April 20, 2017: Practical Neurology
https://www.readbyqxmd.com/read/28404619/bilateral-optic-disc-drusen-mimicking-papilloedema
#6
EDITORIAL
Eleftherios I Agorogiannis, Jonathan M Durnian
No abstract text is available yet for this article.
April 12, 2017: Practical Neurology
https://www.readbyqxmd.com/read/28404618/how-to-start-a-blog
#7
EDITORIAL
Alison Thomson, Dominika Raciborska, David Baker, Gavin Giovannoni
Blogs that address issues of health and medical education run by clinical and research teams can have a profound impact on how patients access and navigate health information. Regularly updated websites are useful tools to facilitate two-way communication with a range of different audiences from patients to the general public. They provide benefits of supporting patients to learn and self-manage their health, and to educate colleagues and disseminate research. This article describes how to set up a blog, pointing out some simple style and formatting considerations, usable methods and appropriate conduct for healthcare professionals to engage with patients online...
April 12, 2017: Practical Neurology
https://www.readbyqxmd.com/read/28320781/isolated-hypoglossal-nerve-palsy-due-to-internal-carotid-artery-dissection
#8
EDITORIAL
Purwa Joshi, David Bourke
No abstract text is available yet for this article.
March 20, 2017: Practical Neurology
https://www.readbyqxmd.com/read/28315829/a-man-with-hypertrophic-thighs
#9
EDITORIAL
Marijke Huskens, Gert Cypers, Thomas Tousseyn
No abstract text is available yet for this article.
March 18, 2017: Practical Neurology
https://www.readbyqxmd.com/read/28315828/weber-s-and-rinne-s-tests-bad-vibrations
#10
Iain John McGurgan, David Joseph Nicholl
No abstract text is available yet for this article.
March 18, 2017: Practical Neurology
https://www.readbyqxmd.com/read/28315827/contemporary-management-of-low-grade-glioma-a-paradigm-shift-in-neuro-oncology
#11
REVIEW
Caroline Hayhurst
Supratentorial diffuse intrinsic low-grade gliomas represent a distinct but heterogenous group of tumours, with the propensity to grow and to differentiate into malignant tumours. They have been historically viewed in the 'benign' spectrum of intrinsic brain tumours, so a watch-and-wait policy was often adopted. With recent advances in our understanding of the natural history of these tumours, combined with advances in surgical technique, an aggressive approach is now recommended. Increasing quality evidence of the impact of tumour resection and multicentre trials of adjuvant radiotherapy and chemotherapy have led to a new algorithm for low-grade glioma management...
March 18, 2017: Practical Neurology
https://www.readbyqxmd.com/read/28270445/anterior-segment-optical-coherence-tomography-to-look-for-kayser-fleischer-rings
#12
REVIEW
Mittanamalli S Sridhar, Roberto Pineda
Ophthalmologists usually use slit lamp biomicroscopy to look for Kayser-Fleischer rings in Wilson's disease; anterior segment optical coherence tomography is a new alternative to identify the characteristic hyper-reflective layer in the deep corneal periphery at the level of Descemet's membrane. This method allows non-ophthalmologists to look for and to quantify Kayser-Fleischer rings.
March 7, 2017: Practical Neurology
https://www.readbyqxmd.com/read/28242629/wisdom-tooth-extraction-causing-lingual-nerve-and-styloglossus-muscle-damage-a-mimic-of-multiple-cranial-nerve-palsies
#13
Aisling S Carr, Matthew Evans, Sachit Shah, Santi Catania, Jason D Warren, Michael J Gleeson, Mary M Reilly
The combination of tongue hemianaesthesia, dysgeusia, dysarthria and dysphagia suggests the involvement of multiple cranial nerves. We present a case with sudden onset of these symptoms immediately following wisdom tooth extraction and highlight the clinical features that allowed localisation of the lesion to a focal, iatrogenic injury of the lingual nerve and adjacent styloglossus muscle.
February 26, 2017: Practical Neurology
https://www.readbyqxmd.com/read/28232388/tumefactive-perivascular-spaces-a-rare-incidental-finding
#14
EDITORIAL
Ashim Kumar Lahiri, Penelope Louise Slaney
No abstract text is available yet for this article.
February 23, 2017: Practical Neurology
https://www.readbyqxmd.com/read/28232387/intracranial-papillary-endothelial-hyperplasia-masson-s-tumour-following-gamma-knife-radiosurgery-for-temporal-lobe-epilepsy
#15
Andrew W Barritt, Ashirwad Merve, Prasanna Epaliyanage, Julia Aram
We present a rare case of intracranial papillary endothelial hyperplasia, or 'Masson's tumour,' following gamma knife radiosurgery for epilepsy. A 59-year-old woman presented with a 4-month history of escalating headaches and progressive neurological deficit. MR scan of brain showed enlargement of an enhancing right temporal lobe lesion, midline shift and obstructive hydrocephalus. She had previously undergone non-curative gamma knife radiosurgery at the age of 44 years for medically refractory complex partial seizures...
February 23, 2017: Practical Neurology
https://www.readbyqxmd.com/read/28183984/abdominal-pseudocyst-a-rare-complication-of-ventriculoperitoneal-shunting
#16
Rameesha Anwar, Ahmed-Ramadan Sadek, Girish Vajramani
Abdominal cerebrospinal fluid (CSF) pseudocyst is a rare complication of ventriculoperitoneal shunting. It is well known in children but uncommon in adults. We present a 30-year-old woman with abdominal distension, vomiting and confusion caused by her developing an abdominal CSF pseudocyst, 13 years after her last shunt revision. Adult neurologists need to be aware of this late complication.
February 9, 2017: Practical Neurology
https://www.readbyqxmd.com/read/28315842/abn-news
#17
Joanne Lawrence, David J Burn
No abstract text is available yet for this article.
April 2017: Practical Neurology
https://www.readbyqxmd.com/read/28315841/carphology
#18
A Fo Ben
No abstract text is available yet for this article.
April 2017: Practical Neurology
https://www.readbyqxmd.com/read/28196841/the-10-p-m-question
#19
Katharine Harding, Clinton Mitchell
No abstract text is available yet for this article.
April 2017: Practical Neurology
https://www.readbyqxmd.com/read/28196840/the-northern-territory-australia
#20
Prashanth Ramachandran
No abstract text is available yet for this article.
April 2017: Practical Neurology
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