journal
MENU ▼
Read by QxMD icon Read
search

Practical Neurology

journal
https://www.readbyqxmd.com/read/28778933/muscle-hypertrophy-and-pseudohypertrophy
#1
REVIEW
Jon Walters
The physical examination always begins with a thorough inspection and patients with potential neuromuscular weakness are no exception. One question neurologists routinely address during this early part of the assessment is whether or not there is muscle enlargement. This finding may reflect true muscle hypertrophy-myofibres enlarged from repetitive activity, for example, in myotonia congenita or neuromyotonia-or muscles enlarged by the infiltration of fat or other tissue termed pseudohypertrophy or false enlargement...
August 4, 2017: Practical Neurology
https://www.readbyqxmd.com/read/28778932/recovery-from-blindness-following-accidental-quinine-overdose
#2
EDITORIAL
Hildegard Nikki Hall, Andrew J Tatham
No abstract text is available yet for this article.
August 4, 2017: Practical Neurology
https://www.readbyqxmd.com/read/28778931/hypothyroid-ataxia-complicating-monoclonal-antibody-therapy
#3
Abdul Badran, Carla Moran, Alasdair J Coles
We present a case of cerebellar dysfunction due to severe hypothyroidism induced by pembrolizumab, a member of the 'immune checkpoint inhibitor' class of cancer immunotherapies. Thyroxine replacement completely resolved his symptoms and signs. We also discuss the neurological immune-related complications of checkpoint inhibitors.
August 4, 2017: Practical Neurology
https://www.readbyqxmd.com/read/28778930/useless-hand-of-oppenheim-how-to-understand-it
#4
EDITORIAL
Louise Wiblin, Joe Guadagno
Hermann Oppenheim described the 'Useless Hand' in 1911 as a classical but uncommon presentation of multiple sclerosis, in which a hand loses useful function due to proprioceptive loss, with relatively preserved motor function. Light touch perception may be subjectively altered or can be relatively intact. The lesion is (usually) a demyelinating plaque in the posterior columns of the cervical spinal cord. Depending on its location, it may affect one limb, or if more central, may produce a bilateral (if asymmetrical) picture...
August 4, 2017: Practical Neurology
https://www.readbyqxmd.com/read/28778929/a-portrait-of-the-brain-by-adam-zeman
#5
Ania Crawshaw, Katharine Harding
No abstract text is available yet for this article.
August 4, 2017: Practical Neurology
https://www.readbyqxmd.com/read/28778928/tracheostomy-and-salivary-gland-radiotherapy-for-severe-sialorrhoea-in-motor-neurone-disease
#6
Adrian J Wills, Juliet Colt, Roger Selby
The management of excessive secretions in patients with motor neurone disease can be challenging. In this paper, we highlight the main issues from the perspectives of a patient, specialist nurse and neurologist and the importance of a multidisciplinary approach.
August 4, 2017: Practical Neurology
https://www.readbyqxmd.com/read/28754695/eastern-equine-encephalitis
#7
Daniel Berlin, Ahmed I Gilani, Amrit K Grewal, Mary Fowkes
We describe a patient who died from a fulminant presentation of encephalitis. After an exhaustive search, we found no treatable cause. Postmortem PCR analysis of brain tissue led to a diagnosis of eastern equine encephalitis. We have identified several clinical pearls that may assist others in making the diagnosis earlier in the disease course.
July 28, 2017: Practical Neurology
https://www.readbyqxmd.com/read/28743792/treatment-of-the-unknown-patient-insights-from-acute-stroke
#8
EDITORIAL
Simon M Bell, Dilraj Sokhi, Tom Hughes, Marc S Randall
When an unidentified patient who cannot communicate presents with symptoms and signs suggesting an acute stroke, the decision to thrombolyse is a particular challenge. In a time-pressured environment, clinicians need clear thought processes for diagnosis and treatment. Ethical considerations, diagnosis, identity and previous history, contraindications, time of symptom onset (EDICT) can help decision-making in this situation.
July 25, 2017: Practical Neurology
https://www.readbyqxmd.com/read/28743791/imaging-in-acute-ischaemic-stroke-pearls-and-pitfalls
#9
REVIEW
James Caldwell, Manraj K S Heran, Ben McGuinness, P Alan Barber
Prompt and accurate diagnosis is the foundation of acute ischaemic stroke care. Multiple positive endovascular thrombectomy trials in ischaemic stroke patients with large vessel occlusions have further emphasised this but also added complexity to treatment decisions. CT angiography is now routine for patients who present with an acute stroke syndrome around the world. Members of the neurology and stroke teams (rather than radiologists) are often the first doctors to lay eyes on the CT images and are best equipped to integrate the clinical picture with the imaging findings...
July 25, 2017: Practical Neurology
https://www.readbyqxmd.com/read/28743790/the-right-way-or-the-best-way-to-do-the-ankle-jerk
#10
Chris Allen
No abstract text is available yet for this article.
July 25, 2017: Practical Neurology
https://www.readbyqxmd.com/read/28717053/pure-autonomic-failure
#11
REVIEW
Thomas P Brown
Pure autonomic failure is a degenerative disorder of the peripheral autonomic nervous system. Patients experience symptomatic hypotension that requires them to sit, squat or lie down to prevent syncope. It is associated with characteristic histopathological findings, resulting in neuronal cytoplasmic inclusions in the peripheral autonomic nerves. These lesions are responsible for defects in the synthesis and release of norepinephrine from sympathetic nerve terminals, resulting in significant hypotension. Patients with autonomic failure also have exaggerated blood pressure responses to common stimuli such as food or fluid intake, heat, exercise and medications...
July 17, 2017: Practical Neurology
https://www.readbyqxmd.com/read/28717052/withdrawal-of-tracheostomy-ventilation-in-motor-neurone-disease-implementing-advance-directives
#12
EDITORIAL
Christopher J McDermott, Christina Faull
No abstract text is available yet for this article.
July 17, 2017: Practical Neurology
https://www.readbyqxmd.com/read/28689175/antiepileptic-drug-withdrawal-risk-calculator
#13
Francesco Brigo
No abstract text is available yet for this article.
July 8, 2017: Practical Neurology
https://www.readbyqxmd.com/read/28687681/communication-changes-in-parkinson-s-disease
#14
REVIEW
Nick Miller
This review looks at the nature and impact of communication changes in Parkinson's disease, approaches to assessment and directions for intervention. This is especially important since medical and surgical interventions that help limb movement are largely ineffective, or even detrimental, for speech. Most people with Parkinson's disease notice changes to their communication. Voice alters early on-even in the prodromal stage. Later, articulation may impair intelligibility further. These changes impact on mood and social participation...
July 7, 2017: Practical Neurology
https://www.readbyqxmd.com/read/28676502/neurological-letter-from-kilimanjaro
#15
Marieke C J Dekker, Sarah J Urasa, William P Howlett
No abstract text is available yet for this article.
July 4, 2017: Practical Neurology
https://www.readbyqxmd.com/read/28668928/i-robot
#16
Katharine Harding
No abstract text is available yet for this article.
July 1, 2017: Practical Neurology
https://www.readbyqxmd.com/read/28647708/relapsing-cerebral-amyloid-angiopathy-related-inflammation-the-wax-and-the-wane
#17
Sharfaraz Salam, Mayooreshan Anandarajah, Sarah Al-Bachari, Piyali Pal, Jonathan Sussman, Hisham Hamdalla
Cerebral amyloid angiopathy-related inflammation (CAA-I) is a rare variant of cerebral amyloid angiopathy (CAA). Its precise pathophysiology remains uncertain and we currently have limited evidence on which immunosuppressive agents are the most effective in its treatment. The disease course of CAA-I disorders can vary from an isolated clinical event to recurrent episodes. We present a case of biopsy-confirmed CAA-I that gives insight into its potential relapsing nature and the challenges of its long-term management...
June 24, 2017: Practical Neurology
https://www.readbyqxmd.com/read/28647706/testing-joint-position-sense-does-it-matter-how-you-hold-the-toe
#18
Chris Allen
No abstract text is available yet for this article.
June 24, 2017: Practical Neurology
https://www.readbyqxmd.com/read/28626022/apraxia-another-view
#19
EDITORIAL
Nick Miller
No abstract text is available yet for this article.
June 16, 2017: Practical Neurology
https://www.readbyqxmd.com/read/28600359/ictal-pain-in-focal-non-convulsive-status-epilepticus
#20
Sara Casciato, Alessandra Morano, Jinane Fattouch, Martina Fanella, Mariarita Albini, Anna Teresa Giallonardo, Carlo Di Bonaventura
We report an adult with acute unilateral pain as isolated manifestation of acute symptomatic focal non-convulsive status epilepticus. Pain is rarely a manifestation of epileptic seizures. Traditionally, painful seizures have been thought to originate in either the parietal or temporal lobes, but their localising value is debatable. Recent functional neuroimaging studies and electrophysiological findings obtained by using intracerebral recordings have shown the involvement of the insular cortex along with several other brain structures in the processing of painful inputs, comprising a more widespread anatomo-functional network...
June 9, 2017: Practical Neurology
journal
journal
39896
1
2
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read
×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"