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Practical Neurology

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https://www.readbyqxmd.com/read/28512209/venous-hypertensive-encephalopathy-secondary-to-venous-sinus-thrombosis-and-dural-arteriovenous-fistula
#1
Pria Anand, Emanuele Orru, Izlem Izbudak, Jiaying Zhang, Amir Kheradmand
A 52-year-old man with a history of factor V Leiden thrombophilia, persistent headaches and papilloedema presented with worsening vision and confusion. MRI and MR angiography of the brain at the time of this presentation showed findings concerning for transverse sinus thrombosis and an associated dural arteriovenous fistula. Dural venous sinus thrombosis can lead to the formation of a dural arteriovenous fistula, which must be considered in the differential diagnosis for intracranial hypertension in patients with thrombophilia...
May 16, 2017: Practical Neurology
https://www.readbyqxmd.com/read/28512208/chorioretinitis-a-potential-clue-to-the-early-diagnosis-of-subacute-sclerosing-panencephalitis
#2
Vijayabala Jeevagan, Athula Dissanayake
We describe a 36-year-old man with subacute sclerosing panencephalitis (SSPE) presenting with chorioretinitis two years before onset of other neurological features. He had neither myoclonus nor the typical EEG features of SSPE. The diagnosis was confirmed in the appropriate clinical setting by detecting elevated measles antibody titres in cerebrospinal fluid and serum. Clinicians should consider SSPE among the differential diagnoses in chorioretinitis. This is particularly so if there is macular or perimacular involvement with concurrent involvement of the optic nerve in young patients, even without other characteristic neurological symptoms...
May 16, 2017: Practical Neurology
https://www.readbyqxmd.com/read/28512207/-organic-and-non-organic-a-tale-of-two-turnips
#3
Jon Stone, Alan Carson
No abstract text is available yet for this article.
May 16, 2017: Practical Neurology
https://www.readbyqxmd.com/read/28512206/genetic-testing-and-reproductive-choice-in-neurological-disorders
#4
REVIEW
Omay Lee, Mary Porteous
Genetic testing is increasingly important for investigating suspected inherited neurological conditions. A genetic diagnosis can have a huge impact on patients and also their families. It is important for neurologists to appreciate the presymptomatic and prenatal testing options available to patients and their at-risk relatives once a genetic disorder is diagnosed. Asymptomatic family members can experience considerable psychological distress from the knowledge that they might have inherited a neurodegenerative condition...
May 16, 2017: Practical Neurology
https://www.readbyqxmd.com/read/28501807/unilateral-papilloedema
#5
EDITORIAL
Thashi Chang, A T Alibhoy
No abstract text is available yet for this article.
May 13, 2017: Practical Neurology
https://www.readbyqxmd.com/read/28500068/the-first-ct-in-a-sah-a-picture-tells-a-story
#6
Hilda Guerra, Arnoley Abcejo, Kevin Gobeske, Efm Wijdicks
Finding the cause of acute neurological deterioration in the hours following aneurysmal subarachnoid haemorrhage remains challenging. The presence of blood casts in the ventricles proves that deterioration is secondary to acute hydrocephalus and prompts immediate external ventricular drain placement.
May 12, 2017: Practical Neurology
https://www.readbyqxmd.com/read/28473607/on-the-road-again-assessing-driving-ability-in-patients-with-neurological-conditions
#7
REVIEW
Joel D Handley, Rhys H Thomas, Pat McKenna, Thomas A T Hughes
Clinicians may not be aware of the specialised methods and adaptations that are used to help people with disabilities to drive a car. We describe a driving assessment process as carried out by one of the UK's flagship assessment centres, including an overview of the available assessments, adaptations and relevant legislation to guide practitioners about how best to signpost and counsel their patients appropriately about driving.
May 4, 2017: Practical Neurology
https://www.readbyqxmd.com/read/28473606/headaches-complicating-pregnancy-and-the-postpartum-period
#8
REVIEW
Mary Angela O'Neal
Headaches are a common neurological complaint during pregnancy and the postpartum period. Most are primary and benign, but there are also several secondary headaches. This review uses a practical case-based approach to the evaluation and management of the most common headaches referred for neurological consultation: primary headaches such as migraine as well as the presentation and management of some of the secondary headaches complicating pregnancy and the puerperium. These include: idiopathic intracranial hypertension, eclampsia, reversible cerebral vasoconstriction syndrome, cerebral venous thrombosis, pituitary apoplexy and postdural puncture headache...
May 4, 2017: Practical Neurology
https://www.readbyqxmd.com/read/28473605/finding-the-grave-of-sir-william-richard-gowers
#9
Christopher J Boes, Nadeem Toodayan, Andrew Lees
No abstract text is available yet for this article.
May 4, 2017: Practical Neurology
https://www.readbyqxmd.com/read/28473604/recurrent-painful-ophthalmoplegic-neuropathy
#10
Cleo Huang, Maria Amasanti, Ben Lovell, Tim Young
Recurrent painful ophthalmologic neuropathy (RPON), previously termed ophthalmoplegic migraine, is characterised by repeated attacks of one or more ocular cranial nerve palsies with ipsilateral headache. Its cause remains unclear; it is currently thought to be neuropathic in origin, but there is debate in the literature. In documented cases, a third cranial nerve palsy is by far the most common. Here we present a case of RPON involveing the fourth and sixth cranial nervesonly. Thorough investigation, including MR scan of brain and lumbar puncture, found no alternative explanation...
May 4, 2017: Practical Neurology
https://www.readbyqxmd.com/read/28455389/the-neurology-of-ageing-what-is-normal
#11
REVIEW
Jonathan M Schott
Ageing is associated with changes in the nervous system with consequent alterations in some neurological examination findings: understanding what is 'normal' at different ages is essential when evaluating patients. In seminal papers published in 1931, Dr MacDonald Critchley summarised his observations and the prevailing evidence on the effects of ageing on, among others, sensation, reflexes, ocular function, olfaction, movement and cognition. In this review, these observations are re-evaluated in light of contemporary evidence...
April 28, 2017: Practical Neurology
https://www.readbyqxmd.com/read/28455388/pcdh19-related-epilepsy-a-rare-but-recognisable-clinical-syndrome-in-females
#12
Shane Lyons, Michael Marnane, Eleanor Reavey, Nicola Williams, Daniel Costello
Protocadherin 19 (PCDH19)-related epilepsy (OMIM 300088) is a distinctive clinical syndrome limited to females. We describe a 17-year-old girl who presented to a regional epilepsy clinic with a history of recurrent febrile seizures in infancy. Genetic analysis of the PCDH19 gene revealed a novel heterozygous mutation within a highly conserved region of the gene. Patients with PCDH19 mutations present with clusters of seizures associated with fever. While fever-induced seizures are common to children with PCDH19 and SCN1A mutations, there are certain clinical features that distinguish these genetic syndromes from each other...
April 28, 2017: Practical Neurology
https://www.readbyqxmd.com/read/28433974/hypoactive-hypoalert-behaviour-and-thalamic-hypometabolism-due-to-intracranial-hypotension
#13
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
#14
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
#15
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
#16
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
#17
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
#18
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
#19
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
#20
EDITORIAL
Purwa Joshi, David Bourke
No abstract text is available yet for this article.
March 20, 2017: Practical Neurology
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