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Neurohospitalist

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https://www.readbyqxmd.com/read/29977453/pituitary-apoplexy-with-bilateral-oculomotor-nerve-palsy
#1
Sevan R Komshian, Ramin Saket, Khamid Bakhadirov
No abstract text is available yet for this article.
July 2018: Neurohospitalist
https://www.readbyqxmd.com/read/29977452/basilar-artery-thrombosis-on-brain-mri
#2
Mahdi Safdarian, Mohammad Rohani
No abstract text is available yet for this article.
July 2018: Neurohospitalist
https://www.readbyqxmd.com/read/29977451/acute-sheehan-syndrome-manifesting-as-unremitting-headache
#3
Aadil Rahim, Jonathan Baird-Gunning, David E Ashton, Tobias Angstmann, Rajat Lahoria
No abstract text is available yet for this article.
July 2018: Neurohospitalist
https://www.readbyqxmd.com/read/29977450/bow-hunter-s-syndrome
#4
Altaf Saadi, Joshua P Klein
No abstract text is available yet for this article.
July 2018: Neurohospitalist
https://www.readbyqxmd.com/read/29977449/a-case-of-dural-arteriovenous-fistula-mimicking-a-cerebellar-tumor
#5
Sung-Min Cho, Andrew B Buletko, Payal Patel, Russell Cerejo, Mark Bain
No abstract text is available yet for this article.
July 2018: Neurohospitalist
https://www.readbyqxmd.com/read/29977448/infectious-temporal-lobe-encephalitis-not-just-herpes
#6
Neville Jadeja, Leslie Delfiner, Reza Zarnegar, Mark J Milstein
No abstract text is available yet for this article.
July 2018: Neurohospitalist
https://www.readbyqxmd.com/read/29977447/an-isolated-trigeminal-sensory-neuropathy
#7
Albert L Misko, Ayush Batra, William C Faquin, Adam B Cohen
No abstract text is available yet for this article.
July 2018: Neurohospitalist
https://www.readbyqxmd.com/read/29977446/neurologic-complications-of-acute-posterior-multifocal-placoid-pigment-epitheliopathy-a-case-series-of-4-patients
#8
Melissa Tsuboyama, Justin V Chandler, Eugene Scharf, John Scagnelli, Rajeev S Ramchandran, Robert Holloway, Thomas Wychowski
Acute posterior multifocal placoid pigment epitheliopathy (APMPPE) is a self-limited idiopathic inflammatory ophthalmologic condition with characteristic funduscopic and fluorescein angiography findings. It is typically characterized by a flu-like prodrome followed by monocular or binocular vision loss. Often, prognosis is excellent with complete or near-complete recovery of vision. Rarely, however, APMPPE is associated with neurologic complications, including meningitis, cerebral vasculitis, and stroke. Treatment in patients with central nervous system (CNS) involvement involves steroids and ultimately other immunosuppressive therapy, as there can be significant resulting morbidity and mortality otherwise...
July 2018: Neurohospitalist
https://www.readbyqxmd.com/read/29977445/artery-of-percheron-infarct-12-cases-and-their-complex-clinical-courses
#9
Brian J Stamm, Christina M Lineback, Lesli E Skolarus, Lewis B Morgenstern, Gaurang V Shah
Strokes involving the artery of Percheron (AOP), an anatomic variant of thalamic vascular supply, are rare. Little is known about the inpatient hospital course for these patients. We retrospectively identified consecutive patients with AOP in their medical charts from a university-based tertiary care hospital from January 1, 2000, to August 15, 2017. A chart review identified demographics, transfer status, in-hospital versus community onset of stroke, emergency medical services (EMS) use, presenting signs/symptoms, time to radiologic diagnosis (from time of presentation to tertiary care hospital or from time of initial symptom onset in an already hospitalized patient), tissue plasminogen activator (tPA) use, intensive care unit (ICU) stays, intubation, length of stay (LOS), and discharge location...
July 2018: Neurohospitalist
https://www.readbyqxmd.com/read/29977444/ischemic-stroke-after-emergency-department-discharge-for-symptoms-of-transient-neurological-attack
#10
Neal S Parikh, Alexander E Merkler, Benjamin R Kummer, Hooman Kamel
Background and Purpose: The significance of transient neurological attack (TNA) symptoms is unclear. We sought to determine the risk of ischemic stroke after discharge from the emergency department (ED) with a diagnosis consistent with symptoms of TNA. Methods: Using administrative claims data, we identified patients discharged from EDs in New York between 2006 and 2012 with a primary discharge diagnosis of a TNA symptom, defined as altered mental status, generalized weakness, and sensory changes...
July 2018: Neurohospitalist
https://www.readbyqxmd.com/read/29977443/discontinuation-of-postoperative-prophylactic-antibiotics-after-noninstrumented-spinal-surgery-results-of-a-quality-improvement-project
#11
Ariane Lewis, Jessica Lin, Herbert James, Travis C Hill, Rajeev Sen, Donato Pacione
Background: Numerous medical society guidelines recommend discontinuation of antibiotics at a maximum of 24 hours after noninstrumented spinal surgery, even when a drain is left in place. As a result of these recommendations, our institution's Neurosurgery Quality Improvement Committee decided to stop administering prolonged prophylactic systemic antibiotics (PPSAs) to patients with drains after noninstrumented spinal surgery. Methods: We retrospectively reviewed data for patients who had noninstrumented spinal surgery performed by a neurosurgeon at our institution between December 2012 and July 2014 (PPSA period) and December 2014 and July 2016 (non-PPSA period) and had a drain left in place postoperatively...
July 2018: Neurohospitalist
https://www.readbyqxmd.com/read/29977442/incidence-etiology-and-outcomes-of-altered-mental-status-in-the-perioperative-setting-of-liver-transplantation
#12
Christopher Lening, Vatche G Agopian, Ronald W Busuttil, David S Liebeskind
Background: We examined neurologic consultations for altered mental status in perioperative liver transplant patients to determine the overall incidence, to assess the presumed etiology and the data reviewed to determine that etiology, and to assess outcomes. Methods: Retrospective chart review conducted for all 728 adult patients receiving orthotopic liver transplantation (OLT) between January 01, 2010, to June 30, 2014, with identification of 218 receiving neurology consults between 30 days pre-OLT and 90 days post-OLT, with review of all records necessary to determine initial findings and follow-up examination...
July 2018: Neurohospitalist
https://www.readbyqxmd.com/read/29977441/transatlantic-differences-in-management-of-carotid-stenosis-bridging-the-gap-in-stroke-management-bridge-project
#13
Clotilde Balucani, Vanessa Arnedo, Jeremy Weedon, Didier Leys, Jean-Louis Mas, Martin Brown, James C Grotta, Nicole R Gonzales, Werner Hacke, Thomas Brott, Steven R Levine
Background and Purpose: Management of carotid stenosis remains controversial despite several trials evaluating carotid endarterectomy (CEA) and carotid angioplasty/stenting (CAS). We compared attitudes in the management of carotid stenosis between selected experts within Europe and North America. Methods: A 3-phase Delphi survey was e-mailed to select stroke experts from Europe (n = 390) and North America (n = 289). Those completing the initial survey were shown all responses after each survey round...
July 2018: Neurohospitalist
https://www.readbyqxmd.com/read/29623164/wernicke-s-encephalopathy-5-years-after-a-whipple-procedure
#14
Mahmoud AbdelRazek, Crystal Han, Amanda Albrecht, Lobna Elsadek, Golnaz Yadollahikhales, Rabab Elsadek
No abstract text is available yet for this article.
April 2018: Neurohospitalist
https://www.readbyqxmd.com/read/29623163/encephalomyelitis-after-varicella-zoster-reactivation-in-an-immunocompromised-patient
#15
Lindsay P Busby, Steven M Herron, Jason F Talbott, Alina Uzelac, Bhavya Rehani
No abstract text is available yet for this article.
April 2018: Neurohospitalist
https://www.readbyqxmd.com/read/29623162/tolosa-hunt-syndrome
#16
Asri Yuliati, Kumar Rajamani
No abstract text is available yet for this article.
April 2018: Neurohospitalist
https://www.readbyqxmd.com/read/29623161/bilateral-middle-cerebral-artery-occlusion-in-rapid-succession-during-thrombolysis
#17
Sherri A Braksick, Christopher P Robinson, Eelco F M Wijdicks
No abstract text is available yet for this article.
April 2018: Neurohospitalist
https://www.readbyqxmd.com/read/29623160/geriatric-basics-for-the-neurohospitalist
#18
REVIEW
Josef G Heckmann, Jörg Kraus, Christoph J G Lang
Due to the increasing age of the population, neurohospitalists are more frequently caring for old and very old people. Fundamental definitions and topics related to geriatric medicine are therefore of particular importance. In this review, common issues encountered in geriatric patients hospitalized on the neurology service are discussed. Focus is put on the geriatric assessment, multiprofessional diagnostic and therapeutic procedures, geriatric syndromes, pharmacotherapy of the aged, delirium, pain, and palliative management as they are relevant for the neurohospitalist...
April 2018: Neurohospitalist
https://www.readbyqxmd.com/read/29623159/diagnosing-ring-enhancing-lesions-in-the-brain-of-a-patient-with-aids-without-brain-biopsy-a-case-of-central-nervous-system-histoplasmoma
#19
Rachel Beekman, Jessica M Hu, Steven I Aronin, Maricar F Malinis
We report a case of a Puerto Rican male with advanced AIDS who presented with multiple falls and pancytopenia. Magnetic resonance imaging (MRI) of the brain, as initial workup, revealed 2 ring-enhancing brain lesions. Initial cerebrospinal fluid analysis revealed minimal cells, mildly elevated protein, and no organism seen on gram stain. Due to prohibitive thrombocytopenia, brain biopsy was deferred. He had neither clinical nor radiographic improvement despite empiric therapy for both toxoplasmosis and bacterial abscesses...
April 2018: Neurohospitalist
https://www.readbyqxmd.com/read/29623158/undiagnosed-partial-ornithine-transcarbamylase-deficiency-presenting-postoperatively-as-agitated-delirium
#20
E D Goldstein, R Cannistraro, P S Atwal, J F Meschia
Partial ornithine transcarbamylase deficiency (pOTCD), an enzymatic defect within the urea cycle, is an increasingly recognized etiology for hyperammonemia of unclear source following a stressor within female adults. Here we present a case of newly diagnosed pOTCD following a systemic stressor and prolonged hospitalization course. From a neurological perspective, prompt recognition provided the patient with a swift and near complete recovery. We briefly review the pertinent literature pertaining to this genetically based condition including historical context and current therapeutic approaches...
April 2018: Neurohospitalist
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