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Neurology. Clinical Practice

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https://www.readbyqxmd.com/read/29185557/frequency-determinants-and-effects-of-early-seizures-after-thrombolysis-for-acute-ischemic-stroke-the-enchanted-trial
#1
Ying Xu, Maree L Hackett, John Chalmers, Richard I Lindley, Xia Wang, Qiang Li, Thompson Robinson, Hisatomi Arima, Pablo M Lavados, Craig S Anderson
Background: Seizures after ischemic stroke have not been well-studied. We aim to determine the frequency, determinants, and significance of early seizures after thrombolysis for acute ischemic stroke. Methods: Data are from the Enhanced Control of Hypertension and Thrombolysis Stroke Study (ENCHANTED), an international, multicenter, randomized controlled trial where patients with acute ischemic stroke were randomized to low-dose (0.6 mg/kg) or standard-dose (0.9 mg/kg) IV alteplase...
August 2017: Neurology. Clinical Practice
https://www.readbyqxmd.com/read/29185556/online-tools-for-individuals-with-depression-and-neurologic-conditions-a-scoping-review
#2
REVIEW
Sara Lukmanji, Tram Pham, Laura Blaikie, Callie Clark, Nathalie Jetté, Samuel Wiebe, Andrew Bulloch, Jayna Holroyd-Leduc, Sophia Macrodimitris, Aaron Mackie, Scott B Patten
Background: Patients with neurologic conditions commonly have depression. Online tools have the potential to improve outcomes in these patients in an efficient and accessible manner. We aimed to identify evidence-informed online tools for patients with comorbid neurologic conditions and depression. Methods: A scoping review of online tools (free, publicly available, and not requiring a facilitator) for patients with depression and epilepsy, Parkinson disease (PD), multiple sclerosis (MS), traumatic brain injury (TBI), or migraine was conducted...
August 2017: Neurology. Clinical Practice
https://www.readbyqxmd.com/read/29185555/perspectives-on-marijuana-use-and-effectiveness-a-survey-of-narcoms-participants
#3
Stacey S Cofield, Amber Salter, Tuula Tyry, Christina Crowe, Gary R Cutter, Robert J Fox, Ruth Ann Marrie
Background: Interest in and use of marijuana by persons with multiple sclerosis (MS) has increased. While potential benefits have been reported, so have concerns about potential risks. Few large studies have been conducted about the perceptions and current usage of marijuana and medical cannabinoids in persons with MS. Methods: Participants in the North American Research Committee on Multiple Sclerosis (NARCOMS) registry were surveyed in 2014 regarding legality and history of marijuana usage, both before and after diagnosis with MS...
August 2017: Neurology. Clinical Practice
https://www.readbyqxmd.com/read/29185554/pure-lemniscal-sensory-stroke
#4
Antonio Carota, Anne-Sophie Knoepfli, Julien Bogousslavsky
No abstract text is available yet for this article.
August 2017: Neurology. Clinical Practice
https://www.readbyqxmd.com/read/29185553/neurologists-should-endorse-active-transportation-for-their-patients
#5
Daniel Foster
It has been well-established that social determinants prevent far more deaths than medical care. Both behavior and social circumstance are closely linked to transportation. The connection between health and transportation is both direct (pedestrian injury, for example) and indirect (commuting access to work leading to employer-based health insurance, for example). Thus, transportation policy and health policy are interrelated. Neurologists should join community partnerships to promote safe and healthy transportation options for all people but especially for their patients...
August 2017: Neurology. Clinical Practice
https://www.readbyqxmd.com/read/29185552/erratum-acute-hemichorea-as-unusual-first-multiple-sclerosis-presentation
#6
(no author information available yet)
[This corrects the article on p. e9 in vol. 7.].
August 2017: Neurology. Clinical Practice
https://www.readbyqxmd.com/read/29185551/wearable-biosensors-to-monitor-disability-in-multiple-sclerosis
#7
REVIEW
Michael J Bradshaw, Samantha Farrow, Robert W Motl, Tanuja Chitnis
Purpose of review: Biosensors capable of measuring physiologic and kinetic parameters associated with disability are being applied to the study of people with multiple sclerosis (MS). We review the use of biosensors in people with MS with an emphasis on measuring/monitoring disability and understanding knowledge gaps between biosensor data and clinical care. Recent findings: Accelerometers are available to the public and may be able to help the clinician understand a patient's degree of disability...
August 2017: Neurology. Clinical Practice
https://www.readbyqxmd.com/read/29185549/heath-care-utilization-access-and-advocacy
#8
EDITORIAL
(no author information available yet)
No abstract text is available yet for this article.
August 2017: Neurology. Clinical Practice
https://www.readbyqxmd.com/read/29185539/progressive-ataxia-and-palatal-tremor
#9
Clotilde Hainline, Andreas Neophytides, Maria J Borja, Steven L Galetta
No abstract text is available yet for this article.
August 2017: Neurology. Clinical Practice
https://www.readbyqxmd.com/read/29185537/erratum-pimavanserin-a-novel-therapeutic-option-for-parkinson-disease-psychosis
#10
(no author information available yet)
[This corrects the article on p. 157 in vol. 7.].
August 2017: Neurology. Clinical Practice
https://www.readbyqxmd.com/read/29185536/swallow-induced-syncope-in-5-patients-electrophysiologic-evaluation-during-swallowing
#11
Ibrahim Aydogdu, Can Hasdemir, Ahmet Acarer, Sezin Alpaydin, Cumhur Ertekin
Background: We sought to characterize a cohort of participants with swallow-induced syncope (SIS) with clinical and electrophysiologic evaluations. Methods: Using electrocardiographic monitoring and neurophysiologic methods of swallowing, we evaluated a cohort of 5 patients with SIS, 4 of whom had longitudinal follow-up. Results: We determined electrophysiologically that the duration between the onset of swallow and a bradyarrhythmia or asystole is extremely short (2-3 seconds) in SIS...
August 2017: Neurology. Clinical Practice
https://www.readbyqxmd.com/read/29185534/mild-brain-injury-and-anticoagulants-less-is-enough
#12
Laura Campiglio, Francesca Bianchi, Claudio Cattalini, Daniela Belvedere, Chiara Emilia Rosci, Chiara Livia Casellato, Manuela Secchi, Maria Cristina Saetti, Elena Baratelli, Alessandro Innocenti, Ilaria Cova, Chiara Gambini, Luca Romano, Gaia Oggioni, Rossella Pagani, Marco Gardinali, Alberto Priori
Background: Despite the higher theoretical risk of traumatic intracranial hemorrhage (ICH) in anticoagulated patients with mild head injury, the value of sequential head CT scans to identify bleeding remains controversial. This study evaluated the utility of 2 sequential CT scans at a 48-hour interval (CT1 and CT2) in patients with mild head trauma (Glasgow Coma Scale 13-15) taking oral anticoagulants. Methods: We retrospectively evaluated the clinical records of all patients on chronic anticoagulation treatment admitted to the emergency department for mild head injury...
August 2017: Neurology. Clinical Practice
https://www.readbyqxmd.com/read/29185531/head-injury-while-on-anticoagulation-small-numbers-big-risks
#13
EDITORIAL
Katherine I Nearing, Jack W Tsao
No abstract text is available yet for this article.
August 2017: Neurology. Clinical Practice
https://www.readbyqxmd.com/read/29185530/how-do-you-treat-epilepsy-in-pregnancy
#14
Ilena C George
No abstract text is available yet for this article.
August 2017: Neurology. Clinical Practice
https://www.readbyqxmd.com/read/28840919/virtual-visits-for-parkinson-disease-a-multicenter-noncontrolled-cohort
#15
Ryan E Korn, Aparna Wagle Shukla, Maya Katz, H Tait Keenan, Steven Goldenthal, Peggy Auinger, William Zhu, Michael Dodge, Kyle Rizer, Meredith A Achey, Erica Byrd, Richard Barbano, Irene Richard, Kelly L Andrzejewski, Heidi B Schwarz, E Ray Dorsey, Kevin M Biglan, Gail Kang, Sulada Kanchana, Ramon Rodriguez, Caroline M Tanner, Nicholas B Galifianakis
BACKGROUND: Previous small-scale studies have demonstrated the feasibility of providing remote specialty care via virtual visits. We assessed the feasibility and benefits of a one-time consultation between a remote Parkinson Disease (PD) specialist and an individual with PD at home on a larger scale. METHODS: We conducted a multicenter noncontrolled cohort of virtual visits administered over videoconferencing between remote PD specialists and individuals with PD in their home...
August 2017: Neurology. Clinical Practice
https://www.readbyqxmd.com/read/28840913/effect-of-integrated-community-neurology-on-utilization-diagnostic-testing-and-access
#16
Muhamad Y Elrashidi, Lindsey M Philpot, Nathan P Young, Priya Ramar, Kristi M Swanson, Paul M McKie, Sarah J Crane, Jon O Ebbert
BACKGROUND: The primary care medical home (PCMH) aims to promote delivery of high-value health care. However, growing demand for specialists due to increasingly older adults with complicated and chronic disease necessitates development of novel care models that efficiently incorporate specialty expertise while maintaining coordination and continuity with the PCMH. We describe the effect of a model of integrated community neurology (ICN) on health care utilization, diagnostic testing, and access...
August 2017: Neurology. Clinical Practice
https://www.readbyqxmd.com/read/28840904/adult-onset-dystonia-with-marfanoid-features
#17
Scott A Norris, Anja Pogarcic, Matt Hicks, Joel S Perlmutter, Marwan Shinawi
No abstract text is available yet for this article.
August 2017: Neurology. Clinical Practice
https://www.readbyqxmd.com/read/28680768/restless-legs-syndrome-with-augmentation-successfully-treated-with-iv-iron
#18
Vincent LaBarbera, Lynn Marie Trotti, David Rye
No abstract text is available yet for this article.
June 2017: Neurology. Clinical Practice
https://www.readbyqxmd.com/read/28680767/a-resident-boot-camp-for-reducing-door-to-needle-times-at-academic-medical-centers
#19
REVIEW
Ilana M Ruff, Ava L Liberman, Fan Z Caprio, Matthew B Maas, Scott J Mendelson, Farzaneh A Sorond, Deborah Bergman, Richard A Bernstein, Yvonne Curran, Shyam Prabhakaran
BACKGROUND: We sought to determine if a structured educational program for neurology residents can lower door-to-needle (DTN) times at an academic institution. METHODS: A neurology resident educational stroke boot camp was developed and implemented in April 2013. Using a prospective database of 170 consecutive acute ischemic stroke (AIS) patients treated with IV tissue plasminogen activator (tPA) in our emergency department (ED), we evaluated the effect of the intervention on DTN times...
June 2017: Neurology. Clinical Practice
https://www.readbyqxmd.com/read/28680766/cerebrovascular-fibromuscular-dysplasia-the-mgh-cohort-and-literature-review
#20
Andrea M Harriott, Eli Zimmerman, Aneesh B Singhal, Michael R Jaff, Mark E Lindsay, Guy A Rordorf
BACKGROUND: Fibromuscular dysplasia (FMD) is a rare noninflammatory, nonatherosclerotic arteriopathy of medium-sized arteries affecting up to 7% of the population. The disease can affect any artery but commonly affects renal, extracranial carotid, and vertebral arteries. The epidemiology and natural course of cerebrovascular FMD is unknown and requires further investigation. METHODS: We present demographic and outcomes data on a case series of 81 patients with cerebrovascular FMD from Massachusetts General Hospital presenting between 2011 and 2015 followed by a review of the peer-reviewed literature...
June 2017: Neurology. Clinical Practice
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