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Optimizing Migraine Care

The American Headache Society joined the Choosing Wisely initiative and produced a list of five tests and procedures that are associated with low-value care in headache medicine.

Advances in Managing Multiple Sclerosis

New therapies are continuing to emerge for the treatment of patients with multiple sclerosis. Although more research is needed to determine how best to use these products, they represent hope for continued improvement in managing patients with this debilitating disease.

Acute Spinal Cord Injury: New Practice Guidelines

About a decade ago, the Joint Section on Disorders of the Spine and Peripheral Nerves of the Congress of Neurological Surgeons (CNS) and the American Association of Neurological Surgeons (AANS) released guidelines for the management of acute cervical spine and spinal cord injuries.…


An Innovation in Diagnosing Stroke

An easy-to-use video-oculography device that is lightweight, portable, and noninvasive may someday be used in EDs to help non-specialists diagnose stroke in patients with acute vertigo or dizziness.

Managing Painful Diabetic Neuropathy

Diabetic peripheral neuropathy (DPN) is one of the most common complications associated with diabetes. Recent esti­mates show that DPN affects approximately 50% of people with diabetes in the United States. Painful diabetic neuropathy (PDN) has been defined as the clinical scenario in which neuropathic pain arises as a direct consequence of DPN.…

Predicting Stroke Risk in Patients With ACS

Clinical outcomes after stroke can be devastating and include high risks of mortality and severe debilitation. In a study published in the American Journal of Cardiology, my colleagues and I sought to develop a clinical risk prediction model that would allow physicians to identify patients with acute coronary syndrome (ACS) who are at a higher risk of developing in-hospital stroke.…


Linking Vitamin D to Dementia

Adults who were moderately deficient or severely deficient in vitamin D had a 53% and 125% increased risk of developing dementia, respectively, in the largest study examining the link between low vitamin D levels and dementia published this month in Neurology.…

First Comprehensive Guidelines for Pediatric Concussion

The first comprehensive pediatric concussion guidelines were launched by pediatric emergency medicine researchers at the Children’s Hospital of Eastern Ontario and the Ontario Neurotrauma Foundation. The guidelines provide healthcare providers with evidence-based recommendations to standardize the diagnosis and management of concussion in children aged 5 to 18 years old, from the initial assessment through to the period of recovery, which can last months.…

The Effects of DBS on the Motor Symptoms of Parkinson’s Disease

Andrew was diagnosed with Early Onset Parkinson’s Disease in 2009 when he was 35 years old. He lives with his wife and two children in Auckland, New Zealand. In November 2012 and February 2013 he underwent a surgical procedure, Deep Brain Stimulation surgery, to help control his motor symptoms.…


Benefits Seen With Earlier Surgery for Epilepsy

A Cleveland Clinic study suggests that early resection using frontal lobe epilepsy (FLE) surgery may improve seizure outcomes. Age younger than 18 and epilepsy duration of less than 5 years were both associated with better seizure-related outcomes. Left-sided resections and acute postoperative seizures predicted a poorer prognosis.…

Regular Neurologist Care Helps Patients With Parkinson’s Disease

The risk of hospitalization and re-hospitalization for several Parkinson’s disease-related illnesses appears to be lower among patients who receive regular neurologist care when compared with those who do not. In a study, researchers noted that their findings may reflect an improved ability of neurologists to prevent, recognize, or treat Parkinson’s disease complications.…

Restless Legs Syndrome & CHD Among Women

American researchers suggest that women who have had physician-diagnosed restless legs syndrome (RLS) for at least 3 years have higher risks of coronary heart disease (CHD). When compared with women without RLS, those with RLS for more than 3 years had a hazard ratio of 1.72 for developing CHD.…

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