Search results for "Neurology"
New guideline published on management of unprovoked first seizure
Physicians treating adults with an unprovoked first seizure should inform them that their seizure recurrence risk is greatest, between 21% and 45%, within the first 2 years, according to a joint guideline by the American Academy of Neurology and the American Epilepsy Society.
https://immattersacp.org/weekly/archives/2015/05/12/7.htm
12 May 2015
MKSAP Quiz: difficult-to-treat migraine
A 30-year-old woman is evaluated for difficult-to-treat migraine. She has had severe headaches, usually on the first day of menses, since menarche. The pain is hemicranial, pulsatile, and associated with severe nausea and vomiting but no aura. She frequently awakens with the attack already in progress. A series of drug regimens have become ineffective in controlling pain. Following physical and neurological exams, what is the most appropriate next step in treatment?
https://immattersacp.org/weekly/archives/2016/09/20/3.htm
20 Sep 2016
MKSAP Quiz: 10-year history of fear and anxiety
A 26-year-old woman is evaluated for a 10-year history of recurrent episodes of acute-onset feelings of fear and anxiety. These episodes initially occurred approximately 4 times per year but for the past 3 months have been occurring once or twice per month, especially when she is under stress. She describes the episodes as paroxysmal attacks of fear and anxiety associated with a dry mouth and a consistent “roller coaster” sensation in her stomach that typically last 15 seconds to 1 minute. Following a physical exam, brain MRI, and electroencephalogram, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2016/06/21/3.htm
21 Jun 2016
AHA/ASA releases updated guidelines for primary prevention of stroke
The American Heart Association/American Stroke Association last week released updated guidelines on the primary prevention of stroke that included new recommendations on the use of statins, blood pressure management, and risk stratification for atrial fibrillation.
https://immattersacp.org/weekly/archives/2014/11/04/4.htm
4 Nov 2014
COX-2 inhibitors associated with greater risk for death after ischemic stroke
Cyclooxygenase (COX)-2 inhibitor use before hospital admission for ischemic stroke was associated with a higher 30-day mortality rate, according to a new study.
https://immattersacp.org/weekly/archives/2014/11/11/4.htm
11 Nov 2014
MKSAP Quiz: 1-year history of increasing urinary frequency
A 50-year-old man is evaluated for a 1-year history of increasing urinary frequency and urgency and occasional urge incontinence. He has no symptoms of urinary hesitancy or incomplete emptying. The patient has primary progressive multiple sclerosis. Medications are dalfampridine and vitamin D. Following a physical exam, gait testing, and urinalysis, what is the most appropriate treatment?
https://immattersacp.org/weekly/archives/2016/03/15/3.htm
15 Mar 2016
MKSAP Quiz: episodic migraine during pregnancy
A 30-year-old woman is evaluated for episodic migraine without aura that first presented in high school and has persisted into the third trimester of her current pregnancy. The headache attacks occur two to four times monthly and last 12 to 24 hours. She experiences moderately severe pain, significant nausea, no vomiting, and pronounced photophobia with most of the attacks. Her only medication is prenatal vitamins. Physical examination findings, including vital signs, are normal. What is the most appropriate treatment?
https://immattersacp.org/weekly/archives/2014/10/07/3.htm
7 Oct 2014
Neurologists offer guidelines on diagnosing sports concussions
Updated recommendations on evaluating and managing sports-related concussions were released by the American Academy of Neurology (AAN) last week.
https://immattersacp.org/weekly/archives/2013/03/26/2.htm
26 Mar 2013
Essential tremor treatment guidelines updated
Propranolol and primidone remain the most successful and most frequently used drugs to treat essential tremor, while levetiracetam, 3,4-diaminopyridine, and flunarizine should not be used, according to updated guidelines by the American Academy of Neurology.
https://immattersacp.org/weekly/archives/2011/10/25/2.htm
25 Oct 2011
Guideline update issued on prevention of stroke in nonvalvular afib
The American Academy of Neurology recently issued a guideline update on preventing stroke in patients with nonvalvular atrial fibrillation (NVAF).
https://immattersacp.org/weekly/archives/2014/03/04/5.htm
4 Mar 2014