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A new rule being proposed by the Centers for Medicare & Medicaid Services (CMS) and drawing criticism from case managers who have reviewed it would require hospitals to alert all Medicare patients 24 hours before discharge that their costs probably won't be covered if they stay longer, and that they have until noon the next day to request a review of the discharge decision.
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'Idiopathic' RBD patients with olfactory impairment might present with stage 2 preclinical alpha-synucleinopathy.
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The strong correlation between reduction of aura symptoms and migraine attacks stresses the potential role of aura-like events.
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A small but significant number of patients with unrecognized ALS undergo spinal surgery that in retrospect may be inappropriate.
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Modafinil failed to significantly improve EDS in PD compared with placebo.
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A long term placebo controlled study is now needed to establish whether cannabinoids may have a role beyond symptom amelioration in MS.
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Patent foramen ovale is commonly associated with cryptogenic stroke, but there is inadequate evidence in the medical literature to support the use of transcatheter closure devices ...
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In patients with an ischemic stroke, a normal carotid DUS examination does not support the routine use of TEE to exclude the presence of complex aortic arch plaque or thrombi.
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Fabry disease must be considered in all cases of unexplained stroke in young patients, especially in those with the combination of infarction in the vertebrobasilar artery system and proteinuria.
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