Neurology
RSSArticles
-
Stroke Alert
Carotid MRI scanning was performed in 1414 stroke-free participants, older than the age of 45 years, to assess the morphology of any atherosclerotic plaques, specifically to look at the presence of a lipid core, intraplaque hemorrhage, calcification, or fibrous tissue in each carotid artery. -
DaTSCAN to Distinguish Parkinson’s Disease from Secondary Parkinsonism
DaTSCAN imaging makes use of the dopamine transporter (DAT) ligand [123I]FP-CIT used with SPECT to provide a means to visualize the integrity of the nigrostriatal dopaminergic system. DaTSCAN has been approved in the United States to aid in evaluation of patients in whom Parkinsons disease (PD) and certain other related neurodegenerative disorders are suspected. -
Utility of Anti-JC Virus Antibody Index to Assess the Risk of PML in Natalizumab-Treated MS Patients
Natalizumab is a monoclonal antibody that is FDA-approved for the treatment of relapsing-remitting multiple sclerosis (MS). Among the available options to treat MS, it is one of the most effective. -
Intravenous Calcitonin Gene-Related Antibodies for the Prevention of Migraine
In a Phase 2 trial, antibodies to calcitonin gene-related peptide resulted in a significant decrease in migraine days measured from baseline to weeks 5 to 8 after one intravenous infusion of the medication, as compared to a placebo infusion. But the high-rate of placebo response (50%) warrants caution in the interpretation of the study results and requires more investigation. -
Emergency Medicine Reports - Full November 30, 2014 Issue in PDF
-
The Photosensitive Patient
A 65-year-old female presents to the emergency department with a chief complaint of a severe rash. The rash has been present for two weeks on her arms, neck, and scalp. It began while she was sitting on her porch one afternoon. She denies any associated fevers, chills, headache, or muscle ache. She denies any exposure to pets, new soaps, detergents, or lotions, and she denies recent travel.
-
Nurse Practitioners and Physician Assistants in the ICU
Using retrospective cohort data from a national survey of medical and mixed medical-surgical ICUs, this study found that nurse practitioner (NP)/physician assistant (PA) staffing was common and not associated with any differences in in-hospital mortality compared to ICUs without NP/PAs. -
Dehydration Is a Poor Prognostic Sign in Acute Ischemic Stroke Patients
Dehydration is an independent predictor of discharge outcome and admission cost in acute ischaemic stroke. -
Unplanned Extubations as a Quality-of-Care Issue
Reintubation following unplanned extubation in critically ill post-operative patients is associated with increased hospital mortality. -
After-Hours ICU Discharge: A Potentially Modifiable Cause of Increased Hospital Mortality
Examination of outcomes in 710,535 patients in relation to the timing of ICU discharge showed that being moved out to the ward between 1800 and 0600 hours was associated with increased risks of both in-hospital death and unplanned ICU readmission.