By David Y. Hwang
50 reviews each Neurologist should still Know provides key experiences that form the present medical perform of neurology. All neurologic subspecialties are lined, with a different emphasis on neurocritical care and vascular neurology. for every examine, a concise precis is gifted with an emphasis at the effects and barriers of the examine, and its implications for perform. An illustrative medical case concludes every one evaluation, by way of short details on different suitable stories. this is often the 1st e-book of its sort to provide a set of the main influential medical trials in neurology which are distinctive sufficient for use on rounds, yet nonetheless simply digestible. it's a must-read for overall healthiness care execs and someone who desires to study extra in regards to the info in the back of scientific practice.
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1). 001). • Sumatriptan was significantly more effective than placebo in relieving nausea, vomiting, photophobia, and phonophobia. • Treatment with sumatriptan markedly improved ability to function normally: at 60 minutes, 45% could function normally compared with 9% treated with placebo; at 120 minutes, the numbers were 78% versus 22%. • Rescue medication was taken by 44% of those who received placebo alone, and 8%–12% of those assigned to any sumatriptan regimen. • Proportion of headache recurrence within 24 hours was 34%–38% in sumatriptan-treated patients versus 18% in placebo.
AD). Scores ≥4 are more consistent with multi-infarct (vascular) dementia. The Ischemic Score does not differentiate between patients with multi-infarct dementia alone and patients with both disorders (multi-infarct dementia and a primary neurodegenerative disease). Pathological verification of Ischemic Score in differentiation of dementias. Ann Neurol. 1980;7(5):486–488. For the original Ischemic Score, with 13 rather than 8 items: Hachinski VC, Illff LD, Zilhka E, et al. Cerebral blood flow in dementia.
In less than 1 minute, his typical seizure spreads to involve his entire left hand, forearm and face. He has no recollection of events afterwards, but has been told he usually falls down, with twitching involving his whole left hemibody. He has bitten his tongue and lost urinary continence. He has been unresponsive for up to 5 minutes and confused for up to an hour afterwards. He is a truck driver. His wife reports he has previously stopped various medications because of side effects. MRI of the brain shows few small areas consistent with hemosiderin deposits on gradient echo sequences.