Nervous System Diseases

Patients who are experiencing pseudoexacerbations or confirmed exacerbations of disease should be assessed and monitored for depressive and anxiety symptoms.

Unique to this case of organophosphate poisoning is the patient's initial complaint of syncope, until now an undocumented finding. What else might be going on? More, here.

The excessive number of deaths in placebo-treated patients largely was the result of MS-related causes, especially MS-related pulmonary infections.

The excessive number of deaths in placebo-treated patients largely was the result of MS-related causes, especially MS-related pulmonary infections.

Italian scientists have demonstrated in vitro a concrete link between the Epstein Barr virus and activation of an endogenous human retrovirus implicated in the pathogenesis of multiple sclerosis. The beginning of an end to the mystery?

A 39-year-old woman presented to the clinic with 2-month history of progressively worsening headache and right-sided ataxia. Brain MRI demonstrated a 4.5-cm, nonenhancing, T1 hypointense mass on the right cerebellar hemisphere.

There are many beliefs, founded and unfounded, about what may trigger an exacerbation of multiple sclerosis. Here, a closer look at some of the potential offenders and the evidence for or against each.

A woman in her 40s presented to the ED several times after an automobile accident. Day 1: Shoulder and neck pain. Day 8: Pain resolved, but vertigo/headache/vomiting. Day 10: Severe vertigo. All neurologic exams, normal. What test would you order next?

Use of aspirin in primary prevention of cardiovascular disease must be based on individual risk-benefit analysis and is not appropriate for patients at low risk. Here, Drs Kohli and Cannon discuss risk stratification and patient selection.

The European Society of Cardiology just weighed in on the 3 new alternatives to warfarin for oral anticoagulation. The response is tempered enthusiasm.

A 58-year-old man with a past medical history of chronic sinus disease and hypothyroidism presented with left periorbital pain and erythema that worsened despite outpatient treatment with topical antibiotics. An outpatient CT scan showed pansinusitis and orbital stranding. The diagnosis was orbital cellulitis and sinusitis.

Here: 10 tips that can help you provide optimal care of your patients with MS.

A headache specialist and family practitioner reviews recent research on therapy for migraine headaches and points to clinical implications--for patients and for primary care providers.

In many patients, episodic migraines increase in frequency and transform into a refractory pattern.

What are the factors that underlie the transformation of episodic migraine to refractory migraine? Dr Susan Hutchinson explains.

When a patient presents to a primary care physician with a bad headache and organic cause is ruled out, 94% of the time the diagnosis is migraine.

A 59-year-old woman had aphasia and right-sided weakness after a routine total knee replacement. CT and MRI scans revealed a large left middle cerebral artery infarct. A CT angiogram showed no significant disease of the cerebrovascular arteries. Test results for the lupus anticoagulant were positive. A venous study of the legs showed no deep venous thrombosis. She was treated with warfarin and aspirin and discharged. After speech and physical therapy, she had mild residual aphasia.

Warm weather can impair the ability of persons with multiple sclerosis (MS) to learn, remember, and process information, according to research presented at the American Academy of Neurology’s 63rd Annual Meeting in Honolulu April 9 to April 16, 2011

Multiple sclerosis (MS) is less likely to develop in persons with high levels of sun exposure and vitamin D, reported Australian researchers in the journal Neurology. This finding confirms the results of previous studies that showed MS occurs more frequently at latitudes farther from the equator

Cannabis worsens cognitive function in patients with multiple sclerosis, reported investigators recently in the journal Neurology. Marijuana has been used to relieve the pain and spasticity associated with MS; however, the results of this study show that the drawbacks may outweigh the purported benefits

Randolph W. Evans, MD, chief of neurology at Park Plaza Hospital and clinical professor at Baylor College of Medicine in Houston, Texas, reviews postconcussion syndrome and post-traumatic headache.