Emphysematous Pancreatitis in a 61-year-old Man
January 29, 2013
Emphysematous pancreatitis is typically managed with broad-spectrum antibiotics and early surgical debridement. Here, a case that supports more recent evidence for conservative therapy.
Condylomata Acuminata (Severe External Genital Warts)
January 28, 2013
Extensive condylomata acuminata are beyond the capacity of all topical therapies. The area was initially treated by carbon dioxide laser ablation, and residual small foci of infection were subsequently treated with topical 5% imiquimod cream.
Here: 10 tips that can help you provide optimal care of your patients with MS. . Read More
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? Read More
Patients who are experiencing pseudoexacerbations or confirmed exacerbations of disease should be assessed and monitored for depressive and anxiety symptoms.Read more
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.Read More
Organophosphate Poisoning Presenting as Syncope
December 5, 2012
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.
Epstein Barr Virus and Multiple Sclerosis: Missing Link Found
December 3, 2012
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?
August 9, 2012
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.
Multiple Sclerosis: What Triggers Exacerbations?
July 25, 2012
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.
Vertigo After a Car Accident: Vertebral Artery Dissection?
June 22, 2012
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?
Orbital Pseudotumor Disguised as Orbital Cellulitis and Sinusitis
May 9, 2012
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.
What's New in Migraine Therapy?
January 11, 2012
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.
When is a "Sick" Headache a Migraine?
September 1, 2011
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.
May 9, 2011
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.
As Temperature Rises, Cognitive Skills Decline in Persons With MS
April 12, 2011
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
Sunshine and Vitamin D May Help Prevent MS
April 12, 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
Marijuana Use Can Leave Patients With MS in a Haze
April 12, 2011
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
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COMMON NERVOUS SYSTEM DISEASE MEDICATIONS
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