Targeted temperature management in the ICU

23Jun
2017

Spasticity Drug Cuts Alcohol Consumption in High-Risk Drinkers

23Jun
2017

Spasticity Drug Cuts Alcohol Consumption in High-Risk Drinkers – Medscape (free registration required)

Unpublished results, presented at the 13th World Congress of Biological Psychiatry, suggesting baclofen is an effective alternative for high-risk alcohol consumption.

 

Management of Brain Arteriovenous Malformations

23Jun
2017

Head Positioning in Acute Stroke

23Jun
2017

Preventing Cognitive Decline and Dementia

23Jun
2017

Co-morbid OSA and insomnia increases depression prevalence and severity in men

23Jun
2017

Performance Improvement: Phenytoin Toxicity

22Jun
2017

Performance Improvement: Phenytoin Toxicity – JAMA (free)

Interesting case of medication error and prevention of subsequent adverse events (RT @JAMA_current see Tweet)

 

Predicting cognitive deficits in people with Parkinson’s disease

21Jun
2017

Can Zika infection attack the brains of newborns?

21Jun
2017

Review: Differentiating lower motor neuron syndromes

20Jun
2017

Antiplatelet Therapy in Patients With Coronary Stents Undergoing Elective Noncardiac Surgery

20Jun
2017

Steroid injections into the inner ear may be safe for treating Ménière’s disease

20Jun
2017

Consensus guidelines for lumbar puncture in patients with neurological diseases

19Jun
2017

Managing epilepsy in women of childbearing age

19Jun
2017

A randomized trial of telemedicine efficacy and safety for nonacute headaches

16Jun
2017

Association Between Persistent Pain and Memory Decline and Dementia in a Longitudinal Cohort of Elders

14Jun
2017

Association Between Persistent Pain and Memory Decline and Dementia in a Longitudinal Cohort of Elders – JAMA Internal Medicine (link to abstract – $ for full-text)

Commentary: Persistent Pain May Increase Dementia Risk – The New York Times (10 articles per month are free)

Cohort of community-dwelling older adults suggests there might be a link.

 

Diagnosis and management of dementia with Lewy bodies

12Jun
2017

Head injury: assessment and early management

9Jun
2017

Practice Guidelines for Preoperative Fasting

9Jun
2017

Moderate alcohol consumption as risk factor for adverse brain outcomes and cognitive decline

8Jun
2017

Short-term catheterisation: considerations for best practice

8Jun
2017

Association Between Cirrhosis and Stroke

7Jun
2017

Association Between Cirrhosis and Stroke in a Nationally Representative Cohort – JAMA Neurology (free)

Commentary: Cirrhosis Tied to Stroke Risk- Physician’s First Watch (free)

Patients with cirrhosis seem to have a higher risk of stroke, particularly hemorrhagic stroke.

 

Growth and Rupture Risk of Small Unruptured Intracranial Aneurysms

7Jun
2017

Growth and Rupture Risk of Small Unruptured Intracranial Aneurysms: A Systematic Review – Annals of Internal Medicine (link to abstract – $ for full-text)

Commentaries: Growth, rupture risk appear low for small intracranial aneurysms, review indicates – ACP Internist Weekly (free) AND How Frequently Do Small Brain Aneurysms Rupture? – MedPage Today (free registration required)

“The annualized rupture rate was 0% for aneurysms 3 mm or smaller, below 0.5% for aneurysms 5 mm or smaller, and below 1% for aneurysms 7 mm or smaller”

 

Carotid Artery Stenting Versus Endarterectomy for Stroke Prevention

5Jun
2017

Carotid Artery Stenting Versus Endarterectomy for Stroke Prevention: A Meta-Analysis of Clinical Trials – Journal of the American College of Cardiology (link to abstract – $ for full-text)

Commentary: CAS vs. CEA for Stroke Prevention – American College of Cardiology, Latest in Cardiology (free)

“CAS and CEA were associated with similar rates of a composite of periprocedural death, stroke, MI, or nonperiprocedural ipsilateral stroke. The risk of long-term overall stroke was significantly higher with CAS, and was mostly attributed to periprocedural minor stroke”.

 

Trial of Minocycline in a Clinically Isolated Syndrome of Multiple Sclerosis

2Jun
2017

Transient ischaemic attacks may have greater long-term impact than previously thought

2Jun
2017

Stroke in Childhood: Clinical guideline for diagnosis, management and rehabilitation

25May
2017

Reducing Recurrent Stroke With PFO Closure

19May
2017

Finally, Success Reducing Recurrent Stroke With PFO Closure – Medscape (free registration required)

Two randomized trials presented at the 3rd European Stroke Organization Conference (ESOC) 2017 showed that in carefully selected stroke patients in whom Patent Foramen Oval (PFO) was suspected to be a cause of their strokes, a reduction in recurrent stroke was observed with PFO closure.

 

New Advice to Move More After a Concussion

19May
2017

Internet-Based Vestibular Rehabilitation for Older Adults With Chronic Dizziness

12May
2017

Reducing brain injury following cardiopulmonary resuscitation

11May
2017

Centers for Disease Control and Prevention Guideline for the Prevention of Surgical Site Infection, 2017

5May
2017

Selection of patients for intra-arterial treatment for acute ischaemic stroke

4May
2017

Selection of patients for intra-arterial treatment for acute ischaemic stroke: development and validation of a clinical decision tool in two randomised trials – The BMJ (free)

New decision tool: MR CLEAN-R Registry (free)

This new clinical decision tool will improve the selection of patients with acute ischemic stroke who will benefit the most from intra-arterial treatment.

 

Sudden unexpected death in epilepsy incidence rates and risk factors

1May
2017

Exercise interventions for cognitive function in adults older than 50

26Apr
2017

Meta-analysis: Exercise interventions for cognitive function in adults older than 50: a systematic review with meta-analysis – British Journal of Sports Medicine (free)

Source: Exercise Could Benefit Cognition in Older Adults – Physician’s First Watch (free)

“Physical exercise interventions significantly improved cognitive function in adults older than 50 years, regardless of baseline cognitive status”.

 

Head injury decision rules in children

26Apr
2017

Accuracy of PECARN, CATCH, and CHALICE head injury decision rules in children: a prospective cohort study – The Lancet (link to abstract – $ for full-text)

Sources: External Validation of Three Decision Rules for Pediatric Head Injury – Journal Watch (free) AND Best way to diagnose head injuries in children and minimize CT scans – ScienceDaily (free) AND PECARN, CATCH, CHALICE … or None of the Above? – By Ryan P. Radecki, MD, in Emergency Medicine Literature of Note (free)

The 3 decision rules performed well with negative predictive values >99%. The PECARN clinical decision rule was more sensitive and missed only 1 patient with clinically important traumatic brain injury, but was less specific, meaning more CTs would be required. These findings indicate that CT can generally be avoided if one of the prediction rules are negative.

 

Aneurysmal Subarachnoid Hemorrhage: Diagnosis and Treatment

25Apr
2017

Sugar- and Artificially Sweetened Beverages and the Risks of Incident Stroke and Dementia

24Apr
2017

New ILAE Epilepsy Classification Published

12Apr
2017

New ILAE Epilepsy Classification Published – Medscape (free registration required)

Position paper: Operational classification of seizure types by the International League Against Epilepsy (free)

Practical manual: Instruction manual for the ILAE 2017 operational classification of seizure types (free)

“For the first time in 30 years, an epileptic seizures classification update” (RT @MedscapeNeuro see Tweet)

 

Benefits of Endovascular Treatment for Stroke Last at Least 2 Years

7Apr
2017

Attention-Deficit/Hyperactivity Disorder

5Apr
2017

American College of Radiology (ACR) Appropriateness Criteria Adds Topics

4Apr
2017

ACR Appropriateness Criteria Adds Topics, Covers More Clinical Variants Than Ever Before (free)

Browse Appropriateness Criteria Topics (free)

Source: Newswise

This comprehensive guide from American College of Radiology (ACR) covers 230 topics with more than 1,100 clinical indications and has just been updated. It is a very useful resource for doctors in all specialties to guide which exam is most appropriate in each clinical situation.

 

Insomnia associated with increased risk of heart attack and stroke

4Apr
2017

Neuropathic pain in adults

3Apr
2017

Cognitive Dysfunction in Older Adults With Diabetes

3Apr
2017

Cognitive Dysfunction in Older Adults With Diabetes: What a Clinician Needs to Know – Diabetes Care (free)

Source: Management of Older Adults With Diabetes and Cognitive Dysfunction – PracticeUpdate (free registration required)

“Recommendations include the need for simplified medication regimens, avoidance of glucose-lowering drugs with a high risk of hypoglycemia, periodic reassessment of glycemic goals, and repeated education of the patient and caregiver” (from PracticeUpdate commentary above)

 

Revised Framingham Stroke Risk Profile

27Mar
2017

Revised Framingham Stroke Risk Profile to Reflect Temporal Trends – Circulation (free)

“A revised Framingham Stroke Risk Profile more accurate at predicting contemporary stroke risk”.

“Instant classic paper on stroke risk prediction?! Will patients be interested in this?” (RT @MaryCushmanMD)

 

Pregabalin for Acute and Chronic Sciatica

23Mar
2017

Trial of Pregabalin for Acute and Chronic Sciatica – New England Journal of Medicine (link to abstract – $ required for full-text)

Pregabalin did not reduce pain and was associated with higher incidence of adverse events.

 

Genetic assessment of age-associated Alzheimer disease risk

23Mar
2017

Dementia Across the Lifespan and Around the Globe

23Mar
2017
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