Category: Neurology
Keywords: correction, NMS, neuroleptic malignant syndrome (PubMed Search)
Posted: 3/24/2011 by Aisha Liferidge, MD
(Updated: 12/12/2024)
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Note that yesterday's Neurology pearl should have read as follows -
Amongst others, diagnostic criteria for NMS includes:
Exposure to a dopamine ANTAGONIST (NOT AGONIST) or dopamine agonist withdrawal within past 72 hours.
Apologies for the type-o.
Category: Neurology
Keywords: NMS, neuroleptic malignant syndrome (PubMed Search)
Posted: 3/23/2011 by Aisha Liferidge, MD
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- Exposure to dopamine agonist or dopamine agonist withdrawal within past 72 hours
- Hyperthermia
- Rigidity
- Mental status alteration
- Elevated creatinine phosphokinase
- Sympathetic nervous system lability (2 or more of the following: elevated blood pressure, fluctant blood pressure, urinary incontinence, diaphoresis)
- Tachycardia and tachypnea
- Negative work-up for infectious, metabolic, neurologic, or toxic etiologies.
Category: Neurology
Keywords: metronidazole, neuropathy (PubMed Search)
Posted: 3/17/2011 by Aisha Liferidge, MD
(Updated: 12/12/2024)
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Category: Neurology
Keywords: seizure, idiopathic seizure (PubMed Search)
Posted: 3/9/2011 by Aisha Liferidge, MD
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The onset of idiopathic seizures typically affects patients between ages 5 and 20.
Therefore, be highly suspicious of a diagnosable etiology in patients who present with new onset seizure prior to age 5 or after age 20.
Common causes of such seizures include:
Category: Neurology
Keywords: phenytoin, dilantin, seizure, dilantin level, phenytoin level (PubMed Search)
Posted: 3/2/2011 by Aisha Liferidge, MD
(Updated: 12/12/2024)
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Category: Neurology
Keywords: lumbar puncture, seizure, febrile seizure (PubMed Search)
Posted: 2/23/2011 by Aisha Liferidge, MD
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-- 6 to 12 months > "strongly consider" LP
-- 12 to 18 months > "consider" LP
-- 18 months and up > LP not routinely necessary; may consider after clinical assessment
-- Any infant/child with recent antibiotic treatment plus SFS > "strongly consider" LP
Category: Neurology
Keywords: ketamine, conscious sedation, procedural sedation (PubMed Search)
Posted: 2/16/2011 by Aisha Liferidge, MD
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Category: Neurology
Keywords: IV tPA, stroke, alteplase (PubMed Search)
Posted: 2/9/2011 by Aisha Liferidge, MD
(Updated: 12/12/2024)
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-- Age > 80 years old
-- NIH Stroke Scale > 25
-- History of combination of previous stroke and diabetes
-- On anticoagulation medication, regardless of INR
Category: Neurology
Keywords: stroke, seizure (PubMed Search)
Posted: 2/3/2011 by Aisha Liferidge, MD
(Updated: 12/12/2024)
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Category: Neurology
Posted: 1/26/2011 by Aisha Liferidge, MD
(Updated: 12/12/2024)
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Kittner SJ, Stern BJ, Feeser BR, Hebel R, Nagey DA, Buchholz DW, Earley CJ, Johnson CJ, Macko RF, Sloan MA, Wityk RJ, Wozniak MA. Pregnancy and the risk of stroke. N Engl J Med. 1996;335:768-774.
Category: Neurology
Keywords: parkinson's disease, movemnt disorder, levodopa (PubMed Search)
Posted: 1/20/2011 by Aisha Liferidge, MD
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Category: Neurology
Keywords: dysmetria, ataxia, cerebellum (PubMed Search)
Posted: 1/12/2011 by Aisha Liferidge, MD
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Category: Neurology
Keywords: Image, CT scan, head trauma (PubMed Search)
Posted: 1/10/2011 by Rob Rogers, MD
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FILE RESEND. This was tested via email and will hopefully work. I apologize for errors - Dlemkin (webmaster)
What is the diagnosis? (DON'T LOOK DOWN AT THE ANSWER)
50 year-old male prisoner s/p assault, + LOC
CT shows right-sided traumatic subarachnoid hemorrhage
Category: Neurology
Keywords: nihss, nih stroke scale, posterior stroke, anterior stroke (PubMed Search)
Posted: 1/5/2011 by Aisha Liferidge, MD
(Updated: 12/12/2024)
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Category: Neurology
Keywords: seizure, seizure disorder, felbamate, antiepileptics (PubMed Search)
Posted: 12/29/2010 by Aisha Liferidge, MD
(Updated: 12/12/2024)
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Category: Neurology
Keywords: lacunar infarct, stroke (PubMed Search)
Posted: 12/22/2010 by Aisha Liferidge, MD
(Updated: 12/12/2024)
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Category: Neurology
Keywords: MS, multiple sclerosis, lhermitte's phenomenon, sensory symptom (PubMed Search)
Posted: 12/15/2010 by Aisha Liferidge, MD
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Category: Neurology
Keywords: transverse myelitis, spinal cord, demyelinating, neurologic condition (PubMed Search)
Posted: 12/8/2010 by Aisha Liferidge, MD
(Updated: 12/12/2024)
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Category: Neurology
Keywords: MS, multiple sclerosis, oligoclonal banding, brain MRI, ovoid plaques (PubMed Search)
Posted: 12/1/2010 by Aisha Liferidge, MD
(Updated: 12/12/2024)
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Category: Neurology
Keywords: vertigo, cerebellar stroke, stroke, dizziness (PubMed Search)
Posted: 11/24/2010 by Aisha Liferidge, MD
(Updated: 12/12/2024)
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