Neurology Alert – May 1, 2013
May 1, 2013
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Cholinergic Autonomic Dysfunction in Veterans with Gulf War Illness
Veterans with Gulf War illness had a statistically significant increase of autonomic symptoms, heart rate variability, and abnormalities in sudomotor function, as measured by the Quantitative Sudomotor Axon Reflex Test, compared to control subjects. The study found objective autonomic deficits in veterans with the Gulf War syndrome with autonomic syndrome. -
Mild Head Strike May Have Lasting Impact on Children and Adolescents
Almost a third of children and adolescents seen in the emergency department with mild traumatic brain injury develop postconcussion syndrome, with migraine-like headaches as the most common symptom. -
Utility of Follow-Up MRI for Sciatica
After successful treatment of sciatica, routine follow-up MRI of the lumbar spine provides no useful information. Recurrent or persistent symptoms mandate additional evaluation based on clinical symptoms and signs. -
Stroke Alert: A Review of Current Clinical Stroke Literature
Secondary Prevention after Acute Ischemic Stroke; Closure of Patent Foramen Ovale in Selected Patients with Cryptogenic Stroke May Be Better Than Medical Therapy Alone; Use of Ischemic Stroke Scores May Aid in the Prediction of Risk of Early Recurrence -
Exercise Benefits Patients with Parkinson’s Disease
Exercise, both aerobic as well as stretching and strengthening, improves motor function and gait in patients with Parkinsons disease. -
One Step to Understanding Psychogenic Dystonia
Regional cerebral blood flow defines distinct patterns of disrupted metabolism in psychogenic vs organic dystonia, with decreased flow in motor and premotor cortex in psychogenic dystonia, but increased flow in subcortical structures. -
Pharmacology Watch: New Study on Chelation Therapy Proves Controversial
Chelation therapy for cardiovascular disease; statins and kidney injuries; chlorthalidone for hypertension; and FDA actions. -
Clinical Briefs in Primary Care Supplement