Neurology Alert – May 1, 2013

May 1, 2013

• 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.

  Read more

• 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.

  Read more

• 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.

  Read more

• 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

  Read more

• 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.

  Read more

• 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.

  Read more

• Pharmacology Watch: New Study on Chelation Therapy Proves Controversial

  Chelation therapy for cardiovascular disease; statins and kidney injuries; chlorthalidone for hypertension; and FDA actions.

  Read more

• Clinical Briefs in Primary Care Supplement

  Read more