Neurology Alert – December 1, 2009
December 1, 2009
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Carotid Stenting vs. Endarterectomy for Symptomatic Stenosis: Endarterectomy Remains the Gold Standard
At the present time, carotid endarterectomy remains the treatment of choice for severe carotid artery stenosis, until additional evidence emerges from ongoing randomized clinical trials. -
Progressive Multifocal Leukoencephalopathy in MS Patients Treated with Natalizumab - Are We Closer to Understanding the Risk?
Two recent cases of progressive multifocal leukoencephalopathy in patients with multiple sclerosis that had received natalizumab monotherapy are presented. They survived after discontinuation of the drug and the initiation of plasma exchange. -
Is Surgery Necessary for Carpal Tunnel Syndrome?
Surgery is useful for patients with carpal tunnel syndrome who have not yet manifested denervation on electrodiagnostic testing. -
What Is the Best Technique for Removing a Chronic Subdural Hematoma?
In a prospective randomized trial, use of a post-operative drain was associated with lower mortality and less recurrence in the treatment of chronic subdural hematoma (SDH) -
Combination Therapy for Painful Neuropathy
Combination therapies may be better than single agents for neuropathic pain relief, but side effects are a limiting factor. -
Clinical Briefs in Primary Care Supplement
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Pharmacology Watch
Efficacy of once-daily insulin, aldo-sterone use in heart failure, erectile dysfunction Clinical Practice Guidelines, and FDA Actions.