Neurology Alert – August 1, 2011

August 1, 2011

• A Weak Jaw Says Much

  Careful testing of jaw muscle power can help to make an accurate clinical diagnosis in acute, flaccid quadriparesis.

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• Can We Make an Accurate Diagnosis of Patients with Posterior Cortical Atrophy?

  The use of biomarkers from the CSF, as well as newer PET imaging ligands, allow for an accurate diagnosis in patients who have a syndrome of posterior cortical atrophy.

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• Long-term Impact of Medulloblastoma Treatment in Childhood

  Many survivors of medulloblastoma, who were treated with craniospinal radiation, develop physical and cognitive impairments as adults.

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• Natural History of Stroke-Related Homonymous Hemianopsia

  Serial examination of Humphrey visual fields in patients with infarct-related hemianopsia shows spontaneous recovery, predominantly in lower quadrants and in the periphery.

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• For Cervical Myelopathy from Spondylosis, Which Surgical Approach is Better — Anterior or Posterior?

  In this non-randomized comparative trial, dorsal (posterior) decompressive spinal surgery resulted in longer lengths of stay and higher costs compared to ventral (anterior) surgery.

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• Stroke Alert: A Review of Current Clinical Stroke Literature

  Investigators at the royal melbourne hospital in Australia reviewed their 11-year database of consecutive ruptured intracranial aneurysms treated with endovascular coiling or craniotomy and analyzed outcome using the modified Rankin Scale at 6 months.

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• Clinical Briefs in Primary Care Supplement

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• Pharmacology Watch

  FDA issues multiple drug safety alerts; ARBs and cancer risk; and FDA actions.

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