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When biopsy of a brain tumor is not possible due to high surgical risk, perfusion MRI can help distinguish tumor types with high sensitivity and specificity.
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Persistent elevation of serum CK without symptoms should be aggressively investigated, including a muscle biopsy, since half will have HyperCKemia, and half will have a specific pathology.
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Warfarin remains superior to antiplatelet agents for stroke prevention in patients with atrial fibrillation.
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The ESPRIT trial found that aspirin combined with dipyridamole reduced the long-term risk of recurrent vascular events in stroke and TIA patients, compared with a low dose of aspirin, alone.
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A short-term healthy lifestyle program combining mental and physical exercise, stress reduction, and healthy diet was associated with significant effects on cognitive function and brain metabolism.
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Barotrauma to the paranasal sinuses may cause sudden and severe headache during airplane travel.
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Seizure occurrence in AD is higher than expected in the general population, and patients with onset of AD in the sixth decade have a greatly increased risk.
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All of the currently available non-invasive techniques for carotid artery imaging give accurate results when there is a high-grade stenosis (70-99%), but contrast-enhanced MRA is slightly more sensitive.
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Controlling healthcare costs is tricky business, and sometimes the best intentions have adverse outcomes, as pointed out in a new study in the June 1st New England Journal of Medicine.