In settings in which an admitting neurology service is unavailable, hospitalists may be called upon to care for and initiate an appropriate diagnostic evaluation for adult patients with new-onset seizures.
Repetitive nerve stimulation studies appear to be safe in patients with modern implantable pacemakers and defibrillators.
A novel target for suppression of cortical spreading depression shows promise in rodent models and in patients with medically refractory migraine with aura.
Video-oculography reveals spontaneous or gaze-evoked nystagmus in more than a quarter of patients with isolated superior cerebellar infarction.
Use of dexamethasone in community-acquired bacterial meningitis is associated with long-term survival in treated patients.
Cholinergic system dysfunction, as measured by short latency afferent inhibition, might contribute to gait abnormality in early stages of Parkinsons disease.
The paradigm I grew up with in emergency medicine is that there are a limited number of ways to die, and our role was to intervene and prevent death using the principles of A, B, and C: airway, breathing, and circulation. This concept works well for the previously healthy acutely ill or injured patient. But for the patient nearing the end of a life-limiting illness, it is not appropriate and can even be cruel. The introduction of palliative care to the emergency department at first seems out of place; that is the place where patients are snatched from the jaws of death. But as the authors of this issue explain, the ABC of resuscitation can be revised to the ABCD of palliative care assessment to provide better care to patients and families in times of crisis.