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As experienced physicians understand, heart failure can be a difficult diagnosis to establish in the emergency department setting, especially when there are factors that may complicate a patients presentation. This issue of Emergency Medicine Reports reviews the role and clinical utility of brain natriuretic peptide in the management of patients suspected of having heart failure upon presentation to the ED
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Avierinos and colleagues at the Mayo Clinic have used the Olmstead County, Minn, Data Base to study the association between mitral valve prolapse and ischemic neurological events.
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Subarachnoid hemorrhage (SAH) due to a ruptured cerebral aneurysm is a disorder that is without apparent cause and is generally impossible to predict. This study suggests that there are a number of SAH risk factors related to lifestyle that are, in fact, modifiable.
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Sabsevitz and associates report a correlation between Functional MRI results and language dysfunction following anterior temporal lobectomy in the treatment of medically refractory epilepsy.
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Jayne and associates studied whether it was possible to substitute a regimen of azathioprine at 2 mg/kg per day for maintenance therapy in patients with generalized vasculitis.
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The value of the 14-3-3 test for establishing a diagnosis of probable sporadic Creutzfeldt-Jakob disease (CJD) has been suggested to be as high as 96-100% in several reports. In the present report, 32 patients who had definite CJD established by biopsy or autopsy confirmation were studied for 14-3-3 reactivity.
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In this paper, Sato and colleagues conducted a double-blind, placebo-controlled study of the effect of 3 days of treatment with steroid pulse therapy in neuroleptic malignant syndrome.
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In this report by Klein and colleagues, the clinical features of a series of 18 patients evaluated at the Mayo Clinic for autonomic dysfunction are presented.
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Among 359 patients with bladder cancer confirmed by tissue diagnosis and seen between 1962 and 2001 at the University of Kentucky Medical Center, 14% (n = 52) developed neurological complications.
