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Top Stories

CME Diagnosing and Managing Seizures in the Emergency Department and the

Inpatient Setting

ECTRIMS 2007: 23rd Congress of the European Committee for Treatment and

Research in Multiple Sclerosis

CME DNA Vaccine Alters Natural Course of Multiple Sclerosis

CME/CE Principles of Effective Pain Management at the End of Life

American Neurological Association (ANA) 132nd Annual Meeting

Feature Articles

Headache

Less Is Not More: Underutilization of Headache Medications in a University

Hospital Emergency Department

Migraine guideline criteria are underused, and patients are undertreated in

the emergency department, conclude the authors of this study. Many patients

leave without a discharge diagnosis, outpatient medications, or

instructions.

Headache 47(8) 2007

Prognostic Significance of Personality Profiles in Patients With Chronic

Migraine

The aim of this study was to assess whether the psychological profile may

have prognostic significance in chronic migraine patients.

Headache 47(8) 2007

Midlife Migraine With Aura Predicts Late-Life Brain Infarcts

Medscape Medical News 2007

Stroke

Risk of Dementia in Stroke-Free Patients Diagnosed With Atrial Fibrillation:

Data From a Community-Based Cohort

How common is new onset dementia after first diagnosis of AF in patients

without prior evidence of cognitive dysfunction? Does the risk vary between

sexes and does it increase the risk of death?

Eur Heart J 28(16) 2007

Stroke Versus Primary CNS Lymphoma in the Immunocompromised Patient

It is often difficult to distinguish primary CNS lymphoma from stroke --

learn from this case of an elderly woman initially diagnosed with stroke.

J Neurosci Nurs 39(4) 2007

Rapid Assessment, Treatment of Minor Stroke Radically Reduces Major Stroke

Risk

Two major studies show rapid assessment and treatment of a first transient

ischemic attack or minor ischemic stroke dramatically reduces risk for

subsequent major stroke. (Lancet. Published online October 9, 2007. Lancet

Neurol. Published online October 9, 2007.)

Medscape Medical News 2007

CHD, Diabetes Linked to Worse Functional Outcomes in Women With Ischemic

Stroke

Medscape Medical News 2007

Left Ventricular Mass Associated With Stroke Risk in African Americans

Reuters Health Information 2007

Parkinson's Disease

Pain Threshold Low in Parkinson's Patients, Raised With Levodopa

Reuters Health Information 2007

Multiple Sclerosis

DNA Vaccine Alters Natural Course of Multiple Sclerosis

A newly developed DNA vaccine appeared to fundamentally alter the disease

course of multiple sclerosis in patients with relapsing remitting multiple

sclerosis. (American Neurological Association 132nd Annual Meeting; 23rd

Congress of the European Committee for the Treatment and Research in

Multiple Sclerosis.)

Medscape Medical News 2007

Monoclonal Antibody Induces Remyelination in Animal Model of Multiple

Sclerosis

Medscape Medical News 2007

Smoking Does Not Affect Progression in MS

Medscape Medical News 2007

Alzheimer's Disease

High Conscientiousness Linked to Decreased Risk for AD

Medscape Medical News 2007

Epilepsy

Limbic Encephalitis Tied to Adult Onset Epilepsy

Reuters Health Information 2007

Diagnosing and Managing Seizures in the Emergency Department and the

Inpatient Setting

Sleep Medicine

CME/CE " Doctor, Why Can't I Stay Awake? " Managing Excessive Sleepiness in

the Patient With Comorbid Disorders

Drs. Sanford Auerbach and Alon Avidan discuss the role and management of

excessive sleepiness in patients with comorbid disorders.

Sleep Characteristics of Youth With Functional Abdominal Pain and a Healthy

Comparison Group

Patients with FAP were reported to have more symptoms of behavioral sleep

disorders, as well as increased nightmares and daytime tiredness than the

comparison group.

J Pediatr Psychol 32(8) 2007

Conference Coverage

ECTRIMS 2007: 23rd Congress of the European Committee for Treatment and

Research in Multiple Sclerosis

Read clinically focused news coverage of key developments from the meeting.

American Neurological Association (ANA) 132nd Annual Meeting

Read clinically focused news coverage of key developments from the meeting.

Other Neurology Topics

Full Pneumococcal Immunization Strongly Advised for Patients With Cochlear

Implant

Deaths resulting from pneumococcal meningitis may have been preventable with

vaccination.

Medscape Medical News 2007

Using Neuroimaging Techniques to Explore the Relationship Between Social

Status and Health

Why do individuals with higher social status live longer and have better

health than those with lower social status? This paper reviews recent

clinical studies and reveals intriguing results.

Soc Cogn Affect Neurosci 2(3) 2007

Mild Hypothermia for the Treatment of Acute Liver Failure--What are We

Waiting for?

Mild hypothermia is a potentially effective treatment for reducing

intracranial pressure--a major cause of mortality in acute liver failure

patients. Does the evidence support its therapeutic use?

Nat Clin Pract Gastroenterol Hepatol 4(10) 2007

Neurosurgical Focus

Hippocrates, Galen, and the Uses of Trepanation in the Ancient Classical

World

The purpose of this study is to examine Hippocrates and Galen's written

accounts of the technique and use of trepanation in the ancient Greek and

Roman world.

Neurosurg Focus 23(1) 2007

The Eastern Heart and Galen's Ventricle: A Historical Review of the Purpose

of the Brain

The objective of this paper is to investigate the wide range of theories

regarding the organ responsible for consciousness, with specific examples

given with each cultural exploration.

Neurosurg Focus 23(1) 2007

Hippocrates' Influence on the Origins of Neurosurgery

This article praises Hippocrates, widely considered the father of medicine.

His contributions revolutionized the practice of medicine and laid the

foundation for modern-day neurosurgery.

Neurosurg Focus 23(1) 2007

Editorials

Should Doctors Force-Feed Prisoners?

K. Wynia, MD, MPH, Director of The Institute for Ethics at the

American Medical Association, explains the medical ethics of force-feeding

prisoners.

Medscape General Medicine 9(4) 2007

The Global Medical Village

Fitzhugh Mullan, MD, Professor of Pediatrics and Public Health at the

Washington University, teaches us about the US Global Health Service.

Medscape General Medicine 9(4) 2007

Instant Poll

Debate Over Child Health Insurance Expansion

On October 3, President Bush vetoed a $35 billion expansion of SCHIP, which

would have provided health insurance for an additional 4 million US

children, saying the bill " would improperly allow higher-income children to

benefit " (New York Times). Congressional Democrats may try to override the

veto. Do you favor or oppose the program's expansion? To vote or view

results of the poll, click on the title above.

Pain Management

CME/CE Principles of Effective Pain Management at the End of Life

Effective pain management at the end of life is critical to ensure

dignified, safe, and comfortable dying.

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