Neurology
A randomized trial of telemedicine efficacy and safety for nonacute headaches
16 Jun, 2017 | 01:00h | UTCA randomized trial of telemedicine efficacy and safety for nonacute headaches – Neurology (free) (RT @EricTopol see Tweet)
Commentary: For Headache, Telemedicine May Be as Effective as in-Person – American Academy of Neurology, via NewsWise (free)
Association Between Persistent Pain and Memory Decline and Dementia in a Longitudinal Cohort of Elders
14 Jun, 2017 | 00:39h | UTCAssociation Between Persistent Pain and Memory Decline and Dementia in a Longitudinal Cohort of Elders – JAMA Internal Medicine (link to abstract – $ for full-text)
Commentary: Persistent Pain May Increase Dementia Risk – The New York Times (10 articles per month are free)
Cohort of community-dwelling older adults suggests there might be a link.
Diagnosis and management of dementia with Lewy bodies
12 Jun, 2017 | 19:54h | UTCDiagnosis and management of dementia with Lewy bodies – Neurology (free)
Commentary: New International Guidelines Issued on Dementia with Lewy Bodies – Mayo Clinic, via NewsWise (free)
Head injury: assessment and early management
9 Jun, 2017 | 16:07h | UTCHead injury: assessment and early management – NICE Guideline (free)
Moderate alcohol consumption as risk factor for adverse brain outcomes and cognitive decline
8 Jun, 2017 | 15:58h | UTCEditorial: Alcohol consumption and brain health (free)
Commentaries: Even moderate drinking linked to a decline in brain health, finds study – Oxford’s Department of Psychiatry (free) AND Moderate drinking may alter brain, study says – CNN (free) AND Even moderate drinking may speed brain decline – STAT News (free) AND Even moderate drinking linked to changes in brain structure, study finds – Reuters (free)
Practice Guidelines for Preoperative Fasting
9 Jun, 2017 | 16:03h | UTCPractice Guidelines for Preoperative Fasting and the Use of Pharmacologic Agents to Reduce the Risk of Pulmonary Aspiration – Anesthesiology, via Medscape (free registration required)
Short-term catheterisation: considerations for best practice
8 Jun, 2017 | 15:42h | UTC
Association Between Cirrhosis and Stroke
7 Jun, 2017 | 15:18h | UTCAssociation Between Cirrhosis and Stroke in a Nationally Representative Cohort – JAMA Neurology (free)
Commentary: Cirrhosis Tied to Stroke Risk- Physician’s First Watch (free)
Patients with cirrhosis seem to have a higher risk of stroke, particularly hemorrhagic stroke.
Growth and Rupture Risk of Small Unruptured Intracranial Aneurysms
7 Jun, 2017 | 15:11h | UTCGrowth and Rupture Risk of Small Unruptured Intracranial Aneurysms: A Systematic Review – Annals of Internal Medicine (link to abstract – $ for full-text)
Commentaries: Growth, rupture risk appear low for small intracranial aneurysms, review indicates – ACP Internist Weekly (free) AND How Frequently Do Small Brain Aneurysms Rupture? – MedPage Today (free registration required)
“The annualized rupture rate was 0% for aneurysms 3 mm or smaller, below 0.5% for aneurysms 5 mm or smaller, and below 1% for aneurysms 7 mm or smaller”
Carotid Artery Stenting Versus Endarterectomy for Stroke Prevention
5 Jun, 2017 | 14:41h | UTCCarotid Artery Stenting Versus Endarterectomy for Stroke Prevention: A Meta-Analysis of Clinical Trials – Journal of the American College of Cardiology (link to abstract – $ for full-text)
Commentary: CAS vs. CEA for Stroke Prevention – American College of Cardiology, Latest in Cardiology (free)
“CAS and CEA were associated with similar rates of a composite of periprocedural death, stroke, MI, or nonperiprocedural ipsilateral stroke. The risk of long-term overall stroke was significantly higher with CAS, and was mostly attributed to periprocedural minor stroke”.
Trial of Minocycline in a Clinically Isolated Syndrome of Multiple Sclerosis
2 Jun, 2017 | 18:41h | UTCTrial of Minocycline in a Clinically Isolated Syndrome of Multiple Sclerosis – New England Journal of Medicine (link to abstract – $ for full-text)
Quick Take Video Summary: Minocycline to Delay the Onset of MS
Commentaries: Acne antibiotic delays development of multiple sclerosis in small trial – Reuters Health (free)
Transient ischaemic attacks may have greater long-term impact than previously thought
2 Jun, 2017 | 18:34h | UTCTransient ischaemic attacks may have greater long-term impact than previously thought – NIHR Signal (free)
Original article: Ongoing impairments following transient ischaemic attack: retrospective cohort study – European Journal of Neurology (free)
Stroke in Childhood: Clinical guideline for diagnosis, management and rehabilitation
25 May, 2017 | 14:54h | UTCStroke in Childhood: Clinical guideline for diagnosis, management and rehabilitation (2017) – Royal College of Paediatrics and Child Health(free) (RT @bmj_latest see Tweet)
News release: New guidelines launched to help healthcare professionals and parents spot the signs of stroke in children (free)
Other resources: Stroke in Childhood: Clinical guideline for diagnosis, management and rehabilitation (2017) (free)
Reducing Recurrent Stroke With PFO Closure
19 May, 2017 | 18:00h | UTCFinally, Success Reducing Recurrent Stroke With PFO Closure – Medscape (free registration required)
Two randomized trials presented at the 3rd European Stroke Organization Conference (ESOC) 2017 showed that in carefully selected stroke patients in whom Patent Foramen Oval (PFO) was suspected to be a cause of their strokes, a reduction in recurrent stroke was observed with PFO closure.
New Advice to Move More After a Concussion
19 May, 2017 | 17:55h | UTCNew Advice to Move More After a Concussion – The New York Times (10 articles per month are free)
Related: Consensus statement on concussion in sport—the 5th international conference on concussion in sport held in Berlin, October 2016 – British Journal of Sports Medicine (free) AND So, Tom Brady had a concussion. What does that mean? Your guide to the latest science – STAT News (free)
Internet-Based Vestibular Rehabilitation for Older Adults With Chronic Dizziness
12 May, 2017 | 19:36h | UTCSee also: Balance retraining tool used in the study (free)
Commentaries: Online Rehabilitation Program Reduces Chronic Dizziness – Medscape (free registration required) AND Online Intervention Could Reduce Chronic Dizziness – Physician’s First Watch (free)
Reducing brain injury following cardiopulmonary resuscitation
11 May, 2017 | 18:43h | UTCPractice guideline summary: Reducing brain injury following cardiopulmonary resuscitation (link to abstract – free PDF available)
Sources: Guideline: Offer Cooling After Cardiac Arrest – MedPage Today (free) AND Body Cooling Recommended for Some Comatose Patients After Cardiac Arrest – Physician’s First Watch (free)
Centers for Disease Control and Prevention Guideline for the Prevention of Surgical Site Infection, 2017
5 May, 2017 | 20:29h | UTCCenters for Disease Control and Prevention Guideline for the Prevention of Surgical Site Infection, 2017 – JAMA Surgery (free) (RT @jankluytmans and @CIDRAP_ASP see Tweet)
Invited commentary: Surgical Site Infection Prevention – What We Know and What We Do Not Know – JAMA Surgery (free)
Commentary: ‘Long-Awaited’ CDC Guidelines on SSI Prevention Released – Medscape (free registration required)
Related: Global guidelines on the prevention of surgical site infection 2016 – World Health Organization (free)
Selection of patients for intra-arterial treatment for acute ischaemic stroke
4 May, 2017 | 20:18h | UTCNew decision tool: MR CLEAN-R Registry (free)
This new clinical decision tool will improve the selection of patients with acute ischemic stroke who will benefit the most from intra-arterial treatment.
Sudden unexpected death in epilepsy incidence rates and risk factors
1 May, 2017 | 16:46h | UTCEditorial: Gaining perspective on SUDEP: The new guideline (free)
Commentary: New guideline: Address GTCS frequency to reduce SUDEP risk – Clinical Neurology News (free)
Exercise interventions for cognitive function in adults older than 50
26 Apr, 2017 | 16:07h | UTCMeta-analysis: Exercise interventions for cognitive function in adults older than 50: a systematic review with meta-analysis – British Journal of Sports Medicine (free)
Source: Exercise Could Benefit Cognition in Older Adults – Physician’s First Watch (free)
“Physical exercise interventions significantly improved cognitive function in adults older than 50 years, regardless of baseline cognitive status”.
Aneurysmal Subarachnoid Hemorrhage: Diagnosis and Treatment
25 Apr, 2017 | 16:03h | UTCReview: Aneurysmal Subarachnoid Hemorrhage: Diagnosis and Treatment – Deutsches Ärzteblatt international (free)
Source: Critical Care Reviews Newsletter (free)
Head injury decision rules in children
26 Apr, 2017 | 16:06h | UTCAccuracy of PECARN, CATCH, and CHALICE head injury decision rules in children: a prospective cohort study – The Lancet (link to abstract – $ for full-text)
Sources: External Validation of Three Decision Rules for Pediatric Head Injury – Journal Watch (free) AND Best way to diagnose head injuries in children and minimize CT scans – ScienceDaily (free) AND PECARN, CATCH, CHALICE … or None of the Above? – By Ryan P. Radecki, MD, in Emergency Medicine Literature of Note (free)
The 3 decision rules performed well with negative predictive values >99%. The PECARN clinical decision rule was more sensitive and missed only 1 patient with clinically important traumatic brain injury, but was less specific, meaning more CTs would be required. These findings indicate that CT can generally be avoided if one of the prediction rules are negative.
Sugar- and Artificially Sweetened Beverages and the Risks of Incident Stroke and Dementia
24 Apr, 2017 | 15:33h | UTCProspective cohort study: Sugar- and Artificially Sweetened Beverages and the Risks of Incident Stroke and Dementia – Stroke (free PDF)
Editorial: Sugar-Sweetened and Artificially Sweetened Beverages in Relation to Stroke and Dementia: Are Soft Drinks Hard on the Brain? – Stroke(free PDF)
Commentaries on the study: Diet soda and stroke & dementia news coverage: 3 key points weren’t always reported – HealthNewsReview (free – See Tweet) AND Stroke and dementia risk linked to artificial sweeteners, study suggests – The Guardian (free) AND A diet soda a day might affect dementia risk, study suggests – American Heart Association News (free)
This study has drawn a lot of attention from the media, but no firm conclusions can be made due to the observational nature of the study.
New ILAE Epilepsy Classification Published
12 Apr, 2017 | 15:51h | UTCNew ILAE Epilepsy Classification Published – Medscape (free registration required)
Position paper: Operational classification of seizure types by the International League Against Epilepsy (free)
Practical manual: Instruction manual for the ILAE 2017 operational classification of seizure types (free)
“For the first time in 30 years, an epileptic seizures classification update” (RT @MedscapeNeuro see Tweet)