Neurology

  • Concussion: Evaluation and management
    Concussion: Evaluation and management
    Alexandra Stillman, MD, Michael Alexander, MD, Rebekah Mannix, MD, Nancy Madigan, PhD, Alvaro Pascual-Leone, MD, PhD and William P. Meehan, MD
    Cleveland Clinic Journal of Medicine August 2017, 84 (8) 623-630; DOI: https://doi.org/10.3949/ccjm.84a.16013

    Initial therapy involves several days of cognitive and physical rest, then a gradual return to activities.

  • Combined hormonal contraceptives and migraine: An update on the evidence
    Anne H. Calhoun, MD, FAHS and Pelin Batur, MD, FACP, NCMP
    Cleveland Clinic Journal of Medicine August 2017, 84 (8) 631-638; DOI: https://doi.org/10.3949/ccjm.84a.16033

    These contraceptives are contraindicated in women who have migraine with aura, but benefit vs risk is debatable.

  • In reply: Anticoagulation for atrial fibrillation (January 2017)
    Theodore T Suh, MD, PhD, MHS, AGSF
    Cleveland Clinic Journal of Medicine September 2017, 84 (9) 658-659; DOI: https://doi.org/10.3949/ccjm.84c.09002
  • Anticoagulation for atrial fibrillation (January 2017)
    Elise Henning, MD, MED
    Cleveland Clinic Journal of Medicine September 2017, 84 (9) 658; DOI: https://doi.org/10.3949/ccjm.84c.09001

    Readers comment on anticoagulation for atrial fibrillation (January 2017).

  • Postoperative delirium in a 64-year-old woman
    Matthew Imm, MD, Luis F. Torres, MD and Mohan Kottapally, MD
    Cleveland Clinic Journal of Medicine September 2017, 84 (9) 690-698; DOI: https://doi.org/10.3949/ccjm.84a.16102

    Nine days after surgery, her mental status takes an abrupt turn for the worse. What is going on?

  • Bedside manners: How to deal with delirium
    Rudi G.J. Westendorp, MD, PhD
    Cleveland Clinic Journal of Medicine September 2017, 84 (9) 699-700; DOI: https://doi.org/10.3949/ccjm.84a.17066

    Delirium is often overlooked. Clinical observation remains important.

  • Evidence helps, but some decisions remain within the art of medicine
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine February 2017, 84 (2) 88-90; DOI: https://doi.org/10.3949/ccjm.84b.02017

    In bacterial meningitis, precise diagnosis by lumbar puncture both offers benefit and poses risk.

  • Taurine, energy drinks, and neuroendocrine effects
    Jonathan J. Caine, MD and Thomas D. Geracioti, MD
    Cleveland Clinic Journal of Medicine December 2016, 83 (12) 895-904; DOI: https://doi.org/10.3949/ccjm.83a.15050

    Taurine is a major ingredient in popular energy drinks, but little is known about its neuroendocrine effects.

  • Plexiform neurofibroma
    Satvinder Singh Bakshi, MS, DNB
    Cleveland Clinic Journal of Medicine November 2016, 83 (11) 792; DOI: https://doi.org/10.3949/ccjm.83a.16002

    A 19-year-old woman presented with diffuse swelling on her neck and face that had been growing gradually for 12 years.

  • Serotonin syndrome: Preventing, recognizing, and treating it
    Robert Z. Wang, MD, Vishal Vashistha, MD, Sukhdeep Kaur, MBBS and Nathan W. Houchens, MD
    Cleveland Clinic Journal of Medicine November 2016, 83 (11) 810-816; DOI: https://doi.org/10.3949/ccjm.83a.15129

    Serotonin syndrome can be easily overlooked, misdiagnosed, or exacerbated. Early recognition is critical.

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