Neurology

  • Severe megaloblastic anemia: Vitamin deficiency and other causes
    Daniel S. Socha, MD, Sherwin I. DeSouza, MD, Aron Flagg, MD, Mikkael Sekeres, MD, MS and Heesun J. Rogers, MD, PhD
    Cleveland Clinic Journal of Medicine March 2020, 87 (3) 153-164; DOI: https://doi.org/10.3949/ccjm.87a.19072

    Determining the underlying cause and initiating prompt treatment are critical.

  • A cough that won’t go away: Evaluation and treatment in 2 patients
    Maxwell Y. Lee, BS, Rachel M. Taliercio, DO, Michelle Adessa, MS, CCC-SLP, Claudio Milstein, PhD and Paul C. Bryson, MD
    Cleveland Clinic Journal of Medicine February 2020, 87 (2) 83-89; DOI: https://doi.org/10.3949/ccjm.87a.19010

    Two patients present with similar symptoms, but different causes and treatment.

  • Sickle cell disease: A primary care update
    Grace Onimoe, MD and Seth Rotz, MD
    Cleveland Clinic Journal of Medicine January 2020, 87 (1) 19-27; DOI: https://doi.org/10.3949/ccjm.87a.18051

    Survival has improved, but patients still face multiorgan damage, chronic anemia, and debilitating pain crises.

  • Beyond depression: Other uses for tricyclic antidepressants
    Joanne Schneider, DNP, RN, CNP, Mary Patterson, CNP and Xavier F. Jimenez, MD, MA
    Cleveland Clinic Journal of Medicine December 2019, 86 (12) 807-814; DOI: https://doi.org/10.3949/ccjm.86a.19005

    The pharmacology of these drugs, their potential uses in conditions other than depression, and safety considerations.

  • Gabapentin for alcohol use disorder: A good option, or cause for concern?
    Vania Modesto-Lowe, MD, MPH, Gregory C. Barron, MD, Benjamin Aronow, BS and Margaret Chaplin, MD
    Cleveland Clinic Journal of Medicine December 2019, 86 (12) 815-823; DOI: https://doi.org/10.3949/ccjm.86a.18128

    There is concern about the potential for abuse. Use it only as a second-line alternative, with caution.

  • A link between A-fib and sleep apnea is no surprise, but why?
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine November 2019, 86 (11) 706-707; DOI: https://doi.org/10.3949/ccjm.86b.11019

    The two conditions commonly coexist, and treating the sleep apnea results in better rhythm-directed outcomes in the A-fib.

  • Should I evaluate my patient with atrial fibrillation for sleep apnea?
    Mirna B. Ayache, MD, MPH, Reena Mehra, MD, MS, FCCP, FAASM and Kenneth A. Mayuga, MD, FACC, FHRS
    Cleveland Clinic Journal of Medicine November 2019, 86 (11) 709-712; DOI: https://doi.org/10.3949/ccjm.86a.19033

    Yes. The prevalence of sleep apnea is high in patients with atrial fibrillation, and vice versa.

  • SEEDS for success: Lifestyle management in migraine
    Jennifer Robblee, MD, MSc and Amaal J. Starling, MD
    Cleveland Clinic Journal of Medicine November 2019, 86 (11) 741-749; DOI: https://doi.org/10.3949/ccjm.86a.19009

    Lifestyle counseling can be based on the mnemonic SEEDS: sleep, exercise, eat, diary, and stress.

  • Appropriate laboratory testing in Lyme disease
    Appropriate laboratory testing in Lyme disease
    Teny M. John, MD and Alan J. Taege, MD
    Cleveland Clinic Journal of Medicine November 2019, 86 (11) 751-759; DOI: https://doi.org/10.3949/ccjm.86a.19029

    Testing for Lyme disease is challenging and if done incorrectly can lead to unnecessary treatment.

  • A few pearls can help prepare the mind
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine October 2019, 86 (10) 638-639; DOI: https://doi.org/10.3949/ccjm.86b.10019

    The caregiver with a prepared mind is more likely to experience the diagnostic epiphany.

Pages