Neurology

  • A 69-year-old woman with double vision and lower-extremity weakness
    Ibrahim Migdady, MD, Maryann Mays, MD and Kerry H. Levin, MD
    Cleveland Clinic Journal of Medicine June 2019, 86 (6) 374-379; DOI: https://doi.org/10.3949/ccjm.86a.18113

    The onset was sudden, and the symptoms were gradually getting worse.

  • A sleeping beast: Obstructive sleep apnea and stroke
    Zachary McKee, BS and Dennis H. Auckley, MD
    Cleveland Clinic Journal of Medicine June 2019, 86 (6) 407-415; DOI: https://doi.org/10.3949/ccjm.86a.18033

    Up to two-thirds of patients who have had a stroke have obstructive sleep apnea afterward, with worse outcomes.

  • Dabigatran-induced esophagitis
    Yusaku Kajihara, MD, FACP
    Cleveland Clinic Journal of Medicine May 2019, 86 (5) 303; DOI: https://doi.org/10.3949/ccjm.86a.18117

    The tablets contain tartaric acid, and if they get stuck in the esophagus, the acid leaching out can damage the mucosa.

  • Evaluating and managing postural tachycardia syndrome
    Lucy Y. Lei, Derek S. Chew, MD, Robert S. Sheldon, MD, PhD and Satish R. Raj, MD, MSCI, FRCPC
    Cleveland Clinic Journal of Medicine May 2019, 86 (5) 333-344; DOI: https://doi.org/10.3949/ccjm.86a.18002

    Therapy rarely cures it, but a multifaceted approach can substantially improve quality of life.

  • Gastroparesis in a patient with diabetic ketoacidosis
    Ahmad Muneer Sharayah, MD, Noor Hajjaj, MD, Ramy Osman, MD and Douglas Livornese, MD
    Cleveland Clinic Journal of Medicine April 2019, 86 (4) 238-239; DOI: https://doi.org/10.3949/ccjm.86a.18116

    Computed tomography showed new, severe gastric distention. A scan 11 months previously had been normal.

  • Is neuroimaging necessary to evaluate syncope?
    Erika Hutt-Centeno, MD, Robert Wilson, DO and Kenneth A. Mayuga, MD, FHRS, FACC, FACP
    Cleveland Clinic Journal of Medicine April 2019, 86 (4) 240-242; DOI: https://doi.org/10.3949/ccjm.86a.18016

    If the diagnosis is unclear after the history and examination, then electroencephalography during tilt-table testing can help.

  • Acute-onset quadriplegia with hyperreflexia
    Nasreen Shaikh, MD, Muhammad Sardar, MD, Wahab Khan, MD and Wael Ghali, MD
    Cleveland Clinic Journal of Medicine January 2019, 86 (1) 7-8; DOI: https://doi.org/10.3949/ccjm.86a.18049

    MRI showed diffuse T2 hyperintensity beginning at the level of the medulla and extending to the level of C7.

  • What can I do when first-line measures are not enough for vasovagal syncope?
    Erika Hutt-Centeno, MD and Kenneth A. Mayuga, MD, FHRS, FACC, FACP
    Cleveland Clinic Journal of Medicine December 2018, 85 (12) 920-922; DOI: https://doi.org/10.3949/ccjm.85a.17112

    Second-line measures include midodrine, fludrocortisone, beta-blockers, and SSRIs, but evidence is limited.

  • Cannabis for peripheral neuropathy: The good, the bad, and the unknown
    Vania Modesto-Lowe, MD, MPH, Rachel Bojka, MS, PA-C and Camille Alvarado, DO, MPH
    Cleveland Clinic Journal of Medicine December 2018, 85 (12) 943-949; DOI: https://doi.org/10.3949/ccjm.85a.17115

    Even where it is legal, doctors should recommend it only after careful consideration.

  • Geriatrics update 2018: Challenges in mental health, mobility, and postdischarge care
    Luke D. Kim, MD, FACP, CMD and Ardeshir Z. Hashmi, MD, FACP
    Cleveland Clinic Journal of Medicine December 2018, 85 (12) 953-958; DOI: https://doi.org/10.3949/ccjm.85a.18059

    A review of study results from the last 2 years.

Pages