Neurology
Reviews
A sleeping beast: Obstructive sleep apnea and stroke
Up to two-thirds of patients who have had a stroke have obstructive sleep apnea afterward, with worse outcomes.
Symptoms to Diagnosis
A 69-year-old woman with double vision and lower-extremity weakness
The onset was sudden, and the symptoms were gradually getting worse.
Reviews
Evaluating and managing postural tachycardia syndrome
Therapy rarely cures it, but a multifaceted approach can substantially improve quality of life.
The Clinical Picture
Dabigatran-induced esophagitis
The tablets contain tartaric acid, and if they get stuck in the esophagus, the acid leaching out can damage the mucosa.
The Clinical Picture
Gastroparesis in a patient with diabetic ketoacidosis
Computed tomography showed new, severe gastric distention. A scan 11 months previously had been normal.
Smart Testing
Is neuroimaging necessary to evaluate syncope?
If the diagnosis is unclear after the history and examination, then electroencephalography during tilt-table testing can help.
The Clinical Picture
Acute-onset quadriplegia with hyperreflexia
MRI showed diffuse T2 hyperintensity beginning at the level of the medulla and extending to the level of C7.
Reviews
Cannabis for peripheral neuropathy: The good, the bad, and the unknown
Even where it is legal, doctors should recommend it only after careful consideration.
Reviews
Geriatrics update 2018: Challenges in mental health, mobility, and postdischarge care
A review of study results from the past 2 years.
Reviews
Narcolepsy: Diagnosis and management
Treatments can offer enhanced quality of life.