Internal Medicine

Behavioral Neurology & Neuropsychiatry

Questions discussed in this category

What antidepressants are recommended for management of depression or anxiety in patients with spinal cord injuries?

Do you avoid certain antidepressants related to the risks on suppressing respiratory-drive which is potentially concerning in patients with high cord ...

1 Answer available

When do you consider using stimulants in patients with cognitive impairments secondary to traumatic brain injury?

1 Answer available

What medications do you prioritize or avoid in Parkinson’s Disease-related psychosis and behavioral disturbance?

2 Answers available

How do you counsel elderly patients who demonstrate mild cognitive impairment but do not meet the criteria for a neurocognitive disorder?

1 Answer available

Do you ever use amantadine or modafinil to aid in the rehabilitation of patients with ischemic strokes?

In patients who have decreased arousal after ischemic stroke, do you use amantadine or modafinil to aid with wakefulness and interaction with therapy ...

1 Answer available

What is the best treatment for treatment resistant restless leg syndrome?

1 Answer available

What pharmacological management do you consider for self-injurious behavior in patients with autism spectrum disorder?

8 Answers available

How do you address akathisia for patients who have had otherwise an excellent response to their antipsychotic treatment?

5 Answers available

How do you manage antipsychotic-induced prolactinemia?

1 Answer available

When do you select cholinesterase inhibitors vs NMDA-antagonist medications in patients with moderate Alzheimer’s dementia?

1 Answer available

How do you treat extrapyramidal symptoms secondary to anti-psychotic use in patients who have not benefited from cogentin or benadryl?

1 Answer available

How do you approach the psychiatric symptom management of Huntington’s Disease?

1 Answer available

What is your approach to addressing dementia-related agitation for patients living at home with family?

1 Answer available

How do you manage stroke-related abulia?

1 Answer available

How do you differentiate Down syndrome disintegrative disorder from Alzheimer’s disease?

1 Answer available

Would you avoid the use of keppra in patients with TBI due to concerns for worsening agitation?

2 Answers available

How will your approach to screening and diagnosis of early dementia change given newly available therapies for early Alzheimer's disease?

5 Answers available

What are the recommendations for considering deep brain stimulation in a patient with tremors and dementia or mild cognitive impairment?

Does the approach differ if the tremor stems from essential tremor or Parkinson's disease?

1 Answer available

In what clinical situation would you consider using benzodiazepines in patients with dementia?

2 Answers available

When do you recommend neuropsychiatric testing in patients with post-concussive syndrome?

4 Answers available

What work-up do you recommend in patients with early-onset dementia?

Which genetic/other testing should be considered in an early-onset dementia work-up?

1 Answer available

Is it possible to develop worsening motor features of Parkinson's disease (PD) when using clozapine (for treatment of PD psychosis) above a certain dose?

If so, what is the recommended maximum dose of clozapine for PD patients?

1 Answer available

How would you manage a patient with secondary progressive multiple sclerosis manifesting with increased neuropsychiatric manifestations (ex. psychosis) with no recent changes on brain MRI?

1 Answer available

How do you treat behavioral disturbances in patients with dementia with Lewy bodies?

How do you treat dangerous behavioral disturbances (aggression, nighttime wandering) in patients with dementia with Lewy bodies (DLB)?

1 Answer available

Do you use pimavanserin to treat psychotic symptoms in Lewy body dementia?

1 Answer available

How do you approach the workup and management of patients with suspected functional neurologic disorders?

What testing do you typically proceed with?

1 Answer available

Papers discussed in this category

The New England journal of medicine, 2012-03-01

Placebo-controlled trial of amantadine for severe traumatic brain injury.

Neurocritical care, 2020 Aug

Amantadine and Modafinil as Neurostimulants During Post-stroke Care: A Systematic Review.

Neurocritical care, 2021 Feb

Amantadine and Modafinil as Neurostimulants Following Acute Stroke: A Retrospective Study of Intensive Care Unit Patients.

Stroke, 2017 Apr 12

MIDAS (Modafinil in Debilitating Fatigue After Stroke): A Randomized, Double-Blind, Placebo-Controlled, Cross-Over Trial.

Mov Disord Clin Pract, 2022 Oct 23

Clozapine Is Severely Underused in Parkinson's Disease Patients.

Alzheimer's & dementia : the journal of the Alzheimer's Association, 2022 Aug 15

The AHEAD 3-45 Study: Design of a prevention trial for Alzheimer's disease.

The journal of prevention of Alzheimer's disease, 2022

Blood Biomarkers from Research Use to Clinical Practice: What Must Be Done? A Report from the EU/US CTAD Task Force.

Frontiers in human neuroscience, 2022 May 13

Cognitive Impact of Deep Brain Stimulation in Parkinson's Disease Patients: A Systematic Review.

Frontiers in human neuroscience, 2024 Feb 02

Cognitive outcomes in patients with essential tremor treated with deep brain stimulation: a systematic review.

Psychiatry research, 2020 Dec 13

The Psychopharmacology Algorithm Project at the Harvard South Shore Program: An update on management of behavioral and psychological symptoms in dementia.

Cortex; a journal devoted to the study of the nervous system and behavior, 2015 Aug 13

Behavioural and psychological symptoms of dementia in Down syndrome: Early indicators of clinical Alzheimer's disease?

The Lancet. Neurology, 2013-07

Predictors of phenotypic progression and disease onset in premanifest and early-stage Huntington's disease in the TRACK-HD study: analysis of 36-month observational data.

Journal of neurology, neurosurgery, and psychiatry, 2014 May 14

Neuropsychiatric symptoms in a European Huntington's disease cohort (REGISTRY).

Journal of neurology, neurosurgery, and psychiatry, 2010 Apr 14

Factor analysis of behavioural symptoms in Huntington's disease.

The American journal of psychiatry, 2005 Apr

Critical periods of suicide risk in Huntington's disease.

JAMA network open, 2024 Mar 04

Drug Efficacy in the Treatment of Antipsychotic-Induced Akathisia: A Systematic Review and Network Meta-Analysis.

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