Neurology

Primary Care   

Questions discussed in this category


Are there any protocols in place? Aside from telling patients to use ice packs or bags or immerse hands/feet in ice water baths from 15" before to 15"...

E.g., during Ramadan, what if extended-release medications aren’t an option?

E.g., negative sleep study, good sleep hygiene, no offending medications, no psychiatric disorder.

Have you tried Vitamin K2? In light of a recent publication: Tan et al., PMID 39466236

In which intervals do you increase the dose and what is the maximum dose you usually try (before considering levodopa to be ineffective in the particu...

In light of the long-term follow-up of the LEAP study published in 2024 - Frequin et al., PMID 38644623

Would you consider charging a small fee for managing C-2 prescriptions between appointments instead of requiring the patient to come monthly?

Short-term glucocorticoids are often prescribed as "bridge" therapy to avoid ER visits. What else should we consider?

Do you just switch to alternative therapy, or use medications or supplements to try and improve Raynaud's symptoms?

Specifically, headaches thought not to be related to increased ICP.

When a PCP calls with concern for GCA and is wondering whether to start empiric steroids what data do you prioritize to make that decision and do you ...

I found a study in which 32 patients continued on Botox for the treatment of chronic migraine. Only one had a miscarriage at 9 weeks and the rest seem...

The ASH 2020 guidelines have "recommended that adults with HbSS or HbSβ0 thalassemia be screened at least once for silent cerebral infarcts even ...

In patients with chronic migraine and possible medication overuse headaches due to chronic narcotic use, what’s your strategy for those patients...

In FRAIL-AF, switching VKA therapy to a NOAC was associated with higher risk of bleeding in elderly, frail patients. 

Are higher levels of exercise in patients with PD potentially even more beneficial to brain health?

If a patient is has GERD or avoids NSAIDs, do you avoid Ketorolac IV?

B5 deficiency can be seen in patients with burning feet syndrome, do you typically screen for this when assessing for neuropathy?

How does pravastatin differ in advantage from other high-intensity statins?

How would you educate Parkinson's patients about the benefits of exercise based off of this study?

Do you charge for it? Do you bring them in to complete the paperwork? Or do you send them to PT for Functional Capacity Evaluation?

When it seems fairly certain that this is a drug effect is it something that can just be monitored or requires a change in approach?

What is your preferred approach to a pregnant patient who is in status migrainosus that is refractory to first line treatments?  

Especially forms of non-pharmacologic treatment, such as physical therapy or special devices.

With studies showing rare risk of developing epilepsy after PRES do you just taper medications over the following weeks-months? Any need for outpatien...

How do you counsel young adults with antibody-negative necrotizing myopathy on prognosis, risk of recurrence, and long-term monitoring/treatment?

Do you perform routine screening for coronary artery disease in aging patients already taking these therapies?

Which holistic treatments for migraine without aura do you recommend for patients who are refractory to standard treatments? 

Since these patients or their caregivers may not know the symptoms related to sleep disorders and the negative effects on their already compromised ne...

How can one safely taper off and stop clonazepam in a woman of reproductive age with epilepsy who is taking it chronically for epilepsy and is plannin...

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

If you have significant side effects, GI and/or cardiac with one of the cholinesterase inhibitors, would you try using another medication or would you...

In patients diagnosed with pseudotumor cerebri, is vaginal delivery safe? How do you manage this condition during the pregnancy?

The question is broad and is meant to include patients who have healthy BMD, osteopenia, and osteoporosis, as well as exposure to first generation AED...

For a relatively young, medically compliant patient with HFrEF (EF<35%) and h/o embolic stroke, what is the consensus of starting AC for secondary ...

How do you manage ADHD in patients with Tourette syndrome in order to prevent exacerbating the tics such as with medications like Aderall?

Would you change your practice in light of the recently published studies:  OPTIMAS Trial & Elan Trial


Papers discussed in this category


Circulation, 2020 Feb 17

American journal of hematology, 2023 May 12

The New England journal of medicine, 2014 Aug 21

Neurology. Clinical practice, 2018-02

Sleep Med Rev, 2021 Jun 10

Arthritis and rheumatism, 2001-12

Ann Neurol, 2020 Aug 05

Headache, 2021 Jun 23

The New England journal of medicine, 2012-05-17

The New England journal of medicine, 2018-10-04

The New England journal of medicine, 2019-05-16

Heart, 2019 Apr 08

MedGenMed : Medscape general medicine, 2005-11-10

Pain medicine (Malden, Mass.), 2019-06-01

Obstet Gynecol Surv,

Movement disorders : official journal of the Movement Disorder Society, 2015-02

Neurology, 2009 Oct 28

Neurorehabil Neural Repair, 2011 Dec 02

Neurorehabil Neural Repair, 2014 Feb 13

Neurology,

Lancet Neurol, 2015 Aug 25

Parkinsonism Relat Disord, 2016 Mar 12

Neurology, 2012 Feb 08

Lancet Neurol, 2022 Jan 18

Nutrition & metabolism, 2006-09-06

Pacing Clin Electrophysiol,

Clin Neurophysiol Pract, 2018 Apr 05

Neurology, 2015-10-13

JAMA,

Lancet Neurol,

Epilepsia, 2000-07

Epilepsia Open, 2020 Jun 09

Epilepsy Behav, 2020 Jan 06

Curr Pain Headache Rep, 2022 Jun 25

The New England journal of medicine, 2011-12-01

The New England journal of medicine, 2018-11-29

Circulation, 2019 Nov 11

N Engl J Med, 2017 Mar 17

Stroke, 2020 Apr 21

Handbook of clinical neurology, 2018

Drug Saf,

N Engl J Med, 2020 Sep 3

Sports medicine (Auckland, N.Z.), 2021 Dec 29

JAMA internal medicine, 2024 Sep 01

Neurology, 2021 Dec 07

N Engl J Med, 1988 Apr 14

Neurology, 2017-11-14

Neurol Neuroimmunol Neuroinflamm, 2020 Jul 27

Ann Neurol, 2022 Feb

NPJ Parkinsons Dis, 2022 Oct 31

Neurology, 2019-01-22

Headache, 2016 Jul

JAMA Neurol, 2023 Jan 17

Movement disorders : official journal of the Movement Disorder Society, 2011-09

Neurology, 2009-02-03

Sleep medicine, 2016-03

European journal of neurology, 2017-12

J Sleep Res, 2005 Mar

Mayo Clinic proceedings, 2021 Jul

Archives of ophthalmology (Chicago, Ill. : 1960), 2010-06

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

The journal of prevention of Alzheimer's disease, 2022

Cutis, 2023 Aug

Headache, 2010-06

Headache, 2012 Jan 30

Neurology, 2019 Dec 02

Headache, 2023 Jan 27

Cureus, 2023 May 11

JAMA neurology, 2018-05-01

Circulation, 2023 Aug 27

Journal of translational internal medicine, 2019 Dec 31

Circulation, 2011-12-20

American journal of kidney diseases : the official journal of the National Kidney Foundation, 2013-01

American journal of nephrology, 2013

Journal of the American Heart Association, 2021 Jun 26

Diabetes care, 2011-09

Nutrients, 2023 Aug 18

Endocrine reviews, 2019 Feb 01

BMC musculoskeletal disorders, 2016-08-24

Kidney360, 2023 Nov 22

Movement disorders : official journal of the Movement Disorder Society, 2020 Nov 30

Journal of neurology, 2020 Apr 24

Movement disorders clinical practice, 2017 Jun 30

The American journal of psychiatry, 2022 Aug

Psychiatry research, 2020 Dec 13

Journal of psychopharmacology (Oxford, England), 2018 Jan 17

JAMA neurology, 2023 Dec 01

The American journal of psychiatry, 2011-10

The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry, 2021 Feb 09

Movement disorders : official journal of the Movement Disorder Society, 2021 Mar 12

Neurology, 2022 Oct 11

The neurologist, 2016 Jan

Journal of neurology, neurosurgery, and psychiatry, 2021 Jan 25

Journal of the Endocrine Society, 2022 Dec 02

Diagnostics (Basel, Switzerland), 2021 Apr 20

Epilepsia, 2024 Feb 27

Stroke, 2023 Sep 07

Stroke, 2024 Jan 29

Neurology. Clinical practice, 2023 Jan 13

Headache, 2019 Sep

The journal of headache and pain, 2023 Feb 16

Epilepsia open, 2021 May 07

Medicine, 2021 Jan 08

Curr Rheumatol Rep, 2023 Aug

NeoReviews, 2021 Jan

Journal of clinical pharmacology, 2023 Jun

The journal of prevention of Alzheimer's disease, 2023

Stroke, 2024 Dec 11

Neurology and therapy, 2019 Aug 27

Nature medicine, 2018 Jun 11

Medicine, 2016 May

Neurology, 2012 Apr 25

Lancet (London, England), 2017 Aug 03

The New England journal of medicine, 2024 Apr 04

Ageing research reviews, 2023 Jun 14

N Engl J Med, 2015 Nov 09

Diabetes care, 2025 Jan 01