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?
In light of 2025 guidelines for treatment for RLS and PLMD
Thrombophilia testing, including JAK2 is negative. When would you stop anticoagulation?
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.
Marí-Bauset et al., JCN 2014
In light of the publication of results from the EPISODE study.
How do you counsel patients about any potential risk?
How do you guide what contraceptive type when asked by the medical team?
If so, what is the typical duration?
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...
Individual times in the therapeutic range while on VKA treatment was not registered in FRAIL-AF.
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?
The patient has no known history of autoimmune disease.
How does pravastatin differ in advantage from other high-intensity statins?
Do you attempt to taper fully or maintain at a low dose?
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?
What referrals do you recommend/imaging orders?
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?
Presuming that work-up for cardioembolic sources is negative, how would you proceed?
Are there contra-indications while breast-feeding?
What steps should be taken to wean them off?
Would you change your practice in light of the recently published studies: OPTIMAS Trial & Elan Trial
If so, how do you decide when to restart anticoagulants?
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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