ITEMS IN AFP WITH KEYWORD:
Mechanical compression of the spinal cord is the underlying cause of degenerative cervical myelopathy. The signs and symptoms of cervical myelopathy are variable and can mimic other conditions, but upper motor neuron findings are the hallmark of the disease. The treatment of severe, progressive degenerative cervical myelopathy is primarily surgical. Conservative therapy with monitoring for progression may be considered in patients with mild to moderate disease who are neurologically stable.
Mar 1, 2019 Issue
Hemorrhoids, Tremor, C. difficile Infection, Migraine, Vitamin D Screening [AFP Clinical Answers]
Key clinical questions and their evidence-based answers directly from the journal’s content, written by and for family physicians.
In patients with partial-onset (focal) seizures, levetiracetam (Keppra), lamotrigine (Lamictal), and carbamazepine (Tegretol) were associated with the longest time to treatment withdrawal (i.e., the recommended patient-oriented outcome measure that balances tolerability with effectiveness).
The most common types of tremor in primary care include enhanced physiologic tremor, essential tremor, and parkinsonian tremor. The first step in diagnosing tremor is to categorize it based on activation condition, topographic distribution, and frequency using findings from the history and physical examination. Imaging is not typically needed but may help rule out secondary causes.
Feb 1, 2017 Issue
AAN Updates Guidelines on the Uses of Botulinum Neurotoxin [Practice Guidelines]
In 2008, the American Academy of Neurology (AAN) published guidelines on the use of botulinum neurotoxin. This summary highlights updates on four indications: blepharospasm, cervical dystonia, spasticity in adults, and headache.
What are the effects of ongoing treatments in persons with trigeminal neuralgia?
Swift diagnosis and treatment are critical for good outcomes in patients with nontraumatic subarachnoid hemorrhage, which is usually caused by a ruptured aneurysm. This type of stroke often results in death or disability. Rates of misdiagnosis and treatment delays for subarachnoid hemorrhage have im...
This guideline from the American Academy of Otolaryngology–Head and Neck Surgery (AAO-HNS) focuses on sudden sensorineural hearing loss (SNHL), which affects 5 to 20 per 100,000 persons in the United States. Early diagnosis is essential for effective management.
The safety and effectiveness of the ketogenic diet for the treatment of epilepsy have been known for decades. However, successful implementation of the diet requires an essential commitment by the patient and his or her family. Compliance with the ketogenic diet involves adjustments and often revers...
Aug 1, 2012 Issue
AAN Updates Guideline on Treatment of Essential Tremor [Practice Guidelines]
Propranolol and primidone (Mysoline) are the most commonly used therapies for essential tremor, but these agents are ineffective for up to one-half of patients. In 2005, the American Academy of Neurology (AAN) published recommendations for the use of other therapies for essential tremor.