ITEMS IN AFP WITH KEYWORD:
Transient global amnesia (TGA) is a clinical syndrome characterized by anterograde amnesia, mild retrograde amnesia, and confusion up to 24 hours. Most commonly seen in patients older than 50 years, TGA results from the temporary impairment of short-term memory formation. Clinically, patients have t...
Potential precipitating factors for the recent onset of altered mental status (AMS) include primary central nervous system insults, systemic infections, metabolic disturbances, toxin exposure, medications, chronic systemic diseases, and psychiatric conditions. Delirium is also an important manifesta...
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.