Neurology

  • Deprescribing: When trying for less is more
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine March 2018, 85 (3) 179-180; DOI: https://doi.org/10.3949/ccjm.85b.03018

    We should periodically revisit the goals and rationale for all prescribed medications.

  • A 67-year-old woman with bilateral hand numbness
    Sohab S. Radwan, MD, Khair M. Hamo and Ayman A. Zayed, MD, MSc, FACE, FACP
    Cleveland Clinic Journal of Medicine March 2018, 85 (3) 200-208; DOI: https://doi.org/10.3949/ccjm.85a.17026

    Her history includes type 2 diabetes mellitus, dyslipidemia, hypertension, diastolic heart failure, and thyroid surgery.

  • Alzheimer dementia: Starting, stopping drug therapy
    Luke D. Kim, MD, FACP, CMD and Ronan M. Factora, MD, FACP, AGSF
    Cleveland Clinic Journal of Medicine March 2018, 85 (3) 209-214; DOI: https://doi.org/10.3949/ccjm.85a.16080

    It is reasonable to consider discontinuing therapy when a patient has progressed to advanced dementia.

  • Transient neurologic syndromes: A diagnostic approach
    Justin R. Abbatemarco, MD and Alexander D. Rae-Grant, MD
    Cleveland Clinic Journal of Medicine February 2018, 85 (2) 155-163; DOI: https://doi.org/10.3949/ccjm.85a.17022

    Diagnosing TIA, migraine, partial seizures, hypoglycemia, hyperventilation, transient global amnesia, and others.

  • A 50-year-old woman with new-onset seizure
    John R. Queen, MD and Samantha Bogner, CNP, RN
    Cleveland Clinic Journal of Medicine January 2018, 85 (1) 41-46; DOI: https://doi.org/10.3949/ccjm.85a.16050

    After prodromal symptoms, she lost consciousness for about 1 minute, with jerking.

  • Navigating the anticoagulant landscape in 2017
    James D. Douketis, MD, FRCP(C), FACP, FCCP
    Cleveland Clinic Journal of Medicine October 2017, 84 (10) 768-778; DOI: https://doi.org/10.3949/ccjm.84gr.17005

    What is the best strategy in acute venous thromboembolism? How should anticoagulation be managed before surgery?

  • Acute monocular vision loss: Don’t lose sight of the differential
    Acute monocular vision loss: Don’t lose sight of the differential
    Justin R. Abbatemarco, MD, Rushad Patell, MD, Janet Buccola, MD and Mary Alissa Willis, MD
    Cleveland Clinic Journal of Medicine October 2017, 84 (10) 779-787; DOI: https://doi.org/10.3949/ccjm.84a.16096

    An 83-year-old man woke up one morning unable to see out of his left eye; 6 hours earlier it had been normal.

  • Chi-square and Fisher’s exact tests
    Amy Nowacki, PhD
    Cleveland Clinic Journal of Medicine September 2017, 84 (9 suppl 2) e20-e25; DOI: https://doi.org/10.3949/ccjm.84.s2.04
  • Ring-enhancing cerebral lesions
    Aram Barbaryan, MD, Jignesh Modi, MD, Wajih Raqeem, MD, Michael I. Choi, MD, Alan Frigy, MD and Aibek E. Mirrakhimov, MD
    Cleveland Clinic Journal of Medicine February 2017, 84 (2) 104-110; DOI: https://doi.org/10.3949/ccjm.84a.16037

    The patient has poorly controlled HIV, seizures, and brain lesions. Is Histoplasma or Toxoplasma the cause of the lesions?

  • When should brain imaging precede lumbar puncture in cases of suspected bacterial meningitis?
    Aibek E. Mirrakhimov, MD, Adam Gray, MD and Taha Ayach, MD
    Cleveland Clinic Journal of Medicine February 2017, 84 (2) 111-113; DOI: https://doi.org/10.3949/ccjm.84a.16028

    Few patients need it. Empiric antibiotic and corticosteroid therapy must not be delayed.

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