Neurology
- Thrombotic microangiopathies: Similar presentations, different therapies
Effective management depends on prompt diagnosis and targeted therapy.
- Severely frail elderly patients do not need lipid-lowering drugs
Statins have no role as primary prevention in this population, and a minor role as secondary prevention.
- Statin therapy in the frail elderly: A nuanced decision
Clinicians—and patients—may reasonably feel there is value in statin therapy—even in advanced frailty.
- Worsening migraine due to neurocysticercosis
When a woman with a history of migraine had new symptoms, MRI revealed a tapeworm scolex in her brain.
- Imaging suggestive, but symptoms atypical
Pseudosubarachnoid hemorrhage is an artifact of CT imaging.
- An unexpected cause of shoulder pain
The patient’s scapula protruded abnormally during forward flexion and abduction of the arm.
- Fall risk and anticoagulation for atrial fibrillation in the elderly: A delicate balance
The decision-making process is complex and should be shared with the patient and the patient’s family and caregivers.
- Preventing herpes zoster through vaccination: New developments
Because protection wanes by 10 years, a booster dose may be necessary but is not yet recommended.