Neurology

  • Postoperative delirium in a 64-year-old woman
    Matthew Imm, MD, Luis F. Torres, MD and Mohan Kottapally, MD
    Cleveland Clinic Journal of Medicine September 2017, 84 (9) 690-698; DOI: https://doi.org/10.3949/ccjm.84a.16102

    Nine days after surgery, her mental status takes an abrupt turn for the worse. What is going on?

  • Bedside manners: How to deal with delirium
    Rudi G.J. Westendorp, MD, PhD
    Cleveland Clinic Journal of Medicine September 2017, 84 (9) 699-700; DOI: https://doi.org/10.3949/ccjm.84a.17066

    Delirium is often overlooked. Clinical observation remains important.

  • Evidence helps, but some decisions remain within the art of medicine
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine February 2017, 84 (2) 88-90; DOI: https://doi.org/10.3949/ccjm.84b.02017

    In bacterial meningitis, precise diagnosis by lumbar puncture both offers benefit and poses risk.

  • Taurine, energy drinks, and neuroendocrine effects
    Jonathan J. Caine, MD and Thomas D. Geracioti, MD
    Cleveland Clinic Journal of Medicine December 2016, 83 (12) 895-904; DOI: https://doi.org/10.3949/ccjm.83a.15050

    Taurine is a major ingredient in popular energy drinks, but little is known about its neuroendocrine effects.

  • Plexiform neurofibroma
    Satvinder Singh Bakshi, MS, DNB
    Cleveland Clinic Journal of Medicine November 2016, 83 (11) 792; DOI: https://doi.org/10.3949/ccjm.83a.16002

    A 19-year-old woman presented with diffuse swelling on her neck and face that had been growing gradually for 12 years.

  • Serotonin syndrome: Preventing, recognizing, and treating it
    Robert Z. Wang, MD, Vishal Vashistha, MD, Sukhdeep Kaur, MBBS and Nathan W. Houchens, MD
    Cleveland Clinic Journal of Medicine November 2016, 83 (11) 810-816; DOI: https://doi.org/10.3949/ccjm.83a.15129

    Serotonin syndrome can be easily overlooked, misdiagnosed, or exacerbated. Early recognition is critical.

  • Fibromuscular dysplasia: Advances in understanding and management
    Ellen K. Brinza, MS and Heather L. Gornik, MD
    Cleveland Clinic Journal of Medicine November 2016, 83 (11 suppl 2) S45-S51; DOI: https://doi.org/10.3949/ccjm.83.s2.06
  • An abnormal peripheral blood smear and altered mental status
    Supakanya Wongrakpanich, MD, Moiz Salahuddin, MD and Priyanka Mittar, DO
    Cleveland Clinic Journal of Medicine September 2016, 83 (9) 643-644; DOI: https://doi.org/10.3949/ccjm.83a.15152

    Therapeutic plasma exchange has greatly increased the survival rate in thrombotic thrombocytopenic purpura.

  • Thrombotic thrombocytopenic purpura: The role of ADAMTS13
    Heesun J. Rogers, MD, PhD, Charles Allen, DO and Alan E. Lichtin, MD
    Cleveland Clinic Journal of Medicine August 2016, 83 (8) 597-603; DOI: https://doi.org/10.3949/ccjm.83a.15009

    ADAMTS13 testing is useful in diagnosing this disease, guiding therapy, and predicting relapse.

  • Anticoagulation in dental surgery: Is it rude to interrupt?
    Michael J. Wahl, DDS
    Cleveland Clinic Journal of Medicine June 2016, 83 (6) 409-413; DOI: https://doi.org/10.3949/ccjm.83a.15014

    Anticoagulation should not be interrupted for dental surgery.

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