Neurology

  • Gastroparesis in a patient with diabetic ketoacidosis
    Ahmad Muneer Sharayah, MD, Noor Hajjaj, MD, Ramy Osman, MD and Douglas Livornese, MD
    Cleveland Clinic Journal of Medicine April 2019, 86 (4) 238-239; DOI: https://doi.org/10.3949/ccjm.86a.18116

    Computed tomography showed new, severe gastric distention. A scan 11 months previously had been normal.

  • Is neuroimaging necessary to evaluate syncope?
    Erika Hutt-Centeno, MD, Robert Wilson, DO and Kenneth A. Mayuga, MD, FHRS, FACC, FACP
    Cleveland Clinic Journal of Medicine April 2019, 86 (4) 240-242; DOI: https://doi.org/10.3949/ccjm.86a.18016

    If the diagnosis is unclear after the history and examination, then electroencephalography during tilt-table testing can help.

  • Acute-onset quadriplegia with hyperreflexia
    Nasreen Shaikh, MD, Muhammad Sardar, MD, Wahab Khan, MD and Wael Ghali, MD
    Cleveland Clinic Journal of Medicine January 2019, 86 (1) 7-8; DOI: https://doi.org/10.3949/ccjm.86a.18049

    MRI showed diffuse T2 hyperintensity beginning at the level of the medulla and extending to the level of C7.

  • What can I do when first-line measures are not enough for vasovagal syncope?
    Erika Hutt-Centeno, MD and Kenneth A. Mayuga, MD, FHRS, FACC, FACP
    Cleveland Clinic Journal of Medicine December 2018, 85 (12) 920-922; DOI: https://doi.org/10.3949/ccjm.85a.17112

    Second-line measures include midodrine, fludrocortisone, beta-blockers, and SSRIs, but evidence is limited.

  • Cannabis for peripheral neuropathy: The good, the bad, and the unknown
    Vania Modesto-Lowe, MD, MPH, Rachel Bojka, MS, PA-C and Camille Alvarado, DO, MPH
    Cleveland Clinic Journal of Medicine December 2018, 85 (12) 943-949; DOI: https://doi.org/10.3949/ccjm.85a.17115

    Even where it is legal, doctors should recommend it only after careful consideration.

  • Geriatrics update 2018: Challenges in mental health, mobility, and postdischarge care
    Luke D. Kim, MD, FACP, CMD and Ardeshir Z. Hashmi, MD, FACP
    Cleveland Clinic Journal of Medicine December 2018, 85 (12) 953-958; DOI: https://doi.org/10.3949/ccjm.85a.18059

    A review of study results from the last 2 years.

  • Narcolepsy: Diagnosis and management
    Erin C. Golden, MD and Melissa C. Lipford, MD
    Cleveland Clinic Journal of Medicine December 2018, 85 (12) 959-969; DOI: https://doi.org/10.3949/ccjm.85a.17086

    Treatments can offer enhanced quality of life.

  • Small fibers, large impact
    Brian f. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine October 2018, 85 (10) 731-732; DOI: https://doi.org/10.3949/ccjm.85b.10018

    The wide interest in small fi ber neuropathy may reflect our current apparent epidemic of chronic pain.

  • Postsurgical hypoparathyroidism is not primary hypoparathyroidism (March 2018)
    Malvinder S. Parmar, MB, MS, FRCPC, FACP, FASN
    Cleveland Clinic Journal of Medicine October 2018, 85 (10) 735-736; DOI: https://doi.org/10.3949/ccjm.85c.10002

    Readers comment on hypertrophic cardiomyopathy (May 2018) and on hypoparathyroidism (March 2018).

  • In reply: Postsurgical hypoparathyroidism is not primary hypoparathyroidism (March 2018)
    Sohab S. Radwan, MD, Khair M. Hamo, MD and Ayman A. Zayed, MD, MSc, FACE, FACP
    Cleveland Clinic Journal of Medicine October 2018, 85 (10) 736-737; DOI: https://doi.org/10.3949/ccjm.85c.10003

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