Neurology continuum

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Continuum Audio features conversations with the guest editors and authors of Continuum: Lifelong Learning in Neurology, the premier topic-based neurology Continuum Audio. Continuum Audio delivers in-depth conversations with expert authors of Continuum: Lifelong Learning in Neurology, the American Academy of Neurology s official CME journal. This audio companion to the journal allows subscribers the ability to listen to interviews of interest on any neurologic topic covered in Continuum

Rheumatology and Neurology : CONTINUUM: Lifelong Learning in Neurology

Nov 6, 2024Orofacial pain comprises many disorders withdifferent etiologies and pathophysiologies. A multidisciplinaryapproach combining medication, physical therapy, and procedural andpsychological strategies is essential in treating patients withorofacial pain.Inthis episode, Teshamae Monteith, MD, FAAN, speaks with MeredithBarad, MD; Marcela Romero-Reyes, DDS, PhD, authors of the article“Orofacial Pain,” in the Continuum® October 2024 PainManagement in Neurology issue.Dr.Monteith is the associate editor of Continuum® Audio andan associate professor of clinical neurology at the University ofMiami Miller School of Medicine in Miami, Florida.Dr.Barad is a clinical associate professor of anesthesiology,perioperative and pain medicine, and neurology and neurologicalsciences and codirector of the Stanford Facial Pain Program atStanford Medicine in Stanford, California.Dr.Romero-Reyes is a clinical professor and director of the BrotmanFacial Pain Clinic and Department of Neural and Pain Sciences atthe University of Maryland in Baltimore, Maryland.AdditionalResourcesReadthe article: Orofacial PainSubscribeto Continuum: shop.lww.com/ContinuumEarnCME (available only to AAN members): continpub.com/AudioCMEContinuum®Aloud(verbatim audio-book style recordings of articles available only toContinuum® subscribers): continpub.com/AloudMoreabout the American Academy of Neurology: aan.comSocialMedia@ContinuumAANHost:@headacheMDGuest:@meredith_baradfacebook.com/continuumcmeFull episodetranscript available hereDrJones: This is DrLyell Jones, Editor-in-Chief of Continuum, the premiertopic-based neurology clinical review and CME journal from theAmerican Academy of Neurology. Thank you for joining us onContinuum Audio, which features conversations withContinuum 's guest editors and authors who are the leadingexperts in their fields. Subscribers to the ContinuumJournal can read the full article or listen to verbatim recordingsof the article and have access to exclusive interviews not featuredon the podcast. Please visit the link in the episode notes for moreinformation on the article, subscribing to the journal, and how toget

Ultrasound in Neurology : CONTINUUM: Lifelong Learning in Neurology

Interpretation of audiogram results, and hearing augmentation as a practical coda to this issue. After reading the issue and taking the Postreading Self-Assessment and CME Test written by Drs Adam G. Kelly and James W. M. Owens Jr, readers may earn up to 20 AMA PRA Category 1 CreditsTM toward self-assessment CME or, for Canadian participants, a maximum of 20 hours toward the Self-Assessment Program (Section 3) of the Maintenance of Certification Program of the Royal College of Physicians and Surgeons of Canada. Additional credit can be obtained by listening to Continuum Audio interviews associated with this and other Continuum issues, available to all subscribers, and completing tests on the Continuum Audio web platform or mobile app. Continuum Audio is also accredited by the Royal College of Physicians and Surgeons of Canada. ...I am so appreciative that Dr Terry D. Fife accepted my invitation to serve as guest editor of this issue, and I would especially like to thank him for organizing such an inclusive set of articles and inviting authors who are prominent experts and educators in neuro-otology. This issue is part of a pilot program of Continuum issues read aloud. Different from Continuum Audio, these are recordings read verbatim from the print articles by Dr Michael Kentris, a neurologist at the Clinical Neuroscience Institute in Dayton, Ohio. The audio files are available to all Continuum subscribers in the AAN’s Online Learning Center at continpub.com/CME. I encourage you to listen and submit the survey with your feedback on this pilot, which has been extended to include this issue, as well as the June and August 2021 issues. My sincerest thank you to Dr Fife for his remarkable guest editorship of this issue, including his organization of the practical and inclusive article topics, enlistment of such outstanding content experts, and devotion to every step along the way toward publication. The result is a volume of Continuum that should enhance the expertise of each of us as we hear our patients’ histories, perform relevant examinations, and diagnose and treat the many patients who present to us with signs and symptoms of neuro-otologic (eg, vestibular) dysfunction, whether of peripheral or central origin. —STEVEN L. LEWIS, MD, FAANEDITOR-IN-CHIEF© 2021 American Academy of Neurology.

CONTINUUM: Lifelong Learning in Neurology

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Nutrients and Neurology : CONTINUUM: Lifelong

A biopsychosocial framework because wesee much higher rates of depression and anxiety in this group. Andso, using a pain psychologist to help the patient develop copingstrategies to help them manage their pain, using a physicaltherapist to help them learn this, the stretching exercises andusing medications to help with not only with their pain syndrome,but also sometimes with their psych comorbidities. And thenadditionally, procedures sometimes play a role in the process tohelp usually turn down the pain. Interestingly, when we look attrigeminal neuralgia, we see much less overlapping pain disorders.It's much rarer to see somebody with TN who has other COCPs or thekind of chronic levels of depression and anxiety that we see inthese patients. So, the approach is very different, and I think itrequires the use of a multidisciplinary team to help guide thetreatment pathways for these patients.DrMonteith: Today, I'vebeen interviewing Drs Meredith Barad and Marcelo Romero-Reyes,whose article on orofacial pain appears in the most recent issue ofContinuum on pain management and neurology. Be sure tocheck out Continuum Audio episodes from this and otherissues. And thank you to our listeners for joiningtoday.DrMonteith: This is DrTeshamae Monteith, associate editor of Continuum Audio. Ifyou've enjoyed this episode, you'll love the journal, which is fullof in-depth and clinically relevant information important forneurology practitioners. Use this link in the episode notes tolearn more and subscribe. AAN members, you can get CME forlistening to this interview by completing the evaluation atcontinpub.com/AudioCME. Thank you for listening toContinuum Audio.

Diagnostic Ultrasonography in Neurology : CONTINUUM:

Peripheral Nerve and Motor Neuron Disorders p. 1205-1223 October 2020, Vol.26, No.5 doi: 10.1212/CON.0000000000000907 REVIEW ARTICLES Article Related Links Abstract Chronic inflammatory demyelinating polyradiculoneuropathy (CIDP) and its variants comprise a group of immune-mediated neuropathies with distinctive clinical presentations and electrodiagnostic features. Prompt recognition of these treatable disorders is mandatory as delays result in significant disability and morbidity. This article highlights the clinical presentation, pathophysiology, diagnostic evaluation, and treatment approach of these polyneuropathies. The spectrum of CIDP is expanding with the recent characterization of neuropathies associated with nodal and paranodal antibodies. These neuropathies are distinguished by their unique presentations and are often refractory to IV immunoglobulin (IVIg) therapy. Subcutaneous immunoglobulins have recently been approved as a treatment option for CIDP and join corticosteroids, IVIg, and plasma exchange as first-line treatment. CIDP is characterized by progressive symmetric proximal and distal weakness, large fiber sensory loss, and areflexia, with clinical nadir reached more than 8 weeks after symptom onset. Autoimmune demyelinating neuropathies fall on a continuum, with differences in the type of nerve fibers affected and pattern of deficits. Distinguishing between typical CIDP and its variants allows for selection of the most appropriate treatment. Author Information Address correspondence to Dr Kelly Gwathmey, Department of Neurology, Virginia Commonwealth University, 1101 East Marshall St, PO Box 980599, Richmond, VA 23298, [email protected]. RELATIONSHIP DISCLOSURE: Dr Gwathmey has served as a consultant for and received personal compensation for speaking engagements from Alexion Pharmaceuticals, Inc. UNLABELED USE OF PRODUCTS/INVESTIGATIONAL USE DISCLOSURE: Dr Gwathmey discusses the unlabeled/investigational use of azathioprine, bortezomib, corticosteroids (methylprednisolone, prednisone), cyclophosphamide, cyclosporine, methotrexate, mycophenolate mofetil, and rituximab for the treatment of chronic inflammatory demyelinating polyradiculoneuropathy and its variants. © 2020 American Academy of Neurology.

CONTINUUM: Lifelong Learning in Neurology - LWW

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The Dystonias : CONTINUUM: Lifelong Learning in Neurology

CONTINUUM: Lifelong Learning in Neurology April 2021 - Volume 27 - Issue 2, Neuro-otology -p 304-305 doi: 10.1212/CON.0000000000001034This issue of Continuum is devoted to the diagnosis and management of disorders related to dysfunction of the inner ear or its connections to relevant structures in the central nervous system (eg, the cerebellum and brainstem). A particular emphasis is on those disorders presenting with signs and symptoms of vestibular dysfunction, whether of peripheral or central origin. To achieve this important goal, I am so appreciative that Dr Terry D. Fife accepted my invitation to serve as guest editor of this issue, and I would especially like to thank him for organizing such an inclusive set of articles and inviting authors who are prominent experts and educators in neuro-otology. The issue begins with the article by Dr Fife describing his thoughtful approach to the history and evaluation of patients with vertigo and dizziness, which serves as an important foundation to the articles that follow. Next, Drs Timothy C. Hain and Marcello Cherchi demystify the role and interpretation of vestibular testing in patients with neuro-otologic symptoms, also a helpful introduction to the issue. Dr Kevin A. Kerber then reviews the pathophysiology, evaluation, and management of the disorders that present as episodic positional dizziness, providing well-illustrated step-by-step details of the important and effective repositioning maneuvers. Next, Dr Scott D. Z. Eggers reviews the differential diagnosis, evaluation, and management of the various disorders that can present to the neurologist and cause recurrent spontaneous episodes of dizziness or vertigo, whether of primary neurologic or otologic origin. Dr Kristen K. Steenerson then reviews the acute vestibular syndrome, a condition neurologists frequently encounter in emergency department settings, and shares important pearls and pitfalls regarding the critical diagnostic dilemma as to whether a patient’s acute vertigo with nausea and vomiting is due to a self-limited peripheral vestibular disorder (eg, vestibular neuritis) or a potentially devastating central one (eg, cerebellar stroke). Dr Yoon-Hee Cha next reviews the clinical symptomatology, diagnosis, and management of the disorders that cause chronic dizziness, including persistent postural perceptual dizziness, mal de débarquement syndrome, motion sickness, bilateral vestibulopathy (eg, after ototoxic medications), and after mild concussion. Dr Kamala Saha discusses the differential diagnosis and management of vertigo related to central nervous system disorders, including migrainous, demyelinative, neoplastic, ischemic, hemorrhagic (eg, superficial siderosis), genetic, and autoimmune causes. The final two review articles in the issue cover disorders that may present to the neurologist despite being classically considered mostly in the realm of the otolaryngologist. Dr Gail Ishiyama discusses the pathophysiology, diagnosis, and management of several primarily otologic disorders that may present with vertigo, including Ménière disease, superior semicircular canal dehiscence syndrome, perilymphatic fistula, barotrauma, cholesteatoma, Ramsay Hunt syndrome, enlarged vestibular aqueduct syndrome, and autoimmune inner ear disease. Dr Fife and Dr Roksolyana Tourkevich then review the diagnosis and current management of the other primary otologic syndromes that may present to the neurologist, including tinnitus, hyperacusis, otalgia, and hearing loss. They include a very helpful primer on hearing loss,. Continuum Audio features conversations with the guest editors and authors of Continuum: Lifelong Learning in Neurology, the premier topic-based neurology Continuum Audio. Continuum Audio delivers in-depth conversations with expert authors of Continuum: Lifelong Learning in Neurology, the American Academy of Neurology s official CME journal. This audio companion to the journal allows subscribers the ability to listen to interviews of interest on any neurologic topic covered in Continuum

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CONTINUUM Lifelong Learning in Neurology ivySCI

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Neurosarcoidosis : CONTINUUM: Lifelong Learning in Neurology

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