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Neurology

The following articles have the tag Neurology

Prevention is better than cure in CVAs

Prevention is better than cure in CVAs

Evidence suggests most strokes can be prevented by lifestyle modification.

Long-term follow-up care for childhood cancer survivors - Part Two

Long-term follow-up care for childhood cancer survivors - Part Two

This Update is the second in a two-part series. We will discuss the endocrine sequelae, fertility, fertility preservation and models of care for adult survivors.

Migraine link to Parkinson’s

Migraine link to Parkinson’s

PEOPLE who experience migraine with aura have more than twice the risk of developing Parkinson’s disease in later life, according to findings from a large population-based study.

Long-term follow-up care for childhood cancer survivors - Part 1

Long-term follow-up care for childhood cancer survivors - Part 1

This Update is the first of a two-part series. In this article we discuss the background, epidemiology, late effects on organ systems, psychosocial and neurocognitive impacts, radiotherapy side effects and second malignancies.

'Telepathy' experiment success

'Telepathy' experiment success

SCIENTISTS claim success in a telepathy experiment, sending a simple ‘mind-to-mind’ message from a person in India to a person in France.

Headbanger's brain bleeds after Motörhead concert

Headbanger's brain bleeds after Motörhead concert

DOCTORS who diagnosed a 50-year-old man's subdural haematoma a month after a night of headbanging say the case is "evidence of Motörhead's reputation as one of the most hardcore rock'n'roll acts on earth" – but also serves as a health warning.

Can organic foods protect health?

Can organic foods protect health?

Several studies suggest pesticides may contribute to disease, whether the exposure is through food, the environment or occupational.

Protecting future survival

Protecting future survival

With increasing numbers of childhood cancer survivors, GPs will play a vital role in their care.

Melatonin patches in babies with asphyxia could save lives

MONASH University researchers believe melatonin patches could lead to a simple and affordable way of reducing death and disability in babies born with asphyxia.

Oral medical cannabis could ease MS symptoms

MEDICAL marijuana administered orally in pills or sprays (but not smoked) may help ease some multiple sclerosis symptoms, according to a review by the American Academy of Neurology.

Auditory nerves regrown with gene therapy

A NEW form of gene therapy could mean that age-related hearing loss might one day be a thing of the past.

Bondi to Bagan: GP volunteer scholarship

WHAT travelling doctor hasn’t felt the tug to stay a while and help treat the sick in poor countries of the world?

Brain degeneration seen in elderly with apathy symptoms

Brain degeneration seen in elderly with apathy symptoms

SYMPTOMS of apathy in elderly people without depression may signal underlying brain degeneration, researchers say.

Mild cognitive impairment link to COPD

Mild cognitive impairment link to COPD

A DIAGNOSIS of chronic obstructive pulmonary disease (COPD) is associated with an increased risk of mild cognitive impairment (MCI) that increases with disease duration.

Statin slows brain atrophy in MS

A COMMONLY prescribed statin has shown promise in slowing brain atrophy associated with the secondary progressive and chronic stage of multiple sclerosis (MS).

Prehypertension may double stroke risk

EVEN low-range prehypertension can increase the risk of stroke, a meta-analysis has found.

Could vitamin E ward off dementia?

Could vitamin E ward off dementia?

WITH the rising incidence of dementia and Alzheimer’s disease (AD) and its significant contribution to death in women (9.2%, ranked 3rd as cause of death) and men (4.3%, ranked 6th), it is imperative to address preventive strategies. 1

Oestrogen linked to raised dementia risk in diabetic women

HIGH oestrogen levels and diabetes can dramatically increase the risk of dementia in older women, a study has found.

Drinking linked to memory loss in men

Drinking linked to memory loss in men

MEN who consume more than two alcoholic drinks per day while in middle age may speed up their memory loss in later life by up to six years, a study has shown.

Speaking two languages may delay dementia onset

Speaking two languages may delay dementia onset

BILINGUAL individuals may be less likely to develop early dementia, a study suggests.

Speaking two languages may delay dementia

PEOPLE who speak two languages may be able to ward off dementia for years, regardless of their level of education.

Fatty acid intake may not prevent cognitive decline

Fatty acid intake may not prevent cognitive decline

ALTHOUGH fish and nuts are commonly believed to be good ‘brain food’, US researchers have found a high intake of omega-3 fatty acids appears to make no difference to the rate of cognitive decline in healthy older women.

Vitamin B linked to small reduction in stroke risk: study

Vitamin B linked to small reduction in stroke risk: study

VITAMIN B supplements may reduce the risk of stroke in selected patients, researchers have found.

Episodic migraine more common in obese population

Episodic migraine more common in obese population

PEOPLE who are obese are more likely to experience episodic migraines than those of normal weight, a study shows.

Vigorous activity during youth may prevent epilepsy

Vigorous activity during youth may prevent epilepsy

VERY fit young men may have a reduced risk of developing epilepsy later in life, researchers say.

Sleep disorders – A broader perspective

Sleep disorders – A broader perspective

THIS Update looks at common sleep disorders and discusses their management.

High altitude flying linked to brain lesions

High altitude flying linked to brain lesions

AIR FORCE and other high-flying pilots may be at increased risk of brain lesions linked to cognitive impairment and memory loss.

Cocoa could help stave off cognitive decline

AN APPLE a day keeps the doctor away but two hot chocolates a day could help fight cognitive decline in older people, according to a study published in Neurology.

Study shows risk of dementia raised with anaemia

Study shows risk of dementia raised with anaemia

FURTHER study of potential links between anaemia and dementia may be warranted after a study found a possible connection between the two.

Chinese have heightened risk of stroke

Chinese have heightened risk of stroke

THE risk of stroke is higher for Chinese people than for Caucasians, according to a review.

Psychiatric manifestations of common neurological disorders

Psychiatric manifestations of common neurological disorders

THIS Update will discuss five common neurological disorders and their psychiatric associations.

Lifelong literary activity prevents cognitive decline

Lifelong literary activity prevents cognitive decline

ENGAGING in mentally stimulating activities throughout life independently protects the brain from cognitive decline, dementia researchers say.

Restless legs syndrome ups male mortality

MEN with restless legs syndrome (RLS) have an increased risk of mortality, research suggests.

Dementia

Dementia

THIS Update discusses the diagnosis and management of dementia.

Clear Parkinson’s link with pesticide exposure

Clear Parkinson’s link with pesticide exposure

EXPOSURE to pesticides or herbicides can increase the likelihood of developing Parkinson’s disease by up to 80%, researchers say after a meta-analysis.

Mediterranean diet could stave off dementia

Mediterranean diet could stave off dementia

AVOIDANCE of saturated fats, meat and dairy has been linked to a reduced risk of cognitive impairment and memory loss in the largest study of its kind to date.

Consider alternative therapies

Consider alternative therapies

IT is important to include complementary and alternative medicine in history-taking.

Fainting might be passed down in the  family: research

Fainting might be passed down in the family: research

VASOVAGAL syncope may be heritable, according to Australian research at odds with the conclusions of a previous systematic review.

sCJD can be easily confused

PATIENTS with sporadic Creutzfeldt-Jakob Disease (sCJD) may receive scores of differential diagnoses, a study shows.

Dual approach works best for migraine prevention

USING beta-blockers and behavioural management together prevents migraine effectively and should be adopted alongside optimal acute care, US research suggests. Patients receiving a combined preventive approach had 3.3 fewer migraines over 30 days compared to those receiving optimal acute care alone, a study of 232 adults showed.  The benefits of the dual approach were sustained up to 16 months; but behavioural management or beta-blockers were not effective in isolation, prompting calls for wider adoption of the dual approach.  “Patient outcomes will not improve merely by writing a prescription for a preventive drug. Migraine is a complex ...

Study links low-dose NSAIDs to stroke risk in healthy population

EXPERT opinion remains divided on risks versus benefits of NSAIDs, after research shows even low doses may raise the risk of stroke in healthy individuals. The findings, building on earlier work linking NSAIDs to cardiovascular (CV) mortality, have prompted calls for diclofenac to be withdrawn. The Danish study, presented recently at the European Society of Cardiology congress, reviewed data from more than a million patients prescribed an NSAID. Diclofenac use increased the risk of stroke by 86%, while ibuprofen increased it by 28 per cent. There was a dose-dependent relationship with both drugs.  David Henry, ...

Puzzles slow cognitive decline initially but speed it up later

MENTALLY stimulating activities such as crossword puzzles, playing cards and reading newspapers may at first slow the decline of cognitive skills in Alzheimer’s disease, but patients may pay a price later on. A US study of 1157 individuals (mean age 78 years) found those who had been diagnosed with Alzheimer’s disease had an increased rate of cognitive decline if they undertook more cognitive activity.  Among those with mild cognitive impairment, the rate of cognitive decline was unrelated to the level of cognitive activity. In contrast, those free of cognitive impairment at baseline had slower cognitive decline if ...

Migraine with aura an independent CV death risk

MIGRAINE with aura can now be regarded as an independent risk factor for cardiovascular and all-cause mortality.  An Icelandic study, including 18,725 middle-aged people, found migraineurs with aura had a 27% increased risk of cardiovascular-related death compared with non-migraineurs.  After 26 years follow-up, they also had a 21% increased risk of all-cause mortality. There was no such increased risk among those with non-migraine headache or migraine without aura. The association remained after adjusting for other risk factors. “Migraine with aura was an independent risk factor for cardiovascular and all-cause mortality in both men and women, but ...

Antiepileptics linked to suicide risk

THE use of newer antiepileptic drugs, already associated with an increased risk of depression, has now been linked to a three-fold increased risk of self-harm or suicidal behaviour. A study of 453 potential cases, from a UK general practice database of 44,000 patients with epilepsy, showed those taking the antiepileptics had an increased risk of suicidal behaviour compared to non-users. However, the finding is based on a small number of cases, six people taking topiramate, levetiracetam, vigabatrin or tiagabine. Other new antiepileptics considered low risk – oxcarbazepine, lamotrigine, gabapentin and pregabalin – as well as conventional ...

Driving change

Driving change

Draft guidelines on assessing fitness to drive may make life a little easier for GPs, but some experts say they need to go much further. Caroline Brettingham-Moore reports.

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