Larry B. Goldstein, M.D., professor and chair of the Department of Neurology at UK HealthCare, delivered a compelling presentation on stroke prevention that underscores the critical role of primary care providers in reducing stroke incidence. Stroke is the fourth leading cause of death in the United States, with about 795,000 new and recurrent strokes occurring…
Nearly all individualswith dementia will experience behavioral or psychological symptoms during their disease course, presenting significant challenges for caregivers and clinicians alike. Understanding how to identify, evaluate and manage these symptoms while minimizing medication use remains essential for improving patient outcomes and quality of life. In a recent “MedChat” podcast, Rachel N. Hart, D.O., geriatric…
Dementia care is experiencing a revolutionary shift. For decades, physicians had little to offer patients beyond symptomatic treatments and supportive care. Today, the medical community stands at the edge of a new era — one defined by precise biomarker testing and disease-modifying therapies that represent genuine new treatments for Alzheimer’s disease. Understanding the new treatment…
A multiple sclerosis (MS) diagnosis can change the course of a patient’s life. Symptoms can be unpredictable; independence can feel uncertain. Patients must learn to adapt to a “new normal” while holding on to hope. For Geeta A. Ganesh, M.D., MPH, neurologist at the Norton Neuroscience Institute Hussung Family Multiple Sclerosis Center, understanding that kind…
Norton Children’s Neuroscience Institute, affiliated with the UofL School of Medicine, has issued the following statement for community providers regarding the use of leucovorin in autism. There has been increasing public interest in leucovorin (also called folinic acid or known by the brand name Wellcovorin) as a possible treatment for autism. This information was devised…
Primary care physicians are frequently the first health care providers to encounter patients with cognitive concerns. While Alzheimer’s disease typically dominates discussions regarding dementia, vascular contributions to cognitive impairment and dementia, collectively referred to as vascular cognitive impairment (VCI), represent a critical but underrecognized cause of cognitive decline. Modern neuroimaging techniques readily allow for early…
Dementia care presents challenges that extend far beyond memory loss. Nearly 7 million Americans live with Alzheimer’s disease, supported by more than 11 million unpaid caregivers, 70% of whom report feeling stressed and unprepared. A multidisciplinary team approach is widely recognized as best practice, ensuring patients and families receive comprehensive and coordinated support. Dementia clinical…
Research shows that new pediatric epilepsy patients often lack access to pediatric neuropsychology services due to the limited availability of specialized providers. Leena Mohapatra, Ph.D., pediatric neuropsychologist at Norton Children’s Neuroscience Institute, affiliated with the UofL School of Medicine, is dedicated to addressing this critical need, working primarily with children diagnosed with epilepsy or suspected…
The patient A 79-year-old man with essential tremor in the bilateral hands for at least 10 years Over the years, the severity of the tremor worsened, along with its negative impact on his life. First-line medications, propranolol and primidone, both were tried, without significant impact on the severity of tremor and the patient’s disability. Feeding…
Menstrual migraine affects approximately 60% of women with migraine yet remains significantly underdiagnosed in clinical practice. This hormonal-triggered condition requires coordinated care to improve patient outcomes and quality of life. “In a primary care setting, especially OB/GYN offices, it’s important to expect migraine,” said Ricardo A. Herrera, M.D., neurologist and headache medicine specialist with Norton…
Norton Healthcare has received American Heart Association Get With The Guidelines achievement awards for demonstrating commitment to following up-to-date, research-based guidelines for the treatment of heart disease and stroke, ultimately leading to more lives saved, shorter recovery times and fewer readmissions to the hospital. Heart disease and stroke are the No. 1 and No. 5 causes of…
Migraine affects 37 million men, women and children in the United States and ranks among the top 10 most disabling medical conditions, according to the World Health Organization. More than 90% of patients report that migraine interferes with education, career and social activities – making early recognition and treatment in pediatric populations particularly crucial. Paul…