Delirium and dementia are distinct clinical syndromes, with symptoms that frequently overlap. Delirium is a neuropsychiatric condition that occurs acutely, a sudden and definite decline from the baseline, progressing over hours, days, or weeks, but not longer. It is treatable and, in most cases, reversible. Delirium is common in hospitalized patients, especially among older adults….
Headaches can interfere with patients’ daily lives in big and small ways. For providers, headache disorders can be difficult to diagnose and treat. “Patients who have more knowledge of their condition are generally going to have better success with treatment,” said Norton Neuroscience Institute headache specialist, Brian M. Plato, D.O. Often times, patients seek out…
Compared with usual care, implantable cardiac monitors (ICM) detected significantly more atrial fibrillation (AF) events in stroke patients who likely would not have been monitored long term for AF otherwise, according to a study published recently in JAMA. The trial, Stroke of Known Cause and Underlying Atrial Fibrillation, STROKE-AF trial for short, looked at patients…
If a pediatric patient complains of headaches, primary care providers should inquire about their screen time habits. Spending too much time staring at a screen, such as a phone, tablet or computer, can cause digital eyestrain, a key trigger in pediatric headaches. The pandemic may exacerbate symptoms Symptoms of digital eyestrain include headaches, especially around…
Patients with multiple sclerosis (MS) or another neurological diagnosis often can continue to drive, allowing them to keep a level of independence, once an assessment is conducted and any modifications and restrictions are adopted. Driving with MS can become difficult due to manifestations of the disease ranging from arm and leg weakness to medication-related cognition…
Migraine is the most frequent primary headache disorder among the pediatric population, and while headaches in children can be complicated to treat and diagnose, there are several steps a primary care provider can take prior to referring the patient to a neurologist. Diagnostic steps for primary care providers The provider should work with the patient’s…
For two-thirds of children with epilepsy, medications are effective at reducing seizures. After trying two or more anti-seizure medications without success, the remaining one-third have medically refractory epilepsy. For these children, surgery, a ketogenic diet or implantation of a neuromodulation device are options. Determining which of these is best for a particular child requires a…
Many seniors experience some level of sadness. It can be triggered by a lot of different events as they get older: losing loved ones and spouses, experiencing an unwanted move, coping with serious illnesses. Often, the depression that a senior experiences may be only temporary. In other cases, it can continue for months or years….
Neurological effects of COVID-19 in children have been most common in those who had a preexisting neurological condition, representing both new symptoms and a continuation or worsening of previous symptoms, according to a recently published study in JAMA Neurology. Among children hospitalized for COVID-19, the study of patients at 61 U.S. hospitals found 21% had…
Duchenne muscular dystrophy (DMD) is an X-linked recessive disorder caused by deficiency of the dystrophin protein. In the absence of dystrophin, skeletal muscle fibers rupture and atrophy over time leading to progressive weakness, respiratory muscle weakness and cardiomyopathy. Loss of ambulation typically occurs early in the first decade of life without treatment. Orthopedic treatments may…
The patient A 29-year-old woman with no major medical issues awoke with blurry vision. As the day went on, she began to see double. She looked in the mirror and saw that one of her eyes was pointing in the wrong direction. She also noted tingling across her body and severe fatigue. An immediate evaluation…
Cressman Neurological Rehabilitation, a part of at Norton Neuroscience Institute, now has expanded offerings, including technology and treatments you can’t find anywhere closer than Louisville. It is located in a newly opened space at Norton Neuroscience Institute – Brownsboro. G-EO This system from Reha Technologies offers the latest in robot-assisted gait therapy. End-effector gait trainers…