SMJ // Neurology

SMJ Article | Original Article

Community Socioeconomic and Urban–Rural Disparities in Prehospital Notification of Stroke by Emergency Medical Services in North Carolina

Objectives: Notification by emergency medical services (EMS) to the destination hospital of an incoming suspected stroke patient is associated with timelier in-hospital evaluation and treatment. Current data on adherence to this evidence-based best practice are limited, however. We examined the frequency of EMS stroke prenotification in North Carolina by community...

Posted in: Neurology16

SMJ Article | Multidisciplinary Clinical Case Study

When Statins Get Physical: A Curious Cause of Statin Myopathy

We present the case of a 61-year-old male with hyperlipidemia and lumbar radiculopathy admitted to our hospital with rhabdomyolysis attributed to the recent initiation of statin therapy. Despite aggressive fluid resuscitation and an initial declination in his creatine phosphokinase (CPK) levels, he had persistent myalgias with progressive weakness. Rheumatologic and...

Posted in: Autoimmune Systemic Disorders2 Diseases of Muscle & Neuromuscular Function1

SMJ Article | Original Article

CME Article: Receiving Medical Care for Chronic Migraines: A Phenomenological Study

Objectives: Treating chronic migraine (CM) effectively is one of the greatest challenges a primary care provider (PCP) may encounter. Many patients with CM report dissatisfaction and minimal gains from treatment, despite using the best medical interventions available. For this study, patients with CM and their partners provided insight into how...

Posted in: Neurology16 Headache1

SMJ Article | Original Article

Association of Obesity on Outcomes of Hospitalized Patients with Cerebral Palsy

In hospitalized adult patients with cerebral palsy, obesity did not lead to significantly higher resource utilization.

Posted in: Neurology16

SMJ Article | Original Article

Predicting Concussion Recovery with PHQ-9 and GAD-7

Objective: To determine whether scores obtained from Patient Health Questionnaire-9 (PHQ-9) or the General Anxiety Disorder-7 (GAD-7) instruments administered following a concussion can be used to predict recovery time. Method: Retrospective cohort study in a university-based specialty concussion center of 502 concussed participants. Participants completed a PHQ-9 and GAD-7 during...

Posted in: Neurology16

SMJ Article | Review Article

Management of Muscle Spasms in Adult Patients with Cerebral Palsy

As medical care advances, there is a growing number of adult patients with cerebral palsy. The spastic form is characterized by muscle hypertonicity, hyperreflexia, and spasticity, which are associated with worse quality of life, poor functionality, and pain. This literature review attempts to explore the existing treatments for spasticity in...

Posted in: Neurology16

SMJ Article | Original Article

Perioperative Resumption of Direct Oral Anticoagulants: Review of the Mayo Clinic Experience

Objective: We aimed to review recommendations for the postoperative resumption of direct oral anticoagulants (DOACs) and report complications 30 days postoperatively. Methods: We retrospectively reviewed patients receiving DOAC therapy who underwent preoperative evaluations from January 1, 2015 through May 30, 2018. We noted days that DOAC therapy was withheld, postoperative...

Posted in: Neurology16

SMJ Article | Original Article

OPEN: Sex Differences in Stroke Hospitalization Incidence, 30-Day Mortality, and Readmission in a Regional Medical Center in the Southwestern United States

Objectives: This study explores sex differences in ischemic stroke hospitalization incidence, 30-day mortality, and 30-day readmission in a southwestern US medical center. Methods: Ischemic stroke admissions in a regional medical center in the southwestern United States were obtained for a 6.5-year time frame (N = 1968). Logistic regression models examine...

Posted in: Neurology16

SMJ Article | Review Article

Evolving Approaches to Antithrombotics in Stroke Prevention and Treatment

The optimization of antithrombotic therapy for acute stroke treatment and secondary prevention is an evolving process based on an increasing array of studies that provide an evidence-based approach. Options have increased dramatically with the release of the non–vitamin K oral anticoagulants and with the results of recent randomized clinical trials...

Posted in: Neurology16

SMJ Article | Review Article

Gynecological Care and Contraception Considerations in Women with Cerebral Palsy

The purpose of this literature review was to further explore gynecological care and contraceptive use in women with cerebral palsy. We address barriers to pelvic examinations for cervical cancer screenings and current contraceptive methods in severely debilitated patients with cerebral palsy.

Posted in: Neurology16 Obstetrics and Gynecology67

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