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2008 AAN Fall Conference Takes Place October 10–12 in New Orleans
The 2008 AAN Fall Conference will be in full swing the weekend of October 10 through 12. The luxurious Hilton New Orleans Riverside in historic New Orleans is running at full operation and excited to host what is sure to be a first-class weekend, featuring the latest updates in child neurology, epilepsy, headache, movement disorders, multiple sclerosis, neuromuscular disease, neuro-oncology, neuro-ophthalmology, and stroke.
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09-15-2008
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MS Insurance Advisory Committee: Washington State Neurologists Demonstrate Advocacy in Action |
Eugene F. May, MD, FAAN |
08-25-08 |
Finding Neuroimages on the Internet |
Daniel B. Hier, MD, MBA, FAAN, AAN.com Education Editor and Mike Petkovich |
07-28-09 |
AAN.com Talks with Barney Stern About Neurology Education Research |
Barney J. Stern, MD,FAAN |
07-14-08 |
FAST Enough for Intracerebral Hemorrhage? |
J. Claude Hemphill III, MD, MAS |
07-03-08 |
Effective Neurology Presentations |
Barbara Scherokman, MD, FAAN, FACP |
07-03-08 |
Health 2.0 for Neurologists |
Barbara Scherokman, MD, FAAN, FACP & Michael Segal, MD, PhD |
06-23-08 |
Remote Consultation Offers a Valuable Alternative to Face-to-Face Medical Treatment |
Bruce H. Cohen, MD, FAAN |
05-15-08 |
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Neurology® September 16, 2008 Highlights
- burden of atherosclerosis and risk of venous thromboembolism in patients with migraine symbol.
Show/Hide Abstract
Background: Previous studies have yielded evidence of an enhanced risk of cardiovascular disease, especially stroke, among patients with migraine. Our understanding of the underlying mechanisms is far from complete. The aims of the present study were to investigate the potential association between migraine and atherosclerosis and to assess the risk of venous thromboembolism as a clinical surrogate for a procoagulant state in patients with migraine.Methods: The examination was part of the population-based Bruneck Study. During the 2005 evaluation, 574 participants aged 55-94 years underwent neurologic and laboratory examinations involving a standardized headache interview and scanning of the carotid and femoral arteries to evaluate presence, severity, and progression (2000-2005) of atherosclerosis.Results: A large number of well-founded and putative cardiovascular risk factors have emerged as being unrelated to migraine status. Prevalence, severity, and 5-year progression of carotid and femoral atherosclerosis did not differ significantly between migraineurs with and without aura and nonmigraineurs. In fact, there was even a tendency for atherosclerosis to be less pronounced among patients with migraine, and for the intima-media thickness to be lower (p = 0.029). As a novel finding migraineurs faced a significantly enhanced risk of venous thromboembolism (18.9% vs 7.6% in nonmigraineurs, age/sex-adjusted p = 0.031).Conclusion: This study is the first to compare the burden of atherosclerosis as quantified by high-resolution duplex ultrasound between migraineurs and nonmigraineurs in the general community, and provides solid evidence against the view that migraine predisposes to atherosclerosis. The higher risk for venous thromboembolism among migraineurs (prothrombotic state) awaits confirmation and elaboration in future research.GLOSSARY: CCA = common carotid arteries; CVD = cardiovascular disease; ICA = internal carotid arteries; IMT = intima-media thickness; MMSE = Mini-Mental State Examination; VTE = venous thromboembolism.(C)2008AAN Enterprises, Inc.
- detecting navigational deficits in cognitive aging and alzheimer disease using virtual reality.
Show/Hide Abstract
Background: Older adults get lost, in many cases because of recognized or incipient Alzheimer disease (AD). In either case, getting lost can be a threat to individual and public safety, as well as to personal autonomy and quality of life. Here we compare our previously described real-world navigation test with a virtual reality (VR) version simulating the same navigational environment.Methods: Quantifying real-world navigational performance is difficult and time-consuming. VR testing is a promising alternative, but it has not been compared with closely corresponding real-world testing in aging and AD. We have studied navigation using both real-world and virtual environments in the same subjects: young normal controls (YNCs, n = 35), older normal controls (ONCs, n = 26), patients with mild cognitive impairment (MCI, n = 12), and patients with early AD (EAD, n = 14).Results: We found close correlations between real-world and virtual navigational deficits that increased across groups from YNC to ONC, to MCI, and to EAD. Analyses of subtest performance showed similar profiles of impairment in real-world and virtual testing in all four subject groups. The ONC, MCI, and EAD subjects all showed greatest difficulty in self-orientation and scene localization tests. MCI and EAD patients also showed impaired verbal recall about both test environments.Conclusions: Virtual environment testing provides a valid assessment of navigational skills. Aging and Alzheimer disease (AD) share the same patterns of difficulty in associating visual scenes and locations, which is complicated in AD by the accompanying loss of verbally mediated navigational capacities. We conclude that virtual navigation testing reveals deficits in aging and AD that are associated with potentially grave risks to our patients and the community.(C)2008AAN Enterprises, Inc.
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Neurology Today August 7, 2008 Highlights
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Continuum: Lifelong Learning in Neurology® August 2008 Highlights
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Neurology Now July/August 2008 Highlights
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Douglas Goodin Discusses Natalizumab Guideline
Douglas Goodin, MD, director of the Multiple Sclerosis Center at UCSF Medical Center, discusses the new guideline on Natalizumab.
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AAN.com Talks with Gary Gronseth About New Trigeminal Neuralgia Guideline
AAN.com met with Gary S. Gronseth, MD, author of 19 AAN Guidelines and past co-chair of the Quality Standards Subcommittee, to find out more
about the new Guideline on Trigeminal Neuralgia. He spoke with AAN.com Practice Editor Neil A. Busis, MD, FAAN.
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Show/Hide Question
A 58-year-old woman presented with progressive right arm pain and hand weakness. She was diagnosed 11 years earlier with right breast carcinoma and positive lymph nodes. Treatment consisted of a modified radical mastectomy, chemotherapy, and adjuvant radiation to the right axilla and chest wall. Six years later metastatic cancer was found in contralateral axillary lymph nodes and she was treated with additional chemotherapy. Beginning 1 year ago (10 years after her initial diagnosis), she noted progressive burning pain in her right hand, arm, and shoulder and tingling in her fingers. She also experienced diffuse weakness and atrophy of the muscles in her right arm. There was no neck pain or left arm symptoms. Examination demonstrated mild weakness of right deltoid, biceps, triceps, and wrist flexors and moderately severe weakness of wrist extensors, finger extensors, finger flexors, interossei, and thenar muscles. The right triceps reflex was mildly reduced, and there was decreased pinprick in palm and dorsum of right hand. The EMG demonstrated the findings shown. Which of the following is the most likely diagnosis?
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Question
Who was the first recipient of the Neurology Public Policy Fellowship Award?
Hide/Show Answer
Mark S. Yerby, MD, MPH, FAAN, in 1995-1996
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Orly Avitzur, MD, MBA, FAAN
Editor-in-Chief
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Lily Jung, MD, FAAN
Advocacy Editor
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Daniel B. Hier, MD, MBA, FAAN
Education Editor
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Neil A. Busis, MD, FAAN
Practice & Technology Editor
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John W. Henson, MD, FAAN
Science Editor
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