Neurology

This week Rachel Bridwell and Brit Long cover sneaky seizure triggers.

This month’s medical malpractice insights looks at a tough case of posterior circulation stroke and vertigo.

Cerebral venous thrombosis is a tough diagnosis… Why is it missed, and how can we improve diagnosis?

What complications can occur with tPA administration?

Posterior circulation strokes are challenging… This post from Ava Pierce gives you pearls and pitfalls for the diagnosis of posterior circulation strokes.

What is posterior reversible encephalopathy syndrome (PRES), or reversible posterior leukoencephalopathy syndrome (RIPLS), and how should you manage these patients?

An 18-year-old female presents with confusion, seizures, and fever. Patient is unable to provide history, but her mother states that she began noticing confusion 2 days ago, and the patient expressed head discomfort yesterday. The patient appears lethargic and does not follow commands, and she is febrile and tachycardic. She has nuchal rigidity and is hyperreflexic with upgoing toes bilaterally. What is the patient’s diagnosis? What is the next step in your evaluation and treatment?

Cervical artery dissection can be a difficult diagnosis. Read on for pearls and pitfalls in the ED.

Welcome to this week’s edition of EMin5 by Dr. Anna Pickens.  Today we’ll review a few tips on how to do a rapid neurology exam of the hand, and the great thing is you can complete the whole thing with one swift motion!