Transvere myelitis = TM Differential diagnosis Compressive myelopathy: needs to be excluded by MRI ADEM: acute disseminated encephalomyelitis Acute demyelination involving brain and spinal cord MS: multiple sclerosis, separated by time and space NMO: neuromyelitis optica usually involves 3 or more vertebral segments Optic neuritis AQP4 Ab positive Poliomyelitis,...

Smell & taste disorder common early symptom over 80% in one series MRI may show aignal abnormality in olfactory bulbs 2 autopsy cases showed inflammatory infiltrate olfactory tracts 44% recovered within 8 days in 1 series Encephalopathy Could be from metabolic or hypoxic encephalopathy No evidence of brain inflammation...

updated 08/15/2020 This is just the slides, no audio. Your can also click on on this link for full video from March 2020 Acute Stroke for RN Mar 2020 video...

Using Keppra in special situations All off label ref: Uptodate Craniotomy, seizure prophylaxis 500 mg bid iv, up to 3 gram per day Status epilepticus Loading dose 1 to 3 gram at 5 mg/kg/minute or 50 mg/kg over 15 minutes, up to 4.5 gram followed by maintenance dose Subarachnoid...

This is commonly known as temporal arteritis, is a chronic granulomatous vasculitis of medium to large size vessels. Epidemiology Usually after 50 years old Mean age of onset 70 years old Woman 6 times more often than man Woman total life time risk is 1% Clinical Insidious onset, over...

The following is a synopsis of what we know so far. There are still a lot of unknown. Number of people affected – selected data Very difficult to be accurate, a lot people who were affected were not tested. It is not possible to test everybody. Total known cases...

Essential tremor (ET) is the most common cause of tremor. Symptoms and signs persistent bilateral postural tremor > 5 years Action tremor: bilateral, may be asymmetrical postural, kinetic, intention May have head tremor No other abnormal neuro sign except Froment’s sign: cogwheel without rigidity Exacerbated by anxiety, excitement or...

Fluctuation in cognitive functions Visual hallucination, present early Parkinson, bilateral REM sleep disorder Neuroleptic sensitivity Also common: repeated fall syncope autonomic dysfunction...

Businesses are starting to open. Keep an eye on the number of new cases in your area, hopefully the number will continue to decline. Best site for daily update Worldometer – coronavirus, updated daily Illinois has over 4000 new cases daily New York is down to 1300 new cases...

IIH is most commonly seen in obese woman of child bearing age. Clinical features Persistent headache Blurred vision papilledema 6th nerve palsy otherwise normal neuro exam IIH without papilledema (IIHWOP) Tests MRI head wo and w contrast MRV to check for venous thormbosis Lumbar puncture: opening pressure over 25...