Category Archives: Neurology

Degenerative cervical myelopathy

This is the new name for the conditon formerly known as cervical spondylotic myelopathy, and is spinal cord dysfunction from compression in the neck due to degenerative change (disc herniation, ligament hypertrophy/ossification, osteophyte formation). Presentation Gradual onset and worsening of … Continue reading

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Migraine in pregnancy

The good news is that pre-existing migraine often gets better in pregnancy, especially migraine without aura and premenstrual migraine. However, it’s important to know a) how to treat it when it occurs and b) how to avoid confusing more dangerous … Continue reading

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Some simplified neuroanatomy

After years of journals and on-line learning programmes it feels quite bizarrely retro to go back to a textbook, but that’s what I did; I’ve been thinking for a while that I really need to refresh my memory on the … Continue reading

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Parkinson’s disease

Features of Parkinson’s disease: Bradykinesia Hypokinesia (paucity of movement) Resting tremor Rigidity Postural instability (usually the last of the cardinal signs) Those are the cardinal signs.Tremor is typically made worse by stress, tiredness, or the feeling that other people are … Continue reading

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Huntington’s disease

(BMJ module; information from Dr David Crawford, consultant in neuropsychiatric genetics at St Mary’s, Manchester. Module chosen as I have a patient with Huntington’s who is developing increasing problems.) Huntington’s causes a combination of progressive motor, cognitive, and psychiatric symptoms. … Continue reading

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Restless legs syndrome

The latest BMJ has an article on restless legs syndrome. Diagnostic criteria 5 criteria need to be fulfilled for diagnosis (I’ve slightly rephrased these for myself, but the meaning should be the same): Urge to move the legs. Usually accompanied … Continue reading

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Headaches – red flags and orange flags

Red flags Probability of underlying tumour >1%. Investigate urgently. Focal neurology Significant alterations in consciousness Memory loss or confusion Co-ordination problems Seizures Known cancer Orange flags Probability of underlying tumour: 0.1 – 1%. Monitor carefully and have low threshold for … Continue reading

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