Twitter Digest for January 15, 2018

Twitter Digest for January 12, 2018

Twitter Digest for January 11, 2018

Twitter Digest for January 10, 2018

Twitter Digest for January 9, 2018

Twitter Digest for January 8, 2018

Spotlight on Electroconvulsive therapy (ECT)

Although seizures typically indicate a state of brain dysfunction, there are circumstances in which the biological effects of a seizure may exert therapeutic benefits. In this article, Dr. Justin Coffey of the Menninger Clinic and Baylor College of Medicine discusses the standard technique for inducing controlled therapeutic seizures in humans: electroconvulsive therapy (ECT), a safe and remarkably effective treatment that involves the application of an electrical stimulus to the scalp of a patient under general anesthesia and muscle relaxation. ECT remains a cornerstone of treatment for severe mood disorders and certain other neuropsychiatric conditions, including those in patients with neurologic disorders. In addition, the neurobiological effects of ECT may have beneficial effects on a number of neurologic disorders, including Parkinson disease, epilepsy, and delirium. As with any procedure in medicine, the safety and efficacy of ECT depend critically on appropriate technique and proper patient selection and preparation.

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Twitter Digest for January 5, 2018

Twitter Digest for January 4, 2018

Spotlight on Acute headache: diagnosis

Headache is a common chief complaint in acute settings. The diagnosis of acute headache can be challenging and should proceed in an orderly fashion. An important first step is to distinguish primary from secondary headaches. The approach is to seek “red flags” that suggest the possibility of secondary headache. If one of these features is identified, the physician must conduct the workup indcated by the red flag and, thereby, diagnose any secondary headache disorder that is present. In the absence of secondary headache, the clinician proceeds to diagnosing a primary headache disorder.

In this article, Dr. Stephanie Nahas of Thomas Jefferson University follows this approach to discuss the differential diagnosis of acute headaches.

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