Twitter Digest for October 23, 2017

Twitter Digest for October 20, 2017

Twitter Digest for October 19, 2017

Spotlight on Reflex anoxic seizures

Reflex anoxic seizures are a common type of nonepileptic seizure mainly encountered in infants and younger children, but occasionally persisting into adulthood. They are dramatic and frightening to witness but in nearly all cases are benign and without sequelae. They are often confused with other forms of syncope. Exceptionally, they may trigger epileptic seizures. This phenomenon has been reported in adults as well as in children.

In this article, Dr. Colin Ferrie of Leeds Infirmary Hospital reviews their clinical manifestations, discusses their differential diagnosis (concentrating on the need to consider rare but potentially fatal conditions that may mimic reflex anoxic seizures, such as long QT syndromes), and considers the latest approaches to management.

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Twitter Digest for October 18, 2017

Twitter Digest for October 17, 2017

Twitter Digest for October 16, 2017

Spotlight on Posttraumatic sleep disturbance

Sleep disturbances are common after traumatic brain injury, affecting 30% to 70% of individuals, with varying degree of head injury. Not only can they negatively impact neurocognitive rehabilitation, but they also add to morbidity and slow recovery.

In this article, Dr. Muna Irfan of the University of Minnesota describes several sleep impairments, including insomnia, fatigue, and excessive daytime sleepiness, which are the most frequent complaints after head injury. Circadian rhythm dysregulation, sleep apnea (obstructive and/or central), restless leg syndrome, and parasomnias have also been reported after trauma. In addition, depression, anxiety, and pain are common comorbidities with substantial influence on sleep quality and course of recovery. Diagnosis of sleep disorders after traumatic brain injury may involve meticulous history, polysomnography, actigraphy, and multiple sleep latency testing.

Treatment is disorder-specific and may include pharmacotherapy, positive airway pressure, and behavioral modifications. Unfortunately, treatment of sleep disorders associated with traumatic brain injury have met with little success in improving clinical outcomes, mainly due to confounding psychiatric and neurobehavioral sequela of trauma. Nonetheless, some studies have demonstrated encouraging results, which highlight the need for further research and prospective studies to be able to standardize targeted management approach.

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Twitter Digest for October 13, 2017

Twitter Digest for October 12, 2017