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Episodes

#58 Neurostimulants part 2: Cosmetic neurology & the US military

5/4/2017
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Last week we talked about caffeine, and this week we've moved onto cosmetics. But not the outward kind, the inward kind. Dr. Anjan Chatterjee joins us in this segment on how the military and other professions may leverage mind-altering substances in order to enhance performance. BrainWaves podcasts and online content are intended for medical education only and should not be used to guide medical decision making in routine clinical practice. REFERENCES 1. Chatterjee A. Cosmetic neurology:...

Duration: 00:18:30


Quanta: Aphasiology

4/30/2017
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Quantum (noun, pl. quanta): The amount of neurotransmitter stored within a single vesicle of a neuron. It is quantitatively the smallest amount of information that can be transmitted between nerves in the human body. We have hijacked this concept to describe the smallest amount of information we can share with you on a neurology podcast. In this series, which we have called Quanta, we'll be discussing the most fundamental neurologic principles so that our main episodes won't have to....

Duration: 00:05:21


#57 Neurostimulants part 1: CAFFEINE!

4/27/2017
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Yes! Finally an episode dedicated entirely to caffeine! And just how wonderful it is. ...and how wonderful it may not be. In this installment of BrainWaves, you'll hear about how fantastic and how frightful this chemical can be. BrainWaves podcasts and online content are intended for medical education only and should not be used to guide medical decision making in routine clinical practice. Yes, caffeine can be toxic. But so is water. Be smart, do your homework, and remember this is just a...

Duration: 00:22:40


#55 The sickle cell-stroke connection

4/20/2017
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If you have sickle cell disease, that means you have a 1 in 10 chance of experiencing a stroke before college. And if you don't think that's going to hold you back, you don't know stroke. This week on BrainWaves, Dr. Erica Jones shares her experience with the neurologic complications of sickle cell anemia, and the latest guidelines for managing patients with this condition. BrainWaves podcasts and online content are intended for medical education only and should not be used to guide...

Duration: 00:17:08


#54 To thymectomize or Not to thymectomize...That is the question

4/13/2017
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"Though this be madness, yet there is method in't." Shakespeare didn't know it, but he was already talking about thymectomy in Hamlet. In this week's BrainWaves episode, you'll hear about the pharmacologic fundamentals, and the most recent guidelines for treatment of myasthenia. BrainWaves podcasts and online content are intended for medical education only and should not be used to guide medical decision making in routine clinical practice. REFERENCES 1. Schneider-Gold C, Gajdos P, Toyka...

Duration: 00:19:39


#53 Teaching through clinical cases: A young woman with seizures and altered mental status

4/6/2017
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I have my own methods for conceptualizing altered mental status. But you already heard them in episode 46. This week on BrainWaves, take a wider view of this type of consult from the perspective of an internist. Dr. Fima Macheret takes the mic on this case of a young woman with seizures and encephalopathy. BrainWaves podcasts and online content are intended for medical education only and should not be used to guide medical decision making in routine clinical practice. The content in this...

Duration: 00:19:29


#56 April Fools Day Special

3/31/2017
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It is April 1st, 2017. Otherwise known as April Fools Day. But it doesn't have to be April 1st for you to be tricked by your neurology patient. In this week's episode of BrainWaves, we go over some of the ways to avoid being fooled the next time around. BrainWaves podcasts and online content are intended for medical education only and should not be used to guide medical decision making in routine clinical practice.

Duration: 00:30:07


#52 Therapeutic uses of botulinum toxin

3/23/2017
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Yes, we have harnessed the power of paralysis. Botulinum toxin, which is produced by a lethal bacterium, Clostridium botulinum, has been bottled and sold to neurologists for decades. And you know this because you've seen people who received Botox to relax their facial muscles. In this week's installment, Dr. Anh-Thu Vu discusses how neurologists utilize this neurotoxic agent. BrainWaves podcasts and online content are intended for medical education only and should not be used to guide...

Duration: 00:20:16


#51 Teaching through clinical cases: A Hodgkin survivor with progressive ataxia

3/16/2017
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Clumsiness can be hard to localize. But in a patient with a remote history of cancer, you should be suspicious for a number of things. In this week's clinical case, we discuss a patient who was cured of Hodgkins Lymphoma but returns with progressive dysmetria. BrainWaves podcasts and online content are intended for medical education only and should not be used to guide medical decision making in routine clinical practice. The content in this episode was vetted and approved by Joseph...

Duration: 00:24:32


#49 Intro to CSF analysis

3/2/2017
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It may look like water, but CSF is anything but. In this week's episode of BrainWaves, we discuss the contents of CSF and how to interpret them. BrainWaves podcasts and online content are intended for medical education only and should not be used to guide medical decision making in routine clinical practice. REFERENCES 1. Frederiks JA and Koehler PJ. The first lumbar puncture. J Hist Neurosci. 1997;6:147-53. 2. Seehusen DA, Reeves MM and Fomin DA. Cerebrospinal fluid analysis. Am Fam...

Duration: 00:21:37


#48 Neuroimaging features of Idiopathic Intracranial Hypertension

2/23/2017
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Idiopathic intracranial hypertension, also known as the pseudotumor cerebri syndrome, is characterized by elevated intracranial pressure with clinical features of headaches, vision impairment, and occasionally cranial nerve palsies in the absence of a structural lesion on neuroimaging. But that doesn't mean the neuroimaging has to be normal. See what Dr. Anita Kholi has to say about the radiographic correlates of IIH, their relevance, and their prognostic utility in this week's episode....

Duration: 00:12:45


#47 Holy osmosis!!

2/15/2017
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In 1959, Adams and colleagues described a few patients who developed a rapid flaccid quadriparesis following fluid resuscitation for malnutrition and chronic alcoholism. Twenty years later, we learned that this occurs as a consequence of rapid correction of hyponatremia. But this isn't the only cause of the osmotic demyelination syndrome... Hear Dr. Joshua VanDerWerf discuss the history and clinical relevance of this unusual critical care scenario. BrainWaves podcasts and online content...

Duration: 00:14:39


#46 The neuro consult for altered mental status

2/9/2017
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The request for a consult is like calling in a favor. You shouldn't actually expect the consultant to do it, you should be polite and helpful in all the ways your grandmother expects you to behave. At least that's the courtesy I've seen from really spectacular providers. In this week's episode, we not only review the proper etiquette for calling a consult, but you'll also hear some pearls on the workup for altered mental status. BrainWaves podcasts and online content are intended for...

Duration: 00:19:24


#45 Teaching through clinical cases: Status epilepticus

2/2/2017
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It may come as a surprise to you, but patients who seize...will seize. And in this week's episode, we talk about the fundamentals in working up a patient who presents in status epilepticus. So SEIZE the opportunity to learn from Dr. Chloe Hill as she navigates us through this week's Teaching through Clinical Cases. BrainWaves podcasts and online content are intended for medical education only and should not be used to guide medical decision making in routine clinical practice. The content...

Duration: 00:24:39


#44 Transient monocular vision loss

1/26/2017
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Although you should not confuse this with amaurosis fugax, a transient loss of vision in one eye usually screams vascular event. But not always... Keep an eye out for how the plot thickens in this week's episode of BrainWaves. BrainWaves podcasts and online content are intended for medical education only and should not be used to guide medical decision making in routine clinical practice. The content in this episode was vetted and approved by Imran Jivraj. REFERENCES 1. Biousse V and Trobe...

Duration: 00:16:08


#43 Stranger causes of intracerebral hemorrhage

1/19/2017
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Trauma and hypertension account for the overwhelming majority of cases of intracerebral hemorrhage. Today, we address the minority. In this week's episode, Dr. Steven Messe discusses the atypical causes of ICH and how they are managed. BrainWaves podcasts and online content are intended for medical education only and should not be used to guide medical decision making in routine clinical practice. REFERENCES 1. Biffi A and Greenberg SM. Cerebral amyloid angiopathy: a systematic review. J...

Duration: 00:16:58


#42 There's more to the facial nerve than Bell's Palsy

1/12/2017
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Yeah, we talk about Bell's Palsy here. A lot actually. But there's also hemifacial spasm, blepharospasm, facial myokimia, and pathologic sialorrhea as it pertains to neurodegenerative disease. Not to mention the facial nerve anatomy! Sit down and buckle up, you may want to take notes on this one. BrainWaves podcasts and online content are intended for medical education only and should not be used to guide medical decision making in routine clinical practice. Any cases discussed in this...

Duration: 00:20:21


#41 Teaching through clinical cases: Not-quite-so-septic meningitis

1/5/2017
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This week's BrainWaves episode features a case of a middle-aged woman with progressive headache and cranial neuropathies. The diagnosis of aseptic meningitis is made and a differential diagnosis is illustrated. BrainWaves podcasts and online content are intended for medical education only and should not be used to guide medical decision making in routine clinical practice. Any cases discussed in this episode are fictional and do not contain any patient health identifying information....

Duration: 00:23:01


#40 Teaching through clinical cases: Wrist drop

12/29/2016
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This week, I'm handing the mic over to Dr. Laura Mainardi so she can give us some pointers on the evaluation of hand weakness. We're thumbing through a few tips on working up wrist drop in particular. Hoping you give us two thumbs up on this one! ;-) BrainWaves podcasts and online content are intended for medical education only and should not be used to guide medical decision making in routine clinical practice. REFERENCES 1. Preston DC & Shapiro BE. Electromyography and neuromuscular...

Duration: 00:10:20


#39 What doesn't scare you about prions makes you stronger

12/22/2016
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Prions are perhaps some of the most terrifying infectious particles known to man. But did you know that patients with some prion diseases actually shed these contagious proteins in their urine? These and other facts about prion diseases are discussed in this week's episode of BrainWaves. BrainWaves podcasts and online content are intended for medical education only and should not be used to guide medical decision making in routine clinical practice. REFERENCES 1. Zabel MD and Reid C. A...

Duration: 00:19:05

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