Lyme disease is a well-known infection. It takes its name from Lyme, Connecticut, where it was first recognised as a distinct disease in 1975. The disease is caused by the infamous Borrelia species which get into humans through tick bites. The transmission typically occurs when the victim is taking a gingerly walk in deer-inhabited forests, usually… Read More Why is chronic Lyme disease so frustrating to neurology?
Giant cell arteritis (GCA), or temporal arteritis, is an affliction of older people. It results in headache and, more worryingly, blindness and stroke. The diagnosis of GCA is a clinical one. GCA diagnostic criteria stipulate, amongst other things, onset over the age of 50 years, and inflammation in the blood. A temporal artery biopsy may help to firm up… Read More Advances in the management of giant cell arteritis
Yesterday was the one-year anniversary of The Neurology Lounge. How time flies. The Lounge has published 95 posts over the last 12 months. The first tentative post was titled Hello, and the last was What are the most iconic neurological disorders? To take stock, here is a countdown of the top 10 most viewed neurology lounge posts! ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++… Read More The most popular neurology lounge posts at one year
Neurology is a broad specialty covering a staggering variety of diseases. Some neurological disorders are vanishingly rare, but many are household names, or at least vaguely familiar to most people. These are the diseases which define neurology. Here, in alphabetical order, is my list of the top 60 iconic neurological diseases, with links to previous blog… Read More What are the most iconic neurological disorders?
As I update neurochecklists I come across some papers which make me go, ‘really!’ Such studies challenge established theories and threaten conventional practice. Such is the case with a recent paper in Brain titled, unequivocally, Corticosteroids compromise survival in glioblastoma. Glioblastoma is the worst form of primary brain tumour, and survival is already poor. Treatment is usually… Read More Are steroids detrimental to survival in brain tumours?
This is a follow up to my previous blog titled What are the dreadful autoimmune disorders that plague neurology. Autoimmune neurology is a rapidly evolving field; blink and you will miss important developments. So what’s evolving in autoimmune neurology? Below are my top 4. 1. Insignificance of isolated VGKC positivity Anti VGKC antibody encephalitis is caused by two… Read More What’s evolving at the cutting-edge of autoimmune neurology?
If you have been following this blog closely, you couldn’t have missed my series of blog posts introducing neurochecklists. If you haven’t, then check them out here: What is the value of checklists in medical practice? What are the obstacles to creating reliable neurology checklists? How will neurology checklists unlock excellent practice? So what is the secret… Read More So what is the secret of neurochecklists?