Localization of musicogenic epilepsy to Heschl’s gyrus and superior temporal plane: case report. Nagahama Y, Kovach CK, Ciliberto M, et al. J Neurosurg 2017; 15:1-8. Abstract Background: Musicogenic epilepsy (ME) is an extremely rare form of the disorder that is provoked by listening to or playing music, and it has been localized to the temporal […]
The brain, the principal playground of neurologists, is a complex organ. The more we learn about it, the more we have to unlearn our old certainties. The more we study it, the less it seems to reveal of itself. The brain is fascinating enough when it is functioning normally; it is however most intriguing when it […]
The Neurology Lounge is addicted to journal articles whose titles show that a lot of thought and attention went into constructing them. I have reviewed some of these in my previous blog posts titled The Art of Spinning Catchy Titles, and The Art of Spinning Catchy Neurology Headlines. To keep the tradition alive, here are a few more recent catchy titles.
This comes from an editorial in Lancet Neurology urging a joint approach to preventing stroke and dementia, a strategy the author calls ‘the lowest hanging fruit in the fight against these two greatest threats to the brain’. He argues that ‘at the moment, the fruit might be hanging too low for our gaze, and we are wrongly fixated on the distant future of Alzheimer’s disease treatment. We might have to stoop to conquer‘.
This opinion piece in Practical Neurology takes a stab at the age-old neurological test of sensory impairment. Subject are asked to stand up and try to maintain their balance with their eyes shut. The author asserts that this, the Romberg’s test, ‘lacks essential specificity’, ‘risks physical injury’, and is ‘redundant’. He argues that there are much better, and safer, ways of testing for sensory ataxia. There goes an interesting test!
This is from a case report of a 69-year old man in the journal Neurology. He presented with unusual crying spells which turned out to be dacrystic (crying) seizures. This case is eventually revealed to be a case of….sorry, no spoilers. Click on the link to find out.
I am no fan of Game of Thrones, but it is an in-your-face television series which provides the setting for this catchy title. The mechanistic target of rapamycin (mTOR) pathway is underlies the pathology of tuberous sclerosis. It is therefore the target of many therapeutic strategies in the form of mTOR inhibitors. And the 4 kingdoms? You have to read the piece from the New England Journal of Medicine…perhaps after you have watched the TV series!
This editorial, also from Neurology, addresses the disturbing report in the same journal warning of the high placebo response of interventions for restless legs syndrome (RLS). The title couldn’t be more apt.
Below are other neurology titles which, whilst not as striking in their ‘catchiness’, show that some thought went into their construction. They all have a nice play on words such as:
- Diagnostic errors in cerebrovascular disease: what are we missing?
- Personalized medicine in Parkinson’s disease: time to be precise
- Advancing neuromuscular ultrasound through research: finding common sound
- Forced thinking about hypercognitive seizures
- Science is 1% inspiration and 99% biomarkers
- To lesion or not to lesion: that was the question
…and some not very catchy titles
Unfortunately many neurology titles are not as catchy as the ones above. Many article titles appear to be half-baked and fall short. Here are a few:
- Physical activity in boys with Duchenne muscular dystrophy is lower and less demanding compared to healthy boys
- Patients with acute stroke are less likely to be admitted directly to a stroke unit when hospital beds are scarce: a Swedish multicenter register study
- Cognitive deficits in patients with a chronic vestibular failure
- Physical activity, subjective sleep quality and time in bed do not vary by moon phase in German adolescents
And the prize for the silliest title in neurology must go to this paper in the Journal of Neural Transmission that is simply…unreadable!
Brain imaging in myotonic dystrophy type 1: a systematic review. Okkersen K, Monckton DG, Le N, Tuladhar AM, Raaphorst J, van Engelen BGM. Neurology 2017; 89:960-969. Abstract Objective: To systematically review brain imaging studies in myotonic dystrophy type 1 (DM1). Methods: We searched Embase (index period 1974-2016) and MEDLINE (index period 1946-2016) for studies in patients with DM1 using MRI, magnetic resonance spectroscopy […]