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Avoid valproate during pregnancy: guidelines

…ACADEMY OF NEUROLOGY – It is relatively safe for women with epilepsy to become pregnant but valproate use and antiepileptic drug polytherapy should be avoided due to an increased risk of fetal malformations, according to new guidelines developed by the American Academy of Neurology and the American Epilepsy Society. Subscribe to read more It takes 30 seconds or login using your email address Please enter the email address that you registered the…

Benign paroxysmal positional vertigo: new guidelines

…The American Academy of Otolaryngology-Head and Neck Surgery Foundation have published guidelines for the clinical management of benign paroxysmal positional vertigo (BPPV) (Bhattacharyva et al. Otolaryngol Head Neck Surg 2008;139(5 suppl 4):S47-S81). Subscribe to read more It takes 30 seconds or login using your email address Please enter the email address that you registered the newsletter with Continue…

Managing patients with severe Alzheimer disease

…antipsychotics for patients with severe agitation, aggression and psychosis, according to the Third Canadian Consensus Conference on the Diagnosis and Treatment of Dementia (Herrmann & Gauthier. Can Med Assoc J 2008;179:1279-1287; free text at www.cmaj.ca/cgi/content/full/179/12/1279. See also Patterson et al. Can Med Assoc J 1999;160:1738-1742). Subscribe to read more It takes 30 seconds or login using your email address Please enter the email ad…

Anticholinergic drug use may be associated with cognitive decline

…REPORT FROM THE 133rd AMERICAN NEUROLOGICAL ASSOCIATION MEETING – Anticholinergic agents (e.g. tolterodine, oxybutynin) are frequently prescribed in the elderly but may produce an accelerated cognitive decline, according to a U.S. study (Janos et al. Abstract T-35). Subscribe to read more It takes 30 seconds or login using your email address Please enter the email address that you registered the newsletter with Continue…

MoCA useful to assess cognitive function in Parkinson’s disease

…REPORT FROM THE 133rd AMERICAN NEUROLOGICAL ASSOCIATION MEETING – The Montreal Cognitive Assessment (MoCA) appears to be more sensitive than the Mini Mental State Examination (MMSE) in detecting cognitive changes and may be useful in patients with Parkinson’s disease. Subscribe to read more It takes 30 seconds or login using your email address Please enter the email address that you registered the newsletter with Continue…