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Insomnia and Perimenopause
My female patients ask me, "Why did I start waking up at 3 am when I started menopause?" What can I tell them?
Medscape Family Medicine/Primary Care, February 2005
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Insomnia Related to Medications
What are the main classes of medications used in primary care that have been linked to insomnia?
Medscape Family Medicine/Primary Care, February 2005
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Sleep Changes With Aging
What changes in sleep accompany aging in the elderly? Read the answer by sleep expert Karl Doghramji, MD.
Medscape Family Medicine/Primary Care, January 2005
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The Effects of Alcohol on Sleep
Read what this expert writes about the effects of alcohol on sleep.
Medscape Family Medicine/Primary Care, January 2005
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Atypical Neuroleptics, Hallucinations, and Parkinsonian Symptoms
A patient with Lewy body dementia is experiencing intense auditory and visual hallucinations. Learn more about atypical neuroleptics in patients with parkinsonian symptoms.
Medscape Neurology & Neurosurgery, January 2005
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Diagnosis of Parkinsonian-like Motor Symptoms
Parkinsonian-like motor symptoms associated with various conditions often have very similar presentations. What is the most appropriate method to arrive at a definitive diagnosis?
Medscape Neurology & Neurosurgery, December 2004
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Selegiline in the Early Treatment of Parkinson's Disease
How is this agent optimally used for PD treatment?
Medscape Neurology & Neurosurgery, November 2004
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Carotid Endarterectomy for Asymptomatic Severe Stenosis of Internal Carotid Arteries
What is the current recommendation regarding carotid endarterectomy for asymptomatic severe stenosis of internal carotid arteries?
Medscape Neurology & Neurosurgery, October 2004
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Tardive Dystonia Following Antipsychotic Treatment
The treatment of tardive dystonia requires a different therapeutic strategy from that of classic tardive dyskinesia.
Medscape Neurology & Neurosurgery, October 2004
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Gabapentin and Hepatotoxicity
Can administration of gabapentin for trigeminal neuralgia dramatically increase liver function tests?
Medscape Neurology & Neurosurgery, October 2004
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Talampanel for PD-Related Dyskinesias
Talampanel is currently under study for the management of severe dyskinesias in Parkinson's disease (PD). What are the most critical data to date regarding this compound?
Medscape Neurology & Neurosurgery, September 2004
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Management of Psychosis in Dementia Patients
What would be the best strategy for managing behavioral symptoms/psychosis in dementia, given the risks associated with both the typical and atypical antipsychotics in elderly patients?
Medscape Neurology & Neurosurgery, September 2004
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ICH and Aspirin/Clopidogrel/Hypertension Treatment
Following intracerebral hemorrhage, what is the role of antihypertensive therapy and aspirin/clopidogrel?
Medscape Neurology & Neurosurgery, September 2004
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The Use of Magnesium in Stroke
What is the current status regarding the use of magnesium during both hemorrhagic and thrombotic strokes?
Medscape Neurology & Neurosurgery, September 2004
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Deep Brain Stimulation for PD
Which of the targets is most effective in deep brain stimulation for Parkinson's disease?
Medscape Neurology & Neurosurgery, August 2004
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Treatment for Meralgia Paresthetica
What are the possible interventions for this type of neuropathic pain?
Medscape Neurology & Neurosurgery, August 2004
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Hydrocephalus in an HIV-Infected Patient
Inflammatory cells and their byproducts may obstruct CSF flow and absorption, resulting in hydrocephalus. What is the specific underlying cause?
Medscape HIV/AIDS, July 2004
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Amyotrophic Lateral Sclerosis and Systemic Arterial Hypertension
Of the few patients suffering from ALS that this physician has treated, all have also presented with systemic arterial hypertension. What is the explanation for this?
Medscape Neurology & Neurosurgery, July 2004
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Menstrual-Related Seizures and Psychosis
What management strategies would you suggest for a patient who has had intractable seizures since menarche at the age of 13?
Medscape Neurology & Neurosurgery, June 2004
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Antidepressants and Parkinson's Disease
What antidepressant medication is preferred for patients with PD, and would that recommendation change depending on which dopamine agonist the patient receives?
Medscape Neurology & Neurosurgery, May 2004