Why do more men than women get t-PA for acute stroke?

The fact that more men than women get t-PA for acute stroke has been recognized.  T-PA, the “clot-buster,” is the only effective treatment for a stroke when caught within the first few hours after onset.  A very careful and rigorous evaluation must precede giving the drug, because it can cause dangerous bleeding if given to […]

Some new information on migraine and changes on brain MRI scans

It is very common for a brain MRI report to say something like:  “There are scattered white matter T2 and FLAIR hyperintensities in both hemispheres.  These findings can be consistent with microvascular ischemia, demyelination including multiple sclerosis, Lyme disease, lupus, viral infections, migraine, trauma, amongst other entities.  Clinical correlation is advised.” Basically, this means that […]

Can a video game improve cognition?

This interesting question was addressed in a study published in the journal Nature called Video game training enhances cognitive control in older adults.  The video game used was specially designed to test multitasking abilities in players across a wide age range and then to test the ability for older players (without dementia) to improve with […]

Should a patient with dementia be treated for a stroke?

A recent article: The complexities of acute stroke decision-making: A survey of neurologists. published in Neurology looks at influences on a neurologist’s decision to use or not use t-PA (the clot buster) as a treatment for acute stroke.  The study was a survey of 70 neurologists in Ontario, Canada.  The main finding was that 79% […]

Neurology meets Consumer Reports.

The American Academy of Neurology (AAN) published its report on the Top 5 “Choosing Wisely” recommendations.  The Choosing Wisely Campaign is a collaboration among neurology (and 15 other specialties), the American Board of Internal Medicine Foundation, and Consumer Reports.  The bottom line is that it seeks to identify wasteful or unnecessary tests, with the aim […]

Lucid Neurology. Here’s the point.

Welcome to Lucid Neurology.  My aim is to review advances in the field of neurology, or sometimes medicine in general, or healthcare, from the perspective of a practicing neurologist.  The challenge to myself is to take the things I read in medical journals and translate it into plain but engaging English.  I intend to write […]

Do anti-depressants improve stroke recovery?

Fifty-two separate trials on the effect of antidepressant medication on stroke recovery were analyzed in a recent meta-analysis.  The authors of the study hoped to use the power of the combined data to determine if there really is an effect. All of the individual studies involved giving stroke victims SSRI (Selective Serotonin Reuptake Inhibitor) medications […]