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MULTIPLE SCLEROSIS

Medscape_Neuro@... Rehab Added to Steroids Benefits MS Patients After Relapse A comprehensive rehabilitation program added to treatment with intravenous methylprednisolone improves the outcome of patients experiencing a multiple sclerosis (MS) relapse, British investigators report.Reuters Health Information 2003Modern Flu Vaccine Not Linked to MS Exacerbation Influenza is not likely to cause relapse of multiple sclerosis (MS) in adults, according to an Institute of Medicine (IOM) report.Reuters Health Information 2003

Neurology & Neurosurgery MedPulse®

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MedPulse is a weekly index of key news and features on Medscape's specialty sites compiled by Medscape's Editors.

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ALSO IN THIS ISSUE:NEWSMEMBER NEWSUSER SUPPORT

NEW FEATURES THIS WEEK

FROM MEDSCAPE NEUROLOGY/NEUROSURGERY

Benign Sacral Tumors

The sacral compartment contains two distinct tissues from which primary sacral tumors may arise: bone and neural elements.Neurosurg Focus 15(2) 2003

Complications of Revision Spinal Surgery

Surgical treatment for symptomatic cervical and lumbar spondylosis has become prevalent in recent years. With this increased intervention, increasing numbers of patients experience persistent symptoms and require revision spinal surgery.Neurosurg Focus 15(3) 2003

Giant Cell Tumor of the Sacrum

Giant cell tumor is a locally highly aggressive tumor of bone comprising 5 to 10% of all benign bone tumors. The sacrum is the third most common site of involvement.Neurosurg Focus 15(2) 2003

Sacral Hemangioblastoma in a Patient With von Hippel-u Disease

Hemangioblastomas are histologically benign, highly vascular tumors that develop spontaneously or as part of von Hippel-u disease.Neurosurg Focus 15(2) 2003

Procedures for Administering Botulinum Toxin Type A for Migraine and Tension-type Headache

Intramuscular injections of BoNT-A may provide an effective, long-lasting, and well-tolerated new approach to headache prevention and management for selected patients.

Headache 43(8) 2003

Posterior Fossa Meningioma Presenting as Hypnic Headache

A patient presents with otherwise typical hypnic headache accompanied by long-standing bilateral deafness and minimal imbalance. MRI showed evidence of a posterior fossa meningioma.

Headache 43(9) 2003

MEDLINE Abstracts: Pain and Cognition

What's new concerning the cognitive effects of chronic pain and pain relief? Find out in this easy-to-navigate collection of recent MEDLINE abstracts.Medscape Neurology & Neurosurgery 5(2) 2003

Lingual Nerve Injury

The clinical presentation of lingual nerve injury, its epidemiology, predisposing factors, and anatomy are explored in an attempt to identify those patients at risk for developing neuropathic pain.Headache 43(9) 2003

Cigarette Smoking and Cognitive Decline in Midlife: Evidence From a Prospective Birth Cohort Study

Population-based evidence of an effect of smoking on cognitive function has been inconclusive, with most longitudinal studies reporting weak or null associations, although at least 2 investigations have indicated increased risks of cognitive decline.Am J Public Health 93(6) 2003

FROM OTHER MEDSCAPE SPECIALTIES

Essential Tremor: Diagnosis and Treatment

Essential tremor is a common movement disorder in adults that interferes with the performance of functional and social activities. The authors provide a treatment algorithm to guide clinical management of patients with essential tremor.Pharmacotherapy 23(9) 2003

MEDLINE Abstracts: PET and the Assessment of Alzheimer's Disease

This feature showcases the latest milestones in the use of PET to diagnose and help manage neurodegenerative dementias such as Alzheimer's disease. Medscape Radiology 4(2) 2003

REPETITIVE TMS FOR PARKINSON'S DISEASE?

Repetitive TMS might be beneficial for PD that does not respond satisfactorily to medication, but the conflicting results to date do

not provide a clear answer. Read "Repetitive Transcranial Magnetic Stimulation to Treat Parkinson Disease." NEW in the "Focus On"

section of the Parkinson's Disease Resource Center.

NEWS

ALZHEIMER'S DISEASE AND DEMENTIAS

Antibiotics May Slow Alzheimer's-Related Cognitive Decline

Treatment with two antibiotics, doxycycline and rifampin, may curb cognitive decline in patients with symptoms of Alzheimer's disease, suggest results of a study presented Thursday at the 41st Annual Meeting of the Infectious Disease Society of America (IDSA) in San Diego.Reuters Health Information 2003

Late Cognitive Decline After Head Injury Not Related to APOE Genotype

The late cognitive decline that can occur after head injury is not influenced by carriage of the APOE e4 allele, a risk factor for Alzheimer's disease, new research indicates.Reuters Health Information 2003

HEADACHE AND OTHER PAIN-RELATED TOPICS

Half of Elderly Patients With Painful Neuropathy Receive Inappropriate Meds

Experts advise physicians to follow recommendations set forth by the American Geriatric Society.Medscape Medical News 2003

Artemin Relieves Neuropathic Pain, Reverses Nerve Injury in Animal Model

The nerve growth factor artemin reduces pain-related behavior when administered to nerve-injured rats and at least partially reverses many of the biochemical and morphological changes related to injury, new study findings suggest.Reuters Health Information 2003

Chronic Pain Costs Europe 34 Billion Euros a Year

Chronic pain accounts for nearly 500 million lost working days a year in Europe, costing the economy 34 billion euros, according to a survey of 46,000 people in 16 countries.Reuters Health Information 2003

WEST NILE

West Nile Virus Structure Revealed

The West Nile virus (WNV) is an icosahedral structure of about 500 angstroms in diameter, according to a report in the October 10th issue of Science.Reuters Health Information 2003

MULTIPLE SCLEROSIS

Rehab Added to Steroids Benefits MS Patients After Relapse

A comprehensive rehabilitation program added to treatment with intravenous methylprednisolone improves the outcome of patients experiencing a multiple sclerosis (MS) relapse, British investigators report.Reuters Health Information 2003

Modern Flu Vaccine Not Linked to MS Exacerbation

Influenza is not likely to cause relapse of multiple sclerosis (MS) in adults, according to an Institute of Medicine (IOM) report.Reuters Health Information 2003

OTHER NEUROLOGY TOPICS

Cornell Psychiatric Screen Validated: A Newsmaker Interview With J. Ferrando, MD

Based on a preliminary validation study using this brief, easy-to-administer instrument, many medical inpatients would benefit from psychiatric services.Medscape Medical News 2003

Iron Supplementation Beneficial in Healthy, Full-Term Infants

In an intervention trial, unsupplemented infants without iron deficiency responded less positively to the physical and social environment than did infants given iron. Medscape Medical News 2003

MRI Idea Seized Nobel Winner for Quarter Century

The breakthrough idea that led to what the world knows as magnetic resonance imaging occurred to Lauterbur a quarter century ago and took control of his life.Reuters Health Information 2003

LEGISLATION, POLICY, PRACTICE MANAGEMENT

Canada Eases Rules on Growing Medical Marijuana

Canadian courts ruled on Tuesday that businesses and individuals be allowed to grow and supply large amounts of medical marijuana, effectively relieving the Canadian government of its often criticized and fairly unsuccessful attempts to do so itself.Reuters Health Information 2003

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