Ruben Jauregui, Julia Greenberg, Philip Kuball, Dillan J Newbold, Riddhi Patel, Robert Staudinger
{"title":"Alexia without agraphia: from infarctions to malignancies.","authors":"Ruben Jauregui, Julia Greenberg, Philip Kuball, Dillan J Newbold, Riddhi Patel, Robert Staudinger","doi":"10.1136/pn-2024-004235","DOIUrl":"https://doi.org/10.1136/pn-2024-004235","url":null,"abstract":"<p><p>Alexia without agraphia is a neurological syndrome characterised by an acquired inability to read with a preserved ability to write. It is caused by the combined effect of two lesions: in the splenium of the corpus callosum and in the occipital lobe of the dominant hemisphere. Splenial lesions disconnect the language areas in the temporal and parietal lobes of the dominant hemisphere from the visual areas in the occipital cortex of the contralateral side, while lesions in the dominant occipital lobe cause homonymous hemianopia. We describe two patients with lesions affecting the splenium and dominant occipital lobe, with different causes. Together, these cases highlight the importance of performing a thorough language evaluation in patients presenting with homonymous visual field deficits, as otherwise, clinicians may overlook impairments in writing (agraphia) or reading (alexia).</p>","PeriodicalId":39343,"journal":{"name":"PRACTICAL NEUROLOGY","volume":null,"pages":null},"PeriodicalIF":2.4,"publicationDate":"2024-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142308699","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"How neurologists can care better on a changing planet.","authors":"James Bashford, Anjum Misbahuddin, Jan Coebergh","doi":"10.1136/pn-2024-004295","DOIUrl":"https://doi.org/10.1136/pn-2024-004295","url":null,"abstract":"","PeriodicalId":39343,"journal":{"name":"PRACTICAL NEUROLOGY","volume":null,"pages":null},"PeriodicalIF":2.4,"publicationDate":"2024-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142297607","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Brain fog.","authors":"Laura McWhirter","doi":"10.1136/pn-2024-004112","DOIUrl":"https://doi.org/10.1136/pn-2024-004112","url":null,"abstract":"<p><p>'Brain fog' is a term that patients use increasingly frequently in the neurology clinic. We may think that we know what patients are talking about but at least some of the time we are likely to be getting it wrong. Patients use the term 'brain fog' to describe a wide range of subjective phenomena and symptoms. This paper suggests useful lines of questioning, and discusses the clinical correlates of a range of common 'brain fog' experiences.</p>","PeriodicalId":39343,"journal":{"name":"PRACTICAL NEUROLOGY","volume":null,"pages":null},"PeriodicalIF":2.4,"publicationDate":"2024-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142297606","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Neurological Birdsong by Andrew Lees","authors":"Judith Clarke, Phil E Smith","doi":"10.1136/pn-2024-004347","DOIUrl":"https://doi.org/10.1136/pn-2024-004347","url":null,"abstract":"Cardiff Neurology book club recently met during a working lunchtime; the more informal setting than an evening in a consultant’s home attracting a broader range of seniority and specialty than usual. The book choice, a compendium of tweets (up to 280 characters) also proved more manageable. Professor Lees is best known as a clinical neurologist and researcher into Parkinson’s disease, and for years has been a neurology voice on Twitter (now X). Neurological Birdsong is a selection of these, giving insights, personal anecdotes and professional experiences, all alluding to neurology, and invariably anchored in patient care. The seniors in our group already knew well of Professor Lees’ fascination for neurology, evident throughout the book and his commitment to sound clinical method. His clear passion for and knowledge of literature also shines through, drawing insightful correlations from a wide range of authors and poets …","PeriodicalId":39343,"journal":{"name":"PRACTICAL NEUROLOGY","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2024-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142269885","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Antoinette O'Connor, Natalie S Ryan, Christopher R S Belder, David S Lynch, Nayana Lahiri, Henry Houlden, Jonathan D Rohrer, Nick C Fox, Sean O'Dowd
{"title":"Genetic testing in dementia","authors":"Antoinette O'Connor, Natalie S Ryan, Christopher R S Belder, David S Lynch, Nayana Lahiri, Henry Houlden, Jonathan D Rohrer, Nick C Fox, Sean O'Dowd","doi":"10.1136/pn-2024-004241","DOIUrl":"https://doi.org/10.1136/pn-2024-004241","url":null,"abstract":"There is growing public awareness and concern regarding dementia risk. In addition, genetic testing is increasingly accessible and is at the point of being integrated into routine clinical practice. As a result, there is a pressing need for treating clinicians to have the appropriate knowledge base to request and consent for diagnostic genetic testing in cognitive clinics. We outline our approach to genetic testing in patients with Alzheimer’s disease, frontotemporal dementia, dementia with Lewy bodies and vascular cognitive impairment. We discuss when to consider testing, the consenting process, and the interpretation and communication of genetic test results. No data are available.","PeriodicalId":39343,"journal":{"name":"PRACTICAL NEUROLOGY","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2024-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142263024","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Localisation of function in the brain: a rethink","authors":"Michael O'Sullivan","doi":"10.1136/pn-2023-003773","DOIUrl":"https://doi.org/10.1136/pn-2023-003773","url":null,"abstract":"A modular view of brain function dominates the teaching of medical students and clinical psychologists and is implicit in day-to-day clinical practice. This view glosses over a long-standing debate. The extent of one-to-one mappings between region and function remains a controversial topic. For the cortex, localisation of function versus ‘cerebral equipotentiality’ was debated less than 150 years ago, and traces of this debate remain active in systems neuroscience today. The advent of functional brain imaging led to an explosion of evidence on localisation of function studied in vivo, and a gold rush to map an ever-increasing range of ‘functions’. Rapid growth in knowledge was accompanied, to some extent, by a flourishing neuromythology. There are currently few clinical applications of brain mapping techniques, but new areas are emerging. An understanding of the central debate on functional localisation will bring a more nuanced view of problems encountered in clinical practice. No data are available.","PeriodicalId":39343,"journal":{"name":"PRACTICAL NEUROLOGY","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2024-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142263026","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Neurological eponyms? Take your Pick","authors":"Jason D Warren","doi":"10.1136/pn-2024-004314","DOIUrl":"https://doi.org/10.1136/pn-2024-004314","url":null,"abstract":"The neuropsychiatrist Arnold Pick (1851–1924) lent his name to a disease, but in his centenary year, it is timely to ask whether this and the many other eponyms that populate neurology are more help than hindrance. Here, I survey some neurological eponyms, propose criteria for judging their helpfulness (and unhelpfulness) and consider their future prospects in our increasingly mechanistic, contemporary neurological practice. All data relevant to the study are included in the article or uploaded as online supplemental information.","PeriodicalId":39343,"journal":{"name":"PRACTICAL NEUROLOGY","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2024-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142263025","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jacob Day, Housam Monla-Haidar, Vasant Raman, Stuart Weatherby
{"title":"Acute monocular visual loss: time to call the stroke team?","authors":"Jacob Day, Housam Monla-Haidar, Vasant Raman, Stuart Weatherby","doi":"10.1136/pn-2023-003998","DOIUrl":"10.1136/pn-2023-003998","url":null,"abstract":"<p><p>A man in his 90s presented with acute monocular loss of vision; the emergency department triage alerted the stroke team. He underwent urgent parallel assessments by the stroke and ophthalmology teams and was diagnosed with central retinal artery occlusion. The ultimate decision was made to manage him conservatively, rather than with intravenous thrombolysis, and his visual function has remained poor. We discuss the current evidence for using intravenous thrombolysis in people with central retinal artery occlusion and use this case to exemplify the practical issues that must be overcome if ongoing randomised clinical trials of central retinal artery occlusion confirm a definite benefit from using intravenous thrombolysis.</p>","PeriodicalId":39343,"journal":{"name":"PRACTICAL NEUROLOGY","volume":null,"pages":null},"PeriodicalIF":2.4,"publicationDate":"2024-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141082627","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Rana Alnasser Alsukhni, Hamsaraj Shetty, Tom A T Hughes
{"title":"Persistent tongue protrusion dystonia after cerebral infarction.","authors":"Rana Alnasser Alsukhni, Hamsaraj Shetty, Tom A T Hughes","doi":"10.1136/pn-2024-004120","DOIUrl":"10.1136/pn-2024-004120","url":null,"abstract":"","PeriodicalId":39343,"journal":{"name":"PRACTICAL NEUROLOGY","volume":null,"pages":null},"PeriodicalIF":2.4,"publicationDate":"2024-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141499192","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"General internal medicine: a neurology registrar's guide to making the most of medical attachments.","authors":"Neil Watson","doi":"10.1136/pn-2024-004204","DOIUrl":"10.1136/pn-2024-004204","url":null,"abstract":"","PeriodicalId":39343,"journal":{"name":"PRACTICAL NEUROLOGY","volume":null,"pages":null},"PeriodicalIF":2.4,"publicationDate":"2024-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141433064","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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