Jason Charles Ray, Usman Ashraf, Somayeh Nasergivehchi, Faraidoon Haghdoost, Richard James Stark
{"title":"Migraine and headache disorders: relationship to exercise and triggers.","authors":"Jason Charles Ray, Usman Ashraf, Somayeh Nasergivehchi, Faraidoon Haghdoost, Richard James Stark","doi":"10.1136/pn-2025-004957","DOIUrl":"https://doi.org/10.1136/pn-2025-004957","url":null,"abstract":"<p><p>Exercise has a complex and paradoxical relationship with headache disorders. Physical activity may act as a trigger or an exacerbating factor for an acute migraine attack while it is also recognised as an evidence-based preventive strategy. Primary exercise headache is a distinct clinical entity and requires careful assessment and exclusion of sinister pathology but may respond to specific management. Imprecise nomenclature and miscommunication can lead both patients and clinicians to become frustrated. In this narrative review, we summarise the epidemiology, phenotype, differential diagnosis and management of primary exercise headache and briefly discuss the relationship between exercise and migraine.</p>","PeriodicalId":39343,"journal":{"name":"PRACTICAL NEUROLOGY","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148608365","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}
Carina Da Silveira Massaro, Wardislau Ferreira, André Lopes Valente, Fabio Veiga De Castro Sparapani, Cristina Saade Jaques, Marcos Antonio De Lemos Junior, Sebastião Boanerges De Araujo Neto, Flavio Moura Rezende Filho, Orlando G P Barsottini, Karlo Faria Nunes, José Luiz Pedroso, Marcio Luiz Escorcio-Bezerra
{"title":"Brachial plexus injury from pseudoaneurysm following subclavian artery cannulation.","authors":"Carina Da Silveira Massaro, Wardislau Ferreira, André Lopes Valente, Fabio Veiga De Castro Sparapani, Cristina Saade Jaques, Marcos Antonio De Lemos Junior, Sebastião Boanerges De Araujo Neto, Flavio Moura Rezende Filho, Orlando G P Barsottini, Karlo Faria Nunes, José Luiz Pedroso, Marcio Luiz Escorcio-Bezerra","doi":"10.1136/pn-2026-005165","DOIUrl":"https://doi.org/10.1136/pn-2026-005165","url":null,"abstract":"","PeriodicalId":39343,"journal":{"name":"PRACTICAL NEUROLOGY","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148473201","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}
Hannah Kamgarpour, Lloyd R Kopecny, Ru Min Ong, Emily J O'Keefe, Ashish Agar, Minas T Coroneo, Kriti Agnihotri, Ian C Francis
{"title":"Bilateral simultaneous acute angle closure glaucoma following anticholinergic therapy for vestibular neuritis.","authors":"Hannah Kamgarpour, Lloyd R Kopecny, Ru Min Ong, Emily J O'Keefe, Ashish Agar, Minas T Coroneo, Kriti Agnihotri, Ian C Francis","doi":"10.1136/pn-2025-004660","DOIUrl":"10.1136/pn-2025-004660","url":null,"abstract":"<p><p>Attacks of bilateral simultaneous acute angle closure glaucoma are rare. A 59-year-old man developed vertigo and vomiting, with nystagmus in primary gaze, left-beating nystagmus in left gaze and a positive head impulse test. He was diagnosed with acute vestibular neuritis and received standard therapy, using four drugs that have anticholinergic effects. He subsequently developed bilaterally red eyes, initially diagnosed as bacterial conjunctivitis, and then blurred vision with ocular pain. An ophthalmological assessment identified mid-dilated, non-reactive pupils with corneal oedema and markedly elevated intraocular pressures, consistent with bilateral acute angle closure glaucoma. This was treated with topical and oral ocular hypotensive therapy, pupillary constriction and corneal indentation. Following peripheral iridotomies with the Yttrium Aluminum Garnet laser, his acute angle closure glaucoma rapidly and totally resolved. The use of multiple medications with anticholinergic effects in people with acute vestibular neuritis, and especially in those with a shallow anterior chamber, may cause acute angle closure glaucoma, requiring urgent ophthalmological assessment.</p>","PeriodicalId":39343,"journal":{"name":"PRACTICAL NEUROLOGY","volume":" ","pages":"379-381"},"PeriodicalIF":2.5,"publicationDate":"2026-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145821268","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}
Joseph Henry Stewart Thompson, Matilda Mabel Madonna Barnes-Harris
{"title":"<i>A Body Made of Glass: A History of Hypochondria</i> by Caroline Crampton.","authors":"Joseph Henry Stewart Thompson, Matilda Mabel Madonna Barnes-Harris","doi":"10.1136/pn-2025-005077","DOIUrl":"10.1136/pn-2025-005077","url":null,"abstract":"","PeriodicalId":39343,"journal":{"name":"PRACTICAL NEUROLOGY","volume":" ","pages":"408"},"PeriodicalIF":2.5,"publicationDate":"2026-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146094671","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}
Bárbara Alves Rodrigues, João Pedro Marto, Marta Magriço
{"title":"Intraocular haemorrhage: a rare complication of thrombolysis.","authors":"Bárbara Alves Rodrigues, João Pedro Marto, Marta Magriço","doi":"10.1136/pn-2025-004987","DOIUrl":"10.1136/pn-2025-004987","url":null,"abstract":"","PeriodicalId":39343,"journal":{"name":"PRACTICAL NEUROLOGY","volume":" ","pages":"387-388"},"PeriodicalIF":2.5,"publicationDate":"2026-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145776061","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}
Samar Ikram, Albert Aboseif, Samantha A Banks, Bryan Klassen, Mark Keegan
{"title":"Paroxysmal facial movements in multiple sclerosis.","authors":"Samar Ikram, Albert Aboseif, Samantha A Banks, Bryan Klassen, Mark Keegan","doi":"10.1136/pn-2025-004734","DOIUrl":"10.1136/pn-2025-004734","url":null,"abstract":"","PeriodicalId":39343,"journal":{"name":"PRACTICAL NEUROLOGY","volume":" ","pages":"405-407"},"PeriodicalIF":2.5,"publicationDate":"2026-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145745001","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}
Tamara B Kaplan, Jessica Zhang, Liam G McCoy, Stephen Bacchi, Jalesh N Panicker
{"title":"Assessing bladder, bowel and sexual symptoms: a neurologist's guide.","authors":"Tamara B Kaplan, Jessica Zhang, Liam G McCoy, Stephen Bacchi, Jalesh N Panicker","doi":"10.1136/pn-2025-004611","DOIUrl":"10.1136/pn-2025-004611","url":null,"abstract":"<p><p>Symptoms related to bladder, bowel and sexual dysfunction are common in patients with neurological diseases and are associated with significant morbidity and impacts on quality of life. However, compared with other neurological problems, they are often less visible, under-ascertained and under-treated. This review aims to provide neurologists with an evidence-based, structured approach to evaluating bladder, bowel and sexual dysfunction in patients with neurological disorders. As with any other presenting concern, this requires a structured approach to history, examination and the judicious use of investigations.</p>","PeriodicalId":39343,"journal":{"name":"PRACTICAL NEUROLOGY","volume":" ","pages":"340-347"},"PeriodicalIF":2.5,"publicationDate":"2026-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145670223","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}