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Practical Neurology
@PracticalNeurol
Practical Neurology - For the inquisitive neurologist
pn.bmj.com
Joined December 2013
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    Practical Neurology
    @PracticalNeurol
    Feb 1, 2022
    Paraneoplastic neurological syndromes Binks & @ANG_Oxford team describe how clinical and paraclinical features vary according to the rapidly expanding list of antibodies. Antibody-syndrome-tumour triad correlation is key to determining clinical relevance bit.ly/3u6QDUL
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    Practical Neurology
    @PracticalNeurol
    Jan 29, 2022
    Myorhythmia is a repetitive, rhythmic, slow movement affecting mainly the cranial and limb muscles. Stroke is the most common cause, but it can occur in the context of tumors, such as cervical spinal cord glioma bit.ly/3Hau851
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    Practical Neurology
    @PracticalNeurol
    Feb 14, 2025
    IgG4-RD - a rare neurological disease, highly responsive to treatment. Clinical awareness = early diagnosis = better clinical outcome @bristolneuroscience
    10K
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    Practical Neurology
    @PracticalNeurol
    Feb 16, 2025
    The Harlequin sign is characterised by striking hemifacial discoloration caused by asymmetrical flushing and sweating:
    9.2K
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    Practical Neurology
    @PracticalNeurol
    Feb 17, 2025
    SSEPs are a non-invasive tool that supports nerve conduction studies, detects proximal conduction issues, and aids diagnosis when imaging is limited.
    8.2K
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    Practical Neurology
    @PracticalNeurol
    Feb 17, 2025
    EEG plays a critical role in the diagnosis of status epilepticus and in teasing apart nonconvulsive status epileptics from encephalopathy.
    8.3K
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    Practical Neurology
    @PracticalNeurol
    Jun 14, 2022
    Remember Wernicke’s in pregnancy A 13-weeks pregnant woman develops confusion, drowsiness and diplopia after progressive nausea and vomiting. She improved rapidly following thiamine supplementation. @hospitalclinic @renuarturo pn.bmj.com/content/22/3/2…
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    Practical Neurology
    @PracticalNeurol
    Feb 17, 2025
    Looking at one’s hand for 30 s can elicit tingling sensations. This is helpful in explaining sensory gating to patients with functional symptoms.
    6.2K
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    Practical Neurology
    @PracticalNeurol
    Oct 3, 2021
    Autoimmune encephalitis is a rapidly emerging clinical entity often responding well to immunotherapies. @ANG_Oxford discuss clinical features, expand the autoantibody repertoire and offer pragmatic treatment advice pn.bmj.com/content/21/5/4… @encephalitis @NDCNOxford
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    Practical Neurology
    @PracticalNeurol
    Feb 16, 2025
    NMJ disorders have many mimics and unusual presentations. Awareness of key differentials and understanding limitations of tests are key to making the correct diagnosis. @clarefraser @WolfVucic
    3.9K
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    Practical Neurology
    @PracticalNeurol
    Mar 27, 2021
    It’s that special time again.. chocked full of #neurology goodness
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    Practical Neurology
    @PracticalNeurol
    Feb 24, 2025
    Many myopathies have characteristic CK values that can help identify them, from normal or mildly elevated in facioscapulohumeral muscular dystrophy and myotonic dystrophy to exceeding 10 000 IU/L among dysferlinopathies. There are exceptions, including some myositis cases with
    4.8K
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    Practical Neurology
    @PracticalNeurol
    Jun 13, 2022
    Radiological features of MELAS include cortical ischaemia overlapping vascular territories, and cerebellar atrophy Stroke-like episodes in MELAS reflect seizures, rather than ischaemia, and can occur in people aged over 40 pn.bmj.com/content/22/3/2…
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    Practical Neurology
    @PracticalNeurol
    Nov 13, 2021
    DADA2 is a differential diagnosis of childhood PAN-like presentation (young stroke, dermatological manifestations and multiple mononeuropathies) Anti-TNF alpha agents are the best available treatment of choice @vishnuvy @AiimsNeurology @drayushagarwal pn.bmj.com/content/early/…