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Neurologic complications continue to pose problems in patients with metastatic prostate cancer. From 15 to 30 percent of metastases are the result of prostate cancer cells traveling through Batson's plexus to the lumbar spine. Metastatic disease in the lumbar area can cause spinal cord compression. Metastasis to the dura and adjacent parenchyma occurs in 1 to 2 percent of patients with metastatic prostate cancer and is more common in those with tumors that do not respond to hormone-deprivation therapy. Leptomeningeal carcinomatosis, the most frequent form of brain metastasis in prostate cancer, has a grim prognosis. Because neurologic complications of metastatic prostate cancer require prompt treatment, early recognition is important. Physicians should consider metastasis in the differential diagnosis of new-onset low back pain or headache in men more than 50 years of age. Spinal cord compression requires immediate treatment with intravenously administered corticosteroids and pain relievers, as well as prompt referral to an oncologist for further treatment.
Neurologic - Clínica de Fisioterapia Neurológica - Carol Cunha Design
Hospitalists should master—and use—two- to three-minute screening neurologic exams on every patient in the hospital
Functional neurologic disorder (FND) refers to a group of motor, sensory, or cognitive symptoms caused by an abnormality in how the brain functions. FND is distinct from other neurologic conditions such as epilepsy, stroke, and multiple sclerosis in that there is no overt structural damage in the brain.
Circadian Rhythm Sleep Disorders - Etiology, pathophysiology, symptoms, signs, diagnosis & prognosis from the Merck Manuals - Medical Professional Version.
Overview of Cerebral Function and Neurologic Disorders - Learn about from the Merck Manuals - Medical Professional Version.
Headaches are one of the most common, and often debilitating, health problems that almost every person has experienced and can relate to. But other than taking an Aspirin, what do most people do to help get rid of headaches if they become a chronic and enduring problem?
Neurologic Lyme disease affects the central or peripheral nervous system. Learn more here.
Research findings support the use of vitamin D supplementation to help slow cognitive decline in Alzheimer dementia and reduce Parkinson disease symptom severity.
Autonomic dysfunction also emerges, NIH study shows
Maintain an upright posture is critical to walk efficiently and prevent low back pain. In this video you will learn my secret to improving your posture. Moto...
A ketogenic diet may ease symptoms of certain neurologic conditions.
React19 is a patient-driven non-profit charity dedicated to providing support for individuals dealing with COVID-19 vaccine injury.
Overview of the Autonomic Nervous System - Etiology, pathophysiology, symptoms, signs, diagnosis & prognosis from the Merck Manuals - Medical Professional Version.
The Neurologic Wellness Institute offers personalized and innovative treatments for neurological, mental, and physical health conditions.
The UAB School of Health Professions’ Department of Physical Therapy and UAB Medicine’s Department of Rehabilitation Services are co-sponsoring the UAB Neurolog
Sensory neurologic deficits include: Hyperesthesias (increased pain, touch, or vibration); Hypalgesia (decreased sensitivity to painful stimuli); Paresthesia (abnormal sensation of the skin like tingling, pricking, chilling, burning, numbness); Anesthesia (complete loss of pain, temperature, touch, and vibration sense). Sensory and Motor Neurologic Deficits can result from disease occurring anywhere along the pathway from the skin or muscle to the brain and back.
The neurologic manifestations of acute COVID-19 are well characterized, but a comprehensive evaluation of postacute neurologic sequelae at 1 year has not been undertaken. Here we use the national healthcare databases of the US Department of Veterans Affairs to build a cohort of 154,068 individuals with COVID-19, 5,638,795 contemporary controls and 5,859,621 historical controls; we use inverse probability weighting to balance the cohorts, and estimate risks and burdens of incident neurologic disorders at 12 months following acute SARS-CoV-2 infection. Our results show that in the postacute phase of COVID-19, there was increased risk of an array of incident neurologic sequelae including ischemic and hemorrhagic stroke, cognition and memory disorders, peripheral nervous system disorders, episodic disorders (for example, migraine and seizures), extrapyramidal and movement disorders, mental health disorders, musculoskeletal disorders, sensory disorders, Guillain–Barré syndrome, and encephalitis or encephalopathy. We estimated that the hazard ratio of any neurologic sequela was 1.42 (95% confidence intervals 1.38, 1.47) and burden 70.69 (95% confidence intervals 63.54, 78.01) per 1,000 persons at 12 months. The risks and burdens were elevated even in people who did not require hospitalization during acute COVID-19. Limitations include a cohort comprising mostly White males. Taken together, our results provide evidence of increased risk of long-term neurologic disorders in people who had COVID-19. Individuals with COVID-19 are at an increased risk for an array of neurologic disorders at 12 months, even in those who were not hospitalized during the acute phase of the infection.
People with invisible disabilities often face judgment and misunderstanding. Neurologists share strategies for managing symptoms, advocating for themselves, protecting mental health, setting boundaries, and finding support to improve both physical and emotional well-being.
