The Neurology Minute® podcast delivers a brief daily summary of what you need to know in the field of neurology, the latest science focused on the brain, and timely topics explored by leading neurologists and neuroscientists. From the American Academy of Neurology and hosted by Stacey Clardy, MD, PhD, FAAN, with contributions by experts from the Neurology® journals, Neurology Today®, Continuum®, and more.
Child neurology training must accommodate neurogenetics, emerging therapies and learning through patient experience. Educators agree on several educational priorities, but the duration of paediatric training and the amount of adult neurology exposure remain unresolved.
Child neurology training raises separate questions about adult neurology exposure and overall programme duration. A deliberately diverse task force is gathering senior and junior views for an anticipated accreditation review, with clarification of disagreements potentially more useful than forced consensus.
Preventive migraine guidance extends beyond starting medication to patient involvement, treatment choice, efficacy, tolerability and considering when to stop. Pregnancy, lactation and comorbid medical conditions also need to shape preventive treatment discussions.
Subjective doubles involve belief in a physically separate version of oneself who shares the same identity and may act independently. Assessment should distinguish this from forgotten actions while considering both primary psychiatric and neurological disease.
Mirrored self-misidentification is the belief that one’s reflection is another person, often in dementia. Asking what the patient believes about the image helps distinguish a distressing delusion from simple recognition failure, hallucinations or general confusion.
Fregoli syndrome is the recurrent belief that different people are one familiar person in disguise. Later-life onset should raise concern for neurodegenerative disease, while dopaminergic medication is another potential contributor requiring review.
Virus-specific T cells can provide biological control of JC virus as a bridge to stem cell transplantation in progressive multifocal leukoencephalopathy with inherited immune deficiency, but they do not correct the underlying genetic defect and recurrence risk remains uncertain.
Primary motor cortex involvement in brain metastases is associated with greater seizure risk both at diagnosis and afterwards, but retrospective evidence supports counselling and seizure awareness rather than proving that prophylactic anti-seizure medication improves outcomes.
Capgras syndrome combines preserved face recognition with loss of normal emotional familiarity and a belief that an identical impostor has replaced someone known, requiring distinction from prosopagnosia, name-recall difficulty and other forms of misidentification.
Delusional misidentification involves fixed beliefs about abnormal familiarity and occurs in psychiatric and neurological disease; new onset in an older adult without a clear trigger should raise concern for neurodegeneration and prompt direct enquiry and caregiver support.
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