Neurology

Home Neurology
For relatively healthy older individuals

Daily Low-Dose Aspirin Does Not Cut Dementia Risk in Seniors

Risks for dementia, probable Alzheimer disease, MCI not reduced by low-dose aspirin versus placebo
Sleep-disordered breathing is associated with changes in the brain

Sleep-Disordered Breathing Tied to Brain Changes

Greater amyloid burden seen in regions of the brain tied to Alzheimer disease
In an American Academy of Pediatrics policy statement

Recommendations Issued for Pediatric Abuse-Related Head Trauma

Recommendations for pediatricians include remaining vigilant for signs, consulting subspecialists
Less than half of patients with sports-related mild traumatic brain injury achieve clinical recovery within two weeks after injury

Sports Concussion Recovery May Be Slower Than Thought

At two weeks postinjury, less than half of patients are recovered, regardless of age
Retired female individuals who are high in goal disengagement have steeper nine-year declines in episodic memory

Drop in Episodic Memory Steeper With High Goal Disengagement

Cognitive decline worse for retired versus employed individuals with high goal disengagement, women
Microdiscectomy is superior to nonsurgical care with respect to pain intensity in patients with sciatica lasting more than four months and caused by lumbar disc herniation

Surgery Superior to Nonoperative Care for Persistent Sciatica

Leg pain intensity score lower at six months with microdiscectomy versus standard nonoperative care
Few U.S. anesthesiologists report preoperative screening for frailty or dementia or postoperative screening for delirium among older adults

Few Anesthesiologists Screen Elderly for Frailty, Dementia

Most anesthesiologists report that preop, postop screening occurs in less than 10 percent of cases
From 2006 to 2016

Per-Capita Medical Radiation Exposure Down in United States

2006 to 2016 saw drop in annual individual effective dose from diagnostic, interventional procedures
There is an association between low maternal vitamin D during early pregnancy and an elevated risk for offspring attention-deficit/hyperactivity disorder

Low Maternal Vitamin D May Raise Risk for ADHD in Offspring

Study looked at maternal serum vitamin D levels in first trimester and offspring ADHD risk
Less than one in five of the U.S. population has access to endovascular thrombectomy centers within 15 minutes

Current Access to Endovascular Thrombectomy Centers Limited

Increasing number of EVT centers and/or bypassing non-EVT centers could expand access