Index


Space Index

0-9 ... 1 A ... 9 B ... 8 C ... 30 D ... 11 E ... 23
F ... 3 G ... 1 H ... 9 I ... 9 J ... 2 K ... 1
L ... 6 M ... 8 N ... 28 O ... 4 P ... 18 Q ... 0
R ... 8 S ... 22 T ... 11 U ... 1 V ... 11 W ... 2
X ... 0 Y ... 0 Z ... 1 !@#$ ... 0    

0-9

2011-2012 Parking Schedule
Department Name:  Neurology Number of Spaces:  12 Contact:  ShiaoPei Weathers Phone:  9369010 Monthly Access UMID # Last Name First Name Annual July Aug Sept Oct Nov Dec Jan ...

A

Acetazolamide
Comment   The usefulness of acetazolamide (Diamox) for epilepsy was reported mainly in the 1950s and only occasional studies subsequently.  No recent RCT data.  May be useful as addon therapy for focal or generalized seizures (including absence), myoclonus, and for LennoxGastaut ...
ACTH and Corticosteroids
Comment First line treatment for infantile spasms (IS) and suppressing hypsarrhythmia. ACTH is considered by many epileptologists to be preferred in IS, except in tuberous sclerosis (see vigabatrin), and good results are seen within 2 weeks.  Corticosteroids are a useful alternative, and may ...
Acute Stroke
Acute Stroke Call Response / Responding to a Stroke Team call \\ When the Stroke Team pager goes off # Return the Stroke Team page. # This call should take less than 2 minutes # Get the pertinent info: # time of onset ...
Advanced Powerpoint Tips
ADVANCED POWERPOINT TIPS originally by Zach London # Backgrounds ## Selecting a Design Template ## Download Free Design Templates ## Customizing Templates ## Background Colors and Patterns ## Color Schemes # Graphics ## Working with imported pictures ### Compressing Pictures ### Trimming Pictures ### Setting ...
AED abstracts
Read this first These AED abstracts are intended to help you.  They reflect my biases, and I am frequently reminded that I am incorrect please review w/ others, if important clinical decisions.  Data for individual AEDs is abstracted ...
AIDP
Practical Matters ICU vs. Floor. Respiratory compromise can occur quickly. Close monitoring needed Telemetry (autonomic dysfunction; blood pressure and heart rate instability) Respiratory parameters FVC NIF I/Os Neuro checks regularly ...
Annual Society Meetings
ANNUAL SOCIETY MEETINGS Revised: 03/16/2009 Society 2009 2010 2011 2012 2013 AMERICAN ACADEMY OF NEUROLOGY \\ (AAN) \\ http://www.aan/go/am April 25 May 2 \\ Seattle, WA April 1017 \\ Toronto Hawaii Oct ...
Antiepileptic Medication Names, Forms, and Dosages
Generic Name Brand Name Form Available Strengths Starting Dose Dose escalation Starting dose (mg/kd/day) Doses per day Dose escalation rate (daily dose / time) Maintenance dose (mg/kg/day ...
Autopsies
We sometimes act as though advances in premortem diagnostics have reduced the need for autopsy.  But clinical autopsies not only help to establish the true cause of death, aid research, and contribute to medical education; autopsies may also provide insight ...

B

Bacterial Meningitis
Consider bacterial meningitis in any patient with fever, mental status changes, nuchal rigidity, seizures, and/or focal symptoms. (!) \\ \\ Urgent workup If concerned, start antibiotics immediately. Do not wait for CT or LP. Survival and prevention of neurological sequelae are dependent on early ...
Basic Neuroscience Conference 2010 - 2011
Date Speaker Topic 6Sep LABOR DAY No Conference 13Sep Kelli Sullivan Embryology 20Sep Kelli Sullivan Anatomy PNS/Spinal Cord 27Sep Kelli Sullivan Anatomy Forebrain 4Oct Kevin Kerber Anatomy/Physiology of Eye Movements ...
Basic Neuroscience Conference 2012 - 2013
Basic Neuroscience Conference 2012 2013 10Sep Kelli Sullivan Neural development/embryology 17Sep Special Conference \  Rocio LopezDiego, MD PhD “Mind the Mind: The Neuropsychoimmunology of CNS Inflammation. Integrative Brain Care and ComplementaryInterventions” 24Sep Robert ...
Benzodiazepines used for scheduled use (Clobazam, Clonazepam)
Comment Clobazam is the most useful BDZ for scheduled use due to broad\ spectrum activity, high response rates in refractory epilepsy, and relatively less sedation than other BDZ. Reasonable even for first AED, perhaps with the exception of IGE (VPA ...
BIG evaluation complete
After you determine that the patient is not a candidate for IV tPA, an IA intervention, or an acute research project, we would like you to click a button in Centricity indicating that the BIG evaluation is complete.   \\ When BIG has ...
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Brain MRI
T1 Bright: Fat, gadolinium, subacute blood (metHb), hypoxia melanoma, hepatic failure Dark: CSF, acute blood (deoxyHb), Ca, air, water (edema), most tumors \\ T2 Bright: CSF, water (edema), most tumors Dark ...
Bromides

C

Can AEDs worsen epilepsy?
Yes. See, for example,  Perucca E, "Antiepileptic drugs as a cause of worsening seizures", Epilepsia 1998 Jan;39(1):517 Gayatri NA, "Aggravation of epilepsy by antiepileptic drugs", Dev Med Child Neurol. 2006 ...
Carbamazepine
Comment See FDA Black Box Warning Firstline or adjunctive therapy of focal seizures.  Improves GTCS in IGE, but usually not used due to concern that CBZ may worsen absence and myoclonic seizures, and may precipitate NCSE in these patients ...
CareLink
Making Neurology Specific Patient Lists # Go to "File". # Select "Maintain List". # Select "New". The "Client Selection Criteria" window will open. # Click the "Location" tab. # Select the third option "Include patients at selected locations only". # Click the "" next ...
CareWeb
Customizing CareWeb "MyCareWeb" One of the red buttons in the upper left hand corner of Careweb. Allows you to personalize Careweb to some extent. \\ \\ \\ Where to find things \\ PSL / SocHx / FamHx Problem Summary List. Diagnoses. Procedures. Medications. NonMedications ...
CareWeb, CareLink, & Other Technology
CareWeb The electronic medical records system. CareWeb Tips & Tricks NEURO:CareWeb \\ \\ \\ CareLink The electronic order entry system. CareLink Tips & Tricks NEURO:CareLink \\ \\ \\ CPRS The electronic medical records and order entry system at the VA. CPRS Tips ...
Carotid and Vertebral Artery Dissection
Clinical Most commonly in the extracranial portion of the carotid artery or extracranial vertebral artery. May follow trauma (can be very minor, such as chiropractor, turning head quickly.) Presents most commonly with symptoms of cerebral ischemia, either as fixed (50% of cases ...
Chronic Headache Strategies
Headache diary with activities, meds, inciting factors Address psychosocial issues Slowly taper OTCs and narcs these can worsen rebound headaches and you will get nowhere Inform patient that headache may initially worsen\! Consider starting a prophylactic while ...
Classic Journal Club Articles
Classic Neurology Articles: Gelb DJ, Oliver E, Gilman S: Diagnostic criteria for Parkinson's disease. Arch Neurol 1999;56:3339. NEURO:Internal FormsDiagnostic Criteria for Parkinson Disease Gelb Arch Neurol, 1999.pdf (from Dr ...
Clinical Neurology Conference 2010 - 2011
Date Presenter Topic 2Sep Leventhal Tics & Myoclonus 9Sep Chou PD Diagnosis 16Sep Cooper Headache 1 23Sep Hulsing EEG 30Sep Fletcher Cerebral vasospasm 7Oct Cooper Headache 2 14Oct Bohnen Neuropsychiatric Testing ...
Clinical Neurology Conference 2011 - 2012
Clinical Neurology Conference 2011 2012 Date Presenter Topic 1Sep Zahuranec Reading Medical Lit: How to Eval Observational Studies 8Sep Burke Statistics 15Sep Cooper Headache 1 22Sep Braley MS Diagnosis 29Sep Hulsing ...
Clinical Neurology Conference 2012 - 2013
Clinical Neurology Conference 2012 \02013 Day Date Presenter Topic THU 6Sep Cooper Headache Neurology The Basics THU 13Sep Cooper Headache Neurology Treatment Toolbox THU 20Sep Ramchandren Outcome Measures in Neuropathy Trials THU ...
Clinical Neurophysiology Journal Club
Journal Club Schedule Journal club 20132014.pdf Monthly Articles \\ A systematic approach to reviewing the medical literature Abstract What question are they trying to answer? What kind of study is this? Is this a good type of study to answer this question? (ie to answer epidemiological questions ...
Clinics
clinic rotation consists of outpatient subspecialty clinics. 9 half day clinics per week with Wednesday morning protected for conferences. Basically, an 85 job, although its not uncommon to run a bit late in the evening. Weekends are off and all ...
Clobazam
have been reports of abuse, misuse, and overdose with this medication. There is also a risk of physical dependence, requiring caution
CNL Fellowship
Under Construction{} \\ \\ \\ \\ \\ Clinical Neurophysiology Rotations Practical Information GuideRotations.pdf Monthly Block Schedule GME fellow sch 1314 v3.doc Attending Schedule Goals and Objectives goals and objectives.pdf Adult Epilepsy NEURO:Epilepsy Rotation Manual Pediatric Epilepsy ...
Cognitive Disorders
Tools \\ Department of Neurology Cognitive Disorders Program http://www.med.umich.edu/i/neuro/cd/index.htm A UMHS Internal page Has useful tools including HO Orientation: U of M Cognitive Disorders Clinic Flowchart: Early Identification of Alzheimer's ...
Coma Prognosis
AAN Brief Outline of Postarrest Prognosis http://www.aan.com/globals/axon/assets/2576.pdf Detailed AAN Guideline on Postarrest Prognosis http://www.neurology.org/cgi/reprint/67/2/203.pdf The Levy Paper Neurology WikiLevy.pdf Prognosis after hypothermia NEURO:Vascular NeurologyPrognosis After ...
Conferences
Residents are expected to attend >70% of the required conferences listed below, except when on night float or vacation.. Residents whose annual conference attendance is >75% will be given an additional $250 for their book funds.  Weekly Core Required Lectures ...
Consults
Continuum Articles
Antiepileptic Drug Treatment: New Drugs and New Strategies AntiepilepticDrugTreatmentNewDrugsandNew.12.pdf Diagnostic Coding for Epilepsy DiagnosticCodingforEpilepsy.24.pdf Dietary Treatment of Intractable Epilepsy DietaryTreatmentofIntractableEpilepsy.19.pdf EEG and Epilepsy Monitoring EEGandEpilepsyMonitoring.10.pdf Epilepsy and Neuropsychological Comorbidities EpilepsyandNeuropsychologicalComorbidities.14.pdf Genetic Testing in Children With Epilepsy GeneticTestinginChildrenWithEpilepsy.22.pdf ...
Copy of Muscle and Nerve Cheat Sheet
Upper Extremities MUSCLE Abbreviation Innervation Roots Trunk Cord Trapezius TRAP Spinal Accessory C3C4 Rhomboids R Dorsal Scapular C4C5 Pretrunk Supraspinatus SS Suprascapular C5C6 Upper Infraspinatus IN Suprascapular C5C6 Upper Deltoid D ...
CPRS (Computerized Patient Record System)
CPRS Lists CPRS Lists CPRS Orders CPRS Orders
CPRS - Completing the Encounter Form
When you attempt to sign your note, the encounter form should appear before you can sign. The Encounter Form is the VA's billing sheet. The key information needed is: The type of visit. The complexity level of the visit. The diagnosis. If the encounter form ...
CPRS - Selecting the Correct Encounter
VA world, an encounter is the way CPRS marks that a provider (or providers) and a patient have come into contact with each other. An encounter needs to be created or chosen before writing a note. Once an encounter has been created or chosen ...
CPRS - Selecting the Correct Note Title
Picking the correct note title helps with billing and data tracking, plus it makes it easier to find the right information when you need it later. \\ To start your note, click on the New Note button (bottom left corner of the CPRS screen ...
CPRS - Writing Notes at the VA
Writing notes at the VA is the same as writing notes in any medical chart, though there are a few specific VA policies that need to be followed. \\ Abbreviations The VA is now prohibiting the use of specific abbreviations in notes. QD and QOD should be written as "daily" and "every ...
CPRS Lists
Making each day's clinic list, all neurology inpatients, and your personal list appear whenever you "Select New Patient" # Click "Tools" from the menu at the top of the main CPRS menu. # Click "Options" at the bottom of the dropdown list ...
CPRS Orders
Student orders Student orders should be cosigned by the attending (outpatients) or resident (inpatients). \\ Copying orders from previous admission Useful for recurrent admission for infusions or for recently discharged patients who return To copy orders from previous admissions, follow ...
Critical Care
NICU presentation sheet https://wiki.umms.med.umich.edu/download/attachments/90734989/TheNICUPresentationHandout.doc Coma evaluation after therapeutic hypothermia for cardiac arrest Prognosis After THACA.pdf CSF and Cerebral Blood Flow CSF and Cerebral Blood flow.ppt Mechanical ventilation basics Mech ...
CSF Analysis
CSF profiles Color Opening Pressure WBC Diff RBC Protein Glucose Misc Normal Clear, colorless 70200 mm H2O 05 Mononuclear 0 <4550 mg/dL >2/3 serum Bacterial meningitis Cloudy, strawcolored increased ...

D

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Depression and Epilepsy
Avoid: &nbsp;Buproprion and TCAs. &nbsp;Buproprion may increase seizures, the effect is probably dose related (total daily dose >450mg or single dose >150mg) and the effect can be synergistic with other drugs that lower threshold. &nbsp;TCA’s are riskier ...
DHE Protocol
DHE Protocol Flow Chart Neurology WikiDHE Protocol.pdf \\ \\ Dihydroergotamine (DHE45) Protocol (from Gelb) # Place heparinlock needle upon arrival of patient. # Order DHE45 and metoclopramide (Reglan) to the floor stat. # Give 10 mg Reglan i.v. followed ...
Dictation Errors
Just more proof that you should really read your notes after they are transcribed. "She uses Evelyn Walker to get around the house." "Coordination normal to fingertonose and heeltochin." "She is able to perform fingernosefinger and heelkneechin with no dysmetria." "In addition, she ...
Dictation Suggestions
UM Neurology Resident Dictation Suggestions Directing a Dictation Send a copy to the referring doctor and the PCP, as well as any other doctor that may be relevant. Consider sending the patient a copy of the dictation. This helps reinforce their understanding of the impression and plan. It is also helpful ...
Dictations
How to dictate A useful summary for using the phone interface is at:&nbsp;&nbsp;http://www.med.umich.edu/i/him/pdfs/dictinstruct.pdf http://www.med.umich.edu/i/him/pdfs/dictinstruct.pdf&nbsp;. Briefly: # Dial 188 or 55000 from a hospital phone.&nbsp ...
Differential Diagnosis of Vertigo in the ED
1. Acute Severe Vertigo Vestibular neuritis Stroke 2. Recurrent Episodic Vertigo Meniere's Disease: >20min \hours, unilateral hearing loss/fullness/tinnitus with the episodes. If fulminant, think Autoimmune Inner Ear Disease. TIA: minutes, \vascular ...
Disease Organizations
General Medical Websites and Organizations MedHelp&nbsp;&nbsp; (www.medhelp.com http://www.medhelp.com/) Specific Diagnoses Card Catalog&nbsp; (www.familyvillage.wisc.edu/Specific.htm http://www.familyvillage.wisc.edu/Specific.htm) from the University of Wisconsin Family Village site \\ \\ Condition Specific Organizations \\ Epilepsy Epilepsy.com&nbsp ...
Draft revision of home page
purpose of the A3 process is to: Structure effective and efficient dialogue foster understanding, followed by agreement Imagine the story of the proposal you want to make, the improvement you want to initiate or the problem you want to solve. Overview Title: test home Owner ...
Drugs to Avoid in Myasthenic Crisis
Drugs that impair neuromuscular junction transmission and may increase weakness Antibiotics Aminoglycosides Tobramycin Gentamycin Netilmicin Neomycin Streptomycin Kanamycin Fluoroquinolones Ciprofloxacin Norfloxacin Ofloxacin Gatifloxacin Tetracyclines Clindamycin Sulfonamides Penicillins considered safe, though anecdotes of ampicillin ...

E

EEG
Description 6 or 8 week rotation depending on resident preference. Residents will spend the first 2 weeks on "bootcamp." Bootcamp will consist of learning to read EEGs and reading outpatient EEGs. The final 46 weeks will be split between admitting long term ...
EEG epileptiform abnormalities in normal persons
True epileptiform records in normal persons are very unusual. &nbsp;This can be seen as a genetic tendency in families it is possible to find different patterns of epileptiform patterns in different members of the same family, with or without clinical manifestations. 2 references: \\ Clin Electroencephalogr ...
EEG Syllabus
Principles of EEG and Electrode Placement Fundamentals of EEG Interpretation Fundamentals of EEG.pdf Electrode Placement System Electrode Placement.pdf Localization, Polarity and Montages Localization.pdf Principles of Electricity and Electronics & The EEG Amplifier and its Controls Principles of electricity.pdf EEG Artifacts EEG ...
Efficacy spectrum of AEDs
Effective for most seizure types Valproic acid NEURO:Valproate Phenobarbital NEURO:Phenobarbital, Primidone and Other Barbiturates \ ...but not absence sz Primidone NEURO:Phenobarbital, Primidone and Other Barbiturates \ ...but not absence sz Benzodiazepines NEURO:Benzodiazepines used for scheduled use ...
Elective Schedule
Day \\ AM \\ PM \\ Monday \\ Cornblath \\ Trobe \\ Tuesday \\ Trobe \\ Lunch with Trobe and inpatient rounds \\ Bring a snackmorning clinic runs until 2:30 pm or so. \\ Then you have lunch in the cafeteria while you do sitround on the inpatients ...
Electrodiagnostic Protocols
Carpal Tunnel Protocol Conduction studies # Median sensory wrist. # Ulnar sensory wrist. # Median and ulnar midpalmars (if median sensory wrist peak latency is ¿3.3 ms and does not meet criteria) # Median motor wrist with conduction. # Ulnar motor ...
Electromyography Training Manual
Section &nbsp;1: Preface Electromyography Training ManualSECTION1.pdf Introduction EMG Rotation Objectives EMG Rotation Skills List Section 2: Schedules SECTION2.pdf EMG/Neuromuscular Neurology Resident Rotation Weekly Schedule Introductory EMG Schedule Neuromuscular ...
Eligibility Criteria
Protocol Version 2\ 10/23/2012 &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp ...
Emergency Neurology
use for UM staff only. Via Springer Library access for Roos, K. Emergency Neurology. Springer 2012. Contents Front.pdf Headache Ch1 Headache.pdf LBP Ch2 LBP.pdf Vertigo Ch3 Vertigo.pdf Syncope Ch4 Syncope.pdf Acute visual ...
Emerging Patterns of Behavior From Birth to 5 Years of Age
NEONATAL PERIOD (FIRST 4 WEEKS) Prone Lies in flexed attitude; turns head from side to side; head sags on ventral suspension Supine Generally flexed and a little stiff Visual May fixate face or light in line of vision ...
EMG
Description 3 halfdays of neuromuscular clinic and 5 halfdays of learning/performing EMG. No evenings or weekends. Busier than EEG. \\ Schedule Day AM PM Monday Clinic (Teener) EMG (Teener) Tuesday Clinic (Feldman) EMG (Feldman) Wednesday ...
EMG Machine Settings
GAIN TIME BASE LOWHz FILTER HIGHHz FILTER Sensory 20 uV 2 ms per division 20 Hz 2 kHz or 3 kHz Motor 5 mV 2 ms per division 2 Hz 10 ...
EMG Rotation Objectives
EMG ROTATION OBJECTIVES Updated 4/24/08 Zach London, MD University of Michigan \\ See the ANSWERS NEURO:EMG Rotation Objectives (Answers) here. \\ GENERAL OBJECTIVES FOR THE ROTATION # Knowledge ## Peripheral nervous system anatomy ## Diseases and disorders of the peripheral nervous ...
EMG Rotation Objectives (Answers)
I. Basic Concepts of Electricity and Electronics in Clinical EMG # What is charge? {{A property of certain subatomic particles (especially electrons and protons) that gives rise to and interacts with the electromagnetic force. Symbol is Q. Unit is coulomb (C) which is approximately equal to 6.24 ...
Epilepsy
Status epilepticus Adult, first 16 hours NEURO:Status Epilepticus (adult, first 16 hrs) \\ Topics Seizure Classification NEURO:Seizure Classification Epilepsy General Facts NEURO:Epilepsy General Information Epilepsy Articles NEURO:Epilepsy ...
Epilepsy Articles
Cross Sensitivity of Skin Rashes with Antiepileptic Drug Use." Hirsch et al. Neurology 2008; 71; 15271534. PMID: 18981374
Epilepsy General Information
Definitions Seizure = Paroxysmal electrical discharge of the brain with clinical symptoms Epilepsy = Recurrent unprovoked seizures Simple = No loss of consciousness Complex = Loss of consciousness Generalized = Generalized at onset = Tonic/Clonic, Tonic, Clonic, Atonic, Myoclonic, Absence (Typical and Atypical ...
Epilepsy Rotation Manual
Procedures Guide A Practical Guide: Responsibilities on the CNL Rotations GuideRotations.pdf Epilepsy Lab Work Schedule Logistics Tapering AEDs Prior to LTM Outpatient Admissions Tapering AEDs at LTM Inpatient Admissions Suggested Admission Guidelines LTM Admissions Creating ...
Epilepsy Selective
Information on the epilepsy selective coming soon
Eslacarbazepine
Eslacarbazepine{} &nbsp;has not been approved in the USA Similar to carbamazepine and oxcarbazepine. Avoid use in those who have already has a hypersensitive reaction to one of those two medications and to those who have a second or third degree heart block ...
Ethics conference
Schedule Date Presenter September 11, 2009 Berini December 11, 2009 Sheehan February 12, 2010 Hastings May 14, 2010 Kotagal October 11, 2010 Berini December 21, 2010 Berini March 7, 2011 ...
Ethosuximide
Comment Ethosuximide is an alternative to valproic acid as a treatment of first choice in childhood absence epilepsy, without the risk of hepatic injury from VPA. It is useful in other syndromes associated with absence and/or myoclonic seizures. &nbsp;Adverse effects common. Ethosuximide ...
Ezogabine
Comment {}SEE FDA Black Box Warning{} A potentially valuable drug \\ c learly defined doserelated efficacy in controlled studies, low interaction potential and unique mode of action. &nbsp;But need for gradual titration and for three times daily dosing ...

F

Felbamate
Comment See FDA Black Box Warning Addon treatment of LennoxGastaut syndrome and partial and secondary generalized seizures in patients refractory to other AEDs. &nbsp;Highly effective in severe refractory cases, but use limited by hepatic and hematological toxicity. &nbsp ...
Fellowship Information
Cognitive Disorders Epilepsy / EEG Mixed Neurophysiology (EEG & EMG) Movement Disorder Neuromuscular / EMG Neurologic Oncology Sleep Stroke
Forms and Documents
Goals and Objectives Goals and Objectives Goals and Objectives revised 42014.pdf Policies Leaves and Absences LOA Policy 32014.pdf Grievance Policy LOA Policy 32014.pdf Moonlighting Moonlighting Policy 32014.pdf Advancement Policy Advancement Policy 32014.pdf Supervision Policy ...

G

Gabapentin
Comment Adjunctive therapy or monotherapy of partial or secondary generalized seizures. &nbsp;Welltolerated AED, but a reputation as only modestly effective, esp. in severe cases this may be due to low dosing used in clinical trials. Not useful for generalized epilepsies.&nbsp; FDA ...

H

Head CT
Hounsfield units Bone 1000, acute blood 85 (admixed with brain is 6080) brain 2540 CSF 0 Fat 100 Air 1000 \\ Ischemic stroke Hyperacute: 5060% are normal; may see blurred graywhite junction Acute: poorly ...
Headache
Migraine Evaluation Migraine Evaluation Migraine Treatment Migraine Treatment Strategies to deal with chronic headaches NEURO:Chronic Headache Strategies AAN Practice Guidelines for Migraines AAN Migraine guidelines.pdf(from Neurology 2000; 55:754 \&nbsp;Exhaustive ...
Headache Selective
Schedule\\ Morning Afternoon Monday Neuropathic Pain clinic (Schultz, TC) Neuropathic Pain clinic (Schultz, TC) Tuesday\ Burlington Building,&nbsp;1st floor \\ Addiction Medicine (Malinoff) \\ Interventional Pain Clinic (Chiravuri) \\ \Alternates every other ...
Headache Selective Goals and Objectives
Headache Selective Goals and Objectives\\ The goals and objectives are identical to those for the neurology resident Clinic Rotation, with the following additions: &nbsp; Patient Care: A. Headache Medicine &nbsp;&nbsp;&nbsp;&nbsp; 9. Be able to take a focused headache/neuropathic pain ...
Helpful documents, protocols, clinical practice guidelines
You need a level 1 login to view most of these files. Link to Pediatric neurologic examination (from the University of Utah, Dr. Paul Larsen) http://library.med.utah.edu/pedineurologicexam/html/homeexam.html Medication handouts for patients and families Zip file of word ...
Helpful phone numbers
Phone numbers Prefixes: 232, 763, 764, 936, 615, 647, 998 (if page doesn't have 7 digits) Peds neuro fellow office #: 28469, 28470, 28468 Operator 64000 (if you don't want patient to have your ...
Hemorrhagic Stroke (Intracerebral Hemorrhage)
Risk factors Hypertension Drugs Vascular malformations Tumors Amyloid Hemorrhagic conversion of ischemic stroke \\ Diagnosis / Imaging # Noncontrast head CT. # Helps with assessment of where the bleed is; this in turn helps with etiology. # Assess the size of the of the hemorrhage. (length x width ...
How Do I...?
Admit a patient to the NICU, particularly when there are no beds? 1)&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Does your patient need to be in the neuroICU? Would another unit be acceptable? Patients with cerebrovascular disease or ICP issues NEED to be in the NICU, they should not go ...
How To Do A Consult
guide to handling consults: # If the consult description is nonurgent (ie: Headache x 2 days) its usually a good idea to look the patient up in CareWeb NEURO:CareWeb before calling back. # Call back the caller and get the details of the story ...

I

I'm Panicking!
What to do if you're overwhelmed on call? Panic comes in 2 major flavors: # If 2 emergencies happen to occur simultaneously ie: a patient on the floor who becomes unstable and needs to go to the unit while the ER is calling you with an emergency ...
ICD-9-CM for epilepsy
ICD9CM for epilepsy.pdf
Increased Intracranial Pressure
Key Formulas CPP = MAP ICP MAP = ((2 x diastolic) systolic)/3 Where: CPP = Cerebral perfusion pressure MAP = Mean arterial pressure ICP = Intracranial pressure \\ Normal Values Normal ICP is 515 cm H20 ...
Index
Inherited Neurologic Disease (DNA Banking Research Project)
Overview Title: DNA Banking Research Project Owner: Arijit Date: 04/18/2013 Project Title: Inherited Neurologic Disease (IRBMED HUM#00025895) Project Summary: The goal of this project is to identify new genes and new mutant alleles responsible for a broad ...
Inpatient Subacute Ischemic Stroke Management
Location # Stroke units have been shown to have improved outcomes over other medical/surgical units. # A stroke patient should be in the stroke unit (4AS) or the NICU at admission if being admitted by neurology. # If already on another service, the extent and severity ...
IOM
Helpful Information Intraoperative Monitoring Overview IOM overview.pdf Goals and Objectives of Rotation Goals and Objectives IIOM.pdf Guidelines and Role of IOM Physician Guidelines and role of IOM physician.pdf Case Report Information Case Report .pdfGoals and Objectives IIOM.pdf Principles ...
iPad
Me, Myself and Ipad2 Tips for getting the most out of your iPad. How to set up your email # Select "Settings" on your iPad # Select "Mail, Contacts, Calendars" # Select "Exchange" # Select "Account" # Enter email as username@med.umich.edu # Enter ...
Is mechanism useful to select AEDs?
Probably not, no but I see no compelling alternative, either. &nbsp; With 20 currently recognized AEDs, there are, in theory, 190 possible combinations of two drugs and 1140 possible combinations of three drugs although many of these are not likely to be used in clinical practice, there remains a very ...

J

Journal Club
major change to Journal Club for this year is that we are going to have a more structured curriculum. The resident for each month will be assigned a type of study (e.g., case series, population study, randomized controlled trial, etc.) and will choose an article of that type ...
Journal Club Schedule
Date Presenter Sept 25 Natalie Wheeler Oct 23 Asim Haque Nov 27 Jon Snider Dec 25 no meeting Jan 22 Jeanie Cote Feb 26 Nick Beimer Mar 26 Nicole Karis Apr ...

K

Ketamine
Comment Ketamine is used in emergency and shortlasting procedures as an anaesthetic with strong analgesic and sedative effects. Ketamine has psychotropic effects and may&nbsp;be abused. &nbsp;Ketamine is a very effective anticonvulsant in animal models of status epilepticus. Mechanism Noncompetitive inhibitor ...

L

Lacosamide
Comment Adjunctive therapy of partialonset seizures with or without secondary generalization in adults with epilepsy. &nbsp;Lacosamide has welldocumented efficacy, lack of clinically important drug interactions and is available in an IV form. &nbsp; FDA indication Partial seizure; Adjunct ...
Lafora Disease
Other names: Lafora Progressive Myoclonic Epilepsy \\ Introduction: Lafora disease is a hereditary epilepsy that is considered to be one of the progressive myoclonic epilepsies. \\ Progressive myoclonic epilepsies are characterized by the following: 1. Myoclonus 2. Tonicclonic and/or mycolonic seizures 3. Progressive mental ...
Lamotrigine
Comment A very useful antiepileptic drug which can used as first\ or second\ line monotherapy, or as adjunctive therapy, in the treatment of partial seizures and in some of the generalized epilepsy syndromes. &nbsp;Tends to be activating, and not sedating but note may cause insomnia. &nbsp ...
Lamotrigine Dosing & Titration
CAUTION Please note that there are two dosing schedules: # For patients who are {}NOT{} taking Valproate # For patients who {}ARE{} taking Valproate Rapid dose escalation can be dangerous with Lamotrigine, due to risk of a serious rash, including StevensJohnson reaction. This risk may be increased ...
Levetiracetam
Comment Firstline and addon therapy of partialonset seizures (but approved as addon only). Adjunctive and, possibly, firstline therapy for idiopathic generalized epilepsy.&nbsp;&nbsp;The chemicallyrelated drug piracetam is one of the few drugs apprroved for myoclonus (in Europe, not USA) so LEV ...
Localization Tools
Localization table A "" indicates a location where a lesion could cause the symptom listed. To sort by different locations, click the top of the column. \\ Symptom Hemisphere Thalamus Brainstem Cerebellum Spinal Cord Anterior Horn Cell Root Plexus Nerve Neuromuscular ...

M

Migraine Evaluation
General questions to ask when evaluating migraine: At what age did the headaches start? Is there a family history of headache? Does the patient get: Motion sickness? Ice cream headaches? Is there a history of head trauma? Medications(see list of medications below ...
Migraine Treatment
First line abortive therapies for ER patients Hydration Valproate (Depacon) 510 mg/kg IV rate <20 mg/min IV Antiemetics Prochlorperazine (Compazine) Metoclopramide (Reglan) Promethazine (Phenergan) Steroids Methylprednisolone (Solumedrol) 1 gram ...
Mitochondrial Vitamin Cocktail
Vitamin Cocktail for Mitochondrial/Metabolic Myopathy Take with meals Thiamine 100 mg three times daily Riboflavin 100 mg three times daily Vitamin E 400 IU three times daily Vitamin C 500 mg ...
Movement Disorders
Dystonia\\ Classification by distribution {}Focal{} localized to a specific body part {}Segmental{} involves 2 or more adjacent body parts {}Multifocal{} involves 2 or more nonadjacent body parts {}Hemidystonia (Unilateral) involves arm and leg on one side {}Generalized ...
MRI Criteria for Multiple Sclerosis
MRI Criteria for Brain Abnormality \\ MRI lesions disseminated in space At least three of the following criteria must be met: ## 1 gadoliniumenhancing lesion or 9 T2hyperintense lesions if there is no gadoliniumenhancing lesion ## At least 1 infratentorial lesion ## At least 1 juxtacortical lesion ...
Multiple Sclerosis
Epidemiology Presentation with optic neuritis confers a 5070% 5year risk of MS if lesion is present on brain MRI and a 1030% risk if no brain lesion is present. MS relapse rate is approximately 0.81.2 per year in untreated patients, and 0.40.6 per year ...
Muscle and Nerve Cheat Sheet
Upper Extremities MUSCLE Abbreviation Innervation Roots Trunk Cord Trapezius TRAP Spinal Accessory C3C4 Rhomboids R Dorsal Scapular C4C5 Pretrunk Supraspinatus SS Suprascapular C5C6 Upper Infraspinatus IN Suprascapular C5C6 Upper Deltoid D ...
Myasthenic Crisis
Monitoring \\ IF IN ANY DOUBT, GO SEE THE PATIENT\!\!\! Monitor respiratory parameters every few hours. NIF (it should be&nbsp;more negative than \30 in general) Vital cap (concerning when <1012 mg/kg) Other ways to assess ...

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NeCTO
purpose of the A3 process is to: Structure effective and efficient dialogue foster understanding, followed by agreement Imagine the story of the proposal you want to make, the improvement you want to initiate or the problem you want to solve. Overview Title: NeCTO Owner: Arijit ...
Needle EMG
Settings Sweep speed is the horizontal measurement and gain is the vertical measurement. In general gain is 50 uv/div for spontaneous recordings and 200 uv/div for voluntary MUAP (motor unit action potential) recordings with 200 msec (or 100 msec) sweep ...
Nerve Conduction Study Normal Values
Sensory Nerve Conduction Values Nerve minimum Amplitude (uV) minimum C.V. (m/sec) maximum Peak latency (ms) Distance (cm) Ulnar (wrist) 10 53 3.5 14 Median (wrist) 20 53 3.7 14 ...
Neuro-Infectious Disease
Bacterial Meningitis NEURO:Bacterial Meningitis Viral meningoencephalitis NEURO:Viral Meningoencephalitis Other CSF infections NEURO:Other CSF Infections
Neuro-Oncology
NeuroOncology Extrapolation for methotrexate levels for discharge: If less than 0.15, discharge home If level is&nbsp;0.2, discharge after an additional 6 hours of bicarbonate hydration If&nbsp;level is&nbsp;0.25,&nbsp;discharge after an additional ...
Neuro-ophthalmology
NEURO:Elective Schedule Reading and Resources for the Elective NEURO:Reading for the elective from Dr. Trobe Eye Movement & Pupil Response Simulator http://cim.ucdavis.edu/EyeRelease/Interface/TopFrame.htm Neuroophthalmology online text http://www.neuroophthalmology.ca
Neuro-Otology
Differential Diagnosis of Vertigo in the ED NEURO:Differential Diagnosis of Vertigo in the ED \\ Patient Resources Vestibular Disorders Association http://www.vestibular.org Balance Disorders, Dizziness, Falls in Older Adults (NIH) http://www.nidcd.nih.gov/health/balance/ University of Michigan Otology ...
Neuroanatomy (1st half of 2009)
Date Resident Topic 01/16/09 Burke Ch. 16 Infections of the brain except TB, fungal, and miscellaneous. 01/23/09 Kotagal Ch. 2 (1st half) Neuroanatomy overview & basic definitions. 01/30/09 Hastings Ch. 2 (2nd half) Neuroanatomy ...
Neuroanatomy (1st half of 2010)
Overview Friday mornings at 8 AM in DeJong Library (unless the weekly schedule says otherwise). Neuroanatomy Through Clinical Cases by Hal Blumenfeld, MD, PhD. Food is usually provided. \\ Schedule Date Resident Chapter Topic 1/15/10 Gupta ...
Neurogenetics
Online Resources http://www.genetests.org \ a site with extensive information about genetic disease and testing laboratories
Neurological Disease of the Week
Since, we are not all exposued to the same obscure neurological diseases during our residency, this page serves as an area to compile BRIEF summaries of some of the rarer diseases. The summaries will focus on key identifying clinical features, diagnostic testing, treatment ...
Neurology & General Medicine
Coma Prognosis NEURO:Coma Prognosis Headache NEURO:Headache
Neurology Wiki
unmoderated&nbsp;website&nbsp;is NOT a reliable source of medical information. No patient information should be placed here. Can't find what you're looking for? Look in the Index NEURO:Index, or use the search box in the upper righthand corner. Howto links:&nbsp;edit ...
Neuromuscular
Electrodiagnostic testing EMG Rotation Objectives NEURO:EMG Rotation Objectives Muscle and Nerve Cheat Sheet NEURO:Muscle and Nerve Cheat Sheet EMG machine settings NEURO:EMG Machine Settings Nerve Conduction Study Normal Values ...
Neuromuscular Medicine Fellowship
Under Construction{} For a brief overview of and application information about the Neuromuscular Medicine Fellowship, please go to the following site: http://www.med.umich.edu/neurology/edu/musfellow.htm To view the resident Neuromuscular/EMG Rotation Manual (also used by Neuromuscular Medicine fellows ...
Neuropathic Pain Medications
Drugs with Class I evidence for treatment of pain in polyneuropathy Gabapentin (Neurontin) 12003600mg daily start with 600mg scored tab and have patient take ½ tab 300mg tid and then increase by ½ tab every 13 days to goal of 600mg tid (1800mg ...
NeuroPathology (2nd half 2009)
Ellison and Love NeuroPath book there is a CD with pictures. Be sure to talk to Dr. Hudson before your presentation he is an excellent resource and can point out all of the pictures you should show and tell you why. \\ Date Presenter ...
Neuroradiology
Call Radiology How To NEURO:Radiology How To Hospitals which do ELECTRONIC radiology imaging transfers OutsideImaging.pdf Contact OSH radiology to send things to us Call UM Radiology file room to let them know what's coming ...
Neuroradiology (2nd half of 2008)
Date Resident Topic 08/15/08 Abaluck Ch. 6 Normal vascular anatomy. 08/22/08 Simpson Ch. 9 Aneurysms. 08/29/08 Rabquer Ch. 10 Vascular malformations. 09/05/08 GigerMateeva Ch. 7 ICH, Ch. 8 SDH/epidural ...
Neuroscience Day
University of Michigan Neuroscience Day is an annual poster and platform session where neurology and neurosurgery residents and fellows present their scholarly works. \\ Requirements Every neurology PGY3, PGY4 and fellow is responsible for submitting an abstract and presenting a poster. PGY2 ...
Neuroscience Day 2006 Abstracts
Elias Bazakos and Jonathan Edwards Musicogenic Seizures A Rare Form of Reflex Epilepsy &nbsp; Musicogenic seizures are an extremely rare and complex form of reflex epilepsy, with only a few cases reports found in the literature.&nbsp;We present the case ...
Neuroscience Day 2007 Abstracts
Aaron Mammoser{} &nbsp; Fatal aplastic anemia associated with cranial irradiation and concomitant temozolomide in a patient with glioblastoma. &nbsp; Aaron Mammoser, M.D., Petruzzelli, M.S., Christina Tsien, M.D. Lisa R. Rogers, D.O &nbsp; Abstract:&nbsp;Temozolomide ...
Neuroscience Day 2008 Abstracts
Amanda Hamilton{} Continuous video EEG monitoring of comatose patients in the intensive care unit &nbsp;We are planning to look at patient's in the ICU over the last onetwo years who were comatose and underwent continuous videoEEG monitoring to see what ...
Neuroscience Day 2009 Abstracts
Aaron Mammoser{} \ Bevacizumab (Avastin) is an important treatment option for high grade gliomas and possibly for cerebral radiation necrosis. Bevacizumab administration is associated with a small risk of DVT/PE and bleeding, including intracranial hemorrhage. Of clinical concern is whether the risk ...
Neuroscience Day 2010 Abstracts
Neuroscience Day 2010 Afifa ShamimUzzaman \ Restless Legs Syndrome in Pregnancy: Frequency and Correlates. Introduction: Restless legs syndrome (RLS) affects approximately 14% of females in the general population.&nbsp; Several studies have shown that RLS is increased during ...
Neuroscience Day Mentors & Topics
Eric Adelman # Quality improvement.&nbsp; Various projects. # Stroke education.&nbsp; A webbased interactive educational tool. # Impact of book reviews in medical journals. # Predictors of successful CSF collection in a resident lumbar puncture clinic. Roger Albin # Neuroimaging ...
NICU Presentation
An organized way to present complex patients: # List the 24 hour events and their outcome, if known. Include any major patient decline, new studies, consults and the consultant opinions, procedures and other improtant 24hour events. # List the patients vital ...
Nightfloat
Night Float&nbsp;week is from Sunday through Thursday.&nbsp; (Some residents may chose to do 6 nights in a row and cover Friday night)&nbsp; Night float will begin at 8PM. Try to arrive by 7:45PM to facilitate signout ...

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On Call
page is for tips on how to navigate the UM system and get things done when you're on call. \\ Neurology help How To Do A Consult NEURO:How To Do A Consult \ Consult, rinse, repeat. How to Triage NEURO:On Call Triage \ This will help ...
On Call Triage
absolutes when it comes to triaging problems when you're on call. Here's a general priority list: # Urgent or emergent crosscover issues. You're the only physician in the hospital responsible for these patients, so if there is an emergency or potential emergency with a patient on the neurology service ...
Other CSF Infections
Tuberculous meningitis CSF with: Lymphocytosis Low glucose High protein Positive AFB culture (after 46 weeks) AFB stain may be negative Send CSF PCR PPD may be negative 75% will have pulmonary TB Start treatment ...
Oxcarbazepine
Comment Adjunctive therapy or monotherapy of partial and secondary generalized seizures. &nbsp;&nbsp;Better tolerated and fewer interactions than carbamazepine. &nbsp;Efficacy spectrum restricted to partial epilepsies \\ may be useful to treat primary generalized tonic\ clonic seizures ...

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Paraldehyde
Comment Paraldehyde is a hypnotic that has been used primarily for the treatment of substance withdrawal seizures and status epilepticus. &nbsp;Today, the sole indication for paraldehyde is in the treatment of acute seizures or status epilepticus. The literature concerning efficacy comprises case reports and small ...
Parking Schedule and Information
schedule shows which residents have access to Taubman Clinic parking with thier Blue passes. 20112012 Parking Schedule SchedulesNeurology Parking 20112012.xls In general, parking is assigned based on the following: There are 12 spots for neurology residents. Residents on inpatient service ...
Patient Conference 2010 - 2011
Date 20102011 Comments July 7, 2010 Fink, David "Isolated CNS Whipple's Disease" July 14, 2010 Gelb, Doug "A Patient with Dysarthria (DX: Bulbar ALS)" July 21, 2010 {}CANCELED{} {}LP Simulator for PGY2's Linda ...
Patient Conference 2011-2012
Date Presenter Topic Comments July 6, 2011 Segal, Ben "Secondary Progression of MS" July 13, 2011 Gelb, Doug "AIOP in a Patient with Multiple Sclerosis" July 20, 2011 {}CANCELED{}{}/Replaced by: LP Simulator Linda Selwa ...
Patient Conference 2012-2013
Date Presenter Comments July 4, 2012 CANCELED {}Holiday{} July 11, 2012 Gelb, Doug “Thoracic Myelopathy Due to Neurosarcoidosis” July 18, 2012 Fink, David "Primary Progressive Aphasia" July 25, 2012 London, Zach ...
Patient Conference 2013-2014
Date Presenter Topic July 3, 2013 Gelb, Doug Multiple Sclerosis (benign course over 17 years) July 10, 2013 Leventhal, Dan “Tardive Dyskinesias/Akathisia” July 17, 2013 London, Zach "Hereditary Neuralgic ...
Patient Conference Schedule 2008-2009
Date Speaker Topic July 2, 2008 (Orientation) July 9, 2008 Gelb, Doug Dysarthria July 16, 2008 Fink, David CreutfeldJakob Disease July 23, 2008 Trobe, Jonathan Craniopharyngioma July 30, 2008 London ...
Patient Conference Schedule 2009-2010
Date Speaker Topic & Comments July 1, 2009 CANCELED July 8, 2009 Gelb, Doug "A Patient with Abnormal MRI" July 15, 2009 Selwa, Linda "Status Epilepticus" July 22, 2009 Kutcher, Jeff "Progressive Flacid ...
Pediatric Neurology
Medications Usual pediatric dosages of antiepileptic drugs NEURO:Usual Pediatric Dosages of AEDs \\ Developmental Milestones & Signs Emerging Patters of Behavior From Birth to 5 Years of Age NEURO:Emerging Patterns of Behavior From Birth to 5 Years ...
Peds Neuro Service
Overview Usually the junior resident will be on with a senior resident or a pedsneuro resident. It is not uncommon to be in the hospital until 6ish or later. The MiChart clinic context is MH PED NEUROLOGY and the clinic schedule is MH PEDNEU NEW PATIENT. Patients will be reassigned to the staffing attending during ...
Phenobarbital, Primidone and Other Barbiturates
Comment Adjunctive or firstline therapy for partial and generalized seizures (including myoclonus). Ineffective in absences. &nbsp;Phenobarbital is also used&nbsp;for status epilepticus and neonatal seizures. &nbsp;Highly effective antiepileptic drug, used as firstline therapy in many parts of the world ...
Phenytoin
Comment Firstline or adjunctive therapy for partial and generalized seizures (except for myoclonic and absence seizures) and convulsive status epilepticus. Effective and inexpensive. &nbsp;Disadvantages include nonlinear elimination kinetics, CNS and systemic adverse effects may make it less desirable ...
Phenytoin Dosing & Titration
patient is in status, go to the status epilepticus Status Epilepticus (adult, first 16 hrs) page. (!) \\ \\ Inititation Without loading: see the maintainence section below. Loading doses (generally 1020 mg/kg) Oral (PO) 1000 mg divided ...
PM&R
Below is an outdated PMR elective schedule, which contains a list of sample clinics.&nbsp; However, the PMR clinics change every month, so in order to make it to the actual clinic on the right day, please check each month's PMR ...
Pregabalin
Comment Adjunctive therapy for partial seizures with or without secondary generalization. &nbsp;Spectrum of efficacy restricted to partial epilepsies may worsen generalized epilepsies. &nbsp;Note that failure on GBP does not predict Pregabalin response. CNS adverse effects and weight ...
Pregnancy and AEDs
Read this first This is a moving target. &nbsp;Presume these data are now incorrect. The data in brief The evidence was summarized in an evidencebased guideline released in 2009 by the American Academy of Neurology and the American Epilepsy Society. 1. Teratogenic effect is increased in infants exposed ...
Propofol
Psychiatry
C/L at University Hospital Typical day:&nbsp; Arrive 88:30am to the resident room around "9D", leave around 55:30 PM.&nbsp; You are one of&nbsp;23 &nbsp;residents who will be seeing consults.&nbsp ...

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Radiology How To
Who's who 1800 Who: A senior radiology resident. Directions: The 1800 lives in a little cave down on B1 (B1D242D). Pager #: the pager number for the 1800 is...drumroll...1800! Phone: 35203 and 35253 Hours: Weekdays after 5:00 pm ...
Reading for the elective from Dr. Trobe
Practical NeuroOphthalmology: the syllabus Reading for the elective from Dr. TrobeSyllabus FINAL 5512.pdf # Management of 3rd, 4th, and 6th nerve palsies: a book chapter Reading for the elective from Dr. TrobeCranial Nerve Palsies trobe FINAL with figs.doc # Burde, Savino ...
Required Reading Schedule
Article Quiz July 1 13, 2013 Continuum Articles July 14 20, 2013 Revised terminology and concepts for organization of seizures and epilepsies: report of the ILAE commission on Classification and terminology Revised Terminology.pdf July 21 July 27, 2013 ...
Research Links
General: CITI Training https://www.citiprogram.org/default.asp?language=english eResearch http://eresearch.umich.edu/ IRBMED http://www.med.umich.edu/irbmed/ Office of Research & Sponsored Projects (formerly DRDA) http://orsp.umich.edu/ PEERRS http://my.research.umich.edu/peerrs/ Michigan Institute for Clinical ...
Research Tools
Statistical software http://www.umich.edu/%7Ecscar/softwareAccess.html\\ \\ U of M logos https://www.logos.umich.edu/toolkit/downloads.html !NEURO:Neurology Wikiyellowkey1.gif
Resident Jobs
20112012 Job Resident(s) Chiefs Gallagher & Karamchandani Friday morning lectures Weathers Journal Club Hendon & Stulc Ethics Hendon & Stulc Neuroradiology Coleman NeuroInfectious Disease Breker Parking Weathers Picnic Nowacek & Soileau Social Nowacek & Soileau ...
RITE
RITE review websites http://neurologynerd.com (username: help, password: me) \\ \\ Previous RITE exam answers RITE Answers 20012010 Restricted FilesRITE answers 20012010.accdb !NEURO:Neurology Wikiyellowkey1.gif! This Microsoft Access file contains all the answers from ...
Rufinamide
Comment Adjunctive therapy of Lennox Gastaut syndrome.&nbsp; Potentially valuable drug based on efficacy in LGS trial. &nbsp;Modest efficacy in partialonset seizures. FDA indications LennoxGastaut syndrome Seizure; Adjunct (4yo and up) {}Mechanism{} Limits excessive ...

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Scheduled admissions for ALS patients after PEG placement
When ALS patients who receive mechanical ventilation (BiPAP or ventilator support) have a PEG tube placed by IR they need to be observed for about 24 hours.&nbsp; Because of their respiratory issues they need to be in an ICU.&nbsp; &nbsp;In general ...
Schedules
ANNUAL SCHEDULES 20142015 Attending schedule Attending Rotation Schedule 20142015.docx (updated April 15, 2014) 20132014 UPDATED Block schedule 6/27/13 updated schedule.pdf Old block&nbsp;schedule as of 4/24/13 209AA710.pdf 20122013 REVISED Block Schedule 20122013 ...
Seizure Classification
International League Against Epilepsy (ILAE) Seizure Classification (http://www.ilaeepilepsy.org/Visitors/Centre/ctf/ctfoverview.cfm) \\ GENERALIZED SEIZURES Tonicclonic Absence Typical Atypical Absence with special features Myoclonic absence Eyelid myoclonia Myoclonic Myoclonic Myoclonic atonic ...
Seizure Medicine FDA Approved Indications & Adverse Effects
AED Partial Epilepsy effect Generalized Epilepsy effect Other FDA Indications Side effects Benzodiazepines Useful for abortive treatment of clusters Useful in GTC, myoclonus Anxiety sedation Carbamazepine Good monotherapy data May worsen absence Trigeminal ...
Selectives
Sleep https://wiki.umms.med.umich.edu/display/NEURO/SleepSelective Epilepsy https://wiki.umms.med.umich.edu/display/NEURO/EpilepsySelective Headache https://wiki.umms.med.umich.edu/display/NEURO/HeadacheSelective
SHINE mRS Scoring
NETT MRS.JPG border=1
SHINE Tools
MOP: Online MOP (V 3.0) https://www.nett.umich.edu/nett/mop MOP (V 3.0) no password required shinemanualofproceduresversion328jan2013.pdf Checklists: Investigator Checklist Enrolling Investigator Checklist SHINE (2).docx Study Coordinator/Backup Investigator Checklist SHINE ...
SHINE Trial
Status: Enrolling NIHNINDS U01 NS069498&nbsp; {}{}{}S{}{}{} {}troke&nbsp; {}{}{}H{}{}{} {}yperglycemia&nbsp; {}{}{}I{}{}{} {}nsulin&nbsp; {}{}{}N{}{}{} {}etwork&nbsp; {}{}{}E{}{}{} {}ffort&nbsp; This is a multicenter, prospective, randomized, controlled trial, with blinded outcomes. It aims to determine the efficacy and provide further safety data on the use ...
Side effects
General points Clinical trials cannot predict an individual's response on the medicine. &nbsp;Clinical trials are not designed to detect longterm treatment effects \\ this data is really limited to the earlier AEDs. Nonspecific neurocognitive effects Variable; on balance the newer anti ...
Signs Which Appear & Disappear with Age
Age \\ (months) Moro \\ (extension even without flexor phase) AST N \\ (imposable even for 30" or inconstant) Neck Righting \\ (imposable but transient) Supporting Reaction \\ (fair or good) Landau \\ (head above horizontal and back arched) Parachute \\ (complete ...
Sleep Fellowship
Under Construction
Sleep Medicine
Guide to the Sleep Examination NEURO:Internal FormsSLEEPSUMRUM..doc !NEURO:Neurology Wikiyellowkey1.gif! : A cheat sheet to use in sleep clinic. Look up Mallampati scores before you do your exam. Up to Date has a nice picture to help ...
Sleep Selective
Information on the Sleep Selective coming soon
Status Epilepticus (adult, first 1-6 hrs)
STEP 1 THE BASICS (Impending SE; your response in first 010 minutes) Ensure ABCs, IV access, give O2, EKG monitor Order CBC, COMP, tox screen, EtOH, betaHCG, AED levels, troponins. Cool patient ...
Stroke education
patients on the neurology service, use the templates available in the discharge summary.&nbsp;When documenting education in a progress note or consult note, use the following text, as applicable: {}{}We educated <{} \\ {}{}PATIENT NAME{}{} \\ {}> about stroke, specifically personal risk factors ...
Stroke Research Trials
NEURO:Research Links NEURO:SHINE Trial
Study Links
Study Information and Training Resources http://www.shinetrial.com/ http://www.shinetrial.com/ NIHSS Training http://learn.heart.org/ihtml/application/student/interface.heart2/index.html mRS Training https://lessons.ummu.umich.edu/2k/nettmrs/test WebDCU:&nbsp; https://webdcu.musc.edu/ WebDCU Manual https ...
Subarachnoid Hemorrhage
Immediate neurosurgery consult. In general, SAH patients should be admitted to neurosurgery. (!) Causes Trauma Aneurysm (saccular) AVM ICH with extravasation Venous occlusion \\ Diagnosis CT scan is 9095% sensitive within 24 hours, and decreases to 80% at 72 hours ...
Suggested Reading List
Feel free to add new suggestions, or add comments on books listed here... Board Review Fernandez: Ultimate Review for the Neurology Boards Geyer: Neurology for the Boards Clinical Neurology: Merritt's Neurology, 11th Ed. Lewis P. Roland Adams ...
Suicidality
Patients with seizures and epilepsy, whether on medication or not, are at significantly increased risk for depression and suicide compared to patients without seizure disorder in the general population. &nbsp;This likely reflects a combination of factors, the underlying biology, psychosocial factors, as well as potential impact of antiepileptic ...
Summary of Ward Rotation Expectations
Summary of Ward Rotation Expectations \\ SENIOR Expected to know all patients (inpatient and&nbsp;active consults)&nbsp;on your team. Update the daily expected discharge list in the clerks' station. Delegate daily responsibilities between the senior, junior, intern ...
Support Groups
Alzheimer's Association Greater Michigan Chapter Support Groups http://www.alz.org/gmc/inmycommunitysupport.asp#supportgroups http://www.alz.org/gmc/inmycommunitysupport.asp#supportgroups&nbsp;&nbsp;\\ \\ Alzheimer's Association Michigan Great Lakes Chapter Support Groups http://www.alzmigreatlakes.org/cms/helpingyou ...

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Teaching Tips
Here is a copy of the Teaching Evaluation Form Neurology WikiTeaching Evaluation Form Neurology.doc we use for our residents. \\ \\ TEACHING WORKSHOP Presentation Tips # Slides and other visuals are an aid, not the main act. # Slide Background ## Use a light font ...
testhome
TEST TEST TEST TEST This is an unmoderated website and NOT a reliable source of medical information. No patient information should be placed here. Emergencies Acute Stroke NEURO:Acute Stroke Status Epilepticus Status Epilepticus (adult, first 16 hrs ...
Testing Page
Hobo Lounge Skull and Bones Werewolf in Space Eskimo Retirement Home Pamplona \\ \\ Click to visit... \\ \\ \\ \\ \\ \\ \\ \\ \\ \\ \\ &nbsp;Elective Form NEURO:Neurology WikiElective Form.doc Some text Some text with a title Line 1 text Line 2 text
Thursday Clinical Lecture Series 2009-2010
Date Speaker Topic 3Sep Rajajee Prognostication and neuroprotection after anoxic brain injury 10Sep Adelman Meet the Fellowship Directors 17Sep Braley MS Diagnosis 24Sep Parag Patil DBS for movement disorders 1Oct Cooper Headache 1 ...
Thursday Clinical Neurology Lecture Schedule 2008-2009
Date Presenter Topic 4Sep Kerber Dizziness 1 11Sep Kerber Dizziness 2 18Sep Jacobs Neuromuscular Weakness and Respiratory Failure 25Sep London Peripheral Localization 2Oct Kluin Dysarthria and dysphagia 9Oct Cooper Headache 3 16Oct ...
Tiagabine
Comment Adjunctive therapy of partial seizures, with and without secondary generalization. &nbsp;Mechanism of action distinct from that of other antiepileptic drugs, and clearly demonstrated efficacy in partial seizures.&nbsp;Short halflife necessitating multiple daily dosing, need for slow ...
Topiramate
Comment Adjunctive therapy or monotherapy in partial and secondarily generalized seizures. Also useful for LennoxGastaut syndrome and primary generalized tonicclonic seizures. High responder rates but central nervous system adverse effects FDA indication LennoxGastaut syndrome; Adjunct; 2yo ...
Topiramate Dosing & Titration
Start with a prescription for 25 mg pills, #150 Week 1 One 25 mg pill each evening Week 2 1 pill, twice per day Week 3 1 pill each morning, 2 pills each ...
Transfer Checklist
Attending Attending accepts transfer Verify medical stability and appropriate level of care Obtain medical records Consider placing brief note in care web If patient is NICU candidate, notify neurointensivist Attending notifies senior resident \\ Senior resident ...
Tuesday Basic Science Conference Schedule 2008-2009
Date Speaker Topic 22Sep Sarah Newman CNS Development 29Sep Sarah Newman Spinal Cord and Spinal Reflexes 6Oct Sarah Newman Brainstem Organization and the Visceral Cranial Nerves 13Oct Sarah Newman Functional Neuroanatomy of the Forebrain 20Oct ...
Tuesday Basic Science Conference Schedule 2009-2010
Date Speaker Topic 1Sep Kelli Sullivan CNS development 8Sep Kelli Sullivan Forebrain functional anatomy 15Sep Kelli Sullivan Anatomy of the spinal cord 22Sep Chuck Newman Neuropharmacology 29Sep Chuck Newman New neurological agents ...

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Usual Pediatric Dosages of AEDs
Generic Name Trade Name Efficacy Starting dose (mg/kd/day) Doses per day Dose escalation rate (daily dose / time) Maintenance dose (mg/kg/day) Length of time to maintenance dose Therapeautic range ...

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VA
Team a senior resident a junior resident a psychiatry intern students (usually 2) V3: A third VA resident who will split time in neurology clinic in the mornings and rotate with PM&R or Psych during the afternoons. The Schedule Mornings: The mornings are spent in clinic ...
VA Cyclophosphamide Protocol
Prior to the first infusion Order labs within 1 week of the infusion: CBC Electrolytes BUN/Creatinine Liver profile Pregnancy test Urinalysis with cytology \\ For the first infusion # Infuse 1 liter 1/2 NS prior to administration of Cyclophosphamide (Cytoxan ...
VA EEGs
Ordering EEGs EEGs and evoked potentials are ordered through CPRS. Bring up the consult order form and look under the "Neurology Procedures" section. Include information about why the study is being ordered. "Seizures" doesn't count. Put in either ...
Vacation
goals, no objectives. Just a few hints to keep everyone happy while you are away: \\ \\ Careweb Notifications: # Click on Notifications # Then in the upper right hand corner, click on Manage "Out of Office" Message # Check box to activate message, then fill in dates ...
Valproate
Comment See FDA Black Box Warning A very valuable antiepileptic drug, especially for generalized epilepsies. &nbsp;Firstline therapy of idiopathic generalized epilepsies. Firstline or adjunctive therapy of cryptogenic or symptomatic generalized epilepsies. Valuable but not generally firstline therapy ...
Vascular Neurology
Normal Vascular Anatomy hemicraniectomy recommendationsfinal 6212011.pdf Normal Venous Anatomy Normal Venous Anatomy.ppt Stroke Team &nbsp;tools Acute Stroke Page NEURO:Acute Stroke tPA packet http://wwwpersonal.umich.edu/wmeurer/currenttPApacket.pdf &nbsp; Inpatient ...
Vascular Neurology Lecture Series 2010-2011
Date Lecturer &nbsp;&nbsp; Title 9/24/2010 Lesli Skolarus, MD Results of a CommunityBased Survey of Stroke Knowledge/The Burden of ICH in the Elderly 10/1/2010 Lynda Lisabeth, PhD Air Pollution and Stroke 10/8/2010 Steve Leber/Eric Adelman MD's ...
Venous Sinus Thrombosis
a.k.a. Cerebral Venous Thrombosis \\ Causes Hypercoagulable states Pregnancy Malignancy Dehydration OCPs Altitude Idiopathic Diagnosis Symptoms vary, so must have a high index of suspicion Common symptoms include: Headache Seizure Elevated ICP Focal ...
Viewing conferences from off site locations
Viewing conferences from off site locations \\ Link for the meeting room: https://connect.umms.med.umich.edu/neuroconf/ https://connect.umms.med.umich.edu/neuroconf/. To access the meeting click on the link. Enter your name in the name field then click on Enter Room. You will be sent to the meeting ...
Vigabatrin
Comment See FDA Black Box Warning A firstline drug for the treatment of infantile spasms, particularly those caused by tuberous sclerosis complex. Because of the risk of irreversible visual field constriction, vigabatrin is now not used for focal epilepsy. &nbsp;Monotherapy ...
Viral Meningoencephalitis
HSV History: Viral prodrome Rapid progression of: Floridly abnormal behavior Amnesia Seizures Hemiplegia Coma Lumbar puncture: HSV PCR on CSF May see elevated RBC, mono predominance Elevated protein MRI may show: Anterior ...

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Wards
Basics (!) Summary of Ward Rotation Expectations NEURO:Summary of Ward Rotation Expectations (!) Everyone working on the wards should know this information before starting on wards. Look here for details of team member roles, responsibilities, and expectations. \\ Inpatient and Consultation Organization ...
Weekly Conference Schedule
Weekly Conference Schedule Jan 9, 2012 Conference Schedule Jan 0913 2012.pdf Jan 2, 2012 Conference Schedule Jan 02062012.pdf Nov 28, 2011 RevisedConference Schedule Nov 28Dec 02 2011.pdf Nov 7, 2011 ...

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Zonisamide
Comment Adjunctive therapy of partial and secondarily generalized seizures. May also be useful as adjunctive therapy in a variety of primary generalized seizure types. &nbsp;A useful antiepileptic drug with a probable broad spectrum of efficacy. &nbsp;Longterm clinical experience (Japan ...

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