October 2018


In this Issue


More and More Treatments: Are We There Yet?

Dietary Treatment
Genetic Testing
And more...


About the Cover Artist

Tracy Ellyn uses fine art for healing purposes and epilepsy awareness.


More and More Treatments: Are We There Yet?

New treatments—from cannabinoids to deep brain stimulation—may help meet the needs of still too many patients with uncontrolled seizures.

By Maromi Nei, MD


Hometown Highlights: Introducing Hometown Highlights

In this new column, we feature content from presenters at the 2018-2019 Philadelphia Neurological Society meetings.

By Stephen M. Gollomp, MD

MS Minute: Neuropsychologic Testing and Multiple Sclerosis

What is the value of neuropsychologic testing for patients with MS when there are often no available treatments?

By Daniel Kantor, MD, FAAN, FANA

Headache Horizons: Tuning in to Psychedelics for Treatment of Suicide Headaches

Neurologists need to understand the phenomenon of using psychedelic drugs for cluster-busting and advocate for appropriate research.

By Peter McAllister, MD

Movement Disorders Moment: Shining a Light on the Off Periods of Parkinson’s Disease

New formulations for rescue from the off period are coming.

By Jeffrey Lahrmann, MD; and Jill M. Giordano Farmer, DO

Stroke Snapshot: Mood Disorders After Experiencing a Stroke

Mood disorders are significant comorbidities and frequently undertreated, despite growing evidence of benefits of treatment.

By Diana M. Rojas-Soto, MD

Financial Planner: Strategies to Reduce Volatility and Improve Tax Efficiency

By Jason M. O’Dell, MS, CWM; and Michael Lewellen, CFP


Surgical Management of Intractable Epilepsy

Neurosurgical techniques are effective and underutilized for patients with drug-resistant epilepsy.

By Joon Y. Kang, MD

Neuromodulation and Epilepsy

From the vagal nerve to the deep brain, neuromodulation provides another treatment option for patients with epilepsy.

By Ahmad Soltani, MD; Isha Sharan; and Ashwini Sharan, MD

Cannabis, Cannabidiol, and Epilepsy

A new frontier brings new questions and old dilemmas.

By Adrian L. Turner, PharmD; and M. Scott Perry, MD

Dietary Treatments for Patients with Epilepsy

Ketogenic diets are an effective treatment when used properly with medical supervision and support.

By A. G. Christina Bergqvist, MD

Choosing Antiepileptic Drugs

As the number of available antiepileptic drugs increases, so does the challenge of choosing the most appropriate drug for a given patient.

By Alexander Doyle, MD; and Sasha Alick, MD

Reproductive Issues and Epilepsy

Guiding patients through contraceptive choices, prepregnancy planning, and pregnancy improves pregnancy outcomes.

By Frances Knapp; and Alison M. Pack, MD, MPH

Genetic Testing in the Care of Patients With Epilepsy

Genetic testing is improving diagnostic accuracy and, sometimes, informing treatment decisions.

By Alica M. Goldman, MD, PhD, MS

Autoimmune Epilepsy

A newly recognized category of epilepsy caused by or associated with antibodies.

By Lindsay M. Higdon, MD

Self-Limited Focal Epilepsies in Childhood

Recent advances improve understanding of etiology, clinical and EEG findings, and clinical management for this category that comprises 20% of pediatric epilepsies.

By Delphi Barua, MD; and Arayamparambil C. Anilkumar, MD


A Neurologist’s Perspective on the National Football League and Retired Players Settlement

The settlement raises significant professional and ethical concerns for the field and practitioners of neurology.

By Francis X. Conidi, DO


Persistent Idiopathic Isolated Hypoglossal Nerve Palsy

Could this rare condition be related to vascular compression?

By Eric A. Nelson; Dennis Keselman; Aron Z. Pollack, MD; and Steven Mandel, MD

Contact Info

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Wendy Terry

About Practical Neurology

Launched in 2002, Practical Neurology is a publication uniquely dedicated to presenting current approaches to patient management, synthesis of emerging research and data, and analysis of industry news with a goal to facilitate practical application and improved clinical practice for all neurologists. Our straightforward articles give neurologists tools they can immediately put into practice.