January 2019


In this Issue

Stroke Treatment From Triage to Rehabilitation

Asymptomatic Carotid Stenosis
Intracranial Atherosclerosis
Subarachnoid Hemorrhage
Vascular Dementia
And more...



Stroke with 2020 Vision

Advances in the refined diagnosis and treatment of stroke are driving accelerated change with precision medicine.

By David S. Liebeskind, MD, FAAN, FAHA, FANA, FSVIN, FWSO


Triage for Higher Level of Care

Which is best: primary, comprehensive, or just thrombectomy-ready?

By Nerses Sanossian, MD

Mechanical Thrombectomy

The standard of care for acute ischemic stroke with large vessel occlusion continues to evolve.

By Shashvat M. Desai, MD; and Ashutosh P. Jadhav, MD, PhD

Subarachnoid Hemorrhage, Vasospasm, and Delayed Cerebral Ischemia

Prevention, effective monitoring, and early detection are the keys to successful management after subarachnoid hemorrhage.

By Klearchos Psychogios, MD, MSc; and Georgios Tsivgoulis, MD, PhD, MSc, FESO, FEAN

Intracranial Atherosclerotic Disease

Neurologists need to be vigilant for this common cause of ischemic stroke, associated with the highest rates of recurrent stroke.

By Arth K. Srivastava, MD; and Shyam Prabhakaran, MD, MS

Asymptomatic Carotid Artery Stenosis

Testing for plaque instability, microemboli, hemodynamic status, and cognitive function may help determine best-practice management.

By Randolph S. Marshall, MD, MS

Vascular Cognitive Impairment

Targeting risk factors may decrease vascular cognitive impairments.

By Saud Alhusaini, MD, PhD; and Eric E. Smith, MD, MPH

Direct Oral Anticoagulants for Secondary Stroke Prevention

Optimal secondary stroke prevention includes reducing modifiable risk factors and providing anticoagulation for specific indications.

By Daniel Cristancho, MD, MBE; and Donna K. George, MD

Poststroke Care

Stroke outcomes can be optimized with an evidenced-based and systematic approach during all phases of recovery.

By Oluwole O. Awosika, MD; Bridget A. Rizik, MD; Holly K. Pajor, DO; Samir R. Belagaje, MD; Elisheva R. Coleman, MD; Daniel Woo, MD; and Brett M. Kissela, MD, MS


Hometown Highlights: CGRP-Related Treatments for Headache

With Stephen D. Silberstein, MD

Headache Horizons: Done by Hand

Chiropractics, the headache patient, and the lost art of touch.

By Peter McAllister, MD

MS Minute: Introducing The New Editors

Our new editors continue their professional collaboration to help advance care of patients with MS.

By Barbara S. Giesser, MD, FAAN, FANA; and Lawrence Samkoff, MD, FAAN

Dementia Insights: Blood Pressure Control and Cognitive Impairment

Could recommendations for more aggressive blood pressure control worsen prognosis for vascular and neurodegenerative cognitive impairments?

By Ronald Devere, MD, FAAN


Cognitive Complaints and Neuropsychologic Testing

When should neuropsychologic tests be ordered and what questions should testing answer?

By Nabil Ali, MD; Kendra Corning, PsyD, HSPP; and Laura M. Clark, PhD, ABPP

Neurosyphilis-Induced Psychosis

The return of the great imitator makes it critical to know the guidelines for testing for neurosyphilis.

By Veronica Hocker, MD; and Nabil Ali, MD


Case Report: Longitudinally Extensive Transverse Myelitis

The borderline of neuromyelitis optica and systemic lupus erythematosus.

By Lakshmi Leishangthem, MD; Pooja SirDeshpande, MD; Saman Zafar, MD; Ylec Mariana Cardenas, MD; Aparna Prabhu, MD; and David Roby, MD

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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.