March/April 2019
In this Issue
The Importance of Sleep
• Sleep & Neurodegeneration
• Sleep & Performance in
• Medicine
• Athletics
• Cognition
• Sleep & Brain Injury
GUEST MEDICAL EDITOR’S PAGE

The Importance of Sleep
Sleep has a critical role in brain health and is an essential part of improving neurologic care for all of our patients.
By Logan Schneider, MD
COVER FOCUS: THE IMPORTANCE OF SLEEP
Sleep & Neurodevelopment
Sleep characterization in children may have a role in evaluation for risk of impaired development, behavior, mood, and self-regulation.
By Anne M. Morse, DO

Sleep & Neurodegenerative Disease
Sleep problems are common and treatable in neurodegenerative disorders, and may also be a treatable risk factor and early biomarker.
By Raman K. Malhotra, MD
Sleep & Elite Athletic Performance
Elite athletes commonly have sleep disturbances and poor sleep quality made worse by the environmental demands of athletics.
By Scott Kutscher, MD

Sleep & Medical Training
“If sleep doesn’t serve an absolutely vital function, it is the greatest mistake evolution ever made.”—Allan Rechschaffen, University of Chicago
By Michael Howell, MD, FAAN, FAASM
Sleep, Sleeplessness, & Neuropsychiatric Conditions
Sleep disturbances are symptoms of psychiatric conditions that can worsen prognosis; however, nonpharmacologic treatments are available and effective.
By Fiona Barwick, PhD
Sleep & Neurocognitive Performance
A daily adequate dose of healthy sleep is the most effective performance enhancement on the planet.
With Mathias Basner, MD, PhD, MSc
Sleep & Traumatic Brain Injury
Sleep disorders are a common symptom of traumatic brain injury and treating them is also part of promoting recovery.
With Michael S. Jaffee, MD, FAAN
Update on Treating Sleep Disorders
New treatments hold promise of increasing efficacy with precision medicine.
By Tyler M. Pugeda, BA; Charlene E. Gamaldo, MD, FAAN, FAASM; and Rachel Marie E. Salas, MD, MEdHP, FAAN
COLUMNS

Stroke Snapshot: Blood Pressure Management After Acute Ischemic Stroke
CLINICAL DECISION MAKING: Managing blood pressure after acute ischemic stroke requires different approaches before and after reperfusion.
By Zachary Bulwa, MD; Camilo R. Gomez, MD, MBA; Sarkis Morales-Vidal, MD; and José Biller, MD
Multiple Sclerosis Minute: Telemedicine and Multiple Sclerosis
Telemedicine is acceptable to patients and clinicians in the continuum of clinic-to-in-home care and reduces barriers to care.
By Riley Bove, MD, MMSc; and Valerie J. Block, DPTSc, PT
Movement Disorders Moment: Rapid Eye Movement Sleep Behavior Disorder
This sleep disorder is a strong predictor for the development of synucleinopathies, including Parkinson’s disease, multiple system atrophy, and dementia with Lewy bodies.
By Ahmad Alsibai, MD; and Jill M. Giordano Farmer, DO
Headache Horizons: Headache in the CGRP Era
There are knowns, unknowns, and bogeymen.
By Peter McAllister, MD
SPECIAL REPORT

Dizziness and Vertigo
Part 1: Untangling the complexity of dizziness and vertigo requires a careful history.
By Ari A. Shemesh, MD; and Daniel R. Gold, DO
CASE REPORT
Case Report: Cyclophosphamide as Rescue Agent in Myasthenic Crisis
When patients are refractory to first-line treatments for myasthenic crisis, cyclophosphamide may have benefits and warrants further study.
By Amanda E. Simon, BS; and Daniel L. Menkes, MD
DEPARTMENTS
Convention Question: What Will Drive the Next Great Advance in Stroke Treatment?
Answers from attendees of the International Stroke Conference in Honolulu, HI, Feb 6th-8th, 2019.