Transcranial Magnetic Stimulation (TMS): An Impressive Under-appreciated Treatment For Depression
I am truly impressed and excited by the effectiveness of transcranial magnetic stimulation (TMS) for the management of major depressive disorder. I am using TMS in my practice, and the benefits are remarkable. Background During medical school and neurology residency in the 1980’s (before TMS existed), I was occasionally involved with the delivery of electroconvulsive […]
Missed Right Hemispheric Stroke In a Young Professional With Anxiety and Behavioral Changes
Non-dominant, right hemispheric stroke in a professional young adult I recently diagnosed a missed right hemispheric stroke in a young adult woman. She was referred to me to rule out neurological causes of anxiety and behavioral changes. Her symptoms began one year beforehand In retrospect, this 38 year old professional woman’s behavior changes from her […]
A Missed Stroke in a Young Healthy Man
Presentation with acute vertigo, nausea, and vomiting A young adult man with a missed cerebellar stroke was referred to me. He had been hospitalized for acute vertigo, nausea and vomiting starting several days after new onset headaches. He had largely improved after several days. His work-up in the hospital was reportedly negative. He was discharged […]
Tough to see Dural Sinus Thrombosis
This article discusses a tough to see case of dural sinus thrombosis. A 25-year-old student started to develop mild headaches along the back of her head. Her symptoms were more pronounced on the right side or her head. The symptoms improved with Tylenol. They were mild and resolved after several days. She saw her doctor […]
A Disaster Averted
Recently, Dr. Frank was asked to provide a routine neurological consult and discovered an undiagnosed epidural abscess. For several months, a 47-year-old man with diabetes had a patch of numbness just above his left knee diagnosed to be due to nerve compression as it passes through the right groin. However, it rapidly extended to involve […]