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Volume 7, No 2/3 - Spring/Summer 2010

Volume 7, No 2/3 - Spring/Summer 2010

Table of Contents

An Update on Idiopathic Intracranial Hypertension Management Update
Idiopathic intracranial hypertension (IIH) is a condition of unknown etiology often encountered in neurologic practice. It produces nonlocalizing symptoms and signs of raised intracranial pressure and, when left untreated, can result in severe irreversible visual loss. It most commonly occurs in obese women of childbearing age, but it can also occur in children, men, nonobese adults, and older adults. Although it is frequently associated with obesity, it can be associated with other conditions, such as obstructive sleep apnea and transverse cerebral venous sinus stenoses. Recent identification of subgroups at high risk for irreversible visual loss, including black patients, men, and patients with fulminant forms of IIH, help guide the optimal management and follow-up. Ongoing studies of venous anatomy and physiology in IIH patients, as well as a recently begun randomized clinical treatment trial, should provide further insight into this common yet poorly understood syndrome. [Rev Neurol Dis. 2010;7(2/3):e56-e68 doi: 10.3909/rind0256]
Essential Tremor Diagnosis and Treatment Update
Essential tremor (ET) is one of the most common movement disorders. Although often considered a monosymptomatic disorder (postural and kinetic tremor), ET has more recently been considered a more heterogeneous syndrome, with motor and nonmotor features. The diagnosis is clinical and pharmacologic and surgical therapies exist. ET is frequently misdiagnosed as Parkinson disease or dystonia. The traditional notion of ET as a benign disorder has been challenged by those who view ET as a slowly progressive neurodegenerative disorder. [Rev Neurol Dis. 2010;7(2/3):e69-e75 doi: 10.3909/rind0251]
Interface of Sleep and Neurologic Disease Meeting Review
Highlights From the 62nd Annual Meeting of the American Academy of Neurology, April 11-17, 2010, Toronto, Canada [Rev Neurol Dis. 2010;7(2/3):e76-e81 doi: 10.3909/rind0260]
Gait Dysfunction and Cognition Meeting Review
Highlights From the 3rd International Congress on Gait and Mental Function, February 26-28, 2010, Washington, DC [Rev Neurol Dis. 2010;7(2/3):e82-e84 doi: 10.3909/rind0257]
A Patient With Progressive Weakness and Cramping of Right Arm and Both Legs Case Review: Presentation
A 44-year-old man presented with a 1-year history of progressive muscle weakness and cramping. Neurophysiology study, along with clinical presentation, was diagnostic. The differential diagnosis, diagnostic testing, treatment, and prognosis of this rare disease are discussed. [Rev Neurol Dis. 2010;7(2/3):e85-e88 doi: 10.3909/rind0246a]
A Patient With Acute Visual Loss and Transient Neurologic Symptoms Case Review: Presentation
A 73-year-old man presented with acute visual loss in his left eye associated with transient left upper extremity numbness. Diagnosis was made in the emergency room, where treatment strategies were discussed. [Rev Neurol Dis. 2010;7(2/3):e89-e90 doi: 10.3909/rind0249a]