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Neurology

Consultation-Liaison Psychiatry   

Questions discussed in this category

How do you treat agitation in progressive supranuclear palsy?
Would you consider benzodiazepines for agitation in progressive supranuclear palsy? What other treatment strategies would you consider? 
1 Answer available
What are your go-to options for managing ICU delirium in patients with contraindications to antipsychotics?
6 Answers available
When do you consider attributing isolated psychosis to an acute ischemic stroke?
3 Answers available
How does comorbid epilepsy influence your decision on antipsychotic medications?
1 Answer available
How do you implement antipsychotics in the management of agitation in Alzheimer’s patients?
3 Answers available
Do you avoid SSRIs in patients with a history of RCVS?
2 Answers available
Would you avoid the use of keppra in patients with TBI due to concerns for worsening agitation?
2 Answers available
In what clinical situation would you consider using benzodiazepines in patients with dementia?
2 Answers available
What work-up do you recommend in patients with early-onset dementia?
Which genetic/other testing should be considered in an early-onset dementia work-up? 
1 Answer available
Is it possible to develop worsening motor features of Parkinson's disease (PD) when using clozapine (for treatment of PD psychosis) above a certain dose?
If so, what is the recommended maximum dose of clozapine for PD patients? 
1 Answer available
How would you manage a patient with secondary progressive multiple sclerosis manifesting with increased neuropsychiatric manifestations (ex. psychosis) with no recent changes on brain MRI?
1 Answer available
Are there certain sedatives or anti-epileptic meds to avoid in patients with IDD?
What are your thoughts on the ethics of inpatient use of sedatives in these patients to help with agitation to “protect themselves from harm and...
4 Answers available
How do you treat behavioral disturbances in patients with dementia with Lewy bodies?
How do you treat dangerous behavioral disturbances (aggression, nighttime wandering) in patients with dementia with Lewy bodies (DLB)?
2 Answers available
Do you use pimavanserin to treat psychotic symptoms in Lewy body dementia?
1 Answer available
How do you approach the workup and management of patients with suspected functional neurologic disorders?
What testing do you typically proceed with?
1 Answer available


Papers discussed in this category

Mov Disord Clin Pract, 2022 Oct 23
Clozapine Is Severely Underused in Parkinson's Disease Patients.
The American journal of psychiatry, 2022 Aug
Dementia Is More Than Memory Loss: Neuropsychiatric Symptoms of Dementia and Their Nonpharmacological and Pharmacological Management.
Psychiatry research, 2020 Dec 13
The Psychopharmacology Algorithm Project at the Harvard South Shore Program: An update on management of behavioral and psychological symptoms in dementia.
Journal of psychopharmacology (Oxford, England), 2018 Jan 17
Sequential drug treatment algorithm for agitation and aggression in Alzheimer's and mixed dementia.
Journal of pineal research, 2023 Feb 08
Ramelteon for delirium prevention in hospitalized patients: An updated meta-analysis and trial sequential analysis of randomized controlled trials.
The neurologist, 2023 Mar 01
The Rising Status of Phenobarbital: A Case for Use in Severe Refractory Hyperactive Poststroke Delirium.
The Cochrane database of systematic reviews, 2019 Sep 03
Pharmacological interventions for the treatment of delirium in critically ill adults.
Critical care medicine, 2016 Jul
Dexmedetomidine for the Treatment of Hyperactive Delirium Refractory to Haloperidol in Nonintubated ICU Patients: A Nonrandomized Controlled Trial.
Front Neurol, 2021 Jul 01
Best Practices in the Clinical Management of Progressive Supranuclear Palsy and Corticobasal Syndrome: A Consensus Statement of the CurePSP Centers of Care.
Semin Neurol, 2022 Apr
Medication Management of Neuropsychiatric Symptoms in Neurological Conditions: A Dimensional Transdiagnostic Approach.

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