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Neurology
Expert perspectives on neurological conditions, stroke management, movement disorders, and neuromuscular disease.
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Do you see secondary EMG/NCS abnormalities in patients with chronic upper motor neuron dysfunction such as cerebral palsy, myelopathy, or remote stroke?
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1 Answers
Mednet Member
Neurology · Cedars-Sinai Medical Center
The short answer is NO. UMN deficits result in low firing rates, leading to fewer activated motor units, but this does not constitute denervation. Nonetheless, the concept of trans-synaptic degeneration has been discussed for over 50 years (I believe Dr. Wilder Penfield, the neurosurgeon from Montre...
How do you counsel patients on migraine "triggers"?
1 Answers
Mednet Member
Neurology · Greater Boston Headache Center at Boston Advanced Medicine
What often triggers headaches or migraines is not just one factor acting alone, but rather a combination of triggers compounding together. Consequently, it's generally more effective and less demanding to prevent triggers from compounding, rather than avoiding them altogether. However, the first ste...