In this Issue
The Best & Worst of Times For Clinical Decision Making?
ABOUT THE COVER ARTIST
Elizabeth Jameson explores the intersection of art and science through her own brain scans of multiple sclerosis lesions.
GUEST MEDICAL EDITOR’S PAGE
Despite exciting advances in diagnosis and myriad treatments, clinical management for patients with multiple sclerosis remains challenging.
By Barbara S. Giesser, MD
Sponsored by EMD SERONO
By John Walsh, MD
COVER FOCUS: MULTIPLE SCLEROSIS
New American Academy of Neurology Disease-Modifying Treatment Guidelines: Impact on Clinical Practice
Key concepts and checklists provide a framework for optimal decision making with patients.
By Kedar R. Mahajan, MD, PhD; and Alexander Rae-Grant, MD, FRCP(C), FAAN
Finding the forest among the trees with an update on the safety, efficacy, and mechanisms of monoclonal antibodies.
By Lawrence Steinman, MD; and Aaron M. Carlson, MD
From the 2017 guidelines to newest modalities.
By Edward Fox, MD, PhD; Esther Melamed, MD, PhD; and Elliot Frohman, MD, PhD
Rehabilitative care of the symptoms in patients with progressive multiple sclerosis can also be used for those with relapsing multiple sclerosis.
By Charles R. Smith, MD
Treating fatigue in patients with multiple sclerosis may significantly improve quality of life and requires a high index of suspicion for coexisting sleep disorders.
By Jonathan L. Carter, MD
Identifying and treating sleep problems can help optimize the well-being and function of patients with multiple sclerosis.
By Tiffany J. Braley, MD, MS
Neuropsychologic evaluation and treatment can improve quality of life.
By Kathleen D. Tingus, PhD; Katelyn L. Steele, MA; and Alexander J. Steiner, PsyD
The prototypic patient with multiple sclerosis is a young woman of childbearing age, which makes reproductive issues extremely important.
By Patricia K. Coyle, MD, FAAN, FANA
A clinician’s guide to evaluating brain MRI in a patient with improbable multiple sclerosis.
By Ilya Kister, MD, FAAN
What is integrative care, and why should clinicians care about it?
By Allen C. Bowling, MD, PhD
SPOTLIGHT TOPIC: PRACTICE MANAGEMENT
A personal journey of surviving and thriving.
By Peter McAllister, MD; and Angelo Termine, MSM, MBA
Prior authorization requests may take 2 business days per week per physician.
By Dan Rubin
It can be as good to “refinance” life insurance as it is to refinance a mortgage.
By Jason M. O’Dell, MS, CWM; and David B. Mandell, JD, MBA
The 2018 guidelines for treatment of acute ischemic stroke reflect great advances in patient care.
By Donna K. George, MD
Inflammation in the context of memory loss reminds us of the importance of checking opening pressure on lumbar puncture.
By Nima Khosravani, MS; Anamaria Shanley, MSN, ARNP-BC; and Ira J. Goodman, MD
Answers from neurologists attending the American Headache Society 60th Annual Meeting in San Francisco, California, June 28-July 1, 2018.