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Neuroimaging: Bolstering the Role of Neurologists

September 2017—“There is no question that neuroimaging is an extremely complex subject that requires subspecialty experience, an interest, and a focus in that area. To ask a general ra…

Tics and Tourette Syndrome

Joseph Jankovic, MD

September 2017—Recognizing the full spectrum of phenomenology of tics and various behavioral comorbidities is critical to diagnosis.

Posterior Reversible Encephalopathy Syndrome (PRES): A Case Report and Review of the Literature

Kevin G. Lazo, DO, Steven Mandel, MD, Bidyut Pramanik, MD, Jane Lee, MD, Maria V. Devita, MD, David Coven, MD, PhD, and Sandra Gelbard, MD

April 2016—Posterior Reversible Encephalopathy Syndrome (PRES) is a condition caused by reversible subcortical vasogenic edema that can clinically manifest with headache, altered mental …

Lingual Dysarthia

Mohanad Alzubaidi, MD and Aziz Shaibani, MD, FACP, FAAN, FANA

January/February 2016— In last month’s challenge (available on, we presented a case of a 70-year-old man with a sudden lisp. Lingual dysarthria can be a featu…

The Emerging Role of Neurotoxins for the Treatment of Upper Limb Spasticity

A Q&A with David M. Simpson, MD

November/December 2015—One expert addresses the evolving standards of care and strategies for enabling patients to receive optimal care.

How to Know it When You See It: Diagnosing Neuralgic Amyotrophy (Parsonage-Turner Syndrome)

John W. Norbury, MD, Nens van Alfen, MD, PhD, Kelly M. Harrell, PhD, MPT, Carrie A. McShane, MD, Daniel P. Moore, MD, Steven Mandel, MD

November/December 2015—An understanding of the basic science, clinical presentation, and treatment options for neuralgic amyotrophy is necessary to facilitate timely diagnosis and treatment.

An Unusual Case of Descending Paralysis Caused by West Nile Virus

Craig R. Grossman MD, Alexandra Walczyszyn MD, Steven Mandel MD, Dialecti Voudouris, MD, Lynn Ratner, MD, Nicky Bhatia, and Souheil Samaha, MD

October 2015—Clinicians should consider a diagnosis of West Nile Virus in patients with acute flaccid paralysis, particularly those who come from areas where WNV is endemic.

Hirayama Disease

Aziz Shaibani, MD

September 2015—Last month’s case presented a 21-year-old shrimp peeler who developed weakness of his fingers five years earlier that progressed to a point where he was unable to perfor…


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About Practical Neurology

Launched in January 2002, Practical Neurology strives to enhance quality of care and improve the daily operation of neurology practices. Each month, our experts explain the real-world significance of recent advances in neurologic science and offer step-by-step advice on how to overcome the clinical and business challenges neurologists face. Our straightforward, how-to articles give neurologists tools they can put into practice right away.