Clinical Reasoning: A woman with monocular vision loss

A 48-year-old woman presented to her primary care physician (PCP) with right eye vision loss. She began noticing changes in her vision earlier in the year while at work. Over the ensuing months, her vision progressively declined such that she was no longer able to read with the right eye but could appreciate movement. Her past medical history included iron deficiency anemia for which she received iron infusions, depression, and anxiety. She denied fevers, sweats, chills, anorexia, weight loss, cough, shortness of breath, swollen lymph nodes, or any other systemic symptoms. She had traveled to Mexico, South America, the Caribbean, and Europe. She never had penetrating trauma to the head, although she did have a concussion as a toddler. She had spent time in Arizona and in the northern United States/southern Canada. She has several pets including dogs, small mammals, and birds; none was ill. She had no history of diabetes, immunosuppression, or HIV.

from Neurology recent issues https://ift.tt/3gnwlMl

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Menopause Symptoms Reduced by Cold Water Swimming

Cold water swimming significantly eases menopausal symptoms. Surveying 1114 women, with 785 experiencing menopause, researchers found improvements in anxiety, mood swings, low mood, and hot flushes among participants. from Neuroscience News https://ift.tt/9AqHsEa

UPI: Kids with psych disorders most likely to take dangerous viral challenges

The “choking game” — and other clearly ill-advised and dangerous internet challenges — leave many parents wondering what drives teens to take the bait and participate. Now, a new study suggests that an underlying psychological disorder may be one reason why some kids jump at online dares such as the “Bird Box” challenge, where people walk around blindfolded, and the Tide Pod challenge, daring people to eat laundry detergent. (January 28, 2019) Read the full article here from Brain Health Daily http://bit.ly/2DIWHbD

The emerging influential role of microglia in neurology

In her most catchily titled book, The Angel and the Assassin , Donna Jackson Nakazawa highlighed nerve cells which have hitherto been very little acknowledged – microglia . Long ignored as bit players in the big league of the nervous system, Nakazawa colourfully illustrated what many neuroscientists are beginning to realise: the small size of microglia belies their huge influence ; m icroglia are, after all, the defence force of the nervous system, protecting the brain from microbial invaders . In keeping with their small size, their role is to surreptitiously present the antigens of invading bugs to T cells , the toffs who actually carry out the final hatchet job . It is therefore not surprising that any dysfunction of microglia will come with significant clinical consequences . By GerryShaw – Own work , CC BY-SA 3.0 , Link The most important clinical fallout of dysfunctional microglia appears to be the emergence of dementia. It is indeed spec...

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