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COVID-19 and the Neurologist

Neurology Grand  Rounds  Jose’ Biller, MD, FACP, FAAN, FANA, FAHA Professor and Chairman Department of Neurology Loyola University Medical Center Maywood, IL  60153 Presentation will be in lecture format with Q & A following   Tuesday, July 28, 2020 12:00pm-1:00pm Zoom Meeting (see link below) https://ufl.zoom.us/j/96114696443 Meeting ID: 961 1469 6443 One tap mobile 646 558 8656 (New York) 312 626 6799 (Chicago)   Upon completion of this activity, participants will be able to: Review the neurovascular complications and presumed pathophysiology of stroke among hospitalized patients with COVID-19 Discuss the impact of COVID-19 on Acute Stroke Codes and other time sensitive cerebrovascular emergencies Evaluate non-neurovascular complications involving the central and peripheral nervous system Assess the impact of COVID-19 among patients with underlying autoimmune neurological disorders and dementia Anticipate possible post-COVID-19 neurological scenarios (para

Time to diagnosis and factors affecting diagnostic delay in amyotrophic lateral sclerosis

Amyotrophic lateral sclerosis (ALS) is a progressive, degenerative neuromuscular disease with limited treatment options. The diagnosis of ALS can be challenging for numerous reasons, resulting in delays that may compromise optimal management and enrollment into clinical trials. Several studies have examined the process and challenges regarding the clinical diagnosis of ALS. Twenty-one studies that were almost exclusively from the English literature published between 1990 and 2020 were identified via PubMed using relevant search terms and included patient populations from the United States, Canada, Japan, Egypt, and several countries in South America and Europe. from Journal of the Neurological Sciences https://ift.tt/3eQGxwh
A thought - The world is human centric and human body is brain (mind ) Centric. It appears as if all the body organs and parts in human body serve primarily to Brain. Some collect information for brain some follow the orders of brain and some protect and look after these two under the control of brain. So brain has information from every nook and corner of body be it by somatic or autonomic fibers. At entry sites of body be it gut or skin brain keeps guards for information by vagal-ENS system or free nerve endings in skin. Not only brain orders, it monitors the effectors also for the quality and accuracy of work done by them called as feedback mechanism. It takes corrective steps if the desired accuracy is not achieved in first attempt and that is the basis of our perfectionist behaviour sometimes. Brain is surrounded by hardest and toughest coverings which supports its importance and delicacy both. But who creates this master? Who creates coverings for it? Brain is its own master? Or