Expert neuroophthalmologist Dr Anthony Fok takes us through the common but commonly vexing condition of intracranial atherosclerosis. We talk about how to assess IIH patients, how to manage them medically, when surgery is required, what to do when they don't tolerate the usual medications and more!
We run through the primary progressive aphasias with A/Prof David Darby. Listen in as David demystifies how to differentiate logopenic aphasia, semantic variant and non-fluent variant.
A long episode but absolutely packed full of pearls about how to take a history, examine, use cognitive tools and employ imaging in these patients. Then we go through some cases where David shows us how it's done.
We discuss all sorts of quandaries and myths related to lumbar punctures and CSF interpretation with Dr Prashanth Ramachandran. Specific topics covered include: lumbar punctures on antiplatelets/anticoagulants, lumbar punctures in the setting of intracranial masses, post-LP leptomeningeal enhancement, investigation of acute meningoencephalitis, investigation of chronic meningoencephalitis, acellular elevated protein, chronic idiopathic meningitis, post-ictal lymphocytic pleocytosis and HaNDL.
Professor Vincent Thijs takes us through his approach to working up stroke patients for secondary causes. We discuss embolic stroke of undetermined source (ESUS), aortic arch atheroma, intracranial atherosclerosis, patent foramen ovale, vasculitis, which investigations are the highest yield and general approaches to different types of patients. Enjoy!
Dr Belinda Cruse talks through her approach to common referrals involving Parkinson's disease - including new diagnosis, fasting leading to a Parkinson's crisis, motor fluctuations, impulse control disorders and delirium in a Parkinson's patient.
We run through the acute diagnosis and management of Guillain-Barré syndrome