As family physicians play a central role in the managing of common diseases in the community, updates on clinical management, evidence-based treatment and cost-effective therapies for common neurological disorders will be useful for family physicians. The following updates are available online.  Please click on the titles to view content: -

Neurology

Analgesic Rebound Headaches Headache patients constitute one of the largest groups of patients in neurology outpatient clinics. Most of these patients have episodic primary headache disorders...

Decompression of Hemifacial Spasm with Intraoperative Monitoring Guidance using Electromyography and Brainstem Auditory Evoked Response It is now well established that idiopathic hemifacial spasm is caused by vascular compression of the facial nerve at its root exit zone. Over the last 3 decades, microvascular decompression had proved to be a valuable procedure to definitively cure the disease.

Recurrent Stroke and Aspirin Resistance Among high-risk patients, aspirin has been shown to reduce the odds of suffering a vascular event (stroke or myocardial infarction) or dying by about 25%. Our stroke service at the NNI, however, encounters a not uncommon clinical problem...

Treatment Algorithms for Parkinson’s Disease The diagnosis of Parkinson’s Disease (PD) is made clinically. The diagnostic features include the presence of resting tremor, bradykinesia, rigidity, unilateral onset, and a good response to levodopa treatment...

Epilepsy Update The prevalence of epilepsy is estimated to be 1% worldwide. In a young male army cohort in Singapore, the cumulative incidence up to age 18 was 0.5%. It is a common neurological disorder affecting millions of people worldwide and causing considerable morbidity...