Dipika Oberoi MD - DocNeuro

Drug Therapy for Alzheimer’s Dementia

Dipika Oberoi MD — Fri, 29 Mar 2013 12:34:51 +0000

Alzheimer’s dementia (AD) is the most common cause of dementia in western society. Disease specific treatments that are currently available do not appear to alter the course of the illness, though may slow or delay progression. Cholinesterase inhibitors and N-methyl-D-aspartate (NMDA) receptor antagonists are the only two classes of drugs currently approved by the FDA for […]

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Neurosyphilis

Dipika Oberoi MD — Fri, 29 Mar 2013 12:20:54 +0000

Syphilis, a sexually transmitted infection caused by the spirochete Treponema pallidum has recently been re-emerging in the general population. Central nervous system involvement by this infection is referred to as neurosyphilis. Neurosyphilis encompasses a spectrum of CNS manifestations and can present at various times after the initial infection. Early neurosyphilis can be asymptomatic or present with meningitis, […]

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Diabetic Neuropathy

Dipika Oberoi MD — Mon, 18 Mar 2013 16:15:26 +0000

Up to 50% of patients with diabetes eventually develop diabetic neuropathy. Poor glycemic control and longer duration of diabetes are most important risk factors for development of neuropathy. The neuropathy can be broadly classified as sensorimotor or autonomic. Sensorimotor neuropathy Small nerve fibers, large nerve fibers, nerve roots, and cranial nerves can all be affected […]

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Evaluating Tremors

Dipika Oberoi MD — Mon, 18 Mar 2013 16:03:03 +0000

Tremors are the most common movement disorder encountered in clinical practice and can be defined as an involuntary, rhythmic, oscillatory movement of a body part. While tremors predominantly affect the upper extremities (wrist, hands), tremors of the head, lower extremities, and voice can also be encountered. Classification Tremors can be broadly classified into rest and […]

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Abortive Therapy for Migraine Headaches

Dipika Oberoi MD — Mon, 31 Dec 2012 00:43:18 +0000

Patients presenting with migraine headaches in the acute outpatient setting is common, and there are a variety of abortive therapies that can be tried. General principles of abortive therapy for migraines Severity of headaches will dictate which therapy will be most effective. Abortive therapy is likely to be most effective if given early in […]

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Ramsay Hunt Syndrome

Dipika Oberoi MD — Mon, 31 Dec 2012 00:17:06 +0000

Herpes zoster oticus, or Ramsay Hunt Syndrome, is a polyneuropathy secondary to reactivation of latent varicella zoster virus in and around the ear. Clinical features of Ramsay Hunt Syndrome Ear pain Vesicles followed by an erythematous vesicular rash over the external ear/auditory canal Ipsilateral facial paralysis (loss of the nasolabial fold, dropping of the corner […]

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Management of Asymptomatic Carotid Artery Stenosis

Dipika Oberoi MD — Sun, 30 Dec 2012 23:57:41 +0000

Whether found as a result of carotid auscultation or as part of a stroke/TIA work up on the contralateral side, there are specific protocols for the treatment of asymptomatic carotid stenosis. Screening for carotid artery stenosis The USPSTF (United States Preventive Services Task force) does NOT recommend routine screening for carotid artery disease in the […]

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