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Pipeline Flex Embolization Device
https://www.medtronic.com/us-en/healthcare-professionals/products/neurological/hemorrhagic-stroke/pipeline-flex.html
Medtronic

Access product information about the Pipeline Flex embolization device, which redefines treatment for large or giant wide-necked aneurysms by diverting flow away from the aneurysm neck and by reconstructing the parent artery and restoring its natural course.

Prevention of Secondary Fractures in Elderly With Hip or Vertebral Fracture Clinical Practice Guidelines (2019)
https://www.medscape.com/viewarticle/920532

Nov 3rd, 2019 - The guidelines on preventing secondary fractures in persons aged 65 years or older with a hip or vertebral fracture were released on September 20, 2019, by the American Society for Bone and Mineral Research (ASBMR).[1] Fundamental Recommendations Communicate the following three simple messages to people aged 65 years or older with a hip or vertebral fracture (as well as to their family/caregive...

Rare Pediatric Diseases Special Report 2019
https://www.mdedge.com/pediatrics/article/211163/rare-diseases/rare-pediatric-diseases-special-report-2019?channel=167

Oct 29th, 2019 - The Rare Pediatric Diseases Special Report is a supplement to Pediatric News that discusses advancements in the treatment of rare pediatric neuromuscular disorders like spinal muscular atrophy, Duchenne muscular dystrophy, and X-linked myotubular myopathy, as well as epileptic encephalopathies that occur in infancy and early childhood, such as West syndrome, Lennox-Gastaut syndrome, and Dravet.

Secondary Fracture Guidelines Urge Action to Stem Treatment Gap
https://www.medscape.com/viewarticle/919576

Oct 7th, 2019 - ORLANDO, Florida — New consensus guidelines on the prevention of secondary fractures from a coalition of bone health experts, professional organizations, and patient advocacy groups provide comprehensive recommendations on the course of clinical care after hip or vertebral fracture in people aged 65 years and older, emphasizing treatment, communication, and multidisciplinary care interventions....

Pediatric Myelomeningocele Clinical Practice Guidelines (2019)
https://www.medscape.com/viewarticle/919290

Oct 2nd, 2019 - The Congress of Neurological Surgeons (CNS) issued clinical practice guidelines for pediatric myelomeningocele in September 2019.[1] Prenatal myelomeningocele repair is recommended in fetuses who meet fetal and maternal Management of Myelomeningocele Study (MOMS)–specified criteria for prenatal surgery to decrease the likelihood of shunt-dependent hydrocephalus. The method of myelomeningocele c...

An overview of endoscopy in neurologic surgery
https://www.mdedge.com/ccjm/article/208773/neurology/overview-endoscopy-neurologic-surgery/page/0/2?channel=258

Oct 1st, 2019 - Ventricular neuroendoscopy The introduction of endoscopic third ventriculostomy created the opportunity to offer a more physiologic treatment in selected patients with obstructive hydrocephalus by creating an internal CSF diversion through the basal cisterns. Two advantages of this procedure are that it does not create dependence on a CSF shunt, and it eliminates the related risks of shunt infe.

Headache After Childbirth Epidural a Red Flag for Brain Bleed
https://www.medscape.com/viewarticle/918975

Sep 24th, 2019 - Women who experience headaches following epidural anesthesia during childbirth have a greater risk of developing intracranial subdural hematoma, new research shows. Using a large database to study over 22 million deliveries, investigators found a 100-fold increase in subdural hematoma in women who experienced a headache following epidural, compared with their counterparts with subdural hematoma...

Postdural puncture headache linked to increased risk of subdural hematoma
https://www.mdedge.com/obgyn/article/208139/obstetrics/postdural-puncture-headache-linked-increased-risk-subdural-hematoma?channel=27970
Bianca Nogrady

Sep 16th, 2019 - Postdural puncture headache in women who have undergone neuraxial anesthesia in childbirth may be associated with a small but significant increase in the risk of being diagnosed with intracranial subdural hematoma, research findings suggest. A cohort study, published online in JAMA Neurology, looked at the incidence of intracranial subdural hematoma within 2 months of delivery in 22,130,815 wom.

Faulty Amino Acid Metabolism Linked to Rare Eye Disease
https://www.medpagetoday.com/ophthalmology/generalophthalmology/82123

Sep 12th, 2019 - A defect in serine metabolism was found to be behind a rare macular disease, according to researchers reporting a new connection between central and peripheral neuropathies. Genetic mutations in SPTLC1 and SPTLC2, known to cause hereditary sensory and autonomic neuropathy type 1 (HSAN1), were also tied to macular telangiectasia type 2 from exome sequencing, according to a report by Martin Fried...

This Medical Mishap Kills 33,000 Americans a Year
https://www.medpagetoday.com/hospitalbasedmedicine/generalhospitalpractice/81677?comment=true

Aug 18th, 2019 - It was a summer evening like most others for 13-year-old Drew Hughes. He was skateboarding with some friends when he fell, hitting his head. He was taken to the hospital by ambulance and when he arrived in the ER, he was awake, alert, and appeared to be fine. For Drew's safety, the doctor ordered a CT scan of his brain where evidence of a possible basilar skull fracture was identified. To be su...

This Medical Mishap Kills 33,000 Americans a Year
https://www.medpagetoday.com/hospitalbasedmedicine/generalhospitalpractice/81677

Aug 18th, 2019 - It was a summer evening like most others for 13-year-old Drew Hughes. He was skateboarding with some friends when he fell, hitting his head. He was taken to the hospital by ambulance and when he arrived in the ER, he was awake, alert, and appeared to be fine. For Drew's safety, the doctor ordered a CT scan of his brain where evidence of a possible basilar skull fracture was identified. To be su...

CSF Shunt Hazard With Close Proximity to Hearing Devices, FDA Warns
https://www.medscape.com/viewarticle/915732

Jul 16th, 2019 - The US Food and Drug Administration (FDA) is warning healthcare providers about potential hazards from interactions between implanted programmable cerebrospinal fluid (CSF) shunts and hearing implants that contain magnets. CSF shunt systems are used to treat hydrocephalus. Adverse magnetic interactions can occur when these devices and hearing implants are in close proximity to one another. Such...

What is your diagnosis? - July 2019
https://www.mdedge.com/gihepnews/article/203798/what-your-diagnosis-july-2019?channel=27662
Wai See Ma, MD, Hadi Moattar, MD, MBChB, PhD

Jun 28th, 2019 - The diagnosis von Hippel-Lindau disease The diagnosis is von Hippel-Lindau disease (VHL). Subsequent brain and renal magnetic resonance imaging showed features suggestive of a 5-mm right cerebellar hemangioblastoma and right renal cell carcinoma (RCC), respectively.

Ban 'Reprocessing' of Spinal Surgery Screws, Experts Say
https://www.medscape.com/viewarticle/913233

May 19th, 2019 - In the wake of research that uncovered high levels of contamination in "sterile" implants, researchers are calling for the elimination of rewashing and resterilizing of pedicle screws in spinal fusion surgery. These researchers, including the president of the North American Spine Society, Jeffrey C. Wang, MD, and other leaders in the field, believe that intraoperatively guarded, presterilized, ...

Knowledge gaps about long-term osteoporosis drug therapy benefits, risks remain large
https://www.mdedge.com/obgyn/article/199943/endocrinology/knowledge-gaps-about-long-term-osteoporosis-drug-therapy-benefits?channel=266
Jeff Craven

May 1st, 2019 - Long-term use of alendronate and zoledronic acid for more than 3 years reduces the rate of vertebral fracture in treatment-naive postmenopausal women with notable, yet rare, adverse events, but too little evidence exists to make determinations on the long-term benefit/risk profile of other bisphosphonates or other osteoporosis drugs besides raloxifene and oral hormone therapy, according to a re.

May 2019
https://www.mdedge.com/dermatology/article/199079/medical-dermatology/may-2019
Donna Bilu Martin, MD

Apr 17th, 2019 - Benign tumors consisting of glomus cells may be subdivided into two types: glomus tumors and glomuvenous malformations or glomangiomas. Glomus cells are modified smooth muscle cells that normally line the Sucquet-Hoyer canal, an arteriovenous fistula that is involved in temperature regulation in the digits.

A 60-year-old white male presented with a painful nodule on the right lateral thigh that had been present for years
https://www.mdedge.com/dermatology/article/199079/medical-dermatology/60-year-old-white-male-presented-painful-nodule-right?channel=39212
Donna Bilu Martin, MD

Apr 17th, 2019 - Benign tumors consisting of glomus cells may be subdivided into two types: glomus tumors and glomuvenous malformations or glomangiomas. Glomus cells are modified smooth muscle cells that normally line the Sucquet-Hoyer canal, an arteriovenous fistula that is involved in temperature regulation in the digits.

LVAD-Related GI Bleeding: Another Reason to Take Heart Failure Drugs
https://www.medpagetoday.com/cardiology/chf/79091

Apr 8th, 2019 - Angiotensin II antagonists may help prevent GI bleeding among heart failure patients with continuous-flow left ventricular assist devices (LVADs), a retrospective study suggested. Taking ACE inhibitors or angiotensin receptor blockers (ARBs) at any point within the first 30 days following LVAD placement was associated with a reduced subsequent risk of major GI bleeds (15% vs 31%, adjusted HR 0....

What are the risks of long-term PPI use for GERD symptoms in patients > 65 years?
https://www.mdedge.com/familymedicine/article/198206/gastroenterology/what-are-risks-long-term-ppi-use-gerd-symptoms/page/0/1?channel=213
MDedge Family Medicine;

Apr 4th, 2019 - Hip and vertebral fracture riskis associated with PPIs A 2011 systematic review and meta-analysis investigated the risk of fracture in adult patients taking PPIs for any indication. 4 The analysis included 10 observational studies (4 cohort, 6 case-control) with a total of 223,210 fracture cases.

Doctors pray for sick as blackout batters Venezuelan hospitals
https://www.reuters.com/article/us-venezuela-politics-hospitals/doctors-pray-for-sick-as-blackout-batters-venezuelan-hospitals-idUSKBN1QS1SV

Mar 11th, 2019 - CARACAS (Reuters) - Maria Rodriguez’s daughter has spent a month in Caracas’s J.M. de los Rios children’s hospital with hydrocephalus, a buildup of spinal fluid in the brain, but staff there have faced an uphill battle treating the girl because of a nationwide power outage. Venezuelans, including doctors, hold banners that read "Solidarity" as they gather outside a public children hospital duri...