4/ CJD can certainly present with behavioral changes, myoclonus, and increase startle. Many of these patients have unimpressive MRI and LP results. Although we always like to look for the cortical ribboning: From: Prion Diseases: journals.lww.com/continuum/full…

5/ Similarly, while PD is thought of primarily as a movement disorder, there are many accompanying cognitive symptoms. Depression and anxiety are more common in people with PD, and perhaps the abnormal movement in the right arm was due to a pill-rolling tremor.

6/ And depression is not uncommon in this male age group and can cause apathy, memory impairment, and fatigue. Motor clumsiness would certainly not be unheard of.

The period immediately post-intubation requires special considerations for sedation. We hear perspectives from some friends, including Casey Albin, MD Jace Mullen Walking Home From The ICU nick pulmcrit Emily Fridenmaker #medtwitter #FOAMcc #FOAMed #meded #pulmcrit #pulmcc icuscenarios.com/lightning-roun…

Had the pleasure of guest editing a Seminars in Neurology on Altered Mental Status, Encephalopathy and Delirium issue with Dr. Eyal Kimchi!! Full issue launches in October, but in the meantime I'll be sharing some of my favorite tables and figures from the manuscripts!

AMS in the 🤰pt requires a special approach! These patients have unique risk factors for stroke, nutritional deficiencies, and metabolic disturbances. Dr. Eliza Miller and Adam Kroopnick of Columbia Neurology Residency do an outstanding job with a practical approach pubmed.ncbi.nlm.nih.gov/39151911/

You are more likely to need to be intubated for refractory seizures (status epilepticus) than if you get the appropriately-dosed benzodiazepines as first-line therapy.

these are so difficult to keep straight!!! one stop shopping!! Awesome work Mica Schachter, MD 🇺🇲🇦🇷 !!

Great thread!

This was so much fun to work on! Thanks to fantastic collaborators from The Gordon Center and Fawaz Al-Mufti, MD, FSVIN for the inspiration! Ivette Motola Asit Misra ☀️

Very happy to contribute with Henning and Prem Kandiah ! A really collaborative work 😃 never be possible without the International Society for Hepatic Encephalopathy meetings ;-)

Grateful for the enlightening journey with Weiss Nicolas & Henning Pflugrad in writing this review. I lucked out with outstanding editors -> Casey Albin, MD & Eyal Kimchi, and to International Society for Hepatic Encephalopathy meeting for igniting the collaboration! Hope you find this useful!