85 episodes

The essential point of Practical Neurology is that it is practical in the sense of being useful for everyone who sees neurological patients and who wants to keep up-to-date, and safe, in managing them. In other words, this is a journal for jobbing neurologists who plough through the tension headaches and funny turns week in and week out. Practical Neurology is included as part of a subscription to JNNP and provided in print to all members of the Association of British Neurologists.
* The purpose of this podcast is to educate and to inform. The content of this podcast does not constitute medical advice and it is not intended to function as a substitute for a healthcare practitioner’s judgement, patient care or treatment. The views expressed by contributors are those of the speakers. BMJ does not endorse any views or recommendations discussed or expressed on this podcast. Listeners should also be aware that professionals in the field may have different opinions. By listening to this podcast, listeners agree not to use its content as the basis for their own medical treatment or for the medical treatment of others.

Practical Neurology Podcast BMJ Podcasts

    • Health & Fitness
    • 4.7 • 30 Ratings

The essential point of Practical Neurology is that it is practical in the sense of being useful for everyone who sees neurological patients and who wants to keep up-to-date, and safe, in managing them. In other words, this is a journal for jobbing neurologists who plough through the tension headaches and funny turns week in and week out. Practical Neurology is included as part of a subscription to JNNP and provided in print to all members of the Association of British Neurologists.
* The purpose of this podcast is to educate and to inform. The content of this podcast does not constitute medical advice and it is not intended to function as a substitute for a healthcare practitioner’s judgement, patient care or treatment. The views expressed by contributors are those of the speakers. BMJ does not endorse any views or recommendations discussed or expressed on this podcast. Listeners should also be aware that professionals in the field may have different opinions. By listening to this podcast, listeners agree not to use its content as the basis for their own medical treatment or for the medical treatment of others.

    Valproate restriction, sexual dysfunction, and neuropathology - Editors' Highlights June 2024

    Valproate restriction, sexual dysfunction, and neuropathology - Editors' Highlights June 2024

    Journal editors Prof. Philip Smith and Dr. Geraint Fuller discuss the June 2024 issue of Practical Neurology, covering some of the interesting articles published this month. A number of difficult challenges and tradeoffs are featured, relating to recent men-only guidance for sodium valproate use, folic acid dosing for women with epilepsy, post-mortem brain donation, and sexual dysfunction caused by neurological medication. There is also some insight into the treatment of hepatic encephalopathy and congenital myasthenia.
    Read the issue: https://pn.bmj.com/content/24/3
    Further reading:
    Cancer Risk in Children of Mothers With Epilepsy and High-Dose Folic Acid Use During Pregnancy. Vegrim HM, Dreier JW, Alvestad S, et al. JAMA Neurol. 2022;79(11):1130–1138.
    Please subscribe to the Practical Neurology podcast on your favourite platform to get the latest podcast every month. If you enjoy our podcast, you can leave us a review or a comment on Apple Podcasts (https://apple.co/3vVPClm) or Spotify (https://spoti.fi/4baxjsQ). We'd love to hear your feedback on social media - @PracticalNeurol.
    The PN podcast is produced by Letícia Amorim and edited by Brian O'Toole. Thank you for listening.

    • 42 min
    Ptosis with paroxysmal cough, and "just another kinase" - Case Reports

    Ptosis with paroxysmal cough, and "just another kinase" - Case Reports

    The first of this episode's two case reports features a 62-yo man, referred from ophthalmology with a drooping eyelid, chronic coughing, and excess sweating in the face provoked by eating (1:21). An MR scan finds abnormal deposits in his brain - (link)
    The second report describes two patients (17:05), firstly a 70-yo man presenting with abnormal facial movements and weight loss, and secondly a 90-yo woman with abnormal movements of her right arm and leg. Routine blood tests at presentation for both patients were normal at presentation - (link)The case reports discussion is hosted by Prof. Martin Turner (1), who is joined by Dr. Ruth Wood (2) and Dr. Xin You Tai (3) for a group examination of the features of each presentation, followed by a step-by-step walkthrough of how the diagnosis was made. These case reports and many others can be found in the April 2024 issue of the journal.(1) Professor of Clinical Neurology and Neuroscience at the Nuffield Department of Clinical Neurosciences, University of Oxford, and Consultant Neurologist at John Radcliffe Hospital.(2) Neurology Registrar, University Hospitals Sussex.(3) Clinical Academic Fellow, Nuffield Department of Clinical Neurosciences, Oxford University, and Neurology Specialty registrar, Oxford University Hospital. Please subscribe to the Practical Neurology podcast on your favourite platform to get the latest podcast every month. If you enjoy our podcast, you can leave us a review or a comment on Apple Podcasts (https://apple.co/3vVPClm) or Spotify (https://spoti.fi/4baxjsQ). We'd love to hear your feedback on social media - @PracticalNeurol.The PN podcast is produced by Letícia Amorim and edited by Brian O'Toole. Thank you for listening. 

    • 34 min
    A new guideline for spontaneous intracranial hypotension

    A new guideline for spontaneous intracranial hypotension

    The first multidisciplinary consensus guideline for the diagnosis and treatment of spontaneous intracranial hypotension (SIH) has recently been published by the UK SIH Specialist Interest Group. Group members Prof. Manjit Matharu (1), Dr. Indran Davagnanam (2), and Mr. Parag Sayal (3) join Dr. Amy Ross-Russell to explain their recommendations. They discuss the impact this condition has on patients, the possible presentations, and approaches for diagnosis and treatment.
     
    Read the article: Spontaneous intracranial hypotension
     



    (1) Department of Brain Repair and Rehabilitation, UCL Queen Square Institute of Neurology, London, UK(2) Lysholm Department of Neuroradiology, National Hospital for Neurology and Neurosurgery, London, UK(3) Victor Horsley Department of Neurosurgery, National Hospital for Neurology and Neurosurgery, London, UKPlease subscribe to the Practical Neurology podcast on your favourite platform to get the latest podcast every month. If you enjoy our podcast, you can leave us a review or a comment on Apple Podcasts (https://apple.co/3vVPClm) or Spotify (https://spoti.fi/4baxjsQ). We'd love to hear your feedback on social media - @PracticalNeurol.
    The PN podcast is produced by Letícia Amorim and edited by Brian O'Toole. Thank you for listening.

    • 41 min
    An underappreciated vitamin, eponymous syndromes, and drop attacks - Editors' Highlights April 2024

    An underappreciated vitamin, eponymous syndromes, and drop attacks - Editors' Highlights April 2024

    Journal editors Prof. Philip Smith and Dr. Geraint Fuller discuss the April 2024 issue of Practical Neurology, covering some of the interesting articles published this month. Topics include inconsistencies observed in functional gait, the consequences of restrictive diets with reduced riboflavin, and a guideline to managing patients with spontaneous intracranial hypotension. In syndromic sightings there's a scattering of Ehlers-Danlos, Strachan and Alzheimer's to name but a few. Plus, some correspondence shedding light on the meaning behind an oversized comb - or was it an extreme brush?
    Read the issue: https://pn.bmj.com/content/24/2
    Please subscribe to the Practical Neurology podcast on your favourite platform to get the latest podcast every month. If you enjoy our podcast, you can leave us a review or a comment on Apple Podcasts (https://apple.co/3vVPClm) or Spotify (https://spoti.fi/4baxjsQ). We'd love to hear your feedback on social media - @PracticalNeurol.
    The PN podcast is produced by Letícia Amorim and edited by Brian O'Toole. Thank you for listening.

    • 47 min
    Tonic-clonic seizures, and persistent abdominal pain - Case Reports

    Tonic-clonic seizures, and persistent abdominal pain - Case Reports

    The first case for this issue's discussion is one of a young man with a history of involuntary jerks and photosensitivity (1:20). Several more seizures followed his initial presentation with a general tonic-clonic seizure. A number of examinations were done including an MR scan and EEG - (link)
    Case two involves a 69-yo woman who developed non-convulsive status epilepticus, having been examined as a gastroenterology inpatient for abdominal pain (22:20). A positive PCR for Whipple’s disease in stools and saliva, but negative in the CSF, prompted further testing - (link)
    The case reports discussion is hosted by Prof. Martin Turner (1), who is joined by Dr. Ruth Wood (2) and Dr. Xin You Tai (3) for a group examination of the features of each presentation, followed by a step-by-step walkthrough of how the diagnosis was made. These case reports and many others can be found in the February 2024 issue of the journal.
    Further reading:



    Panegyres PK. Diagnosis and management of Whipple’s disease of the brain. Practical Neurology 2008;8:311-317.



     











    Association of British Neurologists. Rare Diseases Ascertainment and Recruitment (RaDAR).











     
    (1) Professor of Clinical Neurology and Neuroscience at the Nuffield Department of Clinical Neurosciences, University of Oxford, and Consultant Neurologist at John Radcliffe Hospital.(2) Neurology Registrar, University Hospitals Sussex.(3) Clinical Academic Fellow, Nuffield Department of Clinical Neurosciences, Oxford University, and Neurology Specialty registrar, Oxford University Hospital. Please subscribe to the Practical Neurology podcast on your favourite platform to get the latest podcast every month. If you enjoy our podcast, you can leave us a review or a comment on Apple Podcasts (https://apple.co/3vVPClm) or Spotify (https://spoti.fi/4baxjsQ). We'd love to hear your feedback on social media - @PracticalNeurol.The PN podcast is produced by Letícia Amorim and edited by Brian O'Toole. Thank you for listening. 

    • 44 min
    Making the most of electroencephalography, with Dr. Nick Kane

    Making the most of electroencephalography, with Dr. Nick Kane

    Neurophysiologists may "lock ourselves away in rooms looking at screens with wiggly lines on", but what are the applications in a clinical context for electroencephalography (EEG)?
    In this deep-dive episode, podcast editor Dr. Amy Ross Russell is joined by Dr. Nick Kane (1), an author of the Editors' Choice for the Feb 2024 issue, "Electroencephalography in encephalopathy and encephalitis". They discuss the strategy of serial EEGs in epilepsy diagnosis, neuroinflammation in both autoimmune and COVID19 cases, prognostication for coma patients, and how automated AI systems may be integrated into ICU monitoring. 
    Further reading:
    Tveit J, Aurlien H, Plis S, et al. Automated Interpretation of Clinical Electroencephalograms Using Artificial Intelligence. JAMA Neurol. 2023;80(8):805–812.
    L.J.W. Canham et al. Electroencephalographic (EEG) features of encephalopathy in the setting of Covid-19: a case series. Clin Neurophysiol Pract (2020)
     
    (1) Grey Walter Dept of Clinical Neurophysiology, North Bristol NHS Trust, Westbury on Trym, UK
     
    Please subscribe to the Practical Neurology podcast on your favourite platform to get the latest podcast every month. If you enjoy our podcast, you can leave us a review or a comment on Apple Podcasts (https://apple.co/3vVPClm) or Spotify (https://spoti.fi/4baxjsQ). We'd love to hear your feedback on social media - @PracticalNeurol.
    The PN podcast is produced by Letícia Amorim and edited by Brian O'Toole. Thank you for listening.

    • 42 min

Customer Reviews

4.7 out of 5
30 Ratings

30 Ratings

another wlfbp fan ,

Really helpful!

Love both formats of the podcast: the editors’ choice episodes are such a great way of providing an overview of and inroad into the journal, the in-depth discussions are refreshingly easy to follow and really suit my style of learning (being talked through a topic renders it much more penetrable than simply reading the article and guides you through the most important points). As a new trainee (at a stage where it sometimes feels impossible to know everything but difficult to know what you really need to know) it is really helpful to hear experienced clinicians sort out the things really important to understand from those that are more reference points to return to in certain scenarios. It is also encouraging to hear the podcast hosts admit to certain topics/concepts being unfamiliar or different to grasp - as at this stage many topics feel this way to be and it is good to know I’m not alone. Please don’t stop producing these podcasts!

Ianto mcantor ,

Important, credible and contemporary

Educational podcasts can be a challenge to get right, what’s the message, what’s the tone? These authoritative and intimate conversations feel like you’re eavesdropping on the two most intelligent people that you know, discuss something that they love.
Important, credible and contemporary these are hugely impressive podcasts.

Geraint() ,

Really useful CPD

Very enjoyable and interesting. Big fan of Practical Neurology.

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