This website is intended for healthcare professionals

Contents: July/August 2015 issue

Posted in Editor's introduction on 19th Oct 2015

Mike Zandi head shotDiana Olszewska, Allan McCarthy, Emer Fallon, and Tim Lynch from the Mater Misericordiae University Hospital, Dublin, open this issue of ACNR with 12 clinical vignettes of genetic Parkinsonism. Six autosomal dominant (late onset), three autosomal recessive and three atypical juvenile forms are presented, as well as a discussion on the complex genetics of Parkinson’s disease. Miles Levy, Leicester Endocrinologist writes on the pituitary and headache. When should one image the pituitary and arrange pituitary profile blood tests in headache disorders? And what should we make of the pituitary incidentaloma?

Miles Levy writes a helpful account to provide guidance to these questions. Should antiplatelet agents be restarted after a haemorrhagic stroke, or avoided? Rustam Al-Shahi Salman, Edinburgh, and Simon Bell, Sheffield, discuss previous attempts to answer this question which have not done so definitively, and their RESTART randomised
trial, which is already recruiting across 114 UK hospitals so far. A similar trial to address this question with anti-coagulant therapy is in the funding application
stage. Andrew Larner turns to historical descriptions of echo phenomena, including echolalia, echopraxia and the bat-like echolocation, and their utility in refining a dementia diagnosis and relevance to catatonia.

Most of us reading will know the key mentors in our careers, and realise the immense importance of finding and keeping an effective and supportive mentor. We are all in positions to be mentors and several schemes are now providing guidance. Helen Devine and Jon Rohrer in this issue discuss the Association of British Neurologists Trainees’ mentoring scheme, in which neurology registrars can be mentors to junior doctors considering a career in neurology. Other schemes include that run by the Academy of Medical Sciences for clinical academics at later stages in their careers.

We have five conference reviews in this edition, amongst which the recent 19th International Congress of Parkinson’s Disease and Movement Disorders in San Diego, covered in depth by Tom Foltynie, UCL. The Grand rounds, Video Olympics and blue ribbon highlights return us to the article by Olszewska et al at the beginning of this issue, with clear and memorable clinical vignettes. We hope you enjoy this issue of ACNR and have a restful summer.

Mike Zandi, Editor

ACNR 2015;15(3):4.  Online 19/10/2015