Neurology

The Cerebrovascular trauma page has been updated with more information about spontaneous dissection. A link from the Headache page has also been added.

The Cerebral venous sinus thrombosis page has been updated, including additional information about the role of D dimer in diagnosis.

The Investigation of suspected SAH page has had a significant rewrite and re-organisation.

The Migraine page has been updated with some additional information about O2 and IV fluids in acute migraine treatment.

The Migraine page has been updated with short segment on the role of corticosteroids in migraine prevention following discharge.

The Investigation of suspected subarachnoid haemorrhage page has been updated with information about subarachnoid mirage.

The Multiple sclerosis page has been updated with additional information about ADEM, a differential diagnosis for MS

The Investigation of subarachnoid haemorrhage page has had a major revision, including clearer guidance about the role (or usual lack of it) for normal risk patients who have had a negative high quality CT within 6 (and probably 12) hours.

The Subarachnoid haemorrhage page has had a major revision, including additional information about the epidemiology of SAH

The Coma and altered conscious state page has been updated, including a greater emphasis on the limitations of the GCS, particularly in non head injured patients.

The Other movement disorders page has been updated, including revision of the segment on Hemiballismus.

The Stroke management page has been updated to include recommended agents to control BP in stroke.

The Stroke page has been updated with a short segment on missed stroke.

A new page called Evidence for thrombolytic therapy in stroke has been created from the content previously on the Thrombolytic therapy in stroke page.

The Investigation of stroke and Stroke management pages have been revised.

The Thrombolystic therapy in stroke page has had a major revision to improve clarity and conciseness. Sections addressing time based and perfusion based strategies have been added.  

The Vertigo page has been updated, including some additional information about the sensitivity of an abnormal gait for a cerebellar stroke.

The Cerebellar function page has been updated with some additional information about how to test for nystagmus.

The Vertigo page has been updated, including some additional information about the HINTs examination.