Neurology Archives

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Neurology

UKHSA provides update on Nimbus Covid variant spread

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Quay Healthcare Adult ADHD Services: A report on service implementation

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New training code published for GPs on learning disability and autism

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Ice slush drinks not suitable for children under seven, FSA warns

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NHS App to match patients with clinical trials under 10-year health plan

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NHS image bank of how conditions appear on different skin tones launched

Diabetes in pregnancy associated with increased risk of autism and ADHD

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Researchers find many more ME/CFS patients in England than previously reported

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Once in a lifetime: Narcolepsy

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Long Covid and ME patients report delays in diagnosis and low satisfaction

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Clinical conundrum: Care home demanding sedation for a dementia patient

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ICB agrees to fund new locally-commissioned services following GP collective action

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Investigation into death related to epilepsy drugs shortages

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Further 8% increase in ADHD prescribing in last quarter of 2024

CPD: Managing patients with medically unexplained symptoms – beyond investigations

NICE to reconsider Alzheimer’s drug rejection

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CPD: Key questions on non-pain symptom control in palliative care

Case of the month answers – what was causing this patient’s panic episodes?

Heart attack and stroke risk higher with certain hormonal contraceptives

CPD: Understanding medically unexplained symptoms – initial management

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Case of the month – what’s causing this patient’s panic episodes?

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Spotting pathology in art: Fuseli’s ‘The Nightmare’

Case of the month – what’s causing this patient’s panic episodes?

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Spotting pathology in art: Fuseli’s ‘The Nightmare’

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Case of the month – answers: Did you get the cause of the patient’s sudden memory loss?

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Adults with ADHD ‘living shorter lives than they should’, GP records study finds

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GLP-1 weight-loss drugs may cut risk of dementia and other conditions

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Case of the month: What’s causing this patient’s sudden-onset confusion and memory loss?

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GPs must continue promotion of folic acid in pregnancy after fortification of flour

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Clinical Quizmas: What is causing these patients’ long faces?

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Atomoxetine and stimulants best treatments for adult ADHD, study suggests

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Most young people with long Covid recover within two years

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$Clinical Quizmas: Why the festive collapse and what has the ice-skater fractured?$

Clinical Quizmas: Why the festive collapse and what has the ice-skater fractured?

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GPs asked to pull out of ADHD shared-care agreements as part of collective action

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Case of the month answers – what was the cause of this young worker’s abdominal pain?

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GPs to prescribe digital therapies for tic disorders, says draft NICE guidance

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CPD: Key questions on vitamin B12 deficiency

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NICE rules newly-approved Alzheimer’s-slowing drug too costly for NHS

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Case of the month answers: What was causing this patient’s nausea and tingling fingers?

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MHRA warns men taking valproate to use contraception over small risk to children

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CPD: An introduction to genetic haemochromatosis

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Once in a lifetime: Acoustic neuromas

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Do we overdiagnose autism?

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Case of the month answers: Did you get what caused the non-vertigo dizziness?

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Case of the month: What is wrong with this elderly man with non-vertigo dizziness?

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People with MS at risk of severe outcomes from Covid despite being fully vaccinated

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Once in a lifetime: Porphyria

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Antipsychotics associated with much wider harms in dementia patients than thought

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Migraine: Myths and Facts

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GPs alerted as reagent shortage hinders trust in processing bloods

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Ten tips for providing more holistic and supportive dementia care

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Diabetes drug shows potential in treating Parkinson’s disease

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NICE recommends first oral drug for preventing both chronic and episodic migraines

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NHS has no hope of meeting autism and ADHD demand, warns report

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Casebook: Prescription drug dependence

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NHS England announces ADHD taskforce to improve care

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Rational referrals: Neurology

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Overdiagnosis: The diagnostic challenges in long Covid

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Rubber-stamped NICE B12 guidance will be ‘challenging’ to implement, say GPs

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CPD: Key questions on primary headache disorder

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Study offers clues into chronic fatigue syndrome

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Drugs used to treat erectile dysfunction may reduce Alzheimer’s disease risk

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Online group rehab can improve quality of life in people with long Covid

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Supporting autistic patients

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Alzheimer’s blood test could help early diagnosis and direct treatment

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Key questions: Neuralgias

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Attending NHS Health Check linked to ‘significantly lower risk of disease’

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MHRA reviews risk of autism for children whose fathers took valproate

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Pulse Reference Masterclass: Dementia

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MHRA to put tighter rules on valproate prescribing in place from January

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Spotting pathology: realist painting of a woman in a field

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GP leaders want annual ADHD health check enhanced service

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BMA calls for ‘urgent progress’ on recognising long Covid as occupational disease

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Pandemic lockdowns led to sustained cognitive decline among older adults

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One in 20 UK patients have long Covid over a year after infection

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Young-onset dementia: The role of primary care

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Regular Tai Chi may curb Parkinson’s disease for years, study finds

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Clinical Clanger: ‘Can I have some more prochlorperazine for my dizziness?’

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GPs struggling to manage ADHD drugs shortages amid lack of support

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Key questions: Dementia

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Overdiagnosis: ADHD

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Complicated pregnancy clinic: Epilepsy

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GPs asked to contact ADHD patients to discuss medicines shortage

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NICE recommends GPs prescribe insomnia drug if CBT fails

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Key questions: Multiple sclerosis

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NICE to recommend rimegepant as first acute migraine treatment

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ADHD is ‘independent risk factor’ for serious mental health conditions

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NHS to pilot puzzles app to speed up dementia diagnosis

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University students urged to see GP for catch-up meningitis jab

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Red flags in assessing acute vertigo

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GPs to be given training on ME/CFS to counter ‘dismissive attitudes’

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Patients with fibromyalgia at heightened risk of death, researchers warn

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Row reignites on NICE ME/CFS guidance as researchers question process

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More adults than children diagnosed with ADHD for first time

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GPs asked to identity patients at risk from anti-epilepsy drug shortages

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NICE approves novel oral drug rimegepant for preventing migraine

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Concerns raised over ADHD overdiagnosis by private prescribers

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Tick-bite patients advised to see GP if unwell after TBE detected in UK

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Research points to patterns of immune cell dysregulation linked to long Covid symptoms

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Vaccination halves long Covid risk, large study finds

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GPs asked to review Parkinson’s medicines after special container status change

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‘Psychosocially vulnerable’ more at risk of persistent fatigue after Covid

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Most long Covid symptoms resolve a year after mild infection, research suggests

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Over two thirds of first-wave Covid infections led to long Covid, finds study

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Long Covid patients show signs of autoimmune disease, find researchers

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Clinical clangers: ‘My headaches are getting worse, doctor – it must be my blood pressure’

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Are you a diagnostic genius? ‘My husband has aged so much in the past year’

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Poor mental health increases long Covid risk, finds study

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Government seeks views on how much folic acid to add to flour

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More than one in ten GP referrals to long Covid clinics rejected

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JCVI advises of changes to infant vaccination schedule

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Clinical clangers: ‘My ear infection is back again, can I get something to clear it up properly?’

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5% of people suffer long-term loss of taste or smell after Covid

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‘Advice and guidance is eroding our long-term contract with secondary care’

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Neurology lead claims rejected referrals have ‘minimal impact’ on GPs

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Four in ten GP neurology referrals rejected after virtual triage introduced

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GPs should be allowed to prescribe medicinal cannabis through national trial, review concludes

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How to consult remotely: headache

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Omicron infection less likely to trigger long Covid than Delta, finds large study

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Trusts ‘vetting’ more neurology referrals to send back to GPs

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Increased blood clot risk can persist for six months after Covid, study finds

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Clinical clangers: ‘She needs an antipsychotic, doctor – she’s started seeing and hearing things’

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Medical arithmetic: rough skin, a painful ear lump and ankle deformity

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1.3 million in UK report having long Covid, ONS survey suggests

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Spina bifida patient wins legal case against GP for ‘not advising folic acid supplement’

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Long Covid-related cognitive impairment

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Final ME/CFS NICE guideline recommends ‘personalised care and support plan’

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Covid infection ‘carries greater risk of neurological complications than vaccines’

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NICE to publish ME/CFS guideline after final meeting next week

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Casebook: Parkinson’s disease

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GPs to continue advising folic acid in pregnancy despite flour fortification

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Researchers identify vaccinated patient groups most at risk of serious Covid

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Updated information on rare Covid-19 vaccine side effects issued

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Covid vaccination halves risk of long Covid in cases of breakthrough infection

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NICE to hold roundtable in attempt to salvage paused chronic fatigue guideline

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NICE pauses publication of ‘unsupported’ chronic fatigue guideline

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GPs to do blood tests for non-acute suspected Covid-vaccine thrombocytopenia

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Single-dose Covid vaccine linked with rare cases of Guillain-Barré syndrome

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Two million people may have had long Covid, finds Government study

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Pregnant women on sodium valproate to be reminded to urgently see GP

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Fatigue lasting months most common long Covid symptom, finds NIHR review

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Erenumab recommended for some migraine patients under commercial deal

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Appeal success on NICE guidance on erenumab for preventing migraine

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NICE recommends new migraine treatment for up to 200,000 patients in the UK

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Non-Covid clinical crises: MS relapse

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Non-Covid clinical crises: TIA

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Non-Covid clinical crises: Cluster headaches

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Non-Covid clinical crises: Potential brain tumour

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How to spot zebras – motor neurone disease

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CPD: Key questions on autistic spectrum disorder

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Five minute refresher – insomnia

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GP dementia screening aids ‘often misclassify’ patients, finds study

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How to spot zebras – recognising narcolepsy

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Neurology hotline for GPs ‘saves more than £100,000 a year’

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How to spot zebras – acoustic neuroma

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Cannabis debate leaves GPs facing a prescribing conundrum

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NICE: GPs should avoid anticholinergic drugs which raise dementia risk

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How to spot zebras – Huntington’s disease

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GPs should interview relatives when assessing dementia, says NICE

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GPs told to review 27,000 patients on valproate ‘within months’

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Guideline of the month – managing acute and chronic migraine

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Instant wisdom – neurology

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New drug substantially reduces migraine symptoms, finds study

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GPs set to maintain register of autism patients under QOF proposals

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Measuring stress levels may help predict onset of migraines, study finds

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CPD: Key questions on migraine

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GP social prescribing can reduce appointments ‘by over one fifth’

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NICE urges GPs to review mental health of people with learning disabilities every year

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GPs to be paid £150 to diagnose and treat dementia

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GPs could see pregabalin restrictions lifted after Pfizer loses court appeal

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GPs can refer ex-soldiers to MOD if they took mefloquine

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Obscure diagnosis – postural tachycardia syndrome

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Obscure diagnosis – hemicrania continua

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Learning disabilities DES ‘reduces avoidable hospital admissions’

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Obscure diagnosis – orthostatic tremor

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Should everyone be on vitamin D?

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GPs should be incentivised to check memory problems, says dementia czar

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Obscure diagnosis: exploding head syndrome

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Prime Minister’s GP dementia diagnosis drive increased ‘false alarms’ by 150%

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Revealed: the dementia diagnosis drive that went too far

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Anxious parents force GP practice to close waiting list for private Men B jabs

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‘These figures are alarming’

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100,000 patients set to receive personal health budgets by 2020

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Government told to restrict gabapentin and pregabalin availability

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Fall in shingles vaccinations ‘could be due to pharmacy flu scheme’

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Referral of the month – the diarrhoeal diabetic

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GPs urged to be cautious about prescribing ritalin by gold-standard review

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GPs need support in taking more dementia patients off antipsychotics, say experts

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GPs ‘not confident’ to clear rugby players after concussion

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Alzheimer’s drug ‘helps keep patients out of care homes’

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People with migraine with aura ‘should be offered statins at lower risk thresholds’

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The treatment – migraine

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Drug giant’s pregabalin claim thrown out of court, but GPs still have to switch patients

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GPC tells GPs not to accept pregabalin costs from drugs company ‘out of principle’

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Number of people developing dementia ‘stabilising’

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Drugs company offers to reimburse GP practices for the cost of switching pregabalin prescriptions

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GPs could diagnose dementia ‘with three simple questions’

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GPs must give new paracetamol advice with MenB vaccinations

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GPs urged to be ‘more open’ about end of life under NICE alternative to Liverpool Care Pathway

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Pfizer calls for new measures to stop GPs prescribing generic pregabalin

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Prescriptions ‘up by over 50% in past decade’

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Five minute refresher – headache

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‘We wish we could have explained this better’

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Pfizer apologises ‘for causing GPs concern’ over pregabalin patent enforcement

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Single CBT session could prevent chronic insomnia

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The treatment – insomnia

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Stop almost all psychiatric drug use, urges Cochrane expert

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The treatment – neuropathic pain

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Pharmacists told to refuse GPs’ generic pregabalin prescriptions

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GPs should be sued for ‘late’ dementia diagnoses, says professor

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GPs record 25% hike in dementia cases since introduction of ‘cash for diagnosis’ scheme

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Area team issues GPs wrong contract for dementia DES

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Election pledges on health and wellbeing – do they add up?

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GPs told to delay ‘freshers’ meningitis jab until combined vaccine available

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Challenges in neurology (1.5 CPD hours)

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GPs set to screen millions more for dementia under ‘significant’ expansion of enhanced service

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NHS England steps in after GPs’ prescriptions of pregabalin were treated as ‘significant event’

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Hunt announces £68m partnership with pharmaceutical companies to battle dementia

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Q&A: What the change in dementia diagnosis rates means for GPs

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GP dementia diagnosis rates to increase by five percentage points overnight

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Over 10,000 patients to get combined personal health and social care budget

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GPs told to carry out review of patients taking pregabalin ‘as soon as possible’

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Clinical casebook: migraine (1.5 CPD hours)

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GPs have ‘three strikes’ policy before willing to refer for dementia, Alzheimer’s chief claims

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Inappropriate GP dementia referrals double since introduction of case-finding DES

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Have GPs been ‘gaming’ the dementia DES?

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GPs to ‘snoop’ on colleagues, young fathers are more likely to pass on genetic defects and dementia research ‘despair’

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GPs should review all nursing home residents for dementia, says NHS England lead

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In full: NHS England’s FAQ on diagnosing dementia in care homes

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GPs to recommend ‘books on prescription’ to patients with dementia

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Learning disabilities DES ‘led to improved care’

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GPs ‘should recommend joining walking groups’ to their patients

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CCG drops plan to ration hearing aids

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CCGs cut back on audiology services

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Neurology clinic – Charcot Marie Tooth disease

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Thank God they’ve binned the dementia DES

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Neurology clinic – multiple sclerosis

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Six in 10 practices sign up for ‘cash for dementia diagnoses’ scheme

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Book review: Neuroanatomy by AR Crossman and D Neary

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Neurology clinic – Guillain-Barré syndrome

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Cameron pledges £15 million to help find new dementia drugs

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The treatment – dementia

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NHS England to drop ‘cash for dementia diagnoses’ scheme

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GPs to diagnose and care for dementia like other long-term conditions, says Government advisor

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Neurology clinic – transient global amnesia

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GPs split over dementia diagnosis scheme

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GPs urged to discontinue aspirin in stable CAD patients with atrial fibrillation

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NHS England extends deadline for ‘cash for diagnosis’ dementia scheme

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Over 40% of GPs prepare to sign up for ‘cash for diagnosis’ dementia scheme

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Neurology clinic – brain tumour

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Leading doctors urge withdrawal of dementia ‘cash for diagnoses’ scheme

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Why have we signed up for a dementia scheme we don’t believe in?

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GPs pledge to donate ‘unethical’ diagnosis cash to local dementia care services

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Working with refugees and asylum seekers

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Cash for dementia diagnoses intended to cover GP costs, Stevens says

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Neurology clinic – autonomic neuropathy

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‘GPs have not asked for this scheme’

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Cash for dementia diagnoses ‘draws attention’ to under-diagnosis, says NHS long-term conditions tsar

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GPs to be paid £55 for every dementia diagnosis under new identification scheme

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GPs advised to try CBT for non-specific physical symptoms in children and their mothers

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Neurology clinic – encephalitis

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GPs refer vulnerable elderly to handle furry animals

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Neurology clinic – motor neurone disease

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GPs offered £200 payment for each newly diagnosed dementia patient

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GPs to use ‘brain tool’ to risk assess dementia in early middle aged patients

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NHS chief calls for ‘step-change’ in GP dementia diagnosis

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GPs could face increased targets for dementia diagnosis

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Key questions on neuropathies and neuralgias (1.5 CPD hours)

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GPs urged to review anticholinergics use in elderly

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Dementia DES had little impact on number of patients diagnosed

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One in five GPs report patient harm as mental health services struggle to cope

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Government’s telecare scheme costs 10 times NHS cost-effectiveness threshold

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GPs should offer advice on dementia to middle-aged patients, says NICE

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NICE extends cosleeping guidance up to 1 years of age

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What not to do – neurology

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Key questions on migraine (1.5 CPD hours)

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The information: restless leg syndrome (0.5 CPD hours)

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Dementia roadmap marks ‘huge step forward’ in patient care, says RCGP

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Key questions on multiple sclerosis (1.5 CPD hours)

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Practices warned over potential meningitis C vaccine error

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The information – Cluster headaches

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Dementia DES revamped to make screening offer more flexible

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National dementia strategy to be renewed and ‘refreshed’ from April

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Alzheimer’s drugs ‘overprescribed’ suggest NHS figures

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GP review of dementia coding ‘could help close diagnosis gap’

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Guideline debrief: neuropathic pain (1.5 CPD hours)

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Exercise may improve cognition in patients with dementia, say researchers

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How not to miss multiple sclerosis

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The information – restless legs syndrome

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Dementia tsar admits mistakes in enhanced service

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GPs hit by widespread complaints from patients ‘unhappy’ over dementia screening

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Tricky 10 minutes – ‘I want a brain scan for these headaches’

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DH reviews dementia prevalence estimates after study suggests drop in cases

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The information – essential tremor

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Polymyalgia rheumatica (1.5 CPD hours)

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Ten top tips – Parkinson’s disease

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Acetylcholinesterase inhibitors ‘do not slow progression of cognitive impairment’

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Experts criticise ‘war on dementia’ diagnosis

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Risk score predicts 10-year risk of dementia in elderly with diabetes

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Ten top tips – OCD

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How not to miss – meningitis

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Dementia – new data, old rhetoric?

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Vertigo (2 CPD hours)

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ACE inhibitors ‘slow cognitive decline’ in dementia

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Antiepileptics in pregnancy ‘linked with child developmental problems’

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‘Substantial’ decline in rate of dementia over past two decades

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Pre-eclampsia exposure linked to cerebral palsy in preterm, low birthweight infants

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Clinical casebook: epilepsy (1.5 CPD hours)

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HRT ‘has no effect on cognitive function’

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How we delivered our stroke prevention message

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Surgery ‘benefits patients with severe OCD’

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How not to miss – subarachnoid haemorrhage

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RCGP backs drive to boost dementia diagnosis rates by 50%

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Expert urges GPs to take up dementia DES

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Hunt vows to ‘change GPs’ minds’ over dementia diagnosis

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Insomnia – Key questions (1 CPD hour)

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Analysis: This is just one study – but we must move away from a chemical reliance in dementia

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GPs able to manage sleep apnoea ‘as well as specialists’

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Abandon antidepressants as first-line option for depression in dementia, GPs told

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Abbreviated Mental Test

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Trigeminal neuralgia – The information (0.5 CPD hours)

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Sleep hygiene advice for patients

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The information – Bell’s palsy

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Analysis: Will earlier dementia diagnosis harm patients?

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Dementia screening DES ‘contradicts NICE’ and causes harm

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Last-minute QOF tips: Stroke, 2012/13

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Epilepsy – Key questions (1.5 CPD hours)

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Pregnant women ‘more likely to discontinue epilepsy drugs’

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Patient leaflet: Chronic migraine

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A case that changed my practice – an anxious patient with a headache

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Tricky ten minutes – ‘how can I stop my constant migraines?’

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The information – trigeminal neuralgia

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Movement disorders in the elderly – Key questions (1.5 CPD hours)

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Demonstration of the Epley manoeuvre

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GPs to screen all at-risk patients for dementia

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SSRI cut disability and depression after stroke

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Headache – Hot topics (2 CPD hours)

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Price of anti-epilepsy drug rockets

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Ten Top Tips – Sleep apnoea

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The Epworth sleepiness score

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Headache – Guideline debrief (2 CPD hours)

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Primary care emergencies – PulsePlus (3 CPD hours)

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Self-treatment exercises for vertigo – patient leaflet

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Statins ‘have no effect’ on mortality in women

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Pre-diabetes increases stroke risk ‘by a quarter’

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Guideline update – NICE epilepsy guidance

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Clinical casebook: Neuropathies (1.5 CPD hours)

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Nicotine patches ‘reverse cognitive impairment’

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Acupuncture associated with ‘minor’ improvements in migraine

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Headache patients ‘should drink more water’

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Toolkit for prescribing dabigatran

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School guidelines for headaches

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Newer epilepsy drugs ‘disappointing’ on reducing seizure risk

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NICE rethinks pregabalin over cost

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NHS memory services are falling short

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Review of graded exercise therapy

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Guidance: Referring patients with dizziness

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Clinical picture of the week: Facial palsy

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DH pilot to judge GPs on whether patients feel better

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GPs feeling pressurised to prescribe unlicensed medication for ADHD, warn LMC leaders

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GPs warned of fatal risk to elderly patients from common drug combinations

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ABCD2 tool ‘inaccurate as a predictor of stroke’

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Newer antiepileptic drugs not linked to birth defects

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A GP guide to neurological referrals

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Tremor

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Ten top tips on multiple sclerosis

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Direct GP access to diagnostics is the only way to meet demand

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GPs urged to track epilepsy patients as deaths rise

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Video: ‘Just because someone is agitated, it doesn’t mean they need a drug’

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Neurology ‘lottery’ as costs vary 10-fold

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Atrial fibrillation ‘linked with dementia’

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Here we go again

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Sleep diary

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CBT and exercise therapy effective for CFS

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Dementia drugs are worth cost

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Costs to spiral after NICE Alzheimer’s decision

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Dementia drugs approved for mild Alzheimer’s disease

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$Epilepsy drug fracture risk in over 55s$

Epilepsy drug fracture risk in over 55s

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Everybody be cool

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Long-term tricyclic use beneficial for migraine

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Symptom sorter on feeling tense and anxious

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Nowhere to run

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No Brucie bonus for NICE

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GPs could hand care pathways to charities

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Migraine ‘increases risk of mortality’

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Ten tips on managing chronic headache

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GP experts welcome new QOF dementia targets

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Different strokes

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One in five stroke patients has silent artery disease

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Annual microalbuminuria testing ‘reveals many false positives’

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NICE advises amitriptyline first-line for neuropathic pain

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GMC alert on private screening tests

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Easy way to 100% QOF scores, report claims

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