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Winning the race against Alzheimer's disease
With Alzheimer's disease (AD), researchers are playing "beat the clock." The population over age 85—who have the greatest risk of AD—has become the fastest-growing demographic. It is thought that as many as 14 million Americans could be afflicted with AD by 2050, unless researchers can figure a way to intervene.
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Focus on women with epilepsy
Special issues for young women with epilepsy include contraception, pregnancy planning, teratogenicity, parenting, and breastfeeding.
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The dizzy patient
A 56-year-old man presents with a complaint of dizziness since yesterday. He notes a spinning sensation associated with nausea that lasts a few seconds. He is afraid to move his head because movement makes him feel ill. His past medical history is unremarkable. He takes multivitamins and does not smoke or use alcohol. He has no other symptoms.
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Epilepsy in older adults
Given that that the average person has one chronic illness for each decade over age 50, one would expect that patients who develop seizures in late life would have associated medical and/or neurologic conditions. Cerebrovascular disease, hypertension, heart disease, diabetes mellitus, renal disease, and dementia all relate to epilepsy. Co-morbidities not only contribute to the causation and consequences of seizures, they also interfere with effective treatment and optimal functioning. Because seizures in older individuals can lead to serious consequences, safe and effective treatment is essential. Yet, antiepileptic drugs (AEDs) may cause adverse effects that may be worse in older patients when compared to younger patients.
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