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Resident & Fellow Section

Featured Commentaries

  • Invited Commentary: A Case of Multiple Intracranial Lesions—Using Clinical Reasoning to Tackle an Old Foe with a New Face
    May 15, 2023 | Miranda Mengyuan Wan, BSc, MD

    Clinical reasoning is a fundamental skill for neurology trainees. Techniques to promote clinical reasoning include the encapsulation and formation of illness-scripts, testing and reinforcement of hypotheses, and engagement in conceptual learning.1,2 The intentional practice of clinical reasoning, such as using Neurology® Resident & Fellow Section Clinical Reasoning articles, remains critical in skill development.3  

    In their recent article published in Neurology, Ngo and colleagues highlight an approach to a case with multiple intracranial lesions, which can be utilized by trainees and clinician-educators to strengthen learners’ diagnostic skills in this challenging clinical scenario.  

    READ MORE


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    Katrina Ignacio, MD; Nadia Khalil, MD; Stephanie Syc-Mazurek, MD, PhD; Galina Gheihman, MD; and Isabella Ferando, MD, PhD

    Invited Commentary: Boosting the Cultural Capital of First-Generation Medical Trainees—How Can Institutions Bridge the Gap?
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    View All Blog Posts
  • May 23 | Video e-Pearl | Bell’s Palsy: Lower Motor Neuron Pattern Facial Weakness

    e-Pearls archive | Video e-Pearls archive |Submit an e-Pearl

     

    Case Description

    An 80-year-old man with HTN, HLD, and T2DM developed left facial droop and difficulty closing his eye over 1-2 days. Exam revealed inability to smile, raise his eyebrow, or fully close his eye (Video). Other cranial nerves and exam were normal. Brain MRI (to evaluate for brainstem stroke and structural lesions) and serum workup were negative, consistent with Bell’s palsy. The upper face receives innervation from bilateral hemispheres whereas the lower face is supplied by contralateral motor cortex only.1 Lower motor neuron cranial nerve VII lesions demonstrate upper and lower facial weakness whereas upper motor neuron lesions spare the forehead. The House-Brackmann scale can be used to grade severity and guide management.2

    References

    1. Berkowitz A. Clinical neurology and neuroanatomy: A Localization-based approach. Lange McGraw Hill: 2017.

    2. House JW, Brackmann DE. Facial nerve grading system. Otolaryngol Head Neck Surg. 1985;93(2):146-7. doi:10.1177/019459988509300202


    Submitted by: Galina Gheihman, MD, Resident Physician, Mass General Brigham Neurology Program, Brigham & Women’s Hospital and Massachusetts General Hospital, Boston, MA; Baris Alten, MD, PhD, Resident Physician, Mass General Brigham Neurology Program, Brigham & Women’s Hospital and Massachusetts General Hospital, Boston, MA; Marcelo Matiello, MD, Assistant Professor of Neurology at Harvard Medical School and Massachusetts General Hospital, Boston, MA

    Dr. Alten and Dr. Matiello report no disclosures. Dr. Gheihman is a Neurology Resident & Fellow Section Editorial Board Member, 2021-2024.

Latest Articles

  • Resident & Fellow Section
    Future of Neurology & Technology: Neuroimaging Made Accessible Using Low-Field, Portable MRI
    Nethra R. Parasuram, Anna L. Crawford, Mercy H. Mazurek, et al.
    Neurology January 31, 2023
  • Resident & Fellow Section
    Teaching NeuroImage: Primary CNS Vasculitis Mimicking Intracranial Tumor
    Hanlin Sun, Shujiang Zhang, Tianping Yu, et al.
    Neurology February 07, 2023
  • Resident & Fellow Section
    Clinical Reasoning: Adult Patient Presenting With Spine Pain Following a Motor Vehicle Accident
    Vaishnavi Sharma, Oscar Soto
    Neurology January 31, 2023
  • Resident & Fellow Section
    Pearls & Oy-sters: Harnessing New Diagnostic and Therapeutic Approaches to Treat a Patient With Genetic Drug-Resistant Focal Epilepsy
    Aafreen Khan, Erik H. Middlebrooks, Pradeep Javarayee, et al.
    Neurology January 25, 2023
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  • Meet the Resident & Fellow Team

    Learn more about our Resident and Fellow Section (RFS) team members!

    Read Bios

    Join the Neurology Resident & Fellow Editorial Team – Apply by July 15, 2023

    The Neurology Resident & Fellow Editors are seeking neurology residents to serve a three-year term as Editorial Team members for the section. Responsibilities begin September 2023 and include manuscript review, assistance in writing manuscripts, recruiting others to write manuscripts, generating ideas for the section, and participation in monthly conference calls. Residents from accredited neurology training programs anywhere in the world are invited to apply. 

    Learn More


    Your Artwork Could be on the Cover of Neurology: Clinical Practice

    Submit your original digital image by June 1 for a chance to have your artwork featured on a remaining 2023 cover of Neurology: Clinical Practice! Submissions received after will be considered for 2024 covers. 

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Safety and Efficacy of Tenecteplase and Alteplase in Patients With Tandem Lesion Stroke: A Post Hoc Analysis of the EXTEND-IA TNK Trials

Dr. Nicole Sur and Dr. Mausaminben Hathidara

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