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10.01.2022

BrainWaves #155 Teaching through clinical cases: Handed the diagnosis


MedLink Neurology Podcast is delighted to feature selected episodes from BrainWaves, courtesy of James E Siegler MD, its originator and host. BrainWaves is an academic audio podcast whose mission is to educate medical providers through clinical cases and topical reviews in neurology, medicine, and the humanities, and episodes originally aired from 2016 to 2021.

Originally released: January 23, 2020

In a patient with isolated, progressive hand numbness and weakness, there is much to be learned about the clinical exam. Often, it’s all you need. Dr. Aakriti Kothiwal of Cooper University Hospital presents this week's clinical case and helps localize the lesion.

Produced by James E Siegler and Aakriti Kothiwal. Music courtesy of Jazzar, Lee Rosevere, and Loyalty Freak Music. Sound effects by Mike Koenig and Daniel Simion. BrainWaves' podcasts and online content are intended for medical education only and should not be used for clinical decision-making. Be sure to follow us on Twitter @brainwavesaudio for the latest updates to the podcast.

REFERENCES

Aamodt WW, Siegler JE, Elman L. Teaching Neuro Images: acute infarction of the left medial lemniscus masquerading as a peripheral neuropathy. Neurology 2017;88(17):e178. PMID 28438850

Bouche P. Compression and entrapment neuropathies. Handb Clin Neurol 2013;115:311-66. PMID 23931789

Gross PT, Jones HR Jr. Proximal median neuropathies: electromyographic and clinical correlation. Muscle Nerve 1992;15(3):390-5. PMID 1313546

Gross PT, Tolomeo EA. Proximal median neuropathies. Neurol Clin 1999;17(3):425-45, v. PMID 10393747

Hobson-Webb LD, Juel VC. Common entrapment neuropathies. Continuum (Minneap Minn) 2017;23(2, Selected Topics in Outpatient Neurology):487-511. PMID 28375915

Padua L, Coraci D, Erra C, et al. Carpal tunnel syndrome: clinical features, diagnosis, and management. Lancet Neurol 2016;15(12):1273-84. PMID 27751557

Peters N, Müller-Schunk S, Freilinger T, Düring M, Pfefferkorn T, Dichgans M. Ischemic stroke of the cortical "hand knob" area: stroke mechanisms and prognosis. J Neurol 2009;256(7):1146-51. PMID 19353229


We believe that the principles expressed or implied in the podcast remain valid, but certain details may be superseded by evolving knowledge since the episode’s original release date.

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