BrainWaves #68 Teaching through clinical cases: A man with falls

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: July 18, 2017

People fall for a lot of reasons when they get older, but that doesn't mean they should see a neurologist. A person can fall because of weakness, back or leg pain, instability, clumsiness, vision impairment, a sensory disturbance, and a myriad of other causes. Some of these are neurological, and these require special attention. In this week's Teaching through Clinical Cases episode, Dr. Sneha Mantri discusses a patient who presented to her clinic with falls due to rigidity and ocular dysmotility.

Produced by James E Siegler. Music by Josh Woodward and Julie Maxwell. BrainWaves' podcasts and online content are intended for medical education only and should not be used for clinical decision-making.

REFERENCES

Brazis PW, Masdeu JC, Biller J. Localization in Clinical Neurology. 6th ed. Lippincott Williams and Wilkins, 2011.

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Garbutt S, Riley DE, Kumar AN, Han Y, Harwood MR, Leigh RJ. Abnormalities of optokinetic nystagmus in progressive supranuclear palsy. J Neurol Neurosurg Psychiatry 2004;75(10):1386-94. PMID 15377682

McFarland NR. Diagnostic approach to atypical Parkinsonian syndromes. Continuum (Minneap Minn) 2016;22(4 Movement Disorders):1117-42. PMID 27495201

We believe that the principles expressed or implied in the podcast remain valid, but certain details may be superseded by evolving knowledge since the episode’s original release date.