Therapy Update 18 January 2019 Dr Chris Ifediora

A GP's guide on when to refer for imaging in headache

Deciding when to order brain imaging in general practice should, in theory, be relatively straightforward: most current guidelines rely on the identification of ‘red flags’, that are aimed at providing clarity.1,2
Therapy Update 14 January 2019 Ashley Heyworth, Dr Meredith Hinds

Treating Wernicke’s encephalopathy

Wernicke’s encephalopathy is an underrecognised and undertreated acute neurological condition.
How to Treat 12 December 2018 Dr Shuli Cheng, Dr Elspeth Hutton
Therapy Update 10 December 2018 Associate Professor Kathryn Ellis, Associate Professor Kay Cox, Professor Nicola Lautenschlager

The evidence for exercise in dementia prevention

Physical inactivity is the fourth leading risk factor for global mortality according to the WHO.
Therapy Update 05 November 2018 Dr Kavitha Kothur

A guide to the new classification of seizures

Epilepsy is a disorder of the brain characterised by an enduring predisposition to seizures and associated neurobiological, cognitive, psychological and social consequences.
Examining the Evidence 22 October 2018 Dr Michael Tam

Does this trio of supplements reduce migraine frequency?

A member of an online GP discussion board recently posted a question about the combination of magnesium, riboflavin and coenzyme Q10 (CoQ10) as prophylaxis to reduce migraine frequency, something that had been recommended by a pharmacist.
Case Report 18 October 2018 Dr Tram Bui

Achieving normality after brain trauma

Simon, a 32-year-old father of one, is a self-employed IT professional. He experienced a traumatic brain injury as a result of a motor vehicle accident three weeks ago. Simon and his wife present to their GP two weeks after his discharge from hospital.
Picture Quiz 20 September 2018 Dr Johnny Wong

A woman with breast cancer history develops sciatica

Cindy is a 60-year-old woman with a history of breast cancer that has been stable since surgical and adjuvant treatment five years ago. Each week, How to Treat publishes a clinical picture quiz. The quiz has no CPD points attached, it's just for fun.
Therapy Update 19 September 2018 Dr Carolyn Ee

How living well can keep dementia at bay

Sharon, a 41-year-old married woman, came to see me concerned about her risk of developing Alzheimer’s disease (AD). Her mother had AD and lived in high-level care. Sharon asked if she should be taking any supplements to prevent dementia.
Case Report 06 September 2018 Dr Chitra Sivaramamoorthy

Peripheral neuropathy points to something sinister

Genevieve, a 73-year-old female presents with a four-year history of symmetrical painful peripheral neuropathy, with tactile hyperaesthesia worse at night. She has a past history of anxiety and osteoarthritis.