Do not perform supra-aortic trunks ultrasound to patients who have experienced transient loss of consciousness in the absence of other neurological symptoms and with normal neurological examination. Adapted from the American Academy of Neurology.

Do not perform supra-aortic trunks ultrasound to patients who have experienced transient loss of consciousness in the absence of other neurological symptoms and with normal neurological examination. Adapted from the American Academy of Neurology.

by | Oct 17, 2018

A vertebrobasilar TIA (transient ischemic attack) can cause loss of consciousness, but it is always accompanied by neurological signs such as motor or sensory loss in the face and / or limbs, coordination impairment, homonymous lateral hemianopia, balance and gait...
Do not perform supra-aortic trunks ultrasound to patients who have experienced transient loss of consciousness in the absence of other neurological symptoms and with normal neurological examination. Adapted from the American Academy of Neurology.

In the clinical evaluation of the patient who has presented a transient loss of consciousness, do not leave out the measurement of blood pressure in the supine and standing position (horizontal and upright position) in order to exclude a condition of persistent orthostatic hypotension.

by | Oct 17, 2018

Orthostatic hypotension is defined as a reduction in systolic pressure higher than 20 mm Hg or in diastolic pressure higher than 10 mm Hg compared to supine (horizontal position) after 3 minutes of standing (standing position) This condition is not always poorly...
Do not perform supra-aortic trunks ultrasound to patients who have experienced transient loss of consciousness in the absence of other neurological symptoms and with normal neurological examination. Adapted from the American Academy of Neurology.

In the anamnestic reconstruction of a possible transient loss of consciousness, do not fail to clarify whether the characteristics of the suspension of consciousness actually occurred and to draw up a list of all drugs in use.

by | Oct 17, 2018

The loss of consciousness must be adequately witnessed, or the patient must be able to state that for a certain interval of time he has not perceived himself or the surrounding environment; it is common that the diction loss of consciousness is used inappropriately to...
Do not perform supra-aortic trunks ultrasound to patients who have experienced transient loss of consciousness in the absence of other neurological symptoms and with normal neurological examination. Adapted from the American Academy of Neurology.

Don’t recommend Amyloid PET (positron emission tomography) in asymptomatic individuals without cognitive impairment, even in the presence of a familiarity for dementia, and in subjects reporting deficits not confirmed by the neuropsychological evaluation.

by | Oct 17, 2018

Amyloid PET is not a diagnostic test for Alzheimer’s disease but rather an index of cerebral amyloidosis, and may be positive in other forms of dementia (i.e. dementia with Lewy bodies), and in asymptomatic subjects. Furthermore, the accuracy of this exam decreases...