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Outlast: Whistleblower – Hospital: Explore Neurology Dept (Escape The Cannibal) Sequence PS4 – Video

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Outlast: Whistleblower - Hospital: Explore Neurology Dept (Escape The Cannibal) Sequence PS4
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Outlast: Whistleblower - Hospital: Explore Neurology Dept (Escape The Cannibal) Sequence PS4 - Video

The Impact of Weight Loss on Migraine Characteristics in Patients With Obesity – Neurology Advisor

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Among patients with obesity and migraine, surgical or behavioral weight loss is associated with reduction of migraine frequency, pain severity, attack duration, and disability, according to a new meta-analysis published in Obesity Surgery.

Previous studies have shown that obesity is associated with increased migraine risk and might contribute to more frequent and severe migraine attacks among those with pre-existing migraine. Several studies have suggested that weight loss may have a beneficial effect on migraine. The goal of the current meta-analysis was to assess whether any benefit of weight loss on migraine is correlated with the degree of weight change and if different weight reduction strategies may elicit different effects.

The researchers searched the MEDLINE/PubMed, ISI-Web of Knowledge, Scopus, and Google Scholar databases from 2000 to the end of 2018 and screened 98 records, of which 90 were excluded and 8 articles, corresponding to 10 primary studies (473 patients), were included in the meta-analysis. The outcomes measured included headache frequency (10 studies), pain severity (6 studies), disability (4 studies), and attack duration (6 studies).

Weight loss was associated with a significant reduction in headache frequency (effect size [ES] -0.78; 95% CI, -1.13 to -0.43, P <.00001), pain severity (ES -1.04; 95% CI, -1.49 to -0.59, P <.0001), and headache disability (ES -0.68; 95% CI, -0.96 to -0.41, P <.0001), and there was a small but significant reduction in headache duration (ES -0.25, 95% CI, -0.45 to -0.04, P =.017).

Improvement in migraine was not correlated to either the degree of obesity at baseline or the degree of weight reduction.

There was no difference between bariatric and behavioral approaches for weight loss on headache frequency, pain severity, or headache disability. However, the effect of weight loss on headache duration was significant only for surgical weight loss and not for the behavioral approach.

The beneficial effects of weight loss on headache frequency and disability were similar in adult and pediatric populations, but the impact on attack duration was limited to the adult population.

The researchers acknowledged several limitations of the study, including the relatively small number of studies and patients, lack of control group in most studies, and no data on changes of circulating inflammatory and anti-inflammatory cytokines, energy balance behaviors, and psychological symptoms.

This meta-analysis provides further evidence for the efficacy of weight loss as an important adjunctive treatment for individuals with migraine and obesity, concluded the study authors. They do, however, note that results showing similar benefit regardless of the weight loss method and amount of weight loss achieved justify additional research to determine mechanisms, beyond weight loss, that account for migraine improvements.

Reference

Di Vincenzo A, Beghetto M, Vettor R, et al. Effects of surgical and non-surgical weight loss on migraine headache: a systematic review and meta-analysis [published online ahead of print, February 1, 2020]. Obes Surg. doi: 10.1007/s11695-020-04429-z

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The Impact of Weight Loss on Migraine Characteristics in Patients With Obesity - Neurology Advisor

Pediatric Neurology | Children’s Hospital Pittsburgh

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We Put the Best Minds Together to Uncover the Mysteries of the Brain.

A childs curiosity knows no bounds. Kids are always making new discoveries, thinking up new ideas, and asking why?

The neurologists and other experts at the Childrens Hospital of Pittsburgh of UPMC Brain Care Institute seek answers with equal passion and fervor.

Our brain and spine team knows a parents need for answers. Thats why we offer so many areas of expert care from neuro-oncologists and geneticists, to neurocritical care doctors and neuroimaging experts.

Our neurologists work with our world-renowned childhood neurosurgery team to provide the best treatment possible all backed by the kind of research and programs that only one of the nations top pediatric teaching hospitals can offer.

Our neurology team has deep knowledge in treating a broad range of childhood brain and spine conditions, such as:

The Brain Care Institute offers a vast network of support resources that reach far beyond neurology.

These include:

Let us connect you to these related topics:

View the PassportCare: Clinical Excellence, Exceptional Facilities, and Family Concierge (PDF).

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Pediatric Neurology | Children's Hospital Pittsburgh

Seth Tuwiner | Lansdowne, VA | Neurologist, Seizure Specialist

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Seth Tuwiner, M.D. completed his undergraduate degree at the University of Maryland in 1996 with honors in psychology. He was nominated to Phi Beta Kappa after completing a National Institute of Mental Health funded neuroscience research thesis. Dr. Tuwiner is a 2001 graduate of the Technion-Israel Institute of Technology School of Medicine in Haifa, Israel. He completed his medicine internship and neurology residency at the University of Southern CaliforniaLos Angeles County Medical Center from 2001 to 2005. Dr. Tuwiner furthered his training with two consecutive neurology fellowships at Thomas Jefferson Medical Center in Philadelphia, Pennsylvania. His first neurology fellowship from 2005 to 2006 was in clinical neurophysiology with an emphasis on the diagnostic evaluation (EEG) and treatment of complex epilepsy patients, interpretation of evoked potential studies, and performance and interpretation of electromyography-nerve conduction studies (EMG/NCS). His second fellowship from 2006 to 2007 was in neuromuscular medicine with a focus on electromyography and the treatment of complex neuromuscular patients. He was honored with the best fellow teaching award in 2007. Dr. Tuwiner is board certified by the American Board of Psychiatry and Neurology (ABPN) with subspecialty certification in neuromuscular medicine, clinical neurophysiology (EEG and EMG) and vascular neurology (stroke). He is also board certified in electromyography by the American Board of Electrodiagnostic Medicine (ABEM). Dr. Tuwiner is on staff at INOVA Loudoun County Hospital and INOVA Fair Oaks Hospital.

His areas of interest include neuromuscular disease, electromyography/nerve conduction studies (EMG/NCS), epilepsy management, electroencephalography (EEG), and stroke. He is a Fellow of the American Association of Neuromuscular and Electrodiagnostic Medicine (AANEM), member of the American Academy of Neurology (AAN), and American Stroke Association/American Heart association (ASA/AHA)

Specialty Neurology

Areas of Subspecialization Neuromuscular Medicine

Electromyography (EMG) Epilepsy

Brain Injury medicine

Electroencephalography(EEG)

Vascular Neurology-Stroke

Carotid and Transcranial Doppler Ultrasound

Medical School Technion-Israel Institute of Technology Haifa, Israel, 1997-2001

Neurology Residency and Medicine Internship University of Southern California (USC) Los Angeles, CA, 2001-2005

Fellowships Thomas Jefferson Hospital Philadelphia, PA 2005-2007 Clinical Neurophysiology 2005-06 Neuromuscular Medicine 2006-07

Board Certification Neurology Clinical Neurophysiology Vascular Neurology/Stroke Electromyography/Nerve Conduction Studies Neuromuscular Medicine Brain Injury Medicine Carotid Doppler Ultrasound Transcranial Doppler Ultrasound

Special Procedures & Techniques Electromyography (EMG) Electroencephalography(EEG) Evoked potential studies Carotid Ultrasound Transcranial Doppler Ultrasound (TCD) Musculoskeletal Ultrasound ENG/Vestibular Testing

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Seth Tuwiner | Lansdowne, VA | Neurologist, Seizure Specialist

Neurology: Some of the Nation’s Most Advanced Care at Cincinnati Children’s – Video

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Neurology: Some of the Nation #39;s Most Advanced Care at Cincinnati Children #39;s
http://www.cincinnatichildrens.org. Some children struggle with near-constant seizures. Some are born with severe movement disorders. Others are living with ...

By: Cincinnati Children #39;s Hospital Medical Center

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Neurology: Some of the Nation's Most Advanced Care at Cincinnati Children's - Video


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