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The Diagnostic Evaluation and Treatment of Trigeminal Neuralgia
Published October 2008
The purpose of this practice parameter o answer the following questions: 1) In patients with TN, how often does routine neuroimaging (CT, MRI) identify a cause? 2) Which features identify patients at increased risk for symptomatic TN (STN; i.e., a structural cause such as a tumor)? 3) Does high-reso
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Idiopathic Normal Pressure Hydrocephalus: Response to Shunting and Predictors of Response
Published December 2015
We evaluated evidence for utility of shunting in idiopathic normal pressure hydrocephalus (iNPH) and for predictors of shunting effectiveness. Reaffirmed on July 12, 2024. The American Association of Neurological Surgeons and the Congress of Neurological Surgeons affirm the educational content of
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Update: Steroids and Antivirals for Bell Palsy
Published November 2012
This update, developed by the AAN Guideline Development Subcommittee, systematically reviews studies published since June 2000 that are considered relevant to this question: For patients with new-onset Bell palsy, does treatment with steroids or antiviral agents improve facial functional recovery?
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Clinical Practice Guidelines by the Infectious Diseases Society of America (IDSA), American Academy of Neurology (AAN), and American College of Rheumatology (ACR): 2020 Guidelines for the Prevention, Diagnosis, and Treatment of Lyme Disease
Published November 2020
Reaffirmed on October 21, 2023. The scope of this guideline includes prevention of Lyme disease, and the diagnosis and treatment of Lyme disease presenting as erythema migrans, Lyme disease complicated by neurologic, cardiac, and rheumatologic manifestations, Eurasian manifestations of Lyme disea
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Assessing Patients in a Neurology Practice for Risk of Falls
Published February 2008
In this practice parameter, we attempt to answer these questions: Which neurologic conditions are associated with an increased risk of falling? Are there practical clinical screening methods for neurologists that can accurately identify older patients and those with chronic neurologic conditions who
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Cervical and Ocular Vestibular Evoked Myogenic Potential Testing
Published November 2017
The goal of this guideline is to systematically review the evidence and make recommendations with regard to diagnostic utility of cervical and ocular vestibular evoked myogenic potentials (cVEMP and oVEMP, respectively). Reaffirmed on February 10, 2024.
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Use of Epidural Steroid Injections to Treat Radicular Lumbosacral Pain
Published March 2007
The Therapeutics and Technology Assessment subcommittee found that epidural steroid injections may offer limited short-term relief for radicular lumbosacral pain but do not improve long-term function or reduce the need for surgery, and their routine use is not recommended. There is also insufficient
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Oral and topical treatment of painful diabetic polyneuropathy practice guideline update
Published December 2021
This guideline updates the 2011 AAN practice guideline on the treatment of painful diabetic neuropathy. For patients with painful diabetic neuropathy, clinicians should review all of the available options to reduce pain, including oral, topical, and nonpharmacologic interventions. It is important fo
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Efficacy of Transcutaneous Electric Nerve Stimulation in the Treatment of Pain in Neurologic Disorders
Published January 2010
This assessment summarizes evidence on the efficacy of TENS in the treatment of pain, specifically the pain associated with neurologic disorders. Reaffirmed on April 15, 2024.
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