Author Archives: Justin A. Sattin

About Justin A. Sattin

I'm a vascular neurologist and residency program director. I created this blog in order to share some thoughts with my resident and other colleagues, and to foster my own learning as well.

Cui bono

Maria Popova’s Brain Pickings is a very interesting blog with articles and links relevant to what might be called popular neuroscience. As I’ve mentioned several times on this blog, however, one of my pet peeves with respect to some popular … Continue reading

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Involve the Palliative Care Team Early

Here’s a sad story about a family’s struggle with their young son’s fatal ordeal with New Onset Refractory Status Epilepticus (NORSE). NORSE is basically super-refractory status absent an obvious precipitating injury such as encephalitis. The main theme in this account is … Continue reading

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Brain Death Resources

In light of the documented variability in the conduct of brain death evaluations around the country, and the ultra-high stakes, it’s extremely important for residents to know how to do this correctly. I recently became aware of a brain death … Continue reading

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Serotonin Syndrome and Ocular Flutter

Serotonin Syndrome is an important entity for residents to be aware of. It’s a toxicity resulting from the use of serotonin-selective reuptake inhibitors and similar drugs, and interactions of those drugs with others such as tramadol and possibly linezolid. The … Continue reading

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Damn It, Basal Ganglia by Radiolab

Challenge case! Listen to this 12 minute Radiolab podcast and see whether and how fast you can make the diagnosis. The picture below provides a clue. The next paragraph has the answer, so don’t read it until you’re ready.

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Robin Williams’s Lewy Body Disease

Robin Williams, who committed suicide in 2014, turned out to have Lewy Body Disease. His widow has written a poignant and informative essay on their struggles with the disease in the current Green Journal. I think these kinds of accounts … Continue reading

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Articles of Neurological Interest

I have a long and growing list of “things to maybe blog about”, and definitely too little time to cover it all. Following are some interesting articles that I’ve read recently (i.e. in the last year) that may be of interest … Continue reading

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Educational Resources

Preparing for the maintenance of certification exam, I came across some very good educational programs on the AAN’s website. I think these would be good for resident education generally, and particularly for RITE preparation. They are free for AAN members, … Continue reading

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Nevada, Brain Death, and the AAN Guidelines–part 2

The last post discussed the first concern that the Nevada supreme court had regarding the American Academy of Neurology’s (AAN) guidelines on brain death–that they may not qualify as an “accepted medical standard” as required by the Uniform Determination of … Continue reading

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Nevada Supreme Court Questions AAN Brain Death Criteria

Confronted with just about any clinical question, my general practice is to first1After proceeding through the traditional neurological formulation, of course. consider whether there is high-quality evidence to guide decision-making. The best place to search for such evidence is in … Continue reading

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