Guidance and consensus not to be missed in neurology in 2021 year-end inventory

At the beginning of the new year, it's time for year-end inventory
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In 2021, many heavyweight guidelines at home and abroad have appeared on the scene.
The editor prepared this list for everyone based on the popularity of clicks, and everyone is welcome to use it as needed
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Yimaitong compiles and organizes, please do not reprint without authorization
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01 Chinese Expert Guidelines for the Prevention of Stroke Related to Patent Foramen Oval The incidence of patent foramen ovale (PFO) is high, and PFO is present in approximately one-quarter of adults
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With the publication of the results of 4 randomized controlled studies comparing transcatheter PFO closure with drug therapy, countries have successively updated PFO-related guidelines or consensus
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China’s recommendations for PFO treatment still remain on the 2017 "Chinese Expert Consensus on Prophylactic Oval Oval Surgery".
In view of the large population of PFO, in order to standardize the clinical application of PFO occlusion, we are drawing lessons from the latest domestic and foreign On the basis of the research, combined with the specific situation of our country, domestic experts in this field have formed a Chinese expert guide for the prevention of stroke related to patent foramen ovale for reference
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Recommended reading: Chinese expert guide for the prevention of stroke related to patent foramen ovale is released, 3 minutes to focus on 02 Chinese guideline for diagnosis and treatment of myasthenia gravis (2020 edition) In 2015, "Chinese Journal of Neurology" published the first edition of Chinese myasthenia gravis Guidelines for diagnosis and treatment
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After a lapse of 5 years, more evidence-based medicine has been accumulated in the treatment of myasthenia gravis, and there is an urgent need to update the guidelines to guide clinical practice.
Therefore, the Neuroimmune Branch of the Chinese Society of Immunology is based on the latest evidence in the domestic and foreign literature in the past 5 years.
With reference to relevant international guidelines and repeated discussions, this guide was compiled on the basis of the update and revision of the Chinese Guidelines for the Diagnosis and Treatment of Myasthenia Gravis (2015).
Recommended reading: Update after 5 years! The Chinese Guidelines for the Diagnosis and Treatment of Myasthenia Gravis (2020 Edition) are released 03 Stroke Condition Monitoring Chinese Multidisciplinary Expert Consensus The differential diagnosis of stroke and monitoring of changes in condition are the key links in the treatment of stroke patients
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As imaging, ultrasound, electrophysiology, electrical impedance and other technologies are increasingly used in stroke monitoring, scientific understanding of the relationship between the clinical data generated by these technologies and the prognosis of stroke will help improve the level of stroke treatment
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To this end, the author puts forward consensus opinions by inquiring and evaluating existing research evidence, in order to provide guidance and reference for standardized monitoring of stroke and clinical diagnosis and treatment
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Recommended reading: Surveillance of stroke conditions, a list of recommendations from the consensus of Chinese multidisciplinary experts! 04 Expert consensus on blood pressure management of patients with acute ischemic stroke and heart disease The blood pressure management of acute ischemic stroke is different from the blood pressure management of old ischemic stroke
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When acute ischemic stroke and heart disease (such as acute myocardial infarction or heart failure, etc.
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This consensus focuses on clinical complications such as acute ischemic stroke combined with acute and chronic coronary syndromes, combined with heart failure, and summarizes expert opinions on the timing of blood pressure, blood pressure goals, blood pressure medication and treatment procedures
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Recommended reading: Blood pressure management for patients with acute ischemic stroke and heart disease, 3 minutes to focus on 05 Chinese restless legs syndrome diagnosis and treatment guidelines (2021 version) restless legs syndrome (RLS) is a sensory motor disorder Disease
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In recent years, new progress has been made in the pathogenesis, treatment and comorbidities of RLS, but the diagnosis and treatment of RLS still needs to be standardized
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Therefore, in order to better guide the clinical practice of Chinese physicians, the Sleep Disorder Group of the Neurologist Branch of the Chinese Medical Doctor Association, the Sleep Disorder Group of the Neurology Branch of the Chinese Medical Association, and the Sleep Disorder Professional Committee of the Chinese Sleep Research Association are based on the current evidence-based medical evidence.
The "Guidelines for the Diagnosis and Treatment of Restless Legs Syndrome in China (2021 Edition)" were formulated
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Recommended reading: The 2021 Chinese Restless Leg Syndrome Treatment Guidelines are released, and the treatment points are first to see! 06 Early recognition and evaluation of acute posterior-circulation ischemic stroke Expert consensus The rate is 18 per 100,000, which is an important cause of disability and death in stroke patients, but compared with acute anterior circulation ischemic stroke, it has not attracted enough attention and effective management
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For this reason, based on the clinical characteristics of aPCI, the conditions of stroke prevention and treatment in various regions, and the relevant international research progress and guidelines, the Hubei Provincial Cerebrovascular Disease Prevention and Treatment Association organized provincial experts to formulate this consensus, which aims to help improve primary stroke prevention and treatment stations, The early recognition ability of first-class stroke center emergency workers and clinicians on aPCI can better guide clinical treatment and improve patient prognosis
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Recommended reading: How to recognize and evaluate the early stage of acute posterior circulation ischemic stroke, these 4 scales should be known 07 Expert consensus on the management of cognitive impairment after stroke 2021 In October 2017, the Vascular Cognitive Impairment Branch of the Chinese Stroke Society established an expert committee, Organized a number of stroke and cognition experts to discuss and discuss, and published the first edition of "Expert Consensus on the Management of Cognitive Impairment after Stroke"
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In order to further increase the importance of PSCI in clinical work, to more effectively guide physicians in the standardized management of PSCI, to emphasize the early screening, evaluation, prevention and rehabilitation of stroke patients, standardize the diagnosis and treatment of drugs, and comprehensively manage stroke patients, thereby improving the patient’s health.
Quality of life and prolonged survival time, the Vascular Cognitive Impairment Branch of the Chinese Stroke Society will organize experts to discuss again in 2021.
On the basis of the previous version, new clinical practice and research evidence will be added, and standards and standards will be formulated in accordance with the guidelines of the Chinese Stroke Society.
Write specifications and publish this new expert consensus
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Recommended reading: 2021 Post-stroke Cognitive Impairment Management Consensus Released, 3 minutes to focus on the neuropsychological evaluation and treatment of post-stroke cognitive impairment, one article is done 08 China Alzheimer's Dementia Diagnosis and Treatment Guidelines (2020 Edition) adopts internationally accepted methods Based on the research methods of syndrome medicine, 367 items meeting the inclusion criteria were selected from 6922 original studies of Alzheimer’s disease (AD) dementia for systematic reviews and meta-analysis, and with reference to the results of the National Delphi Consensus Survey, 17 major items were formed.
Recommendations and 42 secondary recommendations for use by clinicians
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Recommended reading: China's Alzheimer's disease dementia diagnosis and treatment guidelines are released.
How much do you know? 09 2021 AHA/ASA Guidelines: Stroke Prevention in Patients with Stroke and Transient Ischemic Attack In May 2021, the American Heart Association (AHA) and the American Stroke Association (ASA) jointly issued Guidelines for Stroke Prevention
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This article mainly provides evidence-based guidance and recommendations for the prevention of future strokes for survivors of ischemic stroke and transient ischemic attack.
The content involves the diagnosis and evaluation of secondary stroke prevention, management of vascular risk factors, etiological management, and secondary Systematic care of stroke
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Recommended reading: Heavy! The 2021 AHA/ASA Stroke and Transient Ischemic Attack Guidelines for Stroke Prevention in Patients with Transient Ischemic Attack is here.
10 Vertigo Emergency Diagnosis and Treatment Guidelines (2021) Vertigo refers to a movement illusion or hallucination that occurs due to the body's obstacle to spatial positioning
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According to statistics, the main complaint of vertigo accounts for about 5% to 10% in neurology clinics, about 6.
7% in hospitalized cases, and about 7% in otolaryngology clinics
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Vertigo is mostly caused by vestibular system diseases.
Patients have obvious foreign objects or sense of movement, such as rotation, shaking, deflection, etc.
, often accompanied by nausea, vomiting, and often sudden onset with obvious fear, and they go to the emergency department
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Recommended reading: 2021 Emergency Diagnosis and Treatment Guidelines for Vertigo Released, 3 minutes speed reading 11 Perforator atherosclerosis Chinese expert consensus Perforator atherosclerosis (BAD) is a common type of acute ischemic stroke, stroke in China The Society of Cerebral Small Vascular Disease Branch established an expert group, combined with the current research status at home and abroad, to write this expert consensus to guide the clinical diagnosis and treatment of BAD
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The expert group discussed the pathogenesis, clinical manifestations and classification, auxiliary examination, diagnosis and treatment of BAD in the blood supply area of ​​LSA and PPA, and formed an expert consensus
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Recommended reading: The latest consensus on perforating atherosclerosis in China is released, and the article summarizes 12 Chinese experts on the diagnosis and treatment of cerebral small-vessel disease 2021 Cerebral small-vessel disease (CSVD) is a common disease that seriously endangers the health of our people.
Many diseases are hidden and easily ignored by patients and even clinicians
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Since the publication of the "China Consensus on the Diagnosis and Treatment of Cerebral Small Vascular Diseases" in 2015, people's understanding of CSVD has improved significantly
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In recent years, with the deepening of research, rapid progress has been made in CSVD risk factors, pathogenesis, clinical manifestations and evaluation systems
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Based on this background, the Chinese Hospital Research Society Cerebrovascular Disease Expert Committee combined the latest research results at home and abroad to compile the "Chinese Cerebral Small Vascular Disease Diagnosis and Treatment Expert Consensus 2021" to reflect the latest developments in the field of CSVD for the diagnosis and diagnosis of CSVD.
Provide guidance for treatment
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Recommended reading: 2021 China Cerebrovascular Disease Diagnosis and Treatment Expert Consensus Released, 3 minutes to focus 13 Epilepsy patients and the new coronavirus pneumonia vaccine: Chinese experts suggest that as the vaccine is successively launched, problems related to epilepsy patients and the new crown vaccine: such as epilepsy Should patients get the new crown vaccine? Are there any precautions before and after vaccination? Do I need to stop anti-epileptic drugs before and after vaccination? It is also urgently needed to answer
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The Community Management Committee (CECMC) of the Chinese Anti-Epilepsy Association (CAAE) based on the existing evidence-based evidence, combined with domestic and foreign authoritative organizations and expert opinions to make a summary, aiming to provide specialists and community physicians with a basis for answering related questions
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Recommended reading: Can people with epilepsy get the new crown vaccine? This consensus is very clear.
14 2021 ESO Guidelines: Blood Pressure Management for Acute Ischemic Stroke and Cerebral Hemorrhage In June 2021, the European Stroke Organization (ESO) issued guidelines for blood pressure management for acute ischemic stroke and cerebral hemorrhage.
Elevated blood pressure is common in patients with acute ischemic stroke (AIS) and acute cerebral hemorrhage (ICH)
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This article updates ESO's previous guidelines on blood pressure management for patients with AIS and ICH, and provides guidance and recommendations for blood pressure management for patients with acute stroke
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Recommended reading: Blood pressure management for acute ischemic stroke and cerebral hemorrhage.
Please collect this guideline.
15 Chinese Guidelines for Stroke Prevention and Treatment (2021 Edition) To further guide the prevention and treatment of stroke and improve the standardization of prevention and treatment, the National Health and Health Commission Commissioned the Stroke Prevention and Treatment Engineering Committee to organize experts to compile the "Guiding Standards for the Prevention and Treatment of Stroke in China (2021 Edition)"
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Recommended reading: "Guiding Standards for Primary Prevention of Stroke in China" is released! 16 Essential Tremor Primary Diagnosis and Treatment Guidelines (Practical Edition 2021) Essential tremor, also known as essential tremor, is a common movement disorder
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"Guidelines for Primary Diagnosis and Treatment of Essential Tremor (Practical Edition 2021)" systematically elaborates the definition, classification, diagnosis and differential diagnosis, referral, treatment, disease management and prognosis of essential tremor
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Recommended reading: Diagnostic criteria and differential diagnosis of essential tremor.
These contents should be clear.
17 Multidisciplinary Expert Consensus on Diagnosis and Treatment of Dizziness/Dizziness in the Elderly (2021) Dizziness/vertigo and balance disorders are common symptoms of the elderly, which may limit the elderly Daily activities affect the quality of life
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The etiology of dizziness/vertigo in the elderly is complex, and multiple factors are often involved
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With the development of vestibular function examination and imaging technology as well as the advancement of treatment methods, the causes of dizziness/vertigo and balance disorders in the elderly can be identified through a variety of examination methods and comprehensive treatments can be carried out
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This consensus aims to integrate the basic and clinical research results of the causes, clinical features, diagnostic evaluation and treatment of dizziness/vertigo in the elderly at home and abroad, combined with the clinical experience of domestic multidisciplinary experts, and formed on the basis of a consensus reached by multidisciplinary expert exchanges.
Provide a basis for more accurate and standardized diagnosis and treatment of elderly dizziness/vertigo diseases
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 Recommended reading: "Multidisciplinary Expert Consensus on Diagnosis and Treatment of Dizziness/Vertigo in the Elderly (2021)" is released! 18 Management of blood pressure variability in hospitalized patients with ischemic stroke Shanghai experts suggest that blood pressure variability (BPV) is a risk factor for stroke independent of the average blood pressure.
However, current domestic and foreign guidelines have not paid enough attention to BPV
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The patient’s hospital stay is the best time to assess and manage BPV
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Therefore, the Shanghai Stroke Association organized relevant experts to formulate the "Shanghai Expert Recommendations for the Management of Blood Pressure Variability in Inpatients with Ischemic Stroke"
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It mainly emphasizes the importance of reducing BPV in the long-term functional recovery and secondary prevention of patients with acute ischemic stroke, and recommends the evaluation method of BPV; at the same time, it pays attention to the new antihypertensive drugs in stroke patients.
The application value
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Recommended reading: The first "Shanghai Expert Recommendations for Blood Pressure Management of Inpatients with Ischemic Stroke" is released today! Key Points First Look at 19 Diagnostic Criteria and Treatment Guidelines for Parkinson’s Disease Dementia (Second Edition) Dementia is one of the common non-motor symptoms of Parkinson’s disease
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In Parkinson's disease patients, the incidence of Parkinson's disease dementia (PDD) is about 24%~31%, and as the course of Parkinson's disease prolongs, the incidence of dementia gradually increases
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Early diagnosis and early treatment can improve the social function and quality of life of PDD patients
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In order to better guide clinical practice and promote related clinical research, this guideline is revised on the basis of the first edition of "Guidelines for the Diagnosis and Treatment of Parkinson's Disease Dementia" in conjunction with domestic research on PDD
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Recommended reading: After a lapse of 10 years, the guidelines for diagnosis and treatment of Parkinson's disease dementia have been updated! Others In addition, there are some other guidelines, which are not listed in detail.
You can click on the link to watch it yourself~➤A list of recommendations for intravenous thrombolysis in acute ischemic stroke! ➤Clinical diagnosis and treatment of fibromyalgia, look at the latest consensus of Chinese experts! ➤After a lapse of 11 years, the European Society of Neurology/Peripheral Neurology has updated its guidelines for the diagnosis and treatment of chronic inflammatory demyelinating polyneuropathy! ➤How to manage space-occupying cerebral infarction, 13 key information at a glance ➤China's Parkinson's disease early motor symptom treatment evidence-based medicine guidelines released, 3 minutes to highlight ➤10 flowcharts: quickly understand the clinical management of ischemic cerebrovascular disease ➤Parkinson's disease sleep disorder management, this consensus is very clear! ➤How to manage the non-motor symptoms of Parkinson's disease? The latest consensus is this recommendation More exciting recommendations☟☟☟NovemberOctoberSeptemberAugustJulyJuneMayAprilMarchFebruaryJanuary guide update