We are very grateful to Dr Rota and colleagues for their interest in our guideline.
In essence, we agree that international consensus on DOAC level measurement and cut-off levels would be welcome.
The experience reported by Dr Rota and colleagues of their use of idarucizumab for emergency reversal of dabigatran prior to lumbar puncture is reassuring. Our guideline refers to the need to consult a haematologist prior to administration; however, a guideline is for guidance and we recognise that locally agreed protocols may vary. Likewise, the timings mentioned in the guideline relating to the safe reinitiation of DOACs are by necessity pragmatic. Further evidence in this area will of course be very welcome to further inform practice.
Dear Editor,
We read the article by Dodd et al. (2018) [1] with great interest. The authors provide evidence-based recommendations for the periprocedural management of antithrombotic and anticoagulant treatment in patients who require a lumbar puncture (LP). Indeed, this is a very relevant practical point for neurologists, above all when an urgent diagnostic LP is mandatory to rule out an infectious disease of the central nervous system, or a subarachnoid hemorrhage. The recommendations on adjustment/reversal of warfarin for patients on oral anticoagulants, who require LP, are well known, i.e. long-term LP allowed if INR is < 1.4. Whilst the question of how to manage patients on Direct Oral Anticoagulants (DOACS), a relatively novel pharmacological class, is also to be answered. Dodd et al’s article [1] reports that if a non-urgent LP has to be carried out he these patients, current recommendations vary among different advisory bodies about the time lapse necessary for DOAC withdrawal before the LP, depending on the renal function. The interesting possibility of measuring the drug-specific levels, so as to estimate the anticoagulant effect of a DOAC, is also mentioned, although the authors are of the opinion that routine testing before the LP is not necessary. [1]
We believe that this is a crucial point, above all in the case of an urgent or emergent LP. Indeed, in our experience, when available, drug-specific levels can be obtained quickly and guide the cl...
Dear Editor,
We read the article by Dodd et al. (2018) [1] with great interest. The authors provide evidence-based recommendations for the periprocedural management of antithrombotic and anticoagulant treatment in patients who require a lumbar puncture (LP). Indeed, this is a very relevant practical point for neurologists, above all when an urgent diagnostic LP is mandatory to rule out an infectious disease of the central nervous system, or a subarachnoid hemorrhage. The recommendations on adjustment/reversal of warfarin for patients on oral anticoagulants, who require LP, are well known, i.e. long-term LP allowed if INR is < 1.4. Whilst the question of how to manage patients on Direct Oral Anticoagulants (DOACS), a relatively novel pharmacological class, is also to be answered. Dodd et al’s article [1] reports that if a non-urgent LP has to be carried out he these patients, current recommendations vary among different advisory bodies about the time lapse necessary for DOAC withdrawal before the LP, depending on the renal function. The interesting possibility of measuring the drug-specific levels, so as to estimate the anticoagulant effect of a DOAC, is also mentioned, although the authors are of the opinion that routine testing before the LP is not necessary. [1]
We believe that this is a crucial point, above all in the case of an urgent or emergent LP. Indeed, in our experience, when available, drug-specific levels can be obtained quickly and guide the clinical management in this clinical setting. Notably, LP may be performed immediately, which may be clinically relevant, if the drug levels are under the cut-off chosen to rule out any anticoagulant effect. However, consensus is still lacking and different advisory bodies (French expert opinion, [2] Swiss operating procedures [3]) set the lower threshold limit for the anticoagulant effect of DOACs at a range between 20-50 ng/mL for other urgent procedures, like intravenous thrombolysis.
Therefore, if there were an international, or at least European consensus on the recommended DOAC drug level cut-off to rule out any anticoagulant effect, the management of patients requiring urgent or emergent procedure, like LP or surgery, would be facilitated. Obviously, if the DOACs levels are within the therapeutical range, a delay before the LP is required, according to the recommendations.
However, a remarkably different management may be prospected if an LP is indicated in patients is on dabigatran, where emergency reversal may be achieved by idarucizumab, as Dodd et al. [1] report, recommending previous consultation with a hematologist. This is another crucial point and a clinical novelty, where an urgent/emergent LP may be allowed in dabigatran-treated patients in only a few minutes after idarucizumab administration. Although literature evidence is still scarce and only a few cases (three, considering ours) have been reported to date, in our experience an LP after dabigatran emergency reversal by idarucizumab is a safe procedure, as was demonstrated by our two personal cases, one published, [4] one in press. Therefore, we are of the opinion that idarucizumab could be safely administered to patients requiring LP, also in the absence of a haematologist, to save the time inevitably required by the consultation.
Another reversal agent, andexanet-alpha, was recently approved by the FDA and seems to be appealing for patients on direct factor Xa inhibitors (rivaroxaban, apixaban and edoxaban), as Dodd et al. [1] report. However, the time required to reverse the DOAC effect and the putative pro-thrombotic effect of andexanet-alpha make it an unlikely candidate for an emergency reversal of direct factor Xa inhibitors before an LP.
Lastly, Dodd et al. [1] recommend the DOAC first dose 6 hours after an atraumatic LP. We suggest the following algorhythm: in the presence of a CHADSVADSC score of >=3 administer the DOAC after 6 hours and after 12 hours with a CHADSVASC score of <3.
It is, however, encouraging that a novel clinical scenario is emerging for the management of patients on DOACs, where outstanding opportunities are provided by the availability of specific DOAC levels dosages, even if international consensus would be welcome to set a clear cut-offs for the anticoagulant effect and, above all, by the reversal agent idarucizumab, which seems to be a safe and effective tool for urgent/emergent LP in dabigatran-treated patients.
References
1. Dodd KC, Emsley HCA, Desborough MJR, Chhetri SK. Periprocedural antithrombotic management for lumbar puncture: Association of British Neurologists clinical guideline. Pract Neurol. 2018 Aug 28. pii: practneurol-2017-001820. doi: 10.1136/practneurol-2017-001820. [Epub ahead of print]
2. Touzé E, Gruel Y, Gouin-Thibault I, De Maistre E, et al. Intravenous thrombolysis for acute ischaemic stroke in patients on direct oral anticoagulants. Expert opinion of the SocieteFrancaise de NeurologieVasculaire (SFNV) and the GroupeFrancaisd'etudes sur l'Hemostase et la Thrombose (GFHT). Eur J Neurol 2018 Jan 23. doi: 10.1111/ene.13582.
3. Seiffge DJ, Traenka C, Polymeris AA, et al. Intravenous Thrombolysis in Patients with Stroke Taking Rivaroxaban Using Drug Specific Plasma Levels: Experience with a Standard Operation Procedure in Clinical Practice. J Stroke 2017; 19(3): 347-355.
4. Agosti S, Casalino L, Daffonchio A, Arena L, Celli L and Rota E. Emergency Lumbar Puncture for Suspected Meningitis after Dabigatran Reversal with Idarucizumab: A Case Report. J Clin Case Rep 2018, 8:4.
Sir,
I thoroughly enjoyed reading Dr. Allen’s excellent paper on the right way to do the ankle jerk. He is quite right in saying that ‘tendon reflexes’ are not tendon reflexes. Tapping a tendon leads to stimulation of the Golgi tendon organs, which are actually inhibitory to the alpha neurones, so no response should occur. The muscle contraction probably results from the vibrations transmitted to the intrafusal muscle fibres, leading to activation of the anterior horn cells and thus causing muscle contraction in response to the stimulus. The term “deep tendon reflex” is completely inappropriate; which deep tendons can one access? Levator palpebrae superioris? Piriformis? Gluteus medius? The tendons percussed have to be superficial so that we can get at them.
Although Dr. Allen’s method is absolutely appropriate in patients who are confined to bed, those patients who are mobile can, I suggest, be better examined if you ask them first to kneel on the seat of the chair on which they were sitting, grasping its back with their hands. They are thus unconsciously performing a Jendrassik manoeuvre, augmenting any response that their bodies might make. Their ankles, projected out behind the seat, can be tapped easily, and the response noted with equal facility.
Now in my 80s, I cannot remember whether it was Erb or Westphal or Romberg or somebody else who first suggested this method; but after 55 years in Neurology, I still find it the best way to asse...
Sir,
I thoroughly enjoyed reading Dr. Allen’s excellent paper on the right way to do the ankle jerk. He is quite right in saying that ‘tendon reflexes’ are not tendon reflexes. Tapping a tendon leads to stimulation of the Golgi tendon organs, which are actually inhibitory to the alpha neurones, so no response should occur. The muscle contraction probably results from the vibrations transmitted to the intrafusal muscle fibres, leading to activation of the anterior horn cells and thus causing muscle contraction in response to the stimulus. The term “deep tendon reflex” is completely inappropriate; which deep tendons can one access? Levator palpebrae superioris? Piriformis? Gluteus medius? The tendons percussed have to be superficial so that we can get at them.
Although Dr. Allen’s method is absolutely appropriate in patients who are confined to bed, those patients who are mobile can, I suggest, be better examined if you ask them first to kneel on the seat of the chair on which they were sitting, grasping its back with their hands. They are thus unconsciously performing a Jendrassik manoeuvre, augmenting any response that their bodies might make. Their ankles, projected out behind the seat, can be tapped easily, and the response noted with equal facility.
Now in my 80s, I cannot remember whether it was Erb or Westphal or Romberg or somebody else who first suggested this method; but after 55 years in Neurology, I still find it the best way to assess the ankle jerk in mobile patients.
It is interesting that Graham Warner mentions the sound of absent ankle reflexes. I remember discussing the thud of an absent ankle with Michael Harrison, who was my greatest clinical guru, when I was his registrar at the Middlesex Hospital in London. I have also mentioned it to my students but tended to get the l look back that tells me politely that I might not come from the same planet as them. I suspect this is because learning to examine patients involves learning novel complex perceptions. Much of this is honed over many years and like all complex perceptions involves more than one sensory modality. As neurologists, we all know that appreciating a subtle flavour involves lot more than the sensory information from the tongue; it is mostly olfactory but also involves texture and temperature as well as context and expectation. This is why to many of us the discussions of wine buffs about the subtle flavours of different vintages sound like the ramblings of someone from an alien world. Thus when teaching students one has to realise that they are learning complex perceptions in unfamiliar contexts and may not be able to appreciate subtleties such as the sound of reflexes. So their “what planet is he from?” look is appropriate because perceptually they are in a different world to that of an experienced clinician. As teachers, we need to guide them to our world of complex perceptions and not all can follow, just as I would never succeed as a wine-taster (not that I don’t like...Show More
It is interesting that Graham Warner mentions the sound of absent ankle reflexes. I remember discussing the thud of an absent ankle with Michael Harrison, who was my greatest clinical guru, when I was his registrar at the Middlesex Hospital in London. I have also mentioned it to my students but tended to get the l look back that tells me politely that I might not come from the same planet as them. I suspect this is because learning to examine patients involves learning novel complex perceptions. Much of this is honed over many years and like all complex perceptions involves more than one sensory modality. As neurologists, we all know that appreciating a subtle flavour involves lot more than the sensory information from the tongue; it is mostly olfactory but also involves texture and temperature as well as context and expectation. This is why to many of us the discussions of wine buffs about the subtle flavours of different vintages sound like the ramblings of someone from an alien world. Thus when teaching students one has to realise that they are learning complex perceptions in unfamiliar contexts and may not be able to appreciate subtleties such as the sound of reflexes. So their “what planet is he from?” look is appropriate because perceptually they are in a different world to that of an experienced clinician. As teachers, we need to guide them to our world of complex perceptions and not all can follow, just as I would never succeed as a wine-taster (not that I don’t like a nice Malbec). Furthermore, many tendon hammers around these days have such hard rings that hitting one’s hand hard enough to listen for absent reflexes may prove a painful experience. Show Less
Chris Allen’s series on neurological examination offers huge relief to fellow experts who execute it incorrectly, such as the “ankle jerks”. I too use the plantar method although caution Juniors/Students to do it the right way (tendon method) when non-neurologists assess in osce’s/finals. But in teaching them how to tick the boxes I have questioned why I do what I do (self-questioning being one of the reasons I seize the opportunity to train others). I then recall as an SHO Simon Nurick (one of the people who inspired me) tellinging me to listen to the reflexes, in that when absent one hears a dull thud (rather like that of a pleural effusion, so it is interesting to learn that neurological hammers evolved from those used for respiratory examination). And it sounds more resonant when present, all akin to how taught a violin string might be, I tell them. In fact not only do I listen, as well as observe (visual observation is all that generalists teach Medical Students), but also feel. I believe this most useful when the tension in the “strings” are greatest in hypertonic such that there may be no apparent movement nor sound, but one gets tactile feed back. Hence where possible I always strike the hammer against my own hand placed carefully to achieve best transmission of the force. I suspect all “experts” draw the greater data without knowing and can so better analyse the clinical situation.
I’m confident too that they like me may even apply varying non-standard force...
Chris Allen’s series on neurological examination offers huge relief to fellow experts who execute it incorrectly, such as the “ankle jerks”. I too use the plantar method although caution Juniors/Students to do it the right way (tendon method) when non-neurologists assess in osce’s/finals. But in teaching them how to tick the boxes I have questioned why I do what I do (self-questioning being one of the reasons I seize the opportunity to train others). I then recall as an SHO Simon Nurick (one of the people who inspired me) tellinging me to listen to the reflexes, in that when absent one hears a dull thud (rather like that of a pleural effusion, so it is interesting to learn that neurological hammers evolved from those used for respiratory examination). And it sounds more resonant when present, all akin to how taught a violin string might be, I tell them. In fact not only do I listen, as well as observe (visual observation is all that generalists teach Medical Students), but also feel. I believe this most useful when the tension in the “strings” are greatest in hypertonic such that there may be no apparent movement nor sound, but one gets tactile feed back. Hence where possible I always strike the hammer against my own hand placed carefully to achieve best transmission of the force. I suspect all “experts” draw the greater data without knowing and can so better analyse the clinical situation.
I’m confident too that they like me may even apply varying non-standard forces to gain more data points and look for the degree of spread I do to judge the UMN flavour of things.
Eponymous names are not allowed, and I don’t know if SN’s teaching was something handed down, so tendon jerk sounds cannot be labelled Nurick’s sign, but in the world of evidenced practice we can still recognise experience, wisdom and “eminence”??
Graham Warner
Dear Editor,
Thomas Brown provided a helpful recent review of pure autonomic failure (PAF) in this journal1. However, there is one very important point which I would wish to add. The diagnosis of this rare condition should be made with extreme caution in the early years of presentation. The first case in the review had a diagnosis of PAF made just two years after symptoms began. In fact, other commoner causes of primary autonomic failure may declare themselves many years after the symptoms first begin, and I have seen a number of such cases during my time at the autonomic unit in Queen Square. A rough rule of thumb used to be that at least five years should pass before making a definitive diagnosis of PAF2. More recent evidence suggests that even longer may be required. A third of cases already with symptoms suggestive of PAF for an average of 5 years were found to have an alternative diagnosis with subsequent follow up for a further four years3. Alternative diagnoses included other synucleinopathies such as Parkinson’s disease, dementia with Lewy bodies or multiple system atrophy.
For many years attempts have been made to find reliable ways to distinguish PAF from other causes of primary autonomic failure. PAF is seen classically as a post-ganglionic disorder whilst multiple system atrophy is seen as a pre-ganglionic form of primary autonomic failure. Utilising this pathophysiological difference, a variety of differentiating tests have been attempted....
Dear Editor,
Thomas Brown provided a helpful recent review of pure autonomic failure (PAF) in this journal1. However, there is one very important point which I would wish to add. The diagnosis of this rare condition should be made with extreme caution in the early years of presentation. The first case in the review had a diagnosis of PAF made just two years after symptoms began. In fact, other commoner causes of primary autonomic failure may declare themselves many years after the symptoms first begin, and I have seen a number of such cases during my time at the autonomic unit in Queen Square. A rough rule of thumb used to be that at least five years should pass before making a definitive diagnosis of PAF2. More recent evidence suggests that even longer may be required. A third of cases already with symptoms suggestive of PAF for an average of 5 years were found to have an alternative diagnosis with subsequent follow up for a further four years3. Alternative diagnoses included other synucleinopathies such as Parkinson’s disease, dementia with Lewy bodies or multiple system atrophy.
For many years attempts have been made to find reliable ways to distinguish PAF from other causes of primary autonomic failure. PAF is seen classically as a post-ganglionic disorder whilst multiple system atrophy is seen as a pre-ganglionic form of primary autonomic failure. Utilising this pathophysiological difference, a variety of differentiating tests have been attempted. One of the more promising has been the use of functional imaging to demonstrate the cardiac sympathetic the denervation one would expect with the post-ganglionic involvement of sympathetic nerves in PAF in contrast to multiple system atrophy. However this does not distinguish PAF from Parkinson’s disease reliably. Whilst some differences in the haemodynamic responses to stimuli such as water drinking may exist between PAF and other conditions4, as yet there is not a single test which can with certainty isolate true cases of PAF from its potential mimics. These conditions can differ significantly in terms of management and prognosis. Therefore whilst a working diagnosis of PAF may be tentatively considered early in the clinical course, ongoing surveillance over many years would be an important practical suggestion in such cases.
REFERENCES
1 Brown TP. Pure autonomic failure. Pract Neurol. 2017 Oct;17(5):341-348
2 Freeman R. Pure Autonomic Failure: An immaculate misconception? Neurology 2004;63;953-954
3 Kaufmann H et al. Natural history of pure autonomic failure: A United States prospective cohort. Ann Neurol. 2017 Feb;81(2):287-297
4 Young TM, Mathias CJ. The effects of water ingestion on orthostatic hypotension in two groups of chronic autonomic failure: multiple system atrophy and pure autonomic failure. J Neurol Neurosurg Psychiatry. 2004 Dec;75(12):1737-41.
We came across the pages of the article of Nashef and Leach recently released to the scientific community through the Practice Neurology with a great enthusiasm.1 The authors have not only had courage, but have had special ability in touching on such an important matter in a scientific and subtle manner simultaneously. As we know, along the past twenty years there has been exponential growth in the number of articles published on SUDEP with a triple increase in this scientific production in the last ten years.2 Therefore a great scientific breakthrough in SUDEP has been established with regard to epidemiological aspects, specific risk factors, mechanisms involved and possible preventive measures (if they really exist) 3. And yet, it is very well defined that the main risk factor for SUDEP is the presence and number of generalized tonic-clonic seizures (GTCS)3 and the best way to avoid a tragic event is to control these GTCS. In parallel, there is also an imperative issue in relation to all these aspects: how, when, where, why and what patients should we address on SUDEP? Despite the great effort of epileptologists and elegant studies already published, the discussion on SUDEP with patients is still a matter of debate among experts.4 In order to enable this debate, we will have to somehow let the conservative side and consider the current numbers that demonstrate that 1 in every 1000 young adults and 1 in every 4500 children with epilepsy may suddenly die. 5 And more, accor...
We came across the pages of the article of Nashef and Leach recently released to the scientific community through the Practice Neurology with a great enthusiasm.1 The authors have not only had courage, but have had special ability in touching on such an important matter in a scientific and subtle manner simultaneously. As we know, along the past twenty years there has been exponential growth in the number of articles published on SUDEP with a triple increase in this scientific production in the last ten years.2 Therefore a great scientific breakthrough in SUDEP has been established with regard to epidemiological aspects, specific risk factors, mechanisms involved and possible preventive measures (if they really exist) 3. And yet, it is very well defined that the main risk factor for SUDEP is the presence and number of generalized tonic-clonic seizures (GTCS)3 and the best way to avoid a tragic event is to control these GTCS. In parallel, there is also an imperative issue in relation to all these aspects: how, when, where, why and what patients should we address on SUDEP? Despite the great effort of epileptologists and elegant studies already published, the discussion on SUDEP with patients is still a matter of debate among experts.4 In order to enable this debate, we will have to somehow let the conservative side and consider the current numbers that demonstrate that 1 in every 1000 young adults and 1 in every 4500 children with epilepsy may suddenly die. 5 And more, according to the strategies and guidelines established by professionals and centres enabled, the physician has a key role in the patient's education to ensure the accuracy of information about epilepsy and its possible fatalities and thereby minimising risk factors associated with SUDEP.4 Some fatal event will occur even with all these cares. Inevitably, parents and family will suffer from this early and sudden death. How and when should we proceed after SUDEP? How to tackle grieving parents and family? What's the best time and how should we talk to them? Should we really address the parents and relatives after the SUDEP? Is it right or duty of the physician (or the multidisciplinary team) addressing the bereaved? How to discuss the subject with our multidisciplinary team? How and whom do we professionals have to question about these matters? Should we discuss the subject systematically at our clinical meetings? These and other possibilities wisely described by the other colleagues1 cause us to reflect much further on that. Certainly, all these considerations together open new research possibilities which will contribute to reduce the future statistics of SUDEP. And to sum up, will we be prepared for this new stage? For many people, unfortunately, the most complicated is not to die but to live instead, and in this case just survive.
ACKNOWLEDGEMENTS
Our studies are supported by the following grants: FAPESP (Fundação de Amparo à Pesquisa do Estado de São Paulo); CNPq (Conselho Nacional de Desenvolvimento Científico e Tecnológico); Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES) and FAPESP/CNPq/MCT (Instituto Nacional de Neurociência Translacional).
DISCLOSURE
The authors report no conflicts of interest.
REFERENCES
1 Nashef L, Leach JP. SUDEP, the aftermath: supporting the bereaved. Pract Neurol. 2017 (in press) doi: 10.1136/practneurol-2017-001729
2 Scorza FA, do Carmo AC, Scorza CA, et al. SUDEP: A steep increase in publication since its definition. Epilepsy Behav 2017;72:195-197.
3 Devinsky O, Hesdorffer DC, Thurman DJ, et al. Sudden unexpected death in epilepsy: epidemiology, mechanisms, and prevention. Lancet Neurol 2016;15:1075-88.
4 Shankar R, Donner EJ, McLean B, et al. Sudden unexpected death in epilepsy (SUDEP): what every neurologist should know. Epileptic Disord 2017;19:1-9.
5 Harden C, Tomson T, Gloss D, et al. Practice guideline summary: Sudden unexpected death in epilepsy incidence rates and risk factors: Report of the Guideline Development, Dissemination, and Implementation Subcommittee of the American Academy of Neurology and the American Epilepsy Society. Neurology 2017;88:1674-1680.
Stone and Carson(1) say:
‘Non-organic refers to things unrelated to living matter,… This is a word that cannot be used to describe conditions suffered by living human beings.’ They refer ‘to the OED sense: “something characterised by structural or other pathological change in an organ or organs”. They acknowledge it was useful ‘in the 19th century when neurologists first saw the pathology of multiple sclerosis or motor neurone disease. But what about genetic generalised epilepsy or migraine—pathological, but not necessarily structural, or at least no more so than, for example, unipolar depression where there is quite substantial evidence for structural changes. ’(2)
They are right to point out the difficulties in separating ‘functional and non-organic’ disorders from those with structural or ultrastructural abnormalities but they should not be ‘blackballed from the club of legitimate conditions because of the difficulty in establishing their veracity.’
Most of us understand that epilepsy, migraine and spasmodic torticollis, for example, have underlying structural or other subtle abnormalities; the fact that modern techniques don't always disclose the organic basis does not mean they are psychogenic, do not exist, or are illegitimate.
Functional was originally the result of altered function (rather than structure) of an organ, system, etc.; but its meaning confusingly changed to a psychological cause as opposed to a physical one. The term...
Stone and Carson(1) say:
‘Non-organic refers to things unrelated to living matter,… This is a word that cannot be used to describe conditions suffered by living human beings.’ They refer ‘to the OED sense: “something characterised by structural or other pathological change in an organ or organs”. They acknowledge it was useful ‘in the 19th century when neurologists first saw the pathology of multiple sclerosis or motor neurone disease. But what about genetic generalised epilepsy or migraine—pathological, but not necessarily structural, or at least no more so than, for example, unipolar depression where there is quite substantial evidence for structural changes. ’(2)
They are right to point out the difficulties in separating ‘functional and non-organic’ disorders from those with structural or ultrastructural abnormalities but they should not be ‘blackballed from the club of legitimate conditions because of the difficulty in establishing their veracity.’
Most of us understand that epilepsy, migraine and spasmodic torticollis, for example, have underlying structural or other subtle abnormalities; the fact that modern techniques don't always disclose the organic basis does not mean they are psychogenic, do not exist, or are illegitimate.
Functional was originally the result of altered function (rather than structure) of an organ, system, etc.; but its meaning confusingly changed to a psychological cause as opposed to a physical one. The term functional, which approximates to non-organic, should be confined to conditions such as migraine or asthma in which there is evidence of a disordered function or biophysiology. Non-organic has the merits of indicating simply the dearth of evidence of a structural, genetic or biochemical basis capable of demonstration using available technology. It should not imply that the patient harbours a definable psychological illness, nor that symptoms are faked.
Stone and Carson say ‘the word “organic” and its evil twin “non-organic”… deserve their place in the hall of neuromythology.’ Like the term angina (Greek ankhone "a strangling") they are simply metaphors. Many physicians still find these terms useful and practical for purposes of communication, and because when correctly applied they may influence the extent of investigation and treatment.
2 Arnone D , McIntosh AM , Ebmeier KP , et al . Magnetic resonance imaging studies in unipolar depression: systematic review and meta-regression analyses. Eur Neuropsychopharmacol 2012;22:1–16.doi:10.1016/j.euroneuro.2011.05.003
We thank Dr Hughes for his thoughtful letter and his previous extensive comments as part of the reviewing process.
The main issue Dr Hughes has raised is the possibility of another local structural lesion. He asks that “Some cross checking with digital examination of the floor of the mouth, palpation of the tongue, or the results of attempts by a clinician to correct the position of the tongue may be all that is required to confirm or refute the working diagnosis.
We had already addressed this in our paper “The ENT and oral maxillofacial surgeons had noted a small post-traumatic neuroma/granuloma at the left retromolar space but with no other oral structural abnormality “. And expanded on this in response to the query in Dr Hughes’s first review, “No structural lesion to the tongue muscle or its attachments was observed on clinical examination by an experienced ENT surgeon or on independent examination by an oral maxillofacial surgeon”.
We feel our explanation as outlined in our paper remains the most plausible.
Dear Editors,
Carr AS, et al. Pract Neurol 2017;17:218–221. doi:10.1136/practneurol-2016-001491
In the interests of enhancing our understanding of bulbar function from the perspective of the jobbing clinical neurologist, I am writing to you regarding a publication in this month’s edition of Practical Neurology (Carling et al.). As it stands I do not think the case report does justice to the scholarship of the seven authors.
I enjoyed formally refereeing the paper on two separate occasions (enclosed), and offered a third comment (“I think the patient has a lingual nerve palsy and a tethered tongue on the left, both occurring as a complication of surgery”) by email, in the hope that it could appear in a little box as “reviewer’s comments”. I now think that I would have provided a better service to PN if I had sent this single sentence to you instead of the first review.
In the report, the authors champion the careful approach required in patients with very focal abnormalities involving the lower cranial nerves and the muscles they innervate. They describe in pictures and very useful tables—copies of which are already on my office wall—the detailed knowledge that is required to avoid misattribution in the crowded and inaccessible house of the structures involved in bulbar function.
The patient concerned had a third molar removed and postoperatively had a lingual nerve palsy. This complication is anticipated, and is included in the consent pro...
Dear Editors,
Carr AS, et al. Pract Neurol 2017;17:218–221. doi:10.1136/practneurol-2016-001491
In the interests of enhancing our understanding of bulbar function from the perspective of the jobbing clinical neurologist, I am writing to you regarding a publication in this month’s edition of Practical Neurology (Carling et al.). As it stands I do not think the case report does justice to the scholarship of the seven authors.
I enjoyed formally refereeing the paper on two separate occasions (enclosed), and offered a third comment (“I think the patient has a lingual nerve palsy and a tethered tongue on the left, both occurring as a complication of surgery”) by email, in the hope that it could appear in a little box as “reviewer’s comments”. I now think that I would have provided a better service to PN if I had sent this single sentence to you instead of the first review.
In the report, the authors champion the careful approach required in patients with very focal abnormalities involving the lower cranial nerves and the muscles they innervate. They describe in pictures and very useful tables—copies of which are already on my office wall—the detailed knowledge that is required to avoid misattribution in the crowded and inaccessible house of the structures involved in bulbar function.
The patient concerned had a third molar removed and postoperatively had a lingual nerve palsy. This complication is anticipated, and is included in the consent process. This part of the report is a valuable reminder for PN readers, but I suspect it rarely reaches neurologists as dentists and oral surgeons are so familiar with the clinical features, and the medicolegal implications.
The unusual postoperative complication in the patient described is the position of the tongue. The tongue is tilted to the left side regardless of the movements attempted, with predictable effects on relevant phoneme production and on swallowing. There has been no recovery after four years. The abnormality is striking, particularly as in complete twelfth nerve palsies—where many of the muscles of one side of the tongue can be shown to be involved clinically—electrically and radiologically the tongue is not fixed in the way described, and patients seem able to compensate relatively well with the passage of time.
The first edition of the paper attributed this to a loss of proprioception in half of the tongue, due to a loss of fibres conveying muscle stretch sense from the tongue. I questioned this in the first review, and in the second version the position of the tongue was attributed to dysfunction of styloglossus, an elevator of the tongue that fans out to insert along its lateral border. I questioned this in the second review suggesting that a more likely explanation was tethering of the tongue; the patient describes their tongue as feeling stuck, and subsequently it was suspected that there was granulomatous tissue at the site of the operation.
The authors’ point about the need for accurate diagnoses of impairments in this clinical territory is well made. This is clearly relevant in accurately identifying and naming the muscles and cranial nerve branches involved but also to distinguish pure neurological disease from temporally and anatomically adjacent structural disease. In the limbs this is more straightforward because the repertoire of signs is so broad. Observation at rest and during movement, and the testing of tone, strength, reflexes, coordination, sensation, and function is relatively straightforward, as is a basic musculoskeletal examination to look for scar tissue, contractures and joint deformities. Attempts to carry out similar tests for the jaw, larynx, pharynx and tongue are unhinged by their size and structure and the limited views, access and purchase. This congestion cramps the traditional style and sequence of neurological examination at the bedside and may leave the examiner inferring the presence of deficits on the grounds of limited evidence. In the limbs, suspected abnormalities of tone can be triangulated with strength and reflexes, and suspected weakness with inspection and passive range of movement. The signs accepted by one examiner can easily be verified or refuted by others and even quantified using validated rating scales. For the lower cranial nerves, such cross checking and shared scrutiny is more difficult. This may explain a tendency to over interpret the information that is retrieved or inferred; for the tenth nerve the gag reflex has been used in the past to inform risk assessments related to conscious level, swallowing and even mountain sickness.
With these considerations in mind, I am concerned that there may be another explanation for the findings that would further inform the approach to such cases and illustrate even more vividly the need for a special approach in cases of very localised bulbar dysfunction. Some cross checking with digital examination of the floor of the mouth, palpation of the tongue, or the results of attempts by a clinician to correct the position of the tongue may be all that is required to confirm or refute the working diagnosis.
I raise these concerns in the interests of maintaining the high standards, for authors and reviewers, of Practical Neurology.
Reviewer comments to editors (first draft)
Thanks very much for asking me to review this paper. It is a single-case report about loss of proprioception in the tongue with lingual nerve dysfunction, a common but usually transient complication of third molar removal (related to either the anaesthesia or surgery or both). There are stretch receptors in the tongue, but traditionally it has been thought that their afferent neurones travel with the hypoglossal rather than the lingual nerve.
At first I thought it was identifying something important about the tongue and in particular its proprioception, but with repeated reading I have become less certain about the interpretation of the clinical signs, and the conclusions drawn.
Immediately following third molar removal under local anaesthetic the patient described had persistent dysarthria in association with sensory loss in a lingual nerve distribution, with what are described as pseudoathetoid movements of the tongue.
I think it is a scholarly article and I hope the authors will tolerate my questions!
Was the surgery for the removal of the left third molar unusual in any way, and in particular were any incisions required in to the gum of the third molar, and if so were they made on the buccal (standard practice) or lingual side? This would inform thinking about the possibility of additional complications.
Were tests done to demonstrate loss of proprioception in the tongue? I think this is important given their use of the term pseudoathetoid in the title of the paper.
Options include holding the tongue gently with small padded forceps and with the patient’s eyes closed testing awareness of passive tongue movements. As with other tests of lower cranial nerve dysfunction the field of view in such a crowded area is not great and the repertoire of signs limited, but if the described tongue movements are a result of proprioceptive loss, I would expect some detectable impairment of awareness of tongue position. This is of particular relevance as in day-to-day function any sensory loss in and on the tongue was apparently uncompensated for by the completely normal right side sensation (lingual and buccal) and the normal left sided sensation of the buccal mucosa, teeth, hard palate and other closely tongue-apposing structures.
Is it reasonable to compare and contrast this patient’s bizarre tongue movements with other patients who have more extensive intraoral sensory loss e.g. lateral medullary syndrome, pontine plaques and cavernomas etc.? I think we see dysarthrias commonly, and tongue deviation secondary to motor problems, but not bizarre tongue movements that we attribute to sensory loss. With such a high density of receptors in the tongue and mouth, and the relatively small area of sensory loss on just one side of her tongue and gum, it seems improbable that she would not be able to overcome a unilateral sensory problems, and relearn normal speech and swallowing.
Is there another reason why she has ended up so disabled by a unilateral sensory problem? Could it be structural or motor?
The patient describes feeling as though the tongue is stuck, something that suggests a degree of preserved proprioception, but also could suggest a structural problem. I would be interested to know if the floor of the mouth and base of tongue was palpated, digitally, on the left side to detect any persistent post operative changes, particularly any involving tongue muscles, as some of the movements of the tongue could be explained by a motor problem. I note that there was no wasting or fasciculation of the tongue and that an EMG was normal but the extrinsic muscles of the tongue may still be dysfunctional, and I would like to ask about two.
I note that the tongue at rest had a tendency to point to the right (rather than be randomly positioned in the mouth as would be expected with significant proprioceptive loss), and in figure 1 the right side seems higher than on the left. I would be interested to know if this pattern of movement could be explained by an absence of styloglossus function on the left. This muscle pulls the tongue backwards and upwards. A loss of function may explain the resting position of the tongue and the tendency of it to point to the right, as the push-me-out, pull-me-back interaction of genioglossus and styloglossus would be lost on the left, and the push-me-out action of left genioglossus would be unopposed, resulting in a tendency of the tongue to point to the right.
The hyoglossus muscle pulls the tongue down and theoretically if it was damaged or changed by surgery it could be tethering the tongue on the left, effectively pulling it down and creating the consistently asymmetrical position in the mouth.
Is there any chance that surgery could have damaged these muscles or their nerve supply?
Regarding the possibility of a motor problem they give very little information about her speech. I would be interested to know whether she was able to reliably produce alveolar and velar plosives, and whether lingual fricatives were normal. There is also no information about the nature of her swallowing problem, particularly whether there was anything to suggest, clinically or on a videofluoroscopy, inadequate apposition of the base of the tongue with the posterior pharyngeal wall.
The sequence of activation of the muscles involved in swallowing is immutable, and can be initiated voluntarily, and is not in anyway dependent on lingual nerve function therefore it is difficult to attribute her swallowing problem to sensory loss of any kind in the anterior tongue. This is another reason I would be interested to know if a motor or structural problem could underlie her symptoms, unchanged after four years.
Overall I feel that not enough evidence has been gathered to justify attributing the tongue movements to a problem with proprioception, but I would be intrigued to review more information about the clinical findings.
There are some minor points of accuracy relating to the motor innervation of palatal elevation (X and V, not IX), the relevance of inferring that a present gag reflex in a conscious adult tells us anything about swallowing function (analogous to saying that someone can walk because they have knee and ankle reflexes), or that an absent palatal or pharyngeal reflex necessarily means that there is sensory loss (in lots of normal adults palatal and pharyngeal movement is not elicited by their stimulation). There is one typo (dysphasia instead of dysphagia) and in the abstract a mistake (facial nerve instead of lingual nerve).
I have enjoyed reviewing the paper and would be interested to see a second draft.
Reviewer comments to editors (second draft)
Thank you very much for asking me to review this paper. I saw an earlier version in which a loss of proprioception/muscle stretch sense in the tongue (as a feature of a lingual nerve palsy) was thought to be contributing to the clinical picture. In this revised version it is suggested that in addition to the lingual nerve palsy there is selective involvement of styloglossus, and that this explains the abnormality of tongue movement.
I have read and reread the paper and have once again enjoyed checking and cross checking the neuroanatomy. I really enjoyed the scholarship of the authors involved in describing each individual intrinsic and extrinsic muscle of the tongue and suggesting ways in which clinicians can examine their function and I think this version is an improvement on the first.
However I still have some reservations about the central message of the report –in particular the selective involvement of styloglossus - and I feel sure that the authors would want me to challenge their conclusions.
A lingual nerve injury is very well described as a complication of third molar removal and this was clearly the case in this patient. I will not comment further on the clinical features that are clearly a result of a lingual nerve palsy.
What is less clear is the mechanism underlying the position of the tongue at rest, and during phoneme production.
The most striking, and possibly most relevant, clinical sign in this case is the depressed position, at rest, of the posterolateral aspect of the tongue. This does not correct when the subject sees her tongue in the mirror, and appears to have remained fairly static despite therapy and the passage of time (four years).
This is attributed to the selective involvement of the styloglossus muscle which (Gray’s Anatomy) “ is the shortest and smallest of the three styloid muscles and passing downwards and forwards divides into two portions, one longitudinal which enters the side of the tongue near its dorsal surface, blending with the fibres of the Longitudinalis linguae inferior in front of the Hyoglossus, and the other, oblique portion, overlaps the Hyoglossus and decussates with its fibres”.
Changes in speech production are also attributed to a problem with styloglossus (which retracts and elevates the tongue) in particular difficulty with lingual fricatives, as are changes in swallowing.
Other features of note are that before the patient attended the peripheral nerve clinic ENT surgeons had commented on a post-traumatic neuroma/granuloma at the left retromolar space and I note the patient’s comment about “a sticking of her tongue” when speaking and the pain she reported a month later around the operative area.
Conclusion
I find it difficult to believe that dysfunction of styloglossus is responsible for the problems with tongue movement in this patient for a number of reasons:
1 By the time the muscle has reached the angle of the jaw it is starting to fan out and it seems unlikely that the whole muscle could be transected during dental surgery without the surgeon noticing
2 It is a small muscle
3 MR imaging does not reveal atrophy of the tongue or any selective atrophy of styloglossus (or any other tongue muscle) and yet the disability is severe (she lost her job in telesales) and her speech did not improve with therapy or the passage of time.
4 I have not seen persistent changes in the posture of the tongue, at rest, in complete unilateral hypoglossal nerve palsies when all muscles lose their opposite number, and all of the muscular push-me-pull-you is unopposed, and unapposed.
5 For the position of the tongue to be explained by the loss of styloglossus we would have to accept that at rest the muscle is in fact contracting and elevating the base of the tongue.
My lingering concern is that the left tongue base is tethered in to the floor of the mouth posterolaterally.
Therefore I would be very interested to know if palpation of the tongue and floor of the mouth is normal and in particular if the left dorsolateral tongue can be elevated by the examiners finger or fingers in the same way as it can on the right side.
If this is the case then the report would be very valuable as it would highlight the importance of excluding structural disease before attributing changes in bulbar function to purely neurological deficits.
I hope this is helpful and I look forward to further correspondence.
Tom
We are very grateful to Dr Rota and colleagues for their interest in our guideline.
In essence, we agree that international consensus on DOAC level measurement and cut-off levels would be welcome.
The experience reported by Dr Rota and colleagues of their use of idarucizumab for emergency reversal of dabigatran prior to lumbar puncture is reassuring. Our guideline refers to the need to consult a haematologist prior to administration; however, a guideline is for guidance and we recognise that locally agreed protocols may vary. Likewise, the timings mentioned in the guideline relating to the safe reinitiation of DOACs are by necessity pragmatic. Further evidence in this area will of course be very welcome to further inform practice.
Dear Editor,
Show MoreWe read the article by Dodd et al. (2018) [1] with great interest. The authors provide evidence-based recommendations for the periprocedural management of antithrombotic and anticoagulant treatment in patients who require a lumbar puncture (LP). Indeed, this is a very relevant practical point for neurologists, above all when an urgent diagnostic LP is mandatory to rule out an infectious disease of the central nervous system, or a subarachnoid hemorrhage. The recommendations on adjustment/reversal of warfarin for patients on oral anticoagulants, who require LP, are well known, i.e. long-term LP allowed if INR is < 1.4. Whilst the question of how to manage patients on Direct Oral Anticoagulants (DOACS), a relatively novel pharmacological class, is also to be answered. Dodd et al’s article [1] reports that if a non-urgent LP has to be carried out he these patients, current recommendations vary among different advisory bodies about the time lapse necessary for DOAC withdrawal before the LP, depending on the renal function. The interesting possibility of measuring the drug-specific levels, so as to estimate the anticoagulant effect of a DOAC, is also mentioned, although the authors are of the opinion that routine testing before the LP is not necessary. [1]
We believe that this is a crucial point, above all in the case of an urgent or emergent LP. Indeed, in our experience, when available, drug-specific levels can be obtained quickly and guide the cl...
Sir,
I thoroughly enjoyed reading Dr. Allen’s excellent paper on the right way to do the ankle jerk. He is quite right in saying that ‘tendon reflexes’ are not tendon reflexes. Tapping a tendon leads to stimulation of the Golgi tendon organs, which are actually inhibitory to the alpha neurones, so no response should occur. The muscle contraction probably results from the vibrations transmitted to the intrafusal muscle fibres, leading to activation of the anterior horn cells and thus causing muscle contraction in response to the stimulus. The term “deep tendon reflex” is completely inappropriate; which deep tendons can one access? Levator palpebrae superioris? Piriformis? Gluteus medius? The tendons percussed have to be superficial so that we can get at them.
Although Dr. Allen’s method is absolutely appropriate in patients who are confined to bed, those patients who are mobile can, I suggest, be better examined if you ask them first to kneel on the seat of the chair on which they were sitting, grasping its back with their hands. They are thus unconsciously performing a Jendrassik manoeuvre, augmenting any response that their bodies might make. Their ankles, projected out behind the seat, can be tapped easily, and the response noted with equal facility.
Now in my 80s, I cannot remember whether it was Erb or Westphal or Romberg or somebody else who first suggested this method; but after 55 years in Neurology, I still find it the best way to asse...
Show MoreChris Allen’s series on neurological examination offers huge relief to fellow experts who execute it incorrectly, such as the “ankle jerks”. I too use the plantar method although caution Juniors/Students to do it the right way (tendon method) when non-neurologists assess in osce’s/finals. But in teaching them how to tick the boxes I have questioned why I do what I do (self-questioning being one of the reasons I seize the opportunity to train others). I then recall as an SHO Simon Nurick (one of the people who inspired me) tellinging me to listen to the reflexes, in that when absent one hears a dull thud (rather like that of a pleural effusion, so it is interesting to learn that neurological hammers evolved from those used for respiratory examination). And it sounds more resonant when present, all akin to how taught a violin string might be, I tell them. In fact not only do I listen, as well as observe (visual observation is all that generalists teach Medical Students), but also feel. I believe this most useful when the tension in the “strings” are greatest in hypertonic such that there may be no apparent movement nor sound, but one gets tactile feed back. Hence where possible I always strike the hammer against my own hand placed carefully to achieve best transmission of the force. I suspect all “experts” draw the greater data without knowing and can so better analyse the clinical situation.
Show MoreI’m confident too that they like me may even apply varying non-standard force...
Dear Editor,
Show MoreThomas Brown provided a helpful recent review of pure autonomic failure (PAF) in this journal1. However, there is one very important point which I would wish to add. The diagnosis of this rare condition should be made with extreme caution in the early years of presentation. The first case in the review had a diagnosis of PAF made just two years after symptoms began. In fact, other commoner causes of primary autonomic failure may declare themselves many years after the symptoms first begin, and I have seen a number of such cases during my time at the autonomic unit in Queen Square. A rough rule of thumb used to be that at least five years should pass before making a definitive diagnosis of PAF2. More recent evidence suggests that even longer may be required. A third of cases already with symptoms suggestive of PAF for an average of 5 years were found to have an alternative diagnosis with subsequent follow up for a further four years3. Alternative diagnoses included other synucleinopathies such as Parkinson’s disease, dementia with Lewy bodies or multiple system atrophy.
For many years attempts have been made to find reliable ways to distinguish PAF from other causes of primary autonomic failure. PAF is seen classically as a post-ganglionic disorder whilst multiple system atrophy is seen as a pre-ganglionic form of primary autonomic failure. Utilising this pathophysiological difference, a variety of differentiating tests have been attempted....
We came across the pages of the article of Nashef and Leach recently released to the scientific community through the Practice Neurology with a great enthusiasm.1 The authors have not only had courage, but have had special ability in touching on such an important matter in a scientific and subtle manner simultaneously. As we know, along the past twenty years there has been exponential growth in the number of articles published on SUDEP with a triple increase in this scientific production in the last ten years.2 Therefore a great scientific breakthrough in SUDEP has been established with regard to epidemiological aspects, specific risk factors, mechanisms involved and possible preventive measures (if they really exist) 3. And yet, it is very well defined that the main risk factor for SUDEP is the presence and number of generalized tonic-clonic seizures (GTCS)3 and the best way to avoid a tragic event is to control these GTCS. In parallel, there is also an imperative issue in relation to all these aspects: how, when, where, why and what patients should we address on SUDEP? Despite the great effort of epileptologists and elegant studies already published, the discussion on SUDEP with patients is still a matter of debate among experts.4 In order to enable this debate, we will have to somehow let the conservative side and consider the current numbers that demonstrate that 1 in every 1000 young adults and 1 in every 4500 children with epilepsy may suddenly die. 5 And more, accor...
Show MoreStone and Carson(1) say:
‘Non-organic refers to things unrelated to living matter,… This is a word that cannot be used to describe conditions suffered by living human beings.’ They refer ‘to the OED sense: “something characterised by structural or other pathological change in an organ or organs”. They acknowledge it was useful ‘in the 19th century when neurologists first saw the pathology of multiple sclerosis or motor neurone disease. But what about genetic generalised epilepsy or migraine—pathological, but not necessarily structural, or at least no more so than, for example, unipolar depression where there is quite substantial evidence for structural changes. ’(2)
They are right to point out the difficulties in separating ‘functional and non-organic’ disorders from those with structural or ultrastructural abnormalities but they should not be ‘blackballed from the club of legitimate conditions because of the difficulty in establishing their veracity.’
Most of us understand that epilepsy, migraine and spasmodic torticollis, for example, have underlying structural or other subtle abnormalities; the fact that modern techniques don't always disclose the organic basis does not mean they are psychogenic, do not exist, or are illegitimate.
Functional was originally the result of altered function (rather than structure) of an organ, system, etc.; but its meaning confusingly changed to a psychological cause as opposed to a physical one. The term...
Show MoreWe thank Dr Hughes for his thoughtful letter and his previous extensive comments as part of the reviewing process.
The main issue Dr Hughes has raised is the possibility of another local structural lesion. He asks that “Some cross checking with digital examination of the floor of the mouth, palpation of the tongue, or the results of attempts by a clinician to correct the position of the tongue may be all that is required to confirm or refute the working diagnosis.
We had already addressed this in our paper “The ENT and oral maxillofacial surgeons had noted a small post-traumatic neuroma/granuloma at the left retromolar space but with no other oral structural abnormality “. And expanded on this in response to the query in Dr Hughes’s first review, “No structural lesion to the tongue muscle or its attachments was observed on clinical examination by an experienced ENT surgeon or on independent examination by an oral maxillofacial surgeon”.
We feel our explanation as outlined in our paper remains the most plausible.
Dear Editors,
Show MoreCarr AS, et al. Pract Neurol 2017;17:218–221. doi:10.1136/practneurol-2016-001491
In the interests of enhancing our understanding of bulbar function from the perspective of the jobbing clinical neurologist, I am writing to you regarding a publication in this month’s edition of Practical Neurology (Carling et al.). As it stands I do not think the case report does justice to the scholarship of the seven authors.
I enjoyed formally refereeing the paper on two separate occasions (enclosed), and offered a third comment (“I think the patient has a lingual nerve palsy and a tethered tongue on the left, both occurring as a complication of surgery”) by email, in the hope that it could appear in a little box as “reviewer’s comments”. I now think that I would have provided a better service to PN if I had sent this single sentence to you instead of the first review.
In the report, the authors champion the careful approach required in patients with very focal abnormalities involving the lower cranial nerves and the muscles they innervate. They describe in pictures and very useful tables—copies of which are already on my office wall—the detailed knowledge that is required to avoid misattribution in the crowded and inaccessible house of the structures involved in bulbar function.
The patient concerned had a third molar removed and postoperatively had a lingual nerve palsy. This complication is anticipated, and is included in the consent pro...
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