Clinical Case Database / Category: Patient Management

Nervous system symptoms

Publication details

MC Kingston, BK Puri, JA Monro
Foundation Years Journal, volume 7, issue 8, p.18 (123Doc Education, London, August 2013)

Abstract

This is a case summary based on a 44-year-old female patient who presented with nervous system symptoms at the age of 32. This paper highlights her clinical history, examination, investigations and the use of an environmental medicine-based approach to her management including, in particular, the efficacy of nutritional medicine combined with low-dose immunotherapy

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Authors

MC Kingston

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BK Puri

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JA Monro

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References

1. Packer L, Witt EH, Tritschler HJ. Alpha-Lipoic acid as a biological antioxidant. Free Radic Biol Med. 1995;19:227-50.
2. Beitner H. Randomized, placebo controlled, double-blind study on the clinical efficacy of a cream containing 5% alpha-lipoic acid related to photoaging of facial skin. Br J Dermatol. 2003;149:841-9.
3. Vincent HK, Bourguignon CM, Vincent KR, Taylor AG. Effects of alpha-lipoic acid supplementation in peripheral arterial disease: a pilot study. J Altern Complement Med. 2007;13:577-84.
4. Alpha-lipoic acid. Altern Med Rev. 1998;3:308-10.
5. Biewenga GP, Haenen GR, Bast A. The pharmacology of the antioxidant lipoic acid. Gen Pharmacol. 1997;29:315-31.
6. Packer L. Antioxidant properties of lipoic acid and its therapeutic effects in prevention of diabetes complications and cataracts. Ann N Y Acad Sci. 1994;738:257-64.
7. Oley (unknown), “Omegaven”, http://www.oley.org/documents/ omegaveninsert.pdf [accessed 21 August 2012].
8. Lomaestro BM, Malone M. Glutathione in health and disease: pharmacotherapeutic issues. Ann Pharmacother. 1995;29:1263-73.
9. Powers SK, Hamilton K. Antioxidants and exercise. Clin Sports Med. 1999;18:525-36.
10. McKevoy GK, ed. AHFS drug information. Bethesda, MD: American Society of Health-System Pharmacists; 1998.
11. Stehouwer CD. Clinical relevance of hyperhomocysteinaemia in atherothrombotic disease. Drugs and Aging. 2000;16:251-60.
12. Levine M, Rumsey SC, Daruwala R, et al. Criteria and recommendations for vitamin C intake. JAMA. 1999;281:1415-23.
13. Simon JA, Hudes ES. Serum ascorbic acid and gallbladder disease prevalence among US adults. Arch Intern Med. 2000;160:931-6.
14. Shils M, Olson A, Shike M. Modern nutrition in health and disease. 8th ed. Philadelphia, PA: Lea and Febiger; 1994.
15. Covington TR, et al. Handbook of nonprescription drugs. 11th ed. Washington, DC: American Pharmaceutical Association; 1996.
16. Rossier P, van Erven S, Wade DT. The effect of magnesium oral therapy on spasticity in a patient with multiple sclerosis. Eur J Neurol. 2000;7:741-4.

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About the Clinical Cases Database

T​he Foundation Years Clinical Cases Database is​ a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.

The database is fully searchable, or can be browsed by medical specialty. Abstracts can be read free of charge, however a subscription is required in order to read the complete cases.