Specialized Large Language Model Outperforms Neurologists at Complex Diagnosis in Blinded Case-Based Evaluation.

: Artificial intelligence (AI), particularly large language models (LLMs), has demonstrated versatility in various applications but faces challenges in specialized domains like neurology. This study evaluates a specialized LLM's capability and trustworthiness in complex neurological diagnosis, comparing its performance to neurologists in simulated clinical settings. : We deployed GPT-4 Turbo (OpenAI, San Francisco, CA, US) through Neura (Sciense, New York, NY, US), an AI infrastructure with a dual-database architecture integrating "long-term memory" and "short-term memory" components on a curated neurological corpus.

Cyclic vomiting syndrome, a common language? A 20-year bibliometric study.

Background: Cyclic vomiting syndrome (CVS) is recognized as an episodic syndrome associated with migraine in the last version of the International Classification of Headache Disorders (ICHD-3). It manifests as stereotypical episodes of intense nausea and vomiting, occurring preferentially in childhood. Over the last 2 decades, the knowledge of this disorder has increased.

The teaching of headache medicine in France: A questionnaire-based study.

Background: The treatment of patients with headache represents an important part of a neurologist's activity. It requires sufficient training for neurology residents. In France, residents in neurology can complete this training by attending specialized consultations or by participating in a postgraduate training program called "Diplôme Inter-Universitaire Migraine et Céphalées" (DIUMC).

Hemiplegic Migraine Associated With Variations: A Clinical and Genetic Study.

Background And Objective: variants have been reported in a few cases of patients with hemiplegic migraine. To clarify the role of in familial hemiplegic migraine, we studied this gene in a large cohort of affected probands.

Methods: was analyzed in 860 probands with hemiplegic migraine, and variations were identified in 30 probands.

The neurologist and the hydrops.

The presence of endolymphatic hydrops has been studied in many neurological disorders. The pathophysiological mechanisms may involve CSF pressure variations, transmitted to the innear ear. This hydrops could play a role in vestibular or cochlear symptoms.

A retrospective observation on 105 patients with chronic cluster headache receiving indomethacin.

Background: Indomethacin (IMC) as a prophylactic treatment is considered to be ineffective in cluster headache (CH). However, small series suggested the interest of IMC in CH. Some authors support that an IMC test is useful in all trigeminal autonomic cephalalgias.

Stroke after spontaneous intracranial hypotension: Not a single mechanism. Case report and review of literature.

Spontaneous intracranial hypotension (SIH) is a rare syndrome, typically manifests as orthostatic headache. Sometimes considered asbenignillness, neurological complications are well described, in particular subdural hematoma and cerebral venous sinus thrombosis. Brain infarction as complication of SIH is rarely reported.

Contribution of Otoacoustic Emissions for Diagnosis of Atypical or Recurrent Intracranial Hypotension. A Cases Series.

Background: The diagnosis of spontaneous or post-traumatic intracranial hypotension mainly rely on clinical features and neuroimaging. In atypical presentations, other non-invasive tests are missing to support the diagnosis of intracranial hypotension. The assessment of otoacoustic emissions (OAE) shown interest to monitor intracranial pressure mainly in cases of intracranial hypertension.

Cyclic Vomiting Syndrome in Children.

Purpose Of Review: Cyclic vomiting syndrome (CVS) is a misrecognized and probably underdiagnosed episodic syndrome associated with migraine, occurring preferentially in childhood. Attacks are stereotyped for each individual, with predictable periodicity. This review summarizes recent clinical and paraclinical observations in this syndrome, and current approaches in explorations and therapeutics.

Sneezing in Primary Headaches With Cranial Autonomic Symptoms: Pathophysiological Considerations. A Series of Case Reports.

Objective: To report a case series of sneezing systematically occurring in two cases with migraine and cranial autonomic symptoms and two with cluster headache.

Background: Sneezing occurring systematically during cluster headache or migraine is a rare condition. Sneezing has been described as a specific trigger for migraine.

Cyclic Vomiting Syndrome in Adults and Children: A Hypothesis.

Objective: To see how patients' clinical descriptions compare to the third classification of International Classification of Headache Disorders (ICHD-III beta).

Background: CVS is an episodic syndrome associated with migraine. It is a rare disorder of childhood and adulthood.