5 Neurological do-not-dos

Based on the most overused or misused neurological procedures in the US, here are the top five do-not-do recommendations from the American Academy of Neurology:

  1. Don’t perform EEGs for headaches.
  2. Don’t perform imaging of the carotid arteries for simple syncope without other neurologic symptoms.
  3. Don’t use opioids or butalbital for treatment of migraine, except as a last resort.
  4. Don’t prescribe interferon-beta or glatiramer acetate to patients with disability from progressive, non-relapsing forms of MS.
  5. Don’t recommend carotid endarterectomy for asymptomatic carotid stenosis unless the complication rate is low (<3%).

Source: The