2022
Motivational Interviewing for Functional Movement Disorder
Tolchin B, Martino S. Motivational Interviewing for Functional Movement Disorder. Current Clinical Neurology 2022, 223-235. DOI: 10.1007/978-3-030-86495-8_18.Peer-Reviewed Original ResearchFunctional movement disordersFunctional neurological disorderPhysical therapyMovement disordersUse of MIHealthy behaviorsOverview of MIPatients' own reasonsLimited patient engagementPatient adherenceTreatment adherenceBody of evidenceWorse outcomesMedical treatmentPatient engagementTherapeutic interventionsTreatment planNeurological disordersPatientsTherapyMedical settingsMI efficacyDisordersInterventionBehavioral changesDecisions With Patients and Families Regarding Aducanumab in Alzheimer Disease, With Recommendations for Consent
Chiong W, Tolchin BD, Bonnie RJ, Busl K, Cruz-Flores S, Epstein LG, Greene EP, Illes J, Kirschen M, Larriviere DG, Mantri S, Rubin MA, Stern BJ, Taylor LP. Decisions With Patients and Families Regarding Aducanumab in Alzheimer Disease, With Recommendations for Consent. Neurology 2022, 98: 154-159. PMID: 34789544, DOI: 10.1212/wnl.0000000000013053.Peer-Reviewed Original Research
2021
Neurology residents’ education in functional seizures
Milligan T, Yun A, LaFrance W, Baslet G, Tolchin B, Szaflarski J, Wong V, Plioplys S, Dworetzky B. Neurology residents’ education in functional seizures. Epilepsy & Behavior Reports 2021, 18: 100517. PMID: 35243288, PMCID: PMC8857462, DOI: 10.1016/j.ebr.2021.100517.Peer-Reviewed Original ResearchFunctional neurological disorderFunctional seizuresNeurology residentsNeurology residency program directorsResidency program directorsEpilepsy monitoring unitEvidence-based treatmentsNeurology resident educationProgram directorsLow response rateResponse rateNeurological disordersFrequent settingPatientsMajority of programsDiagnosisNeurology residencySeizuresClinical rotationsResident educationTreatmentResidencyCurriculum gapsStandardized modelDidactic lecturesAntiseizure Medication Withdrawal in Seizure-Free Patients: Practice Advisory Update Summary
Gloss D, Pargeon K, Pack A, Varma J, French JA, Tolchin B, Dlugos DJ, Mikati MA, Harden C. Antiseizure Medication Withdrawal in Seizure-Free Patients: Practice Advisory Update Summary. Neurology 2021, 97: 1072-1081. PMID: 34873018, DOI: 10.1212/wnl.0000000000012944.Peer-Reviewed Original ResearchConceptsAntiseizure medicationsSeizure recurrenceSeizure freedomASM withdrawalPediatric patientsInsufficient evidenceAntiseizure medication withdrawalSeizure-free adultsSeizure-free patientsNeurology practice parameterSignificant differencesLong-term riskQuality of lifeMedication withdrawalStatus epilepticusEpilepsy surgeryPractice parametersRecurrencePatientsAmerican AcademyEpileptiform EEGMonthsWithdrawalAdultsRiskReflections on New Evidence on Crisis Standards of Care in the COVID-19 Pandemic.
Tolchin B, Latham SR, Bruce L, Ferrante LE, Kraschel K, Jubanyik K, Hull SC, Herbst JL, Kapo J, Moritz ED, Hughes J, Siegel MD, Mercurio MR. Reflections on New Evidence on Crisis Standards of Care in the COVID-19 Pandemic. The Journal Of Clinical Ethics 2021, 32: 358-360. PMID: 34928864, DOI: 10.1086/jce2021324358.Commentaries, Editorials and LettersConceptsSOFA scoreBlack patientsCrisis standardsSequential Organ Failure Assessment scoreOrgan Failure Assessment scoreAccurate prognostic scoresNext public health emergencyCOVID-19 patientsLife-saving medical resourcesMedical resourcesCOVID-19 pandemicSame scoring systemPublic health emergencyPrognostic scoreBody of evidenceRare casePatientsScoring systemTriage purposesAssessment scoresHealth emergencyCareHealthcare systemCOVID-19ScoresFunctional seizures are not less important than epilepsy
Asadi-Pooya AA, Brigo F, Tolchin B, Valente KD. Functional seizures are not less important than epilepsy. Epilepsy & Behavior Reports 2021, 16: 100495. PMID: 34805820, PMCID: PMC8585631, DOI: 10.1016/j.ebr.2021.100495.Peer-Reviewed Original Research
2019
Motivational Interviewing Techniques to Improve Psychotherapy Adherence and Outcomes for Patients With Psychogenic Nonepileptic Seizures
Tolchin B, Baslet G, Martino S, Suzuki J, Blumenfeld H, Hirsch LJ, Altalib H, Dworetzky BA. Motivational Interviewing Techniques to Improve Psychotherapy Adherence and Outcomes for Patients With Psychogenic Nonepileptic Seizures. Journal Of Neuropsychiatry 2019, 32: 125-131. PMID: 31466516, DOI: 10.1176/appi.neuropsych.19020045.Peer-Reviewed Original ResearchConceptsPsychogenic nonepileptic seizuresClinician-patient communicationNonepileptic seizuresTreatment of PNESPoor clinician-patient communicationPatient-based barriersMajority of patientsFunctional neurological disorderEmergency medicine physiciansHealth care providersMotivational interviewing techniquesPsychiatric comorbidityTreatment nonadherenceTreatment existsCare providersMedicine physiciansPatient engagementPatientsNeurological disordersSomatic symptomsPatient ambivalenceTime-limited goalsPsychological therapiesHealth careTreatment planningTreatment of Patients With Psychogenic Nonepileptic Attacks
Tolchin B, Martino S, Hirsch LJ. Treatment of Patients With Psychogenic Nonepileptic Attacks. JAMA 2019, 321: 1967-1968. PMID: 31026015, DOI: 10.1001/jama.2019.3520.Peer-Reviewed Original Research
2017
Long‐term adherence with psychiatric treatment among patients with psychogenic nonepileptic seizures
Tolchin B, Dworetzky BA, Baslet G. Long‐term adherence with psychiatric treatment among patients with psychogenic nonepileptic seizures. Epilepsia 2017, 59: e18-e22. PMID: 29218816, DOI: 10.1111/epi.13969.Peer-Reviewed Original ResearchConceptsBrief Illness Perception QuestionnairePsychogenic nonepileptic seizuresLong-term adherencePsychiatric treatmentPrior diagnosisNonepileptic seizuresCox proportional hazards regression analysisProportional hazards regression analysisProspective cohort studyHazards regression analysisFirst outpatient visitIllness Perception QuestionnairePercent of subjectsLower scoresCohort studyPsychiatric visitsOutpatient visitsVisit 2Risk factorsFourth visitOne's illnessSurvival analysisNonadherencePerception QuestionnairePatientsNonepileptic Psychogenic Status Epilepticus
Tolchin B, Dworetzky B. Nonepileptic Psychogenic Status Epilepticus. Current Clinical Neurology 2017, 31-42. DOI: 10.1007/978-3-319-58200-9_4.Peer-Reviewed Original ResearchPsychogenic nonepileptic seizuresPsychogenic status epilepticusStatus epilepticusDifferential diagnosisNonconvulsive status epilepticusImportant differential diagnosisSeizure semiologyClinical historyIatrogenic harmNonepileptic seizuresEpilepticusEpileptic seizuresDiagnosisGold standardSupportive testsSeizuresPatientsPrognosisEtiologyEpidemiologyMortalityAssociation of Periodic and Rhythmic Electroencephalographic Patterns With Seizures in Critically Ill Patients
Ruiz A, Vlachy J, Lee JW, Gilmore EJ, Ayer T, Haider HA, Gaspard N, Ehrenberg JA, Tolchin B, Fantaneanu TA, Fernandez A, Hirsch LJ, LaRoche S. Association of Periodic and Rhythmic Electroencephalographic Patterns With Seizures in Critically Ill Patients. JAMA Neurology 2017, 74: 181-188. PMID: 27992625, DOI: 10.1001/jamaneurol.2016.4990.Peer-Reviewed Original ResearchConceptsRhythmic delta activityDelta activityPeriodic dischargesIll patientsSeizure riskElectroencephalographic patternsStimulation-induced patternsCritically Ill PatientsRisk of seizuresHigher seizure riskAcademic medical centerFrequency-dependent mannerSeizure incidenceIll adultsRisk stratificationHigh prevalenceMedical CenterMAIN OUTCOMEContinuous electroencephalographySeizuresPattern prevalenceMultivariate analysisPatientsClinical decisionRhythmic patterns
2016
Effect of stimulus type and temperature on EEG reactivity in cardiac arrest
Fantaneanu T, Tolchin B, Alvarez V, Friolet R, Avery K, Scirica B, O’Brien M, Henderson G, Lee J. Effect of stimulus type and temperature on EEG reactivity in cardiac arrest. Clinical Neurophysiology 2016, 127: 3412-3417. PMID: 27693940, DOI: 10.1016/j.clinph.2016.09.002.Peer-Reviewed Original ResearchConceptsCardiac arrest patientsNipple pressureTherapeutic hypothermiaArrest patientsDifferent stimulus modalitiesTesting modalitiesModerate agreement ratesReliable outcome predictorsAgreement rateStimulus modalityInterrater agreementCardiac arrestOutcome predictorsEEG reactivityPressure reactivityReactive backgroundBetter outcomesHypothermiaPatientsOutcome determinationNormothermiaModalitiesBackground reactivityStimulus typePrior studies
2014
Liver Transplant for Intentional Acetaminophen Overdose and Hepatic Encephalopathy
Willey J, Tolchin B. Liver Transplant for Intentional Acetaminophen Overdose and Hepatic Encephalopathy. CONTINUUM Lifelong Learning In Neurology 2014, 20: 681-685. PMID: 24893242, PMCID: PMC10564018, DOI: 10.1212/01.con.0000450974.91699.b8.Peer-Reviewed Original ResearchConceptsLiver transplantAcetaminophen-induced acute liver failureNeurologic intensive care unitAcute liver failureIntensive care unitNeurologic recoveryTransplant listHepatic encephalopathyLiver failureCare unitAcetaminophen overdosePatient needsOnly real hopeTransplantPatientsReal hopeSuch casesEncephalopathyOverdoseNeurologistsCases