Practical Neurology Podcast

Practical Neurology Editors Phil Smith and Geraint Fuller talk you through the highlights of the February 2022 issue of the journal. Read more on the PN website: https://pn.bmj.com/content/22/1/1 The full issue here: https://pn.bmj.com/content/22/1 Please subscribe to the Practical Neurology podcast via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify, to get the latest podcast every month. If you enjoy our podcast, please consider leaving us a review or a comment on the Practical Neurology Podcast iTunes page (https://podcasts.apple.com/gb/podcast/pn-podcast/id942932053). Thank you for listening.

Dr Amy Ross Russell, Neurology, University Hospital Southampton NHS Foundation Trust, interviews Dr Fahmida Chowdhury and Dr Matthew Walker, both from the National Hospital for Neurology and Neurosurgery, London, about their recent paper, summarising the current literature on localisation in focal epilepsies using illustrative cases and discussing possible pitfalls in localisation. Read the paper on the Practical Neurology website (https://pn.bmj.com/content/21/6/481) and the December print issue of the journal. The paper is also discussed by Practical Neurology editors, Dr Phil Smith and Dr Geraint Fuller, in their latest podcast: https://soundcloud.com/bmjpodcasts/editors-highlights-december-2021-issue?in=bmjpodcasts/sets/pn-podcast Please subscribe to the Practical Neurology podcast via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify, to get the latest podcast every month. If you enjoy our podcast, please consider leaving us a review or a comment on the Practical Neurology Podcast iTunes page (https://podcasts.apple.com/gb/podcast/pn-podcast/id942932053). Thank you for listening.

Practical Neurology Editors Phil Smith and Geraint Fuller talk you through the highlights of the October issue of the journal. Read more on the PN website: https://pn.bmj.com/content/21/6/463. The full issue here: https://pn.bmj.com/content/21/6 Please subscribe to the Practical Neurology podcast via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify, to get the latest podcast every month. If you enjoy our podcast, please consider leaving us a review or a comment on the Practical Neurology Podcast iTunes page (https://podcasts.apple.com/gb/podcast/pn-podcast/id942932053). Thank you for listening.

Autoimmune encephalitis comprises a group of disorders in which the host immune system targets self-antigens expressed in the central nervous system (CNS). Some of the best-characterised diseases are associated with autoantibodies that target neuroglial antigens. These autoantibodies are considered pathogenic because they are directed against the extracellular—and hence in vivo exposed—domains of their target antigens. Associate Editor of Practical Neurology, Dr Tom Hughes, Department of Neurology, Cardiff, interviews Prof Sarosh R Irani, Oxford Autoimmune Neurology Group, Nuffield Department of Clinical Neurosciences, Oxford University, about his recent paper, in which he summarised the well-known autoantibody-mediated encephalitis syndromes with neuronal cell-surface antigens and focus on practical aspects of their diagnosis and treatment, offer their clinical experiences of managing such cases and highlight more basic neuroimmunological advances that will inform their future diagnosis and treatments. Read the paper on the Practical Neurology website (https://pn.bmj.com/content/21/5/412) and the October print issue of the journal. The paper is also discussed by Practical Neurology editors, Dr Phil Smith and Dr Geraint Fuller, in their latest podcast: https://soundcloud.com/bmjpodcasts/editors-highlights-of-the-october-2021-issue?in=bmjpodcasts/sets/pn-podcast Please subscribe to the Practical Neurology podcast via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify, to get the latest podcast every month. If you enjoy our podcast, please consider leaving us a review or a comment on the Practical Neurology Podcast iTunes page (https://podcasts.apple.com/gb/podcast/pn-podcast/id942932053). Thank you for listening.

Practical Neurology Editors Phil Smith and Geraint Fuller talk you through the highlights of the October issue of the journal. Read more on the PN website: https://pn.bmj.com/content/21/5/373 The full issue here: https://pn.bmj.com/content/21/5 Please subscribe to the Practical Neurology podcast via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify, to get the latest podcast every month. If you enjoy our podcast, please consider leaving us a review or a comment on the Practical Neurology Podcast iTunes page (https://podcasts.apple.com/gb/podcast/pn-podcast/id942932053). Thank you for listening.

As the number of people with dementia worldwide approaches 50 million, the need for early and accurate diagnosis is more urgent than ever. However, the biggest challenge is often suspecting dementia in the first place and deciding why this is not ‘just’ Alzheimer’s disease. Associate Editor of Practical Neurology, Dr Tom Hughes, Department of Neurology, Cardiff, interviews Dr Jeremy Johnson and Dr Jason Warren, both from the Dementia Research Centre, UCL Queen Square Institute of Neurology, London, about their recent paper, in which they outline a practical, symptom-led, bedside approach to suspecting dementia and its likely diagnosis, inspired by clinical experience and based on recognition of characteristic syndromic patterns. You can read the paper on the Practical Neurology website (https://pn.bmj.com/content/21/4/300) and the August print issue of the journal. The paper is also discussed by Practical Neurology editors, Dr Phil Smith and Dr Geraint Fuller, in their latest podcast: https://soundcloud.com/bmjpodcasts/editors-highlights-of-the-august-2021-issue?in=bmjpodcasts/sets/pn-podcast Please subscribe to the Practical Neurology podcast via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify, to get the latest podcast every month. If you enjoy our podcast, please consider leaving us a review or a comment on the Practical Neurology Podcast iTunes page (https://podcasts.apple.com/gb/podcast/pn-podcast/id942932053). Thank you for listening.

Practical Neurology Editors Phil Smith and Geraint Fuller talk you through the highlights of the August issue of the journal. Read more on the PN website: https://pn.bmj.com/content/21/4/273 The full issue here: https://pn.bmj.com/content/21/4 Please subscribe to the Practical Neurology podcast via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify.

Practical Neurology Editors Phil Smith and Geraint Fuller talk you through the highlights of the June issue of the journal. Read more on the PN website: https://pn.bmj.com/content/21/3/183 The full issue here: https://pn.bmj.com/content/21/3 Please subscribe to the Practical Neurology podcast via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify.

Practical Neurology Editors Phil Smith and Geraint Fuller talk you through the highlights of the April issue of the journal. Read more on the PN website: https://pn.bmj.com/content/21/2/91 The full issue here: https://pn.bmj.com/content/21/2 Please subscribe to the Practical Neurology podcast via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify.

Practical Neurology Editors Phil Smith and Geraint Fuller talk you through the highlights of the February issue of the journal. Read more on the PN website: https://pn.bmj.com/content/21/1/1 The full issue here: https://pn.bmj.com/content/21/1

Dr Tom Hughes, Department of Neurology, Cardiff, interviews Dr Luis Idrovo, Department of Neurology, Leeds, about one of the most prevalent, disabling and undertreated conditions in neurological clinical practice: headaches. They discuss the administration of peripheral nerve blocks to treat various headache disorders both in the acute and outpatient setting. Please read the related paper, which is the Editor's Choice of the February 2021 issue of the journal: https://pn.bmj.com/content/21/1/30 Please subscribe to the Practical Neurology podcast via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify.

Practical Neurology Editors Phil Smith and Geraint Fuller talk you through the highlights of the December issue of the journal. Read more on the PN website: https://pn.bmj.com/content/20/6/427 The full issue here: https://pn.bmj.com/content/20/6

In the return of the Practical Neurology Podcast, Dr Tom Hughes interviews Dr Saúl Reyes, Consultant Neurologist at the Blizard Institute, and The London School of Medicine and Dentistry, Queen Mary University of London, UK. They discuss the important issues regarding what vaccinations people with MS should have, and when they should have them in relation to their immunosuppressant drugs. Read the accompanying paper on the Practical Neurology's November issue and online at http://dx.doi.org/10.1136/practneurol-2020-002527 Please subscribe via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify.

Essential tremor is the most common form of tremor in humans. In this podcast, Dr Tom Hughes, Practical Neurology Associate Editor, interviews Dr Elan D Louis, Yale Neurology, Division of Movement Disorders, New Haven, CT, who’s the author of a recent paper called, ‘Essential tremor: a nuanced approach to the clinical features’. They discuss this condition, not always easy to diagnose, and the distinction between essential tremor and Parkinson’s disease as well as dystonia. Read the paper on the Practical Neurology website: https://pn.bmj.com/content/19/5/389.

‘Query encephalitis’ is a common neurological consultation in hospitalised patients. Identifying the syndrome is only part of the puzzle. Although historically encephalitis has been almost synonymous with infection, we increasingly recognise parainfectious or postinfectious as well as other immune-mediated causes. Encephalitis must also be distinguished from other causes of encephalopathy, including systemic infection, metabolic derangements, toxins, inherited metabolic disorders, hypoxia, trauma and vasculopathies. The paper discussed in this podcast reviews the most important differential diagnoses (mimics) of patients presenting with an encephalitic syndrome and highlight some unusual presentations (chameleons) of infectious encephalitis. Listen to the conversation of Dr Tom Hughes, Practical Neurology Associate Editor, with Dr Nicholas Davies (Department of Neurology, Chelsea and Westminster Hospital, London, UK) and read the paper on the Practical Neurology website: http://dx.doi.org/10.1136/practneurol-2018-002114.

A framework to guide general neurologists in the diagnostic reassessment of people with epilepsy and complex neurological problems of unknown cause is discussed in this podcast. Dr Tom Hughes, Practical Neurology Associate Editor, is joined by Dr Lina Nashef (King’s College Hospital, London, UK), the corresponding author of the paper “Investigating adults with early-onset epilepsy and intellectual or physical disability”, which also addresses imaging, electroencephalography, genetic studies and metabolic testing. Read the paper included on the Practical Neurology April issue here: ttps://pn.bmj.com/content/19/2/115.

The basic principles of B-cell depletion with therapeutic monoclonal antibodies, the available evidence for using rituximab in neurological diseases as well as prescribing advice are discussed in this podcast. Practical Neurology Associate Editor Dr Tom Hughes is joined by Dr Daniel Whittam and Dr Anu Jacob, the authors of the review paper: “Rituximab in neurological disease: principles, evidence and practice”, which is part of the Practical Neurology February issue (https://pn.bmj.com/content/19/1/5).

What do adult neurologists need to know ahead of the likely licensing of Epidiolex for epilepsy in the UK in 2019? It is quite possible that cannabidiol, currently licensed in the USA for treating rare genetic epilepsies, may open the door for the widespread legalisation of recreational cannabis. Dr Rhys Thomas (Neurologist at the Institute of Neuroscience, Newcastle University, UK) tells fellow Practical Neurology Associate Editor Dr Tom Hughes why the arguments about who may benefit from cannabis-derived medicines have to be separate from the discussion about the legalisation of recreational cannabis. They also discuss the distinction between cannabidiol oils and the cannabidiol rigorously tested in clinical trials. Read the review on the Practical Neurology website - https://pn.bmj.com/content/early/2018/10/18/practneurol-2018-002058 - and on the journal's December 2018 issue.

Valproate is now contraindicated in pregnancy and women of child-bearing potential. The new stipulations from the Coordination Group for Mutual Recognition and Decentralised Procedures-Human (CMDh), a regulatory body representing European Union member states, about the use of valproate in women of child-bearing potential states that “Valproate should never be started unless alternative treatments are not suitable”. However, people taking this drug used to treat epilepsy should not stop valproate use abruptly, without consulting their doctor. The new regulations are discussed in this podcast by Professor Sanjay Sisodiya (UCL Institute of Neurology, London), who’s the author of a Practical Neurology editorial on this subject (http://pn.bmj.com/content/early/2018/04/19/practneurol-2018-001955). Other related articles in the Practical Neurology website: ►http://pn.bmj.com/content/early/2018/04/19/practneurol-2018-001932 ► http://pn.bmj.com/content/early/2018/04/19/practneurol-2018-001931

Professor Michael Hanna, Senior Consultant Neurologist at Queen Square, UCL, London, discusses the developments in genetics in neuromuscular diseases with Eric Hoffman, Gordon Holmes lecturer at the ABN meeting 2017, in Liverpool. Professor Eric Hoffman (Binghampton University, USA) describes in this conversation his extensive work on the rare condition of Duchenne’s muscular dystrophy. This is the last of a series of podcasts recorded at the 2017 ABN meeting, held in May, in Liverpool, UK. More on this subject on the Practical Neurology website: http://pn.bmj.com/, where you can find these particular articles as well: "Muscle disease" - http://pn.bmj.com/content/9/1/54; "Muscle diseases: mimics and chameleons" - http://pn.bmj.com/content/14/5/288.

Nodding syndrome affects children from 5 to 15 years old in some parts of the African continent. In this podcast, David Nicholl, Department of Neurology, City Hospital, Birmingham, UK, is joined by Mark Ellul, ABN fellow, University of Liverpool, UK, to discuss the latest research in this epileptic disorder. They talked at the Association of British Neurologists annual meeting, Liverpool, May 2017. http://pn.bmj.com/

Professor Andrew Schwartz (University of Pittsburgh, USA) discusses the latest progress toward high-performance neural prosthetics with Practical Neurology's editor Geraint Fuller. The subject was highlighted at the ABN annual meeting 2017, held in May, in Liverpool, UK. For more content on this topic please visit http://pn.bmj.com/.

At the ABN annual meeting 2017, David Burn interviews Kevin Talbot on the his talk on Antisense treatments in spinal muscular atrophy. The ABN Autumn Meeting took place on Wednesday 3rd May in Liverpool. For more content on this topic please visit: pn.bmj.com/

Based on the ABN's Autumn Meeting, Martin Turner interviews Matthew Wood on the his lecture Antisense treatments in neurological disease. The ABN Autumn Meeting took place on 20th October 2016 in London. For more content on this topic please visit: pn.bmj.com/

Based on the ABN's Autumn Meeting, David Nicholl interviews Mary Reilly on the her lecture Treatable Hereditary Neuropathies. The ABN Autumn Meeting took place on 20th October 2016 in London. For more content on this topic please visit: pn.bmj.com/

Based on the ABN's Autumn Meeting debate, Ralph Gregory interviews Neil Robertson on the subject of MS and stem cells and whether they're hope or hype. The ABN Autumn Meeting took place on 20th October 2016 in London. For more content on this topic please visit: http://pn.bmj.com/

Based on the ABN's Autumn Meeting, David Nicholl interviews Mark Edwards on his lecture Functional Movement Disorders - Phenomenology and Management. The ABN Autumn Meeting took place on 20th October 2016 in London. Recommended articles on this topic include: Explaining functional disorders in the neurology clinic: a photo story Alan Carson, Alexander Lehn, Lea Ludwig, Jon Stone pn.bmj.com/content/16/1/56 Functional neurological symptoms: welcome to the new normal Mark J Edwards pn.bmj.com/content/16/1/2 Functional neurological disorders: the neurological assessment as treatment Jon Stone http://pn.bmj.com/content/16/1/7

Based on the ABN's Autumn Meeting, David Burn interviews Anthony Chalmers on his lecture Gliomas - from Biology to Bedside. The ABN Autumn Meeting took place on 20th October 2016 in London.

Based on the ABN's Autumn Meeting, PN Editor Phil Smith interviews Peter Sandercock on his lecture Stroke Treatment - Past, Present and Future. The ABN Autumn Meeting took place on 20th October 2016 in London.

Based on the ABN's Autumn Meeting, PN Editor Geraint Fuller interviews Khalid Hamandi on his lecture Epilepsy Surgery - Who, What and When? The ABN Autumn Meeting took place on 20th October 2016 in London.

Hugh Morris is joined by Nick Fletcher to discuss his ABN Conference lecture "Movement disorders in young adults". The ABN conference 2016, which theme was "The Seven Ages of Man", was held in May, in Brighton, UK.

Practical Neurology Associate Editor Neil Scolding interviews ABN Medallist Prof. Alastair Compton, at the British Neurosciences Association 2016 conference. Alastair Compton, Professor Emeritus of Neurology, looks back to the history of the Multiple Slerosis research, the books he is publishing, advice for young scientists and his most recent medal. The ABN conference 2016, which theme was "The Seven Ages of Man", was held in May, in Brighton, UK.

Practical Neurology Editor Geraint Fuller is joined by Jon Stone to discuss two of his recent Practical Neurology papers on the subject of functional disorders. Dr Jon Stone is a Consultant Neurologist and Honorary Senior Lecturer in Neurology. The discussed papers: Functional neurological disorders: the neurological assessment as treatment - http://pn.bmj.com/content/16/1/7.full Explaining functional disorders in the neurology clinic: a photo story - http://pn.bmj.com/content/16/1/56.full http://www.neurosymptoms.org/

Dr Jacqueline Palace is interviewed about her 10 year analysis of the UK Multiple Sclerosis risk sharing scheme study, presented at this year's Association of British Neurologists (ABN)conference, in Brighton, UK. Jackie Palace, who is interviewed in this podcast by Ralph Gregory, is a clinical lead for the UK MS risk sharing scheme study assessing the long term effects of beta-interferon and Copaxone. The ABN conference 2016, which theme was "The Seven Ages of Man", was held in May, in Brighton, UK.

Practical Neurology Editor Phil Smith is joined by Ingrid Scheffer to discuss her ABN Conference Gordon Holmes' lecture: "Epilepsy genetics comes of age". Professor Ingrid Scheffer, paediatric neurologist and professor at the University of Melbourne, Australia, and Florey Institute of Neuroscience and Mental Health, is a world leading voice in the diagnosis and treatment of epilepsy. The ABN conference 2016, which theme was "The Seven Ages of Man", was held in May, in Brighton, UK.

Welcome to another Practical Neurology book club podcast with PN editor Phil Smith. This time the club and discussed Oliver Sack’s ‘The man who mistook his wife for a hat’, and were honoured to be joined via Skype by Dr Sacks himself. Listen to hear his thoughts on understanding patients, how writing has influenced his clinical approach, and changes in neurology in the past few decades.

Michael J Fox, star of the Back to the Future trilogy, was born in 1961, moved to Hollywood aged 18 and while avidly lapping up the customary attention and refreshments, he developed Parkinson’s disease. He has now authored a memoir describing his experience of the disease alongside his career as an actor. In this podcast, hear PN editor Phil Smith discuss the book with Huw Morris, expert in young onset Parkinson's, National Hospital for Neurology and Neurosurgery. Listen to the other interviews on Fox's memoir: http://goo.gl/YW9miQ Read Dr Harding's review of the book: http://pn.bmj.com/content/14/4/283.full

Michael J Fox, star of the Back to the Future trilogy, was born in 1961, moved to Hollywood aged 18 and while avidly lapping up the customary attention and refreshments, he developed Parkinson’s disease. He has now authored a memoir describing his experience of the disease alongside his career as an actor. In this podcast, hear PN editor Phil Smith discuss the book with Katherine Harding, PN book club lead, and Department of Neurology, University Hospital of Wales. Listen to the other interviews on Fox's memoir: http://goo.gl/YW9miQ Read Dr Harding's review of the book: http://pn.bmj.com/content/14/4/283.full

Michael J Fox, star of the Back to the Future trilogy, was born in 1961, moved to Hollywood aged 18 and while avidly lapping up the customary attention and refreshments, he developed Parkinson’s disease. He has now authored a memoir describing his experience of the disease alongside his career as an actor. In this podcast, hear PN editor Phil Smith the book with Fox's neurologist from the Brigham and Women's Hospital, Allan Ropper. Listen to the other interviews on Fox's memoir: http://goo.gl/L2z10X Read Katherine Harding's review of the book: http://pn.bmj.com/content/14/4/283.full

Michael J Fox, star of the Back to the Future trilogy, was born in 1961, moved to Hollywood aged 18 and while avidly lapping up the customary attention and refreshments, he developed Parkinson’s disease. He has now authored a memoir describing his experience of the disease alongside his career as an actor. PN editor Phil Smith gathered the PN book club to discuss the memoir with Fox's neurologist from the Brigham and Women's Hospital, Allan Ropper, and in this podcast you can hear his thoughts, as well as contributions from book club lead Katherine Harding, Department of Neurology, University Hospital of Wales, and Huw Morris, expert in early onset Parkinson's, National Hospital for Neurology and Neurosurgery. You can also hear each contributor's interview in full. Allan Ropper: http://goo.gl/tsl2p3 Katherine Harding: http://goo.gl/8B6ENw Huw Morris: http://goo.gl/3gRqNY Read Dr Harding's review of 'Lucky Man': http://pn.bmj.com/content/14/4/283.full

Martin Samuels, professor of Neurology, Harvard Medical School, tells Huw Morris, professor of Clinical Neuroscience at the National Hospital for Neurology and Neurosurgery how neurologists make decisions, and the value of making mistakes. Professor Samuels gave the 20th Gordon Holmes lecture, supported by Practical Neurology, at the 2014 ABN Annual Meeting, where this podcast was recorded.

In preparation for this year's ABN annual conference in May, listen to last year's ABN Medallist speaker, David Chadwick. David Chadwick OBE is currently professor of neurology and consultant neurologist at the Walton Centre for Neurology and Neurosurgery, Liverpool. PN editor Phil Smith talks with him about his career, and the past, present and future of neurology. For more details about the ABN Annual Meeting 2014, see http://www.theabn.org

Neurological symptoms occur in approximately 20% of patients with Sjögren's syndrome, and may be the presenting manifestations of the disease. In this podcast, PN co-editor Phil Smith asks Aaron Berkowitz, Department of Neurology, Brigham and Women's Hospital, Boston, about several neurological conditions that can occur in Sjögren's syndrome: sensory ganglionopathy, painful small fibre neuropathy, and transverse myelitis (independently or as part of neuromyelitis optica). Dr Berkowitz describes the symptoms, signs, differential diagnoses, recommended diagnostic evaluation, and treatment of each of these, highlighting the features that should alert neurologists to consider Sjögren's syndrome. Read the full review here: bit.ly/1fF2lev

Peter Gautier-Smith, now retired from neurological consulting at Queen Square, and crime fiction writer, describes how he made the leap from clinician to novelist. This interview is part of a Practical Neurology package on neurology and detective writing. For more information, and the other interviews in the set, see bit.ly/19YiaEM

Listen to Oliver Sacks, professor of neurology and NYU School of Medicine, discuss the role of narrative in neurology, and the parallels between the skills of detectives and clinicians in the specialty. This interview is part of a Practical Neurology package on neurology and detective writing. For more information, and the other interviews in the set, see bit.ly/19YiaEM.

Listen to Chris Goetz, director of the Parkinson's Disease and Movement Disorders Program at Rush University Medical Center, Chicago, talk about the parallel careers of neurologist and crime fiction writer of his friend and colleague Harold Klawans. This interview is part of a Practical Neurology package on neurology and detective writing. For more information, and the other interviews in the set, see bit.ly/19YiaEM

Listen to Andrew Lees, director of the Reta Lila Weston Institute for Neurological Studies at UCL and director of the Queen Square Brain Bank for Neurological Disorders, discuss his article on the intersection between neurology and crime writing. This interview is part of a Practical Neurology package on neurology and detective writing. For more information, and the other interviews in the set, see bit.ly/19YiaEM

When searching for clues to reach a diagnosis, neurologists often empathise with the detective who is trying to solve a case, write Peter Kempster and Andrew Lees in Practical Neurology bit.ly/1dqReQq. In this podcast Andrew Lees, director of the Queen Square Brain Bank, discusses with PN editor Phil Smith how neurologists draw upon detective skills (and how this is changing as the specialty changes), those who have turned these skills to crime fiction writing, and the use of narrative in clinical case histories. The expert witnesses called upon are Oliver Sacks, best selling author and professor of neurology at NYU School of Medicine, Peter Gautier Smith, now retired from consulting at Queen Square and who wrote 31 detective novels, and Chris Goetz, who worked at Rush University Medical Centre with Harold Klawans, crime fiction writer and authority on Parkinson’s disease. Listen to the full interviews here: Andrew Lees bit.ly/1cPaoxM Peter Gautier-Smith bit.ly/1d5HhKj Harold Klawans bit.ly/19cXRGC Oliver Sacks bit.ly/1hBsbgz

Andrew Chancellor, consultant neurologist in Tauranga, New Zealand, gives the background to his reported case of honey neurotoxicity in the June issue of Practical Neurology. Read Dr Chancellor's report here http://bit.ly/15EnIam