Utilization of a neurology specialty service by primary care providers for headache management at a tertiary care hospital.

Background: Recent data indicate that the three-month prevalence of severe headaches or migraines in the US general population is close to 25%. Participation of primary care providers will therefore be critical in providing care to affected individuals.

Objective: To determine the number of headache disorder consult requests to a neurology outpatient service in a tertiary medical center, the appropriateness of the consult requests, and the effectiveness of a lecture series on headache diagnosis and management in preventing inappropriate consult requests from non-neurology providers.

Light-Induced Amaurosis-A Case Report and Brief Literature Review.

Light-induced amaurosis is a rare manifestation of symptomatic carotid artery disease. Unlike amaurosis fugax, which is often attributed to embolic phenomenon associated with carotid artery disease, light-induced amaurosis has been associated with reduced perfusion to the eye, secondary to carotid artery disease, leading to retinal ischemia. The case described here is that of a 67-year-old male with bilateral vision loss in response to bright light.