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The Practical Neurology Podcast is the essential guide for the everyday life of all neurologists. Just like our journal Practical Neurology, this podcast is useful for everyone who sees neurological patients and who wants to keep up-to-date and safe in managing them. In other words, this is a podcast for jobbing neurologists who plough through the tension headaches and funny turns week in and week out.
Subscribe to enjoy deep dives into each journal issue with editors Prof. Philip Smith and Dr. Geraint Fuller, discussions on recent case reports with Prof. Martin Turner, and Editor’s Choice article discussions between authors and Dr. Amy Ross Russell.
Practical Neurology - pn.bmj.com - is included as part of a subscription to JNNP and provided in print to all members of the Association of British Neurologists.
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Suspected encephalitis in adults: a challenging diagnosis
Encephalitis, at its simplest, is inflammation of the functional tissue of the brain. With a wide range of infectious and non-infectious causes, it can be difficult to differentiate from other forms of encephalopathy. Yet a growing evidence
Adoptive immunotherapy, updated MS criteria, and misleading meters - Editors' Highlights October 2026
A rare sight on the podcast: a paper from the cutting edge of practice, with the novel use of CAR-T cells in treating neurological diseases. Editors Phil Smith and Geraint Fuller bring a selection of papers from the October 2026 issue of th
Mystifying malabsorption, and brain stem syndromes - Case Reports August 2026
Diet continues to be a growing presence in the neurological diagnoses cropping up for the Case Reports team, returning again after its previous appearance with gastric sleeves (https://pnbmj.podbean.com/e/case-reports-june-2025/). The first
Mapping the blindspot: papilloedema for neurologists
Space, the final frontier. A new domain for the podcast opens, as we learn how astronauts are preparing for Mars transit by lying in bed. But first - the ophthalmology department refers a patient with a swollen optic disc. When is it papill
Papilloedema, Parkinson's follow-up, and subhairline EEG - Editors' Highlights August 2026
The latest highlights from the journal will deliver confidence when managing complex everyday presentations. In this podcast for the August 2026 issue of Practical Neurology, co-editors Phil Smith and Geraint Fuller present the key highligh
Refractory epilepsy surgery, and the paradox of autoimmune encephalitis - live from the ABN Meeting 2026
In this special episode coming live from the Association of British Neurologists (ABN) annual meeting in Birmingham, Practical Neurology co-editors Phil Smith and Geraint Fuller join hosts Ruth Wood and Babak Soleimani to discuss the perenn
Not all insomnia is insomnia: a guide to sleep neurology
What's the real difference between a night owl and a morning lark? The Editors' Choice paper for the June 2026 issue of Practical Neurology is a review of all the ways sleep intersects with neurological practice. Last author Prof. Guy Lesch
Drug-induced seizures, limb-shaking, and holistic myasthenia treatment - Editors' Highlights June 2026
The latest highlights from the journal are set to give confidence when trying something new. In this podcast for the June 2026 issue of Practical Neurology, co-editors Phil Smith and Geraint Fuller bring a distillation of the wisdom found i
Perplexing keladophilia and post-surgical symptoms - Case Reports April 2026
It's the return of Merlin. Not the birdsong identification app (https://pnbmj.podbean.com/e/highlights-october-2025/) this time, but the Rolls-Royce Merlin - engine of the historic Supermarine Spitfire warplane. The Case Reports trio are fa
Radiologically isolated syndrome: managing the preclinical phase of MS
What should a neurologist do when a routine MRI for migraine reveals incidental white matter lesions that look remarkably like Multiple Sclerosis (MS), despite the patient having no neurological symptoms? The Editors' Choice paper for the A
Bone health in Neurology: managing the fracture risk
In this Practical Neurology bonus international podcast linked to the February issue, host Alasdair Coles (Cambridge, UK) is joined by movement disorder specialist Dr. Ashley Paul (Johns Hopkins, US) and epilepsy expert Dr. Lata Vadlamudi (
Head knocks in athletes, the clock drawing test, and generic medications - Editors' Highlights April 2026
As with any Darwinian subject, neurology is under constant evolution. This podcast for the April 2026 issue of Practical Neurology has co-editors Phil Smith and Geraint Fuller taking a look at some intriguing specimens from the neurological
Recurring migraine, and unintentional weight loss - Case Reports February 2026
What unsuspecting dangers lie within a garden compost bin? The Case Reports team are back to uncover a new pair of neurological mysteries. The first case this episode (1:24) comes from Edinburgh, centred on an 88-yo woman who presents with
A face in the hedge: Dementia with Lewy bodies
Many patients will affirm seeing clouds shaped like animals or other similar phenomena, which is why confirming pareidolia (seeing meaningful images in meaningless visual stimuli) is such a tricky symptom in dementia with Lewy bodies (DLB).
Mind the gap, passage hallucinations, and conducting on cue - Editors' Highlights February 2026
When a patient says, "I biffed the car," how should that be translated? Puzzles like this represent the gap between description and diagnosis, and are a critical part of neurological practice. In this podcast for the February 2026 issue of
The eye as a snowglobe: Uveitis for neurologists
Eye pain can be a source of serious concern for patients, bringing worries about their eyesight. While uveitis is far from the only source of ocular pain, in many presentations of the condition it is a feature. In this Editors' Choice podca
Unusual emboli, and software versus hardware - Case Reports December 2025
Another set of intriguing cases from the latest issue of the journal, pored over by the Case Reports team. In the first case, a 24-yo man presents acutely with reduced consciousness, following 3 days of right-sided headache. His mother repo
Drugs of misuse: a contemporary guide
Neurology requires some detective work at times, and identifying the patterns of symptoms associated with drug misuse can be a tricky mystery indeed. For this episode, we're receiving a masterclass from Dr. Robin Howard¹ on the wide variety
Prudent scanning, masquerade syndromes, and spotting the tadpole - Editors' Highlights December 2025
Who do we need to scan? Behind the constant considerations of irradiation risk and resource usage, there is nuance to be found. Parkinson's disease - being a clinical diagnosis - doesn't suggest a need for imaging, yet one case in this issu
Unihemispheric atrophy, and a culinary culprit - Case Reports Oct 2025
Two new cases from the latest issue of the journal present the podcast team with some rare explanations, and a chance to test yourself on food trivia. In the first case (1:18), from Malaysia, a 49-yo left-handed woman develops 10 days of re
Rethinking Myasthenia Gravis: A global perspective on ABN's latest guidelines
In this special international episode, we explore the 2025 update of the Association of British Neurologists’ guidelines on managing autoimmune myasthenia gravis. Ten years after the previous recommendations, significant changes have been i
The birdsong of the brain, cognitive flexibility, and a guideline update - Editors' Highlights October 2025
Another packed episode for this month's issue of the journal. There's a special emphasis on case reports this time, showing their value as a way to understand the rarely encountered. For the more common conditions there are guidelines, and
Dangers from the deep, and prolonged pituitary inflammation - Case Reports August 2025
The wonders of the animal kingdom make an absorbing reappearance this episode, so grab your scuba mask before listening - or your chef’s hat. The first case this month is the kind that even an experienced neurologist would be nervous to enc
Health anxiety: patient paradoxes and successful treatment
"This is a disorder that you don't want to miss", says Prof. Jon Stone¹, describing the condition at the heart of this episode, alongside co-author Dr. Huw Green². Their paper "Health anxiety in a neurological setting" is the subject of the
Electrolyte abnormalities, unhelpful reassurance, and the essence of tremor - Editors' Highlights August 2025
Simplification is everything - that's the message for the latest issue of the journal. Assisted by a cast of characters including Albert Einstein and deep sea sponges, your editors Phil Smith and Geraint Fuller take on topics from hyponatra
An international approach to the use of immunoglobulin
In the latest bonus podcast, the practical use of intravenous immunoglobulin is discussed with perspectives from three continents. Participants: • Professor Alasdair Coles is Head of Department for Clinical Neuroscience and also Co-Director
The risks of "bariatric tourism", and photophobia with a pustular rash - Case Reports June 2025
Gastric sleeve surgery is the key feature of a pair of recent cases from the journal, which start this episode (1:17). Both cases feature 25-yo women with presentations in common: paraesthesia and limb weakness, along with disordered eye mo
New, complicated and evolving: IgG4-related disease
A neuroinflammatory disorder with the potential to affect virtually any organ in the body, IgG4-related disease is a challenge on many fronts. The latest Editors' Choice paper in the June 2025 issue takes on this systemic disease, presentin
Nutritional perils, the immunoglobulin paradox, and a flickering candle - Editors' Highlights June 2025
This episode’s theme is new diseases, whether they are newly described, or old diseases back in a new form. We start off with IgG4-related disease, a chronic multisystem disorder that is still being understood. Then there is a genetics pape
Fragmented sleep with delusions of theft, and falls after eye shingles - Case Reports April 2025
Two wide open cases from the latest issue of the journal. Starting with a case from Italy (1:18), of a 63-yo man having a history of behavioural and cognitive problems since retiring. His many changes included low mood, significant weight l
