Richard Salazar, MD - Jackson Hospital & Clinic - Neurologist

Richard Salazar

MD

Jackson Hospital & Clinic

Neurologist

Montgomery, Alabama | United States

Main Specialties: Neurology

Additional Specialties: Adult Neurology, Movement Disorders


Top Author

Richard Salazar, MD - Jackson Hospital & Clinic - Neurologist

Richard Salazar

MD

Introduction

Primary Affiliation: Jackson Hospital & Clinic - Montgomery, Alabama , United States

Specialties:

Additional Specialties:

Research Interests:

Education

Jul 2012
Movement Disorders Fellowship
University of Maryland
06/2013
Jul 2008
Neurology Residency
Henry Ford Hospital
06/2012

Publications

16Publications

548Reads

1413Profile Views

37PubMed Central Citations

Co-ocurrence of neurosarcoidosis and intrathecal reactivation of Epstein-Barr virus.

Mult Scler Relat Disord 2018 10 24;25:297-299. Epub 2018 Aug 24.

Alabama College of Osteopathic Medicine (ACOM), United States.

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http://dx.doi.org/10.1016/j.msard.2018.08.021DOI Listing
October 2018
68 Reads

Atypical presentation of probable Creutzfeldt-Jakob disease associated with anti-Zic4 antibody: Literature review of neuronal antibodies in Creutzfeldt-Jakob disease.

Authors:
Richard Salazar

Clin Neurol Neurosurg 2018 May 5;168:72-76. Epub 2018 Mar 5.

Neurology Department, Jackson Hospital & Clinic, Montgomery, AL, USA; Alabama College of Osteopathic Medicine, Dothan, AL, USA. Electronic address:

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http://dx.doi.org/10.1016/j.clineuro.2018.02.043DOI Listing
May 2018
89 Reads
1.250 Impact Factor

Discordance Between Physician Assessment and Patient-Reported Depressive Symptoms in Parkinson Disease.

J Geriatr Psychiatry Neurol 2017 Jul 24;30(4):191-195. Epub 2017 May 24.

1 Department of Neurology, University of Maryland School of Medicine, Baltimore, MD, USA.

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http://dx.doi.org/10.1177/0891988717710335DOI Listing
July 2017
51 Reads
2.242 Impact Factor

Reply to: Spontaneous Intracranial Hypotension and its Association with Movement Disorders?

Authors:
Richard Salazar

Tremor Other Hyperkinet Mov (N Y) 2016 14;6:432. Epub 2016 Nov 14.

Department of Neurology, Jackson Hospital & Clinic, Montgomery, Alabama, USA.

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http://dx.doi.org/10.7916/D80K28X2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5121195PMC
November 2016
44 Reads

Spontaneous Intracranial Hypotension Associated with Kinetic Tremor and Ataxia.

Authors:
Richard Salazar

Tremor Other Hyperkinet Mov (N Y) 2016 9;6:366. Epub 2016 Mar 9.

Department of Neuroscience, Jackson Hospital & Clinic, Montgomery, AL, USA.

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http://dx.doi.org/10.7916/D8HQ3ZN5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4790469PMC
June 2016
37 Reads
2 Citations

An unusual presentation of herpes simplex encephalitis with negative PCR.

BMJ Case Rep 2015 Aug 4;2015. Epub 2015 Aug 4.

Department of Medical Education, Parkview Medical Center, Pueblo, Colorado, USA Department of Parkview Neurology Services, Parkview Medical Center, Pueblo, Colorado, USA.

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http://casereports.bmj.com/content/2015/bcr-2015-210522.full
Web Search
http://casereports.bmj.com/lookup/doi/10.1136/bcr-2015-21052
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http://dx.doi.org/10.1136/bcr-2015-210522DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4533672PMC
August 2015
39 Reads

Alternating hemidystonia following traumatic brain injury as an unusual presentation of paroxysmal autonomic instability with dystonia syndrome.

BMJ Case Rep 2014 Nov 20;2014. Epub 2014 Nov 20.

Department of Parkview Neurology Services, Parkview Medical Center, Pueblo, Colorado, USA.

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http://dx.doi.org/10.1136/bcr-2014-206102DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4244337PMC
November 2014
43 Reads

Bilateral hearing loss heralding sporadic Creutzfeldt-Jakob disease: a case report and literature review.

Otol Neurotol 2014 Sep;35(8):1327-9

*Department of Neurology, Parkview Neurology Services, Rocky Vista University, Parker, Colorado, U.S.A.; †Department of Neurology, ‡Division of Audiology, Henry Ford Hospital, Detroit, Michigan, U.S.A.

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http://dx.doi.org/10.1097/MAO.0000000000000485DOI Listing
September 2014
41 Reads
2 Citations
1.600 Impact Factor

Proximal paraparesis due to aortic dissection extending into bilateral carotid arteries in a patient with Loeys-Dietz syndrome.

J Clin Neurosci 2013 Dec 13;20(12):1790-2. Epub 2013 Apr 13.

Neurology Department, Henry Ford Hospital, 2799 West Grand Boulevard, Detroit, MI 48202, USA.

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http://dx.doi.org/10.1016/j.jocn.2012.11.013DOI Listing
December 2013
44 Reads
1 Citation
1.320 Impact Factor

NMO-IgG positive relapsing longitudinally extensive transverse myelitis (LETM) in a seropositive HIV patient

Clin Neurol Neurosurg. 2013 Sep;115(9):1873-5

Clinical Neurology and Neurosurgery

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September 2013
37 Reads

Symptomatic palatal tremor of cortical origin due to stroke.

J Clin Neurosci 2013 May 16;20(5):757-9. Epub 2013 Mar 16.

Department of Neurology, Henry Ford Hospital, 2799 West Grand Boulevard, Detroit, MI 48202, USA.

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http://dx.doi.org/10.1016/j.jocn.2012.05.049DOI Listing
May 2013
38 Reads
1 Citation
1.320 Impact Factor

Opsoclonus as a manifestation of Hashimoto's encephalopathy

J Clin Neurosci. 2012 Oct;19(10):1465-6

Journal of Clinical Neuroscience

We present a 59-year-old male with early manifestation of opsoclonus associated with gait ataxia as a rare clinical presentation of Hashimoto's encephalopathy. Empiric use of intravenous immunoglobulin followed by intravenous high dose methylprednisolone was initiated with subsequent remittance of opsoclonus, encephalopathy, ataxia, and tremor. Extensive workup for infectious, autoimmune, and paraneoplastic etiologies were undertaken and all studies were negative. Thyroglobulin antibodies (312 U/mL) and thyroid peroxidase antibodies (457 U/mL) were elevated (normal <60 U/mL) with a euthyroid state (thyroid stimulating hormone 3.13 μIU/mL). Three months after intravenous steroid therapy, the concentrations of thyroglobulin and thyroid peroxidase antibodies were retested and found to have decreased considerably. Thus, with steroid therapy, the patient's opsoclonus and encephalopathy improved. We have presented a patient with a rare case of opsoclonus as the principal presenting feature of Hashimoto's encephalopathy that was incompletely responsive to intravenous immunoglobulin and resolved with corticosteroids. This report underscores the importance for clinical practitioners to maintain a high index of suspicion for Hashimoto's encephalopathy in cases of opsoclonus, especially when accompanied by an atypical presentation.

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October 2012
41 Reads

Profuse sialorrhea in a case of anti N-methyl-D-aspartate receptor (NMDAR) encephalitis.

Clin Neurol Neurosurg. 2012 Sep;114(7):1066-9

Clinical Neurology and Neurosurgery

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September 2012
39 Reads

Neuromyelitis optica in a patient with pemphigus foliaceus.

J Neurol Sci. 2012 Aug 15;319(1-2):152-5

Journal of the Neurological Science

Neuromyelitis optica (NMO, also eponymously known as Devic's disease) is an immune-mediated demyelinating disease of the central nervous system that can lead to significant disability. Pediatric NMO is a rare disorder often reported after an infection. The authors report a 16 year-old female patient with pemphigus foliaceus who developed subacute optic neuritis followed by cervical transverse myelitis. Restricted distribution of the lesions in the optic nerve and spinal cord was confirmed by ophthalmological evaluation and magnetic resonance imaging of the brain and spinal cord. She was started on intravenous methylprednisolone and then given a maintenance oral prednisone. Subsequently, she was treated with a nonsteroidal immunosuppressant, mycophenolate mofetil, with a target dose of 1000 mg twice a day. Over the course of months, patient noted significant recovery of previous deficits and resolution of the cervical cord enhancement, expansion and cystic dilatation that was previously seen. This case is noteworthy for being the first patient reported with neuromyelitis optica associated with pemphigus foliaceus.

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August 2012
38 Reads

Delayed posthypoxic leukoencephalopathy following a morphine overdose.

J Clin Neurosci. 2012 Jul;19(7):1060-2

Journal of Clinical Neuroscience

We describe one patient and review the literature to define delayed posthypoxic leukoencephalopathy, its etiology, pathophysiology and prognosis. We present a 54-year-old man with confusion and diffuse rigidity following a morphine overdose that had required intubation three weeks previously. A brain CT scan showed bilateral globi pallidi hypodensities and diffusion-weighted brain MRI (DWI) was consistent with acute cerebral anoxia. On day 20 after the initial presentation, the patient insidiously progressed to a state of "akinetic mutism". The brain MRI showed diffuse hyperintensity of the white matter on T2-weighted fluid-attenuated inversion recovery sequences. These areas were bright on DWI and were hypointense on the apparent diffusion coefficient map. An extensive autoimmune, metabolic, toxicological, and infectious work-up included arylsulfatase A enzyme levels, which were unremarkable. Therapy with levodopa was initiated with subsequent improvement of the diffuse rigidity. At discharge, the patient continued to be lethargic with moderate rigidity but began to display signs of recovery. He eventually fully recovered with residual mild confusion. Thus, delayed hypoxic leukoencephalopathy is a rare complication of hypoxic-ischemic encephalopathy, occurring in 2.75% of victims of carbon monoxide poisoning. It typically manifests two to 40 days after apparent recovery from an obtunded state. Prognosis is variable, but recovery can be complete. This report brings to light an important syndrome that can easily be misdiagnosed. Patients who present with these clinical and radiographic features should be treated fully and given time to recover without abrupt withdrawal of care.

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July 2012
38 Reads

Top co-authors

Kelly J Buerger
Kelly J Buerger

Parkview Medical Center

2
Daniel Miller
Daniel Miller

School of Computing

1
Andrew N Russman
Andrew N Russman

From the Cerebrovascular Center (A.T.

1
A Lugo
A Lugo

School of Medicine

1
C Goshgarian
C Goshgarian

Henry Ford Hospital

1
Maria A Nagel
Maria A Nagel

University of Colorado School of Medicine

1
Randall J Cohrs
Randall J Cohrs

University of Colorado School of Medicine

1
Don Gilden
Don Gilden

University of Colorado School of Medicine

1