Neurological Disorders Medical Journal Abstracts

Value of quantitative sensory testing in neurological and pain disorders: NEUPSIG consensus

PAIN
Jun 2013

Value of quantitative sensory testing in neurological and pain disorders: NEUPSIG consensus

Quantitative sensory testing (QST) is a psychophysical method used to quantify somatosensory function in response to controlled stimuli in healthy subjects and patients. Although QST shares similarities with the quantitative assessment of hearing or vision, which is extensively used in clinical practice and research,..

Duloxetine and pregabalin: High-dose monotherapy or their combination? The “COMBO-DN study” – a multinational, randomized, double-blind, parallel-group study in patients with diabetic peripheral neuropathic pain

PAIN
Jun 2013

Duloxetine and pregabalin: High-dose monotherapy or their combination? The “COMBO-DN study” – a multinational, randomized, double-blind, parallel-group study in patients with diabetic peripheral neuropathic pain

This multicentre, double-blind, parallel-group study in diabetic peripheral neuropathic pain addressed whether, in patients not responding to standard doses of duloxetine or pregabalin, combining both medications is superior to increasing each drug to its maximum recommended dose. For initial 8-week therapy either 60..

Induction of Monocyte Chemoattractant Protein-1 (MCP-1) and Its Receptor CCR2 in Primary Sensory Neurons Contributes to Paclitaxel-Induced Peripheral Neuropathy

The Journal of Pain
Jun 2013

Induction of Monocyte Chemoattractant Protein-1 (MCP-1) and Its Receptor CCR2 in Primary Sensory Neurons Contributes to Paclitaxel-Induced Peripheral Neuropathy

The use of paclitaxel (Taxol), a microtubule stabilizer, for cancer treatment is often limited by its associated peripheral neuropathy (chemotherapy-induced peripheral neuropathy [CIPN]), which predominantly results in sensory dysfunction, including chronic pain. Here we show that paclitaxel CIPN was associated with..

Quality of life (QoL) in community-dwelling and institutionalized Alzheimer's disease (AD) patients

Archives of Gerontology and Geriatrics
May 2013

Quality of life (QoL) in community-dwelling and institutionalized Alzheimer's disease (AD) patients

The purpose of this study was to describe and compare QoL and its determinants in two groups of patients with AD that differed in place of residence: community or nursing home. This study covered 200 patients with AD (mean age 79.3±8.2 years, 74% female). Fifty-four per cent of the subjects were living in a nursing..

Cognitive Dysfunction is Associated with Poor Socio-Economic Status in Patients with Cirrhosis: an International Multi-Center Study

Clinical Gastroenterology and Hepatology
May 2013

Cognitive Dysfunction is Associated with Poor Socio-Economic Status in Patients with Cirrhosis: an International Multi-Center Study

Background & Aims: In patients with cirrhosis, cognitive dysfunction most often results from covert hepatic encephalopathy (HE). These patients are not routinely tested for cognitive dysfunction, despite single-center evidence that it could be associated with poor socio-economic status (SES). We investigated the..

Backing up the stories: The psychological and social costs of chronic low-back pain

International Journal of Spine Surgery
May 2013

Backing up the stories: The psychological and social costs of chronic low-back pain

Background: Chronic low-back pain is a widespread condition whose significance is overlooked. Previous studies have analyzed and evaluated the medical costs and physical symptoms of chronic low-back pain; however, few have looked beyond these factors. The purpose of this study was to analyze and evaluate the personal..

Interaction of white matter hyperintensities (WMHs) and apolipoprotein E (APOE) genotypes on cognition in patients with amnestic mild cognitive impairment (aMCI)

Archives of Gerontology and Geriatrics
May 2013

Interaction of white matter hyperintensities (WMHs) and apolipoprotein E (APOE) genotypes on cognition in patients with amnestic mild cognitive impairment (aMCI)

The clinical implications of WMHs in aMCI are inconclusive. Moreover, clinical interactions between APOE genotypes and WMHs remain unclear. This study was conducted to investigate the relationship between WMHs and cognitive functions and how this relationship interacted with APOE genotype in people with aMCI. This..

A rare cause of chronic sciatic pain: Schwannoma of the sciatic nerve

Journal of Clinical Orthopaedics and Trauma
May 2013

A rare cause of chronic sciatic pain: Schwannoma of the sciatic nerve

Schwannomas are common, benign tumors of the shelth of peripheral nerves. Sciatic schwannomas are rare. Their symptomatology usually mimics sciatic pain due to a herniated disc, which can delay the diagnosis. If there is no lumbar pain and lumbar MRI is normal, the sciatic nerve must be clinically and radiologically..

Life-threatening hypokalemia following rapid correction of respiratory acidosis

Heart & Lung: The Journal of Acute and Critical Care
May 2013

Life-threatening hypokalemia following rapid correction of respiratory acidosis

A 56-year-old woman with a history of paraplegia and chronic pain due to neuromyelitis optica (Devic's syndrome) was admitted to a spinal cord injury unit for management of a sacral decubitus ulcer. During the hospitalization, she required emergency transfer to the intensive care unit (ICU) because of progressive..

Progesterone Protective Effects In Neurodegeneration And Neuroinflammation

Journal of Neuroendocrinology
May 2013

Progesterone Protective Effects In Neurodegeneration And Neuroinflammation

Progesterone is a neuroprotective, promyelinating and antiinflammatory factor for the nervous system. Here we discuss progesterone effects in models of motoneuron degeneration and neuroinflammation. In neurodegeneration of the Wobbler mouse, a subset of spinal cord motoneurons showed increased activity of nitric oxide..

Bilateral Subdural Hematomas after Lumboperitoneal Shunt Placement

Journal of Emergency Medicine
May 2013

Bilateral Subdural Hematomas after Lumboperitoneal Shunt Placement

Background: Lumboperitoneal shunts are commonly placed as treatment for a variety of conditions, and complications can be significant. Objectives: We discuss a rare complication of these shunts, namely bilateral non-traumatic subdural hematoma formation. Case Report: A patient with a normal neurologic examination but..

Hyperglycaemia promotes cerebral barrier dysfunction through activation of protein kinase C-β

Diabetes, Obesity and Metabolism
Apr 2013

Hyperglycaemia promotes cerebral barrier dysfunction through activation of protein kinase C-β

Aims: To examine whether protein kinase C (PKC) and associated downstream mechanisms are involved in hyperglycaemia (HG)-evoked blood-brain barrier (BBB) damage. Methods: The activities of total PKC (Peptag assay), NADPH oxidase (lucigenin assay) and matrix metalloproteinase-2 (MMP-2; gelatin zymography) were measured..

A pilot study assessing the bioavailability and pharmacokinetics of diazepam after intranasal and intravenous administration in healthy volunteers

Epilepsy Research
Apr 2013

A pilot study assessing the bioavailability and pharmacokinetics of diazepam after intranasal and intravenous administration in healthy volunteers

Diazepam rectal gel (Diastat®) is the only FDA-approved product indicated for acute repetitive seizures. Despite its proven efficacy, most older children and adults object to this route of administration. As a result, many patients do not realize the benefit of a therapy that can improve outcomes and decrease..

Neurophysiological activity underlying altered brain metabolism in epileptic encephalopathies with CSWS

Epilepsy Research
Apr 2013

Neurophysiological activity underlying altered brain metabolism in epileptic encephalopathies with CSWS

We investigated the neurophysiological correlate of altered regional cerebral glucose metabolism observed in children with epileptic encephalopathy with continuous spike-waves during sleep (CSWS) by using a multimodal approach combining time-sensitive magnetic source imaging (MSI) and positron emission tomography with..

The value of repeat neuroimaging for epilepsy at a tertiary referral centre: 16 years of experience

Epilepsy Research
Mar 2013

The value of repeat neuroimaging for epilepsy at a tertiary referral centre: 16 years of experience

Purpose: Magnetic resonance imaging (MRI) is the investigation of choice for detecting structural lesions that underlie and may accompany epilepsy. Despite advances in imaging technology, 20–30% of patients with refractory focal epilepsy have normal MRI scans. We evaluated the role of repeated imaging with improved MRI..

Clinical and immunological follow-up of B-cell depleting therapy in CNS demyelinating diseases

The Journal of Neurological Sciences
Mar 2013

Clinical and immunological follow-up of B-cell depleting therapy in CNS demyelinating diseases

This report provides information to increase understanding of the public health impact of Alzheimer's disease (AD), including incidence and prevalence, mortality rates, health expenditures and costs of care, and effect on caregivers and society in general. It also explores the roles and unique challenges of..

Physical fitness, walking performance, and gait in multiple sclerosis

The Journal of Neurological Sciences
Mar 2013

Physical fitness, walking performance, and gait in multiple sclerosis

Background: Walking impairment is a prevalent, life-altering feature of multiple sclerosis (MS). There has been recent speculation that physiological deconditioning (i.e., reductions in aerobic capacity, balance, and muscular strength) contributes to walking and gait impairments in MS. Objective: This study examined..

Clinical and ictal characteristics of infantile seizures: EEG correlation via long-term video EEG monitoring

Brain and Development
Mar 2013

Clinical and ictal characteristics of infantile seizures: EEG correlation via long-term video EEG monitoring

Purpose: The semiology of infantile seizures often shows different characteristics from that of adults. We performed this study to describe clinical and ictal characteristics of infantile seizures at less than two years of age. Methods: A retrospective study was done for infants with epilepsy (ages: 1–24months) who..

Newly diagnosed multiple sclerosis in state of Qatar

Clinical Neurology and Neurosurgery
Feb 2013

Newly diagnosed multiple sclerosis in state of Qatar

Background: Epidemiologic studies on multiple sclerosis (MS) are well-documented in the western population but to a lesser extent in Arab world. Objective: To study the demographics, clinical aspects, radiologic and laboratory features along with the degree of disability inflicted, and factors affecting disease..

Chronic cerebrospinal venous insufficiency in multiple sclerosis: A sonographer-blinded case-control study

Clinical Neurology and Neurosurgery
Feb 2013

Chronic cerebrospinal venous insufficiency in multiple sclerosis: A sonographer-blinded case-control study

Objectives: To evaluate the presence of chronic cerebrospinal venous insufficiency (CCSVI) and cerebral venous anomalies in a consecutive series of patients with multiple sclerosis (MS), other neurologic diseases (NEU) and healthy controls (HC). Methods: A consecutive series of 80 MS patients, 41 HC and 40 NEU cases..

Magnetoencephalography localizing spike sources of atypical benign partial epilepsy

Brain and Development
Feb 2013

Magnetoencephalography localizing spike sources of atypical benign partial epilepsy

Rationale: Atypical benign partial epilepsy (ABPE) is characterized by centro-temporal electroencephalography (EEG) spikes, continuous spike and waves during sleep (CSWS), and multiple seizure types including epileptic negative myoclonus (ENM), but not tonic seizures. This study evaluated the localization of..

Subacute peripheral and optic neuropathy syndrome with no evidence of a toxic or nutritional cause

Clinical Neurology and Neurosurgery
Feb 2013

Subacute peripheral and optic neuropathy syndrome with no evidence of a toxic or nutritional cause

Background: The syndrome of subacute simultaneous peripheral neuropathy and bilateral optic neuropathy is known to occur in tropical countries, probably due to malnutrition or toxicity, but not often seen in developed countries. We report seven patients in London who were not malnourished or alcoholic, and in whom no..

A neurodevelopmental basis for BECTS: Evidence from structural MRI

Epilepsy Research
Feb 2013

A neurodevelopmental basis for BECTS: Evidence from structural MRI

Purpose: BECTS (benign epilepsy with centro-temporal spikes) is one of the most common childhood-onset epilepsy syndromes. We investigated quantitative evidence for brain morphological variation associated with BECTS to provide insights into the neuroanatomical basis of this disorder. Methods: Three independent BECTS..

Calculating the tumor volume of acoustic neuromas: Comparison of ABC/2 formula with planimetry method

Clinical Neurology and Neurosurgery
Feb 2013

Calculating the tumor volume of acoustic neuromas: Comparison of ABC/2 formula with planimetry method

Objective: The ABC/2 equation is commonly applied to measure the volume of intracranial hematoma. However, the precision of ABC/2 equation in estimating the tumor volume of acoustic neuromas is less addressed. The study is to evaluate the accuracy of the ABC/2 formula by comparing with planimetry method for estimating..

Fish oil attenuates methylmalonate-induced seizures

Epilepsy Research
Feb 2013

Fish oil attenuates methylmalonate-induced seizures

Methylmalonic acidemias are inherited metabolic disorders characterized by methylmalonate (MMA) accumulation and neurological dysfunction, including seizures. Dietary fatty acids are known as an important energy source and reduce seizure activity in selected acute animal models. This study investigated whether chronic..

Tracking the source of cerebellar epilepsy: Hemifacial seizures associated with cerebellar cortical dysplasia

Epilepsy Research
Feb 2013

Tracking the source of cerebellar epilepsy: Hemifacial seizures associated with cerebellar cortical dysplasia

Traditionally, subcortical structures such as the cerebellum are supposed to exert a modulatory effect on epileptic seizures, rather than being the primary seizure generator. We report a 14-month old girl presenting, since birth, with seizures symptomatic of a right cerebellar dysplasia, manifested as paroxystic..

AD dementia risk in late MCI, in early MCI, and in subjective memory impairment

Alzheimer's & Dementia: The Journal of the Alzheimer's Association
Feb 2013

AD dementia risk in late MCI, in early MCI, and in subjective memory impairment

Objective: To compare the risk of developing Alzheimer’s disease (AD) dementia in late mild cognitive impairment (LMCI), early MCI (EMCI), and subjective memory impairment (SMI) with normal test performance. Methods: The baseline sample (n = 2892) of the prospective cohort study in nondemented individuals (German Study..

Diagnostic accuracy of markers for prodromal Alzheimer's disease in independent clinical series

Alzheimer's & Dementia: The Journal of the Alzheimer's Association
Feb 2013

Diagnostic accuracy of markers for prodromal Alzheimer's disease in independent clinical series

Objective: To capitalize on data from different clinical series to compare sensitivity and specificity of individual biomarkers for predicting mild cognitive impairment (MCI) progression to Alzheimer's disease (AD). Methods: Medial temporal atrophy, cortical hypometabolism, and cerebrospinal fluid biomarkers were..

Disability in atypical parkinsonian syndromes is more dependent on memory dysfunction than motor symptoms

Parkinsonism and Related Disorders
Feb 2013

Disability in atypical parkinsonian syndromes is more dependent on memory dysfunction than motor symptoms

Background: There is a gap in the systematic description and investigation of functional disability in corticobasal syndrome (CBS) and progressive supranuclear palsy (PSP). Additionally, the relations between disability, apraxia, cognitive and behavioural changes are not well understood in atypical parkinsonian..

Florbetapir (F18-AV-45) PET to assess amyloid burden in Alzheimer's disease dementia, mild cognitive impairment, and normal aging

Alzheimer's & Dementia: The Journal of the Alzheimer's Association
Feb 2013

Florbetapir (F18-AV-45) PET to assess amyloid burden in Alzheimer's disease dementia, mild cognitive impairment, and normal aging

Objective: To evaluate the performance characteristics of florbetapir F18 positron emission tomography (PET) in patients with Alzheimer's disease (AD), mild cognitive impairment (MCI), and healthy control subjects (HCs). Methods: Florbetapir PET was acquired in 184 subjects (45 AD patients, 60 MCI patients, and 79 HCs)..

Focal hemosiderin deposits and β-amyloid load in the ADNI cohort

Alzheimer's & Dementia: The Journal of the Alzheimer's Association
Feb 2013

Focal hemosiderin deposits and β-amyloid load in the ADNI cohort

Background: Prevalence and risk factors for focal hemosiderin deposits are important considerations when planning amyloid-modifying trials for treatment and prevention of Alzheimer's disease (AD). Methods: Subjects were cognitively normal (n = 171), early-mild cognitive impairment (MCI) (n = 240), late-MCI (n = 111),..

Improving dementia care: The role of screening and detection of cognitive impairment

Alzheimer's & Dementia: The Journal of the Alzheimer's Association
Feb 2013

Improving dementia care: The role of screening and detection of cognitive impairment

The value of screening for cognitive impairment, including dementia and Alzheimer's disease, has been debated for decades. Recent research on causes of and treatments for cognitive impairment has converged to challenge previous thinking about screening for cognitive impairment. Consequently, changes have occurred in..

Inhalation of 10% carbon dioxide rapidly terminates Scn1a mutation-related hyperthermia-induced seizures

Epilepsy Research
Feb 2013

Inhalation of 10% carbon dioxide rapidly terminates Scn1a mutation-related hyperthermia-induced seizures

The aim of this study was to assess the anticonvulsant effect of carbon dioxide (CO2) on Scn1a mutation-related febrile seizures. We examined physiological changes in the blood gas levels after the induction of hyperthermia-induced seizures (HISs), which were associated with the Scn1a missense mutation. We determined..

New ELISAs with high specificity for soluble oligomers of amyloid β-protein detect natural Aβ oligomers in human brain but not CSF

Alzheimer's & Dementia: The Journal of the Alzheimer's Association
Feb 2013

New ELISAs with high specificity for soluble oligomers of amyloid β-protein detect natural Aβ oligomers in human brain but not CSF

Background: Soluble oligomers of amyloid ß-protein (Aß) have been increasingly linked to synaptic dysfunction, tau alteration, and neuritic dystrophy in Alzheimer's disease (AD) and mouse models. There is a great need for assays that quantify Aß oligomers with high specificity and sensitivity. Methods: We designed and..

Reduced contribution of executive functions in impaired working memory performance in mild traumatic brain injury patients

Clinical Neurology and Neurosurgery
Feb 2013

Reduced contribution of executive functions in impaired working memory performance in mild traumatic brain injury patients

Aim: Mild traumatic brain injury (MTBI) is associated with often selective impairment of both working memory (WM) and the executive functions (EFs). Research indicates that one of the commonest deficits present in MTBI patients falls in the domain of WM. We aimed to investigate the role of EFs in WM impairment..

White matter hyperintensities and amyloid are independently associated with entorhinal cortex volume among individuals with mild cognitive impairment

Alzheimer's & Dementia: The Journal of the Alzheimer's Association
Feb 2013

White matter hyperintensities and amyloid are independently associated with entorhinal cortex volume among individuals with mild cognitive impairment

Background: Current hypothetical models of Alzheimer's disease (AD) pathogenesis emphasize the role of β-amyloid (Aβ), tau deposition, and neurodegenerative changes in the mesial temporal lobe, particularly the entorhinal cortex and hippocampus. However, many individuals with clinical AD who come to autopsy also..

Epidemiology and trend of neurological diseases associated to HIV/AIDS. Experience of Mexican patients 1995–2009

Clinical Neurology and Neurosurgery
Jan 2013

Epidemiology and trend of neurological diseases associated to HIV/AIDS. Experience of Mexican patients 1995–2009

Objective: The aim of this study was to identify the main neurological conditions associated with HIV/AIDS in Mexican patients treated at the National Institute of Neurology and Neurosurgery (NINN) in Mexico city, the main referral center for patients with disorders of the central and peripheral nervous system...

Genetic expression profiles of adult and pediatric ependymomas: Molecular pathways, prognostic indicators, and therapeutic targets

Clinical Neurology and Neurosurgery
Jan 2013

Genetic expression profiles of adult and pediatric ependymomas: Molecular pathways, prognostic indicators, and therapeutic targets

Ependymomas are tumors that can present within either the intracranial or spinal regions. While 90% of all pediatric ependymomas are intracranial, spinal cord ependymomas are more commonly found in patients 20–40 years old. Treatment for spinal lesions has achieved local control rates up to 100% following gross total..

Premonitory urges for tics in adult patients with Tourette syndrome

Brain and Development
Jan 2013

Premonitory urges for tics in adult patients with Tourette syndrome

Objective: Patients with Tourette syndrome (TS) often report characteristic sensory experiences, also called premonitory urges (PUs), which precede tic expression and have high diagnostic relevance. This study investigated the usefulness of a scale developed and validated in children and adolescents–the Premonitory..

Characteristics of temporal lobe epilepsy with no ictal impairment of consciousness

Clinical Neurology and Neurosurgery
Jan 2013

Characteristics of temporal lobe epilepsy with no ictal impairment of consciousness

Introduction: The predominant manifestations of temporal lobe epilepsy (TLE) are partial seizures with impairment of consciousness (type I.B of ILAE classification), although consciousness impairment is not necessary in all seizures of patients with TLE. Nevertheless, there have been very few reports of TLE patients..

Ketamine use in the treatment of refractory status epilepticus

Epilepsy Research
Jan 2013

Ketamine use in the treatment of refractory status epilepticus

Refractory status epilepticus (RSE) occurs when status epilepticus (SE) fails to respond to appropriate therapy with typical antiepileptic drugs (AEDs). Animal studies have shown ketamine to be a highly efficacious agent in this setting, but very few case reports describe use of ketamine in human SE or RSE. We report a..

Nocturnal carbon dioxide monitoring in patients with idiopathic intracranial hypertension

Clinical Neurology and Neurosurgery
Jan 2013

Nocturnal carbon dioxide monitoring in patients with idiopathic intracranial hypertension

Background: Idiopathic intracranial hypertension may be associated with sleep apnea. This study evaluated the incidence of sleep breathing disorders in patients with idiopathic intracranial hypertension. Materials and Methods: Overnight respiratory monitoring was performed in 22 untreated patients with idiopathic..

Effects of anesthetic agents on seizure-induction with intra-cortical injection of convulsants

Epilepsy Research
Jan 2013

Effects of anesthetic agents on seizure-induction with intra-cortical injection of convulsants

Rationale: Studies of partial or generalized seizure pathophysiology often require the use of intact animals. Additionally, anesthesia may be required for ethical reasons or paralysis if instrumental measures require immobilization. We examined three commonly used injected anesthetic for their impact on seizures..

Ketogenic diet for infantile spasms refractory to first-line treatments: An open prospective study

Epilepsy Research
Jan 2013

Ketogenic diet for infantile spasms refractory to first-line treatments: An open prospective study

Ketogenic diet (KD) is an efficient treatment for refractory epilepsy including infantile spasms (IS). We evaluated the effect of a KD to treat IS as a third-line treatment, after vigabatrin (VGB) and steroids. We evaluated the efficacy and the tolerability of KD in IS using the rate of seizure-free patients at 1..

Microsurgical clipping of previously coiled intracranial aneurysms

Clinical Neurology and Neurosurgery
Jan 2013

Microsurgical clipping of previously coiled intracranial aneurysms

Objective: Endovascular coiling techniques for the treatment of intracranial aneurysms have rapidly developed as an alternative option to surgical clipping. A distinct problem after endovascular coiling is the management of a residual aneurysm neck due to incomplete filling, compaction of coils or regrowth of the..

Mislocalization of AQP4 precedes chronic seizures in the kainate model of temporal lobe epilepsy

Epilepsy Research
Jan 2013

Mislocalization of AQP4 precedes chronic seizures in the kainate model of temporal lobe epilepsy

It has been suggested that loss of the astrocytic water channel aquaporin-4 (AQP4) from perivascular endfeet in sclerotic hippocampi contributes to increased seizure propensity in human mesial temporal lobe epilepsy (MTLE). Whether this loss occurs prior to or as a consequence of epilepsy development remains to be..

MRI findings after hyperbaric oxygen-induced seizures

Epilepsy Research
Jan 2013

MRI findings after hyperbaric oxygen-induced seizures

Hyperbaric oxygen-induced seizures are classified as generalized, tonic-clonic seizures. They are believed to cause no residual neurologic damage, although this has not been investigated in depth. We used different MRI sequences to determine whether hyperbaric oxygen-induced seizures in mice caused brain structural..

Differentiation of pure vasogenic edema and tumor-infiltrated edema in patients with peritumoral edema by analyzing the relationship of axial and radial diffusivities on 3.0T MRI

Clinical Neurology and Neurosurgery
Jan 2013

Differentiation of pure vasogenic edema and tumor-infiltrated edema in patients with peritumoral edema by analyzing the relationship of axial and radial diffusivities on 3.0T MRI

Object: The purpose of this study was to analyze the relationship of axial diffusivity (AD) and radial diffusivity (RD) in peritumoral edema of high grade glioma, metastasis, and meningioma, and to differentiate tumor-infiltrated edema from pure vasogenic edema. Materials and methods: Twenty patients with high-grade..

Partial seizures during ACTH therapy in a cryptogenic West syndrome patient

Brain and Development
Jan 2013

Partial seizures during ACTH therapy in a cryptogenic West syndrome patient

Background: Partial seizures often develop during the clinical course of infantile spasms. Herein, we report a boy with cryptogenic West syndrome, who developed partial seizures that we suspected were induced by the ACTH therapy. Subject: The patient developed cryptogenic West syndrome at six months of age and ACTH..

Image guidance to improve reliability and data integrity of transcranial Doppler sonography

Clinical Neurology and Neurosurgery
Jan 2013

Image guidance to improve reliability and data integrity of transcranial Doppler sonography

Background: Principles and accuracy of image-guided transcranial Doppler (IG TCD) sonography have been published recently. However, it remains open whether combination of image guidance and TCD offers an additional clinical advantage. This study scores the accuracy of conventional TCD examinations and investigates the..

Isolated brainstem cysticercosis: A review

Clinical Neurology and Neurosurgery
Jan 2013

Isolated brainstem cysticercosis: A review

Objective: Review of patients with isolated brainstem cysticercus to outline the features of this form of neurocysticercosis. Methods: MEDLINE and manual search of patients with isolated brainstem cysticercus. Abstracted data included: demographic profile, clinical manifestations, neuroimaging findings, evolutive stage..

A case of neonatal human parechovirus encephalitis with a favourable outcome

Brain and Development
Jan 2013

A case of neonatal human parechovirus encephalitis with a favourable outcome

Human parechoviruses (HPeVs) are a new family of neurotropic viruses that cause central nervous system (CNS) infections similar to enterovirus (EVs) meningoencephalitis in the neonatal period, resulting in white matter lesions that can be visualized with cranial ultrasonography and magnetic resonance imaging, and..

Mental healthcare efforts for the public after the Great East Japan Earthquake: “Guide to Good Mental Health for Those Affected by Natural Disasters” published by the Cabinet Office

Brain and Development
Jan 2013

Mental healthcare efforts for the public after the Great East Japan Earthquake: “Guide to Good Mental Health for Those Affected by Natural Disasters” published by the Cabinet Office

One year after the Great East Japan Earthquake, the Office of Policy for Suicide Prevention of the Cabinet Office published and distributed three stages of pamphlets under the supervision of the National Center of Neurology and Psychiatry, promoting understanding about mental healthcare for those affected by natural..

Protocol for the perfusion and angiography imaging sub-study of the Third International Stroke Trial (IST-3) of alteplase treatment within six-hours of acute ischemic stroke

International Journal of Stroke
Jan 2013

Protocol for the perfusion and angiography imaging sub-study of the Third International Stroke Trial (IST-3) of alteplase treatment within six-hours of acute ischemic stroke

Rationale: Intravenous thrombolysis with recombinant tissue Plasminogen Activator improves outcomes in patients treated early after stroke but at the risk of causing intracranial hemorrhage. Restricting recombinant tissue Plasminogen Activator use to patients with evidence of still salvageable tissue, or with definite..

Longitudinal measures of cholinergic forebrain atrophy in the transition from healthy aging to Alzheimer's disease

Neurobiology of Aging
Nov 2012

Longitudinal measures of cholinergic forebrain atrophy in the transition from healthy aging to Alzheimer's disease

Recent evidence from cross-sectional in vivo imaging studies suggests that atrophy of the cholinergic basal forebrain (BF) in Alzheimer's disease (AD) can be distinguished from normal age-related degeneration even at predementia stages of the disease. Longitudinal study designs are needed to specify the dynamics of BF..

Lower cognitive reserve in the aging human immunodeficiency virus-infected brain

Neurobiology of Aging
Nov 2012

Lower cognitive reserve in the aging human immunodeficiency virus-infected brain

More HIV-infected individuals are living longer; however, how their brain function is affected by aging is not well understood. One hundred twenty-two men (56 seronegative control [SN] subjects, 37 HIV subjects with normal cognition [HIV+NC], 29 with HIV-associated neurocognitive disorder [HAND]) performed..

Matrix metalloproteinase-12 contributes to neuroinflammation in the aged brain

Neurobiology of Aging
Nov 2012

Matrix metalloproteinase-12 contributes to neuroinflammation in the aged brain

During aging the brain displays an increased proinflammatory status, which is associated with the pathogenesis of aging-related diseases such as Alzheimer's and Parkinson diseases. Matrix metalloproteinases (MMPs) facilitate the migration of inflammatory cells in tissues and modulate their inflammatory activity. In..

Orally bioavailable small molecule drug protects memory in Alzheimer's disease models

Neurobiology of Aging
Nov 2012

Orally bioavailable small molecule drug protects memory in Alzheimer's disease models

Oligomers of beta-amyloid (Aβ) are implicated in the early memory impairment seen in Alzheimer's disease before to the onset of discernable neurodegeneration. Here, the capacity of a novel orally bioavailable, central nervous system-penetrating small molecule 5-aryloxypyrimidine, SEN1500, to prevent cell-derived (7PA2..

Downregulation of extracellular signal-regulated kinase 1/2 activity by calmodulin KII modulates p21Cip1 levels and survival of immortalized lymphocytes from Alzheimer’s disease

Neurobiology of Aging
Nov 2012

Downregulation of extracellular signal-regulated kinase 1/2 activity by calmodulin KII modulates p21Cip1 levels and survival of immortalized lymphocytes from Alzheimer’s disease

Previously, we reported a Ca2+/calmodulin (CaM)-dependent impairment of apoptosis induced by serum deprivation in Alzheimer’s disease (AD) lymphoblasts. These cell lines showed downregulation of extracellular signal-regulated kinase (ERK)1/2 activity and elevated content of p21 compared with control cells. The aim of..

Supportive evidence for 11 loci from genome-wide association studies in Parkinson's disease

Neurobiology of Aging
Nov 2012

Supportive evidence for 11 loci from genome-wide association studies in Parkinson's disease

Genome-wide association studies have identified a number of susceptibility loci in sporadic Parkinson's disease (PD). Recent larger studies and meta-analyses have greatly expanded the list of proposed association signals. We performed a case-control replication study in a Scandinavian population, analyzing samples from..

History of depression prior to Alzheimer's disease and vascular dementia verified post-mortem

Archives of Gerontology and Geriatrics
Oct 2012

History of depression prior to Alzheimer's disease and vascular dementia verified post-mortem

The aim of this study was to analyze the medical history, with regards to previous remote depression, in patients with neuropathologically verified Alzheimer's disease (AD), vascular dementia (VaD) and mixed AD/VaD. The 201 patients included (115 AD, 44 VaD and 42 mixed AD/VaD) had been referred to the..

Associations between sex hormones and cognitive and neuropsychiatric manifestations in vascular dementia (VaD)

Archives of Gerontology and Geriatrics
Oct 2012

Associations between sex hormones and cognitive and neuropsychiatric manifestations in vascular dementia (VaD)

Although numerous studies have been carried out to determine the effects of sex hormones on Alzheimer's disease (AD), little is known about the associations between sex hormones and VaD. The aim of this study was to compare serum sex hormone levels between VaD patients and normal controls, and to further determine the..

Is increased red cell distribution width (RDW) indicating the inflammation in Alzheimer's disease (AD)?

Archives of Gerontology and Geriatrics
Oct 2012

Is increased red cell distribution width (RDW) indicating the inflammation in Alzheimer's disease (AD)?

Increasing evidence indicates that inflammation has a substantial role in the pathogenesis and progression of AD. RDW, a measure of heterogeneity in the size of circulating erythrocytes, is associated with inflammatory markers in many numerous diseases. Present study was undertaken to assess the interrelationships..

Magnetic resonance disease severity scale (MRDSS) for patients with multiple sclerosis: A longitudinal study

Journal of the Neurological Sciences
Dec 2011

Magnetic resonance disease severity scale (MRDSS) for patients with multiple sclerosis: A longitudinal study

Background: We previously described a composite MRI scale combining T1-lesions, T2-lesions and whole brain atrophy in multiple sclerosis (MS): the magnetic resonance disease severity scale (MRDSS). Objective: Test strength of the MRDSS vs. individual MRI measures for sensitivity to longitudinal change. Methods: We..

Comparison of two dosing frequencies of subcutaneous interferon beta-1a in patients with a first clinical demyelinating event suggestive of multiple sclerosis (REFLEX): a phase 3 randomised controlled trial

The Lancet Neurology
Dec 2011

Comparison of two dosing frequencies of subcutaneous interferon beta-1a in patients with a first clinical demyelinating event suggestive of multiple sclerosis (REFLEX): a phase 3 randomised controlled trial

Background: In patients presenting with a first clinical demyelinating event that is suggestive of multiple sclerosis (MS), treatment with interferon beta can delay the occurrence of further attacks and the onset of MS. We investigated the effects of two dosing frequencies of subcutaneous interferon beta-1a in patients..

Potential endpoints for clinical trials in premanifest and early Huntington's disease in the TRACK-HD study: analysis of 24 month observational data

The Lancet Neurology
Dec 2011

Potential endpoints for clinical trials in premanifest and early Huntington's disease in the TRACK-HD study: analysis of 24 month observational data

Background: TRACK-HD is a prospective observational biomarker study in premanifest and early Huntington's disease (HD). In this report we define a battery of potential outcome measures for therapeutic trials. Methods: We assessed longitudinal data collected at baseline, 12 months, and 24 months at sites in Leiden..

Orthostatic hypotension among outpatients with ischemic stroke

The Journal of Neurological Sciences
Nov 2011

Orthostatic hypotension among outpatients with ischemic stroke

Background: The treatment of hypertension is an essential component of stroke prevention; however, the clinical management of patients with cerebrovascular disease is complicated by orthostatic hypotension (OH). The primary objectives were to: determine the prevalence of OH in a stroke outpatient clinic; describe..

Pridopidine for the treatment of motor function in patients with Huntington's disease (MermaiHD): a phase 3, randomised, double-blind, placebo-controlled trial

The Lancet Neurology
Oct 2011

Pridopidine for the treatment of motor function in patients with Huntington's disease (MermaiHD): a phase 3, randomised, double-blind, placebo-controlled trial

Background: Huntington's disease is a progressive neurodegenerative disorder, characterised by motor, cognitive, and behavioural deficits. Pridopidine belongs to a new class of compounds known as dopaminergic stabilisers, and results from a small phase 2 study in patients with Huntington's disease suggested that this..

Noise on, voicing off: Speech perception deficits in children with specific language impairment

Journal of Experimental Child Psychology
Sep 2011

Noise on, voicing off: Speech perception deficits in children with specific language impairment

Speech perception of four phonetic categories (voicing, place, manner, and nasality) was investigated in children with specific language impairment (SLI) (n = 20) and age-matched controls (n = 19) in quiet and various noise conditions using an AXB two-alternative forced-choice paradigm. Children with SLI exhibited..

Modafinil treatment prevents REM sleep deprivation-induced brain function impairment by increasing MMP-9 expression

Brain Research
Sep 2011

Modafinil treatment prevents REM sleep deprivation-induced brain function impairment by increasing MMP-9 expression

Previous work showed that sleep deprivation (SD) impairs hippocampal-dependent cognitive function and synaptic plasticity, and a novel wake-promoting agent modafinil prevents SD-induced memory impairment in rat. However, the mechanisms by which modafinil prevented REM-SD-induced impairment of brain function remain..

Mycoplasmal cerebral vasculopathy in a lymphoma patient: Presumptive evidence of Mycoplasma pneumoniae microvascular endothelial cell invasion in a brain biopsy.

Journal of the neurological sciences
Aug 2011

Mycoplasmal cerebral vasculopathy in a lymphoma patient: Presumptive evidence of Mycoplasma pneumoniae microvascular endothelial cell invasion in a brain biopsy.

A 73-year-old man had episodic encephalopathy, ataxia and neuropathy. Symptoms largely resolved but adenopathy later lead to the diagnosis of a low-grade follicular lymphoma. The neurological symptoms soon recurred with new pontine calcifications identified by computed tomography. Brain biopsy revealed microvascular..

Gerstmann–Sträussler–Scheinker syndrome masquerading multiple sclerosis

Journal of the neurological sciences
Aug 2011

Gerstmann–Sträussler–Scheinker syndrome masquerading multiple sclerosis

Gerstmann–Sträussler–Scheinker syndrome (GSS) is a rare degenerative disorder of the central nervous system that belongs to the family of human spongiform encephalopathies, or prion diseases. GSS is almost always inherited and mostly carried in an autosomal dominant pattern. Nevertheless, GSS is genetically and..
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