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Spotlight on the November 30 Issue

Merino, Jose G. MD, MPhil

doi : 10.1212/WNL.0000000000012914

Volume 97(22), 30 November 2021, p 1011-1012

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Evidence for Decreasing Stroke Incidence Among Mexican Americans During Midlife and Implications for Targeted Stroke Prevention Efforts

Madsen, Tracy E. MD, PhD

doi : 10.1212/WNL.0000000000012880

Volume 97(22), 30 November 2021, p 1013-1014

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Causes and Implications of Isolated Small Fiber Neuropathy

Callaghan, Brian C. MD, MS; Singleton, J. Robinson MD

doi : 10.1212/WNL.0000000000012895

Volume 97(22), 30 November 2021, p 1015-1016

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Association Between Time to Endovascular Therapy and Outcomes in Patients With Acute Basilar Artery Occlusion

Sang, Hong Fei MD*; Yuan, Jun Jie MD*; Qiu, Zhong Ming MD, PhD*; Zhang, Min MD; Hu, Xiao Gang MD; Liu, Wen Hua MD; Wang, Ning MD; Han, Hong Xing MD; Tang, Tie Yu MD; Zeng, Guo Yong MD; Dong, Hui MS; Long, Xing Min MS; Li, Ling Fei MD; Li, Feng Li MD; Liu, Shuai MD; Luo, Wei Dong MD; Huang, Jia Cheng MD; Song, Jia Xing MD; Li, Lin Yu MD; Chen, Lu Ming MD; Xie, Dong Jing MD; Wu, De Ping MD; Li, Fang Fei MD, PhD; Zi, Wen Jie MD+; Yang, Qing Wu MD, PhD+

doi : 10.1212/WNL.0000000000012858

Volume 97(22), 30 November 2021, p e2152-e2163

To characterize the association of onset to puncture time (OPT) with clinical outcomes among patients with acute basilar artery occlusion receiving endovascular therapy (EVT) in clinical practice.

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Temporal Trends in Ischemic Stroke Rates by Ethnicity, Sex, and Age (2000-2017): The Brain Attack Surveillance in Corpus Christi Project

Lisabeth, Lynda D. PhD; Brown, Devin L. MD; Zahuranec, Darin B. MD; Kim, Sehee PhD; Lim, Jaewon MS; Kerber, Kevin A. MD; Meurer, William J. MD; Case, Erin BA; Smith, Melinda A. DrPH; Campbell, Morgan S. MD; Morgenstern, Lewis B. MD

doi : 10.1212/WNL.0000000000012877

Volume 97(22), 30 November 2021, p e2164-e2172

To compare 18-year (2000-2017) temporal trends in ischemic stroke rates by ethnicity, sex, and age.

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Functional Outcome, Recanalization, and Hemorrhage Rates After Large Vessel Occlusion Stroke Treated With Tenecteplase Before Thrombectomy

Gerschenfeld, Gaspard MD, PhD*; Smadja, Didier MD*; Turc, Guillaume MD, PhD; Olindo, Stephane MD; Laborne, Francois-Xavier MD; Yger, Marion MD; Caroff, Jildaz MD, PhD; Goncalves, Bruno MD; Seners, Pierre MD, PhD; Cantier, Marie MD; l'Hermitte, Yann MD; Aghasaryan, Manvel MD; Alecu, Cosmin MD, PhD; Marnat, Gaultier MD; Ben Hassen, Wagih MD; Kalsoum, Erwah MD; Clarencon, Frederic MD, PhD; Piotin, Michel MD, PhD; Spelle, Laurent MD, PhD; Denier, Christian MD, PhD; Sibon, Igor MD, PhD; Alamowitch, Sonia MD+; Chausson, Nicolas MD, PhD+; on behalf of the TETRIS Study Group; on behalf of the TETRIS Study Group; Degos, Vincent MD; Sarov, Mariana MD; Legris, Nicolas MD; Chassin, Olivier MD; Soumah, Djibril MD; Altarcha, Tony MD; Imbernon, Carole MD; Renou, Pauline MD; Poli, Mathilde MD; Debruxelles, Sabrina MD; Sagnier, Sharmila MD; Rouanet, Francois MD; Liegey, Jean-Sebastien MD; Calvet, David MD; Baron, Jean-Claude MD; Bottin, Laure MD; Delorme, Stephen MD; Capron, Jean MD; Doukhi, Diana MD; Ghazanfari, Sam MD; Weisenburger, David MD; Lescieux, Edwige MD; Gariel, Florent MD; Barreau, Xavier MD; Menegon, Patrice MD; Tourdias, Thomas MD; Oppenheim, Catherine MD; Naggara, Olivier MD; Tuilier, Titien MD; Sourour, Nader MD; Sourour, Nader MD; Shotar, Eimad MD; Lenck, Stephanie MD; Premat, Kevin MD; Blanc, Raphael MD; Escalard, Simon MD; Fahed, Robert MD; Smajda, Stanislas MD; Mazighi, Mikael MD

doi : 10.1212/WNL.0000000000012915

Volume 97(22), 30 November 2021, p e2173-e2184

To investigate in routine care the efficacy and safety of IV thrombolysis (IVT) with tenecteplase prior to mechanical thrombectomy (MT) in patients with large vessel occlusion acute ischemic strokes (LVO-AIS), either secondarily transferred after IVT or directly admitted to a comprehensive stroke center (CSC).

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Role of S100B Serum Concentration as a Surrogate Outcome Parameter After Mechanical Thrombectomy

Luger, Sebastian MD; Koerbel, Kimberly MD; Martinez Oeckel, Ariane MD; Schneider, Hauke MD, MBA; Maurer, Christoph J. MD; Hintereder, Gudrun MD; Wagner, Marlies MD; Hattingen, Elke MD; Foerch, Christian MD

doi : 10.1212/WNL.0000000000012918

Volume 97(22), 30 November 2021, p e2185-e2194

To establish serum concentration of protein S100B as an objective biomarker surrogate for astroglial tissue damage after mechanical thrombectomy in patients with acute ischemic stroke.

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Difference in Rupture Risk Between Familial and Sporadic Intracranial Aneurysms: An Individual Patient Data Meta-analysis

Zuurbier, Charlotte C.M. MD; Mensing, Liselore A. MD; Wermer, Marieke J.H. MD, PhD; Juvela, Seppo MD, PhD; Lindgren, Antti E. MD, PhD; Koivisto, Timo MD, PhD; Jaaskelainen, Juha E. MD, PhD; Yamazaki, Tomosato MD, PhD; Molenberg, Rob BsC; van Dijk, J. Marc C. MD, PhD; Uyttenboogaart, Maarten MD, PhD; Aalbers, Marlien MD; Morita, Akio MD, PhD; Tominari, Shinjiro MD, PhD; Arai, Hajime MD, PhD; Nozaki, Kazuhiko MD, PhD; Murayama, Yuichi MD; Ishibashi, Toshihiro MD; Takao, Hiroyuki MD, PhD; Rinkel, Gabriel J.E. prof MD, PhD; Greving, Jacoba P. PhD; Ruigrok, Ynte M. MD, PhD

doi : 10.1212/WNL.0000000000012885

Volume 97(22), 30 November 2021, p e2195-e2203

We combined individual patient data (IPD) from prospective cohorts of patients with unruptured intracranial aneurysms (UIAs) to assess to what extent patients with familial UIA have a higher rupture risk than those with sporadic UIA.

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Association of Hemodynamic and Cerebrovascular Responses to Exercise With Symptom Severity in Adolescents and Young Adults With Concussion

Howell, David R. PhD; Hunt, Danielle L. MS; Aaron, Stacey E. PhD; Hamner, Jason W. BS; Meehan, William P. III MD; Tan, Can Ozan PhD

doi : 10.1212/WNL.0000000000012929

Volume 97(22), 30 November 2021, p e2204-e2212

Aerobic exercise has become a useful method to assist with postconcussion management. Exercise can exacerbate concussion symptoms even when symptoms are not apparent at rest. Few studies have examined the reasons for symptom exacerbation during exercise following a concussion. We had 2 primary objectives: (1) to delineate cardiopulmonary and cerebrovascular responses to exercise in adolescents and young adults with a concussion and healthy controls and (2) to determine the association between cerebrovascular responses and symptom burden.

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Fish Intake and MRI Burden of Cerebrovascular Disease in Older Adults

Thomas, Aline MSc; Crivello, Fabrice PhD; Mazoyer, Bernard MD, PhD; Debette, Stephanie MD, PhD; Tzourio, Christophe MD, PhD; Samieri, Cecilia PhD

doi : 10.1212/WNL.0000000000012916

Volume 97(22), 30 November 2021, p e2213-e2222

Fish intake may prevent cerebrovascular disease (CVD), yet the mechanisms are unclear, especially regarding its impact on subclinical damage. Assuming that fish may have pleiotropic effect on cerebrovascular health, we investigated the association of fish intake with global CVD burden based on brain MRI markers.

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Phenotypic and Genotypic Associations Between Migraine and Lipoprotein Subfractions

Guo, Yanjun MD, PhD; Daghlas, Iyas MD; Gormley, Padhraig PhD; Giulianini, Franco PhD; Ridker, Paul M. MD, MPH; Mora, Samia MD; Kurth, Tobias MD, ScD; Rist, Pamela M. ScD*; Chasman, Daniel I. PhD*

doi : 10.1212/WNL.0000000000012919

Volume 97(22), 30 November 2021, p e2223-e2235

To evaluate phenotypic and genetic relationships between migraine and lipoprotein subfractions.

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Small Fiber Neuropathy Incidence, Prevalence, Longitudinal Impairments, and Disability

Johnson, Stephen A. MD*; Shouman, Kamal MD*; Shelly, Shahar MD*; Sandroni, Paola MD; Berini, Sarah E. MD; Dyck, P. James B. MD; Hoffman, Ernest Matthew DO, PhD; Mandrekar, Jay PhD; Niu, Zhiyv PhD; Lamb, Christopher J. MD; Low, Phillip A. MD; Singer, Wolfgang MD; Mauermann, Michelle L. MD; Mills, John PhD; Dubey, Divyanshu MD; Staff, Nathan P. MD, PhD; Klein, Christopher J. MD

doi : 10.1212/WNL.0000000000012894

Volume 97(22), 30 November 2021, p e2236-e2247

There are limited population-based data on small fiber neuropathy (SFN). We wished to determine SFN incidence, prevalence, comorbid conditions, longitudinal impairments, and disabilities.

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Clinical Histories Animate Muybridge and Dercum's Original Photographic Study of Neurologic Gait

Noble, Geoffrey MD, PhD

doi : 10.1212/WNL.0000000000012879

Volume 97(22), 30 November 2021, p 1026-1030

In 1885, while working at the University of Pennsylvania, Eadweard Muybridge and Francis Dercum used nascent photographic technology to perform the first-ever motion picture study of neurologic patients. To date, our clinical understanding of the Muybridge-Dercum project has been limited to those clinical details included in a handful of contemporaneous publications by Dercum et al. In this study, recently rediscovered clinical notebooks from the Hospital of the University of Pennsylvania's Dispensary for Nervous Diseases were reviewed and found to contain the original clinical records of 9 of Muybridge and Dercum's photographic subjects. These records add new clinical insights into our understanding of this historic photographic study and revive the zeitgeist of a foundational period in the development of neurology as a medical subspecialty in the United States.

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Rapid Disappearance of Acute Unilateral Epidural Hematoma Due to Compression of Contralateral Subdural Hematoma

Wang, Tongyu MD*; Li, Jiuhong MD*; Hu, Xin MD; Zheng, Songping MD

doi : 10.1212/WNL.0000000000012888

Volume 97(22), 30 November 2021, p 1031-1032

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Bing-Neel Syndrome: A Rare Mimic of Secondary Normal Pressure Hydrocephalus

Ellenbogen, Yosef MD; Al-Khotani, Afnan MD; Tang-Wai, David MD; Fasano, Alfonso MD; Agid, Ronit MD; Hodaie, Mojgan MD

doi : 10.1212/WNL.0000000000012917

Volume 97(22), 30 November 2021, p 1033-1034

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Resident & Fellow Rounds: November 2021

Strowd, Roy E. III MD, MEd, MS, FAAN

doi : 10.1212/WNL.0000000000012921

Volume 97(22), 30 November 2021, p 1035-1038

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Clinical Reasoning: A 65-Year-Old Woman With New Headache, Pulsatile Tinnitus, and Visual Disturbances

Donaldson, Laura MD, PhD; Muir, Ryan T. MD; Schaafsma, Joanna D. MD, PhD; Margolin, Edward MD

doi : 10.1212/WNL.0000000000012575

Volume 97(22), 30 November 2021, p 1039-1044

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Pearls and Oy-sters: Typical Atypical Creutzfeld-Jakob Disease: A Case Presenting as a Rapidly Progressive Corticobasal Syndrome Without Dementia

Marinides, Zoe Olga MD; Malone, Timothy R. MD; Ma, Yitao MD; Hawley, Jason MD

doi : 10.1212/WNL.0000000000012613

Volume 97(22), 30 November 2021, p 1045-1048

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Teaching NeuroImage: Immune Checkpoint Inhibitor-Related Fasciitis and Myositis With Perifascicular Atrophy

Fullam, Timothy R. MD; McGraw, Nathan MD; Grainger, Matthew; Dimachkie, Mazen M. MD; Chandrashekhar, Swathy MD

doi : 10.1212/WNL.0000000000012577

Volume 97(22), 30 November 2021, p 1049-1050

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Teaching Video NeuroImage: Hereditary Hyperekplexia Mimicking Tonic Seizures in an Infant

Neupert, Derek G. MD; Rathke, Kevin M. MD; Mikati, Mohamad A. MD

doi : 10.1212/WNL.0000000000012538

Volume 97(22), 30 November 2021, p e2248-e2249

Hereditary hyperekplexia is a rare neurologic disorder characterized by an exaggerated startle response with profound muscle stiffness.1,2 Given the nature of the spells, this condition is often misdiagnosed as epilepsy. Mutations in glycine receptors and transporters are the primary cause of this syndrome.1 We present an example of stimulus-induced hyperekplexia captured on video EEG in a 7-week-old girl with compound heterozygous variants in the presynaptic glycine transporter gene SLC6A5.

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Treating Stroke From Inside the Blood Vessel: Time Matters

Karceski, Steven MD

doi : 10.1212/WNL.0000000000012920

Volume 97(22), 30 November 2021, p e2250-e2252

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Editors' Note: One-Stage, Limited-Resection Epilepsy Surgery for Bottom-of-Sulcus Dysplasia

Lewis, Ariane MD; Galetta, Steven MD

doi : 10.1212/WNL.0000000000012922

Volume 97(22), 30 November 2021, p 1051

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Reader Response: One-Stage, Limited-Resection Epilepsy Surgery for Bottom-of-Sulcus Dysplasia

Hu, Wenhan; Zhao, Baotian; Zhang, Jianguo; Zhang, Kai

doi : 10.1212/WNL.0000000000012924

Volume 97(22), 30 November 2021, p 1051-1052

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Author Response: One-Stage, Limited-Resection Epilepsy Surgery for Bottom-of-Sulcus Dysplasia

Harvey, A. Simon; Macdonald-Laurs, Emma

doi : 10.1212/WNL.0000000000012923

Volume 97(22), 30 November 2021, p 1052

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Long-term Follow-up, Quality of Life, and Survival of Patients With Lambert-Eaton Myasthenic Syndrome

doi : 10.1212/WNL.0000000000011775

Volume 97(22), 30 November 2021, p 1053

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