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Spotlight on the June 8 Issue
José G. Merino
doi : 10.1212/WNL.0000000000012061
vol. 96 no. 23 1065-1066
Perinatal Depression and Anxiety in Multiple SclerosisTreatable Distress
Victoria M. Leavitt, Ruth Dobson, Anders Svennigsson
doi : 10.1212/WNL.0000000000012101
vol. 96 no. 23 1067-1068
Where in the World Have All the Strokes Gone?
Bart M. Demaerschalk
doi : 10.1212/WNL.0000000000011886
vol. 96 no. 23 1069-1070
Perinatal Depression and Anxiety in Women With Multiple SclerosisA Population-Based Cohort Study
Karine Eid, ?ivind Fredvik Torkildsen, Jan Aarseth, Heidi ?yen Flemmen, Trygve Holm?y, ?slaug Rudjord Lorentzen, Kjell-Morten Myhr, Trond Riise, Cecilia Simonsen, Cecilie Fredvik Torkildsen, Stig Wergeland, Johannes Sverre Willumsen, Nina ?ksendal, Nils Erik Gilhus, Marte-Helene Bj?rk
doi : 10.1212/WNL.0000000000012062
vol. 96 no. 23 e2789-e2800
To assess the occurrence of perinatal depression and anxiety in women before and after diagnosis of multiple sclerosis (MS).
Accuracy of Cardiac Innervation Scintigraphy for Mild Cognitive Impairment With Lewy Bodies
Gemma Roberts, Rory Durcan, Paul C. Donaghy, Sarah Lawley, Joanna Ciafone, Calum A. Hamilton, Sean J. Colloby, Michael J. Firbank, Louise Allan, Nicola Barnett, Sally Barker, Kim Howe, Tamir Ali, George S. Petrides, Jim Lloyd, John-Paul Taylor, John O'Brien, Alan J. Thomas
doi : 10.1212/WNL.0000000000012060
vol. 96 no. 23 e2801-e2811
To provide evidence that cardiac I-123-metaiodobenzylguanidine sympathetic innervation imaging (MIBG) scintigraphy differentiates probable mild cognitive impairment with Lewy bodies (MCI-LB) from mild cognitive impairment due to Alzheimer disease (MCI-AD), we scanned patients with MCI and obtained consensus clinical diagnoses of their MCI subtype. We also performed baseline FP-CIT scans to compare the accuracy of MIBG and FP-CIT.
Visit-to-Visit Blood Pressure Variability, Neuropathology, and Cognitive Decline
Yuan Ma, Deborah Blacker, Anand Viswanathan, Susanne J. van Veluw, Daniel Bos, Meike W. Vernooij, Bradley T. Hyman, Christophe Tzourio, Sudeshna Das, Albert Hofman
doi : 10.1212/WNL.0000000000012065
vol. 96 no. 23 e2812-e2823
Large systolic blood pressure (SBP) variability has been proposed as a novel risk factor for dementia above and beyond SBP levels, but the underlying neuropathology is largely unknown. We investigated the relationship among visit-to-visit SBP variability, cognitive deterioration, and underlying neuropathologic changes.
Global Impact of COVID-19 on Stroke Care and IV Thrombolysis
Raul G. Nogueira, Muhammad M. Qureshi, Mohamad Abdalkader, Sheila Ouriques Martins, Hiroshi Yamagami, Zhongming Qiu, Ossama Yassin Mansour, Anvitha Sathya, Anna Czlonkowska, Georgios Tsivgoulis, Diana Aguiar de Sousa, Jelle Demeestere, Robert Mikulik, Peter Vanacker, James E. Siegler, Janika K?rv, Jose Biller, Conrad W. Liang, Navdeep S. Sangha, Alicia M. Zha, Alexandra L. Czap, Christine Anne Holmstedt, Tanya N. Turan, George Ntaios, Konark Malhotra, Ashis Tayal, Aaron Loochtan, Annamarei Ranta, Eva A. Mistry, Anne W. Alexandrov, David Y. Huang, Shadi Yaghi, Eytan Raz, Sunil A. Sheth, Mahmoud H. Mohammaden, Michael Frankel, Eric Guemekane Bila Lamou, Hany M. Aref, Ahmed Elbassiouny, Farouk Hassan, Tarek Menecie, Wessam Mustafa, Hossam M. Shokri, Tamer Roushdy, Fred S. Sarfo, Tolulope Oyetunde Alabi, Babawale Arabambi, Ernest O. Nwazor, Taofiki Ajao Sunmonu, Kolawole Wahab, Joseph Yaria, Haytham Hussein Mohammed, Philip B. Adebayo, Anis D. Riahi, Samia Ben Sassi, Lenon Gwaunza, Gift Wilson Ngwende, David Sahakyan, Aminur Rahman, Zhibing Ai, Fanghui Bai, Zhenhui Duan, Yonggang Hao, Wenguo Huang, Guangwen Li, Wei Li, Ganzhe Liu, Jun Luo, Xianjin Shang, Yi Sui, Ling Tian, Hongbin Wen, Bo Wu, Yuying Yan, Zhengzhou Yuan, Hao Zhang, Jun Zhang, Wenlong Zhao, Wenjie Zi, Thomas W. Leung, Chandril Chugh, Vikram Huded, Bindu Menon, Jeyaraj Durai Pandian, PN Sylaja, Fritz Sumantri Usman, Mehdi Farhoudi, Elyar Sadeghi Hokmabadi, Anat Horev, Anna Reznik, Rotem Sivan Hoffmann, Nobuyuki Ohara, Nobuyuki Sakai, Daisuke Watanabe, Ryoo Yamamoto, Ryosuke Doijiri, Naoki Tokuda, Takehiro Yamada, Tadashi Terasaki, Yukako Yazawa, Takeshi Uwatoko, Tomohisa Dembo, Hisao Shimizu, Yuri Sugiura, Fumio Miyashita, Hiroki Fukuda, Kosuke Miyake, Junsuke Shimbo, Yusuke Sugimura, Yoshiki Yagita, Yohei Takenobu, Yuji Matsumaru, Satoshi Yamada, Ryuhei Kono, Takuya Kanamaru, Hidekazu Yamazaki, Manabu Sakaguchi, Kenichi Todo, Nobuaki Yamamoto, Kazutaka Sonoda, Tomoko Yoshida, Hiroyuki Hashimoto, Ichiro Nakahara, Aida Kondybayeva, Kamila Faizullina, Saltanat Kamenova, Murat Zhanuzakov, Jang-Hyun Baek, Yangha Hwang, Jin Soo Lee, Si Baek Lee, Jusun Moon, Hyungjong Park, Jung Hwa Seo, Kwon-Duk Seo, Sung Il Sohn, Chang Jun Young, Rechdi Ahdab, Wan Asyraf Wan Zaidi, Zariah Abdul Aziz, Hamidon bin Basri, Law Wan Chung, Aznita Binti Ibrahim, Khairul Azmi Ibrahim, Irene Looi, Wee Yong Tan, Nafisah Wan Yahya, Stanislav Groppa, Pavel Leahu, Amal M. Al Hashmi, Yahia Zakaria Imam, Naveed Akhtar, Maria Carissa Pineda-Franks, Christian Oliver Co, Dmitriy Kandyba, Adel Alhazzani, Hosam Al-Jehani, Carol Huilian Tham, Marlie Jane Mamauag, Narayanaswamy Venketasubramanian, Chih-Hao Chen, Sung-Chun Tang, Anchalee Churojana, Esref Akil, ?zlem aykaç, Atilla Ozcan Ozdemir, Semih Giray, Syed Irteza Hussain, Seby John, Huynh Le Vu, Anh Duc Tran, Huy Hoang Nguyen, Thong Nhu Pham, Thang Huy Nguyen, Trung Quoc Nguyen, Thomas Gattringer, Christian Enzinger, Monika Killer-Oberpfalzer, Flavio Bellante, Sofie De Blauwe, Geert Vanhooren, Sylvie De Raedt, Anne Dusart, Robin Lemmens, Noemie Ligot, Matthieu Pierre Rutgers, Laetitia Yperzeele, Filip Alexiev, Teodora Sakelarova, Marina Roje Bedekovi?, Hrvoje Budincevic, Igor Cindric, Zlatko Hucika, David Ozretic, Majda Seferovic Saric, Franti?ek Pfeifer, Igor Karpowic, David Cernik, Martin Sramek, Miroslav Skoda, Helena Hlavacova, Lukas Klecka, Martin Koutny, Daniel Vaclavik, Ondrej Skoda, Jan Fiksa, Katerina Hanelova, Miroslava Nevsimalova, Robert Rezek, Petr Prochazka, Gabriela Krejstova, Jiri Neumann, Marta Vachova, Henryk Brzezanski, David Hlinovsky, Dusan Tenora, Rene Jura, Lubom?r Jur?k, Jan Novak, Ales Novak, Zdenek Topinka, Petr Fibrich, Helena Sobolova, Ondrej Volny, Hanne Krarup Christensen, Nicolas Drenck, Helle Klingenberg Iversen, Claus Z. Simonsen, Thomas Clement Truelsen, Troels Wienecke, Riina Vibo, Katrin Gross-Paju, Toomas Toomsoo, Katrin Antsov, Francois Caparros, Charlotte Cordonnier, Maria Dan, Jean-Marc Faucheux, Laura Mechtouff, Omer Eker, Emilie Lesaine, Basile Ondze, Roxane Peres, Fernando Pico, Michel Piotin, Raoul Pop, Francois Rouanet, Tatuli Gubeladze, Mirza Khinikadze, Nino Lobjanidze, Alexander Tsiskaridze, Simon Nagel, Peter Arthur Ringleb, Michael Rosenkranz, Holger Schmidt, Annahita Sedghi, Timo Siepmann, Kristina Szabo, G?tz Thomalla, Lina Palaiodimou, Dimitrios Sagris, Odysseas Kargiotis, Peter Klivenyi, Laszlo Szapary, Gabor Tarkanyi, Alessandro Adami, Fabio Bandini, Paolo Calabresi, Giovanni Frisullo, Leonardo Renieri, Davide Sangalli, Anne Pirson, Maarten Uyttenboogaart, Ido van den Wijngaard, Espen Saxhaug Kristoffersen, Waldemar Brola, Ma?gorzata Fudala, Ewa Horoch-Lyszczarek, Michal Karlinski, Radoslaw Kazmierski, Pawel Kram, Marcin Rogoziewicz, Rafal Kaczorowski, Piotr Luchowski, Halina Sienkiewicz-Jarosz, Piotr Sobolewski, Waldemar Fryze, Anna Wisniewska, Malgorzata Wiszniewska, Patricia Ferreira, Paulo Ferreira, Luisa Fonseca, Jo?o Pedro Marto, Teresa Pinho e Melo, Ana Paiva Nunes, Miguel Rodrigues, V?tor Tedim Cruz, Cristian Falup-Pecurariu, Georgi Krastev, Miroslav Mako, Mar?a Alonso de Leci?ana, Juan F. Arenillas, Oscar Ayo-Martin, Antonio Cruz Culebras, Exuperio Diez Tejedor, Joan Montaner, Soledad Pérez-S?nchez, Miguel Angel Tola Arribas, Alejandro Rodriguez Vasquez, Michael Mayza, Gianmarco Bernava, Alex Brehm, Paolo Machi, Urs Fischer, Jan Gralla, Patrik L. Michel, Marios-Nikos Psychogios, Davide Strambo, Soma Banerjee, Kailash Krishnan, Joseph Kwan, Asif Butt, Luciana Catanese, Andrew M. Demchuk, Thalia Field, Jennifer Haynes, Michael D. Hill, Houman Khosravani, Ariane Mackey, Aleksandra Pikula, Gustavo Saposnik, Courtney Anne Scott, Ashkan Shoamanesh, Ashfaq Shuaib, Samuel Yip, Miguel A. Barboza, Jose Domingo Barrientos, Ligia Ibeth Portillo Rivera, Fernando Gongora-Rivera, Nelson Novarro-Escudero, Anmylene Blanco, Michael Abraham, Diana Alsbrook, Dorothea Altschul, Anthony J. Alvarado-Ortiz, Ivo Bach, Aamir Badruddin, Nobl Barazangi, Charmaine Brereton, Alicia Castonguay, Seemant Chaturvedi, Saqib A. Chaudry, Hana Choe, Jae H. Choi, Sushrut Dharmadhikari, Kinjal Desai, Thomas G. Devlin, Vinodh T. Doss, Randall Edgell, Mark Etherton, Mudassir Farooqui, Don Frei, Dheeraj Gandhi, Mikayel Grigoryan, Rishi Gupta, Ameer E. Hassan, Johanna Helenius, Artem Kaliaev, Ritesh Kaushal, Priyank Khandelwal, Ayaz M. Khawaja, Naim N. Khoury, Benny S. Kim, Dawn O. Kleindorfer, Feliks Koyfman, Vivien H. Lee, Lester Y. Leung, Guillermo Linares, Italo Linfante, Helmi L. Lutsep, Lisa Macdougall, Shailesh Male, Amer M. Malik, Hesham Masoud, Molly McDermott, Brijesh P. Mehta, Jiangyong Min, Manoj Mittal, Jane G. Morris, Sumeet S. Multani, Fadi Nahab, Krishna Nalleballe, Claude B. Nguyen, Roberta Novakovic-White, Santiago Ortega-Gutierrez, Rahul H. Rahangdale, Pankajavalli Ramakrishnan, Jose Rafael Romero, Natalia Rost, Aaron Rothstein, Sean Ruland, Ruchir Shah, Malveeka Sharma, Brian Silver, Marc Simmons, Abhishek Singh, Amy K. Starosciak, Sheryl L. Strasser, Viktor Szeder, Mohamed Teleb, Jenny P. Tsai, Barbara Voetsch, Oscar Balaguera, Virginia A. Pujol Lereis, Adriana Luraschi, Marcele Schettini Almeida, Fabricio Buchdid Cardoso, Adriana Conforto, Leonardo De Deus Silva, Luidia Varrone Giacomini, Fabricio Oliveira Lima, Alexandre L. Longo, Pedro S.C. Magalh?es, Rodrigo Targa Martins, Francisco Mont'alverne, Daissy Liliana Mora Cuervo, Leticia Costa Rebello, Lenise Valler, Viviane Flumignan Zetola, Pablo M. Lavados, Victor Navia, Ver?nica V. Olavarr?a, Juan Manuel Almeida Toro, Pablo Felipe Ricardo Amaya, Hernan Bayona, Angel Corredor, Carlos Eduardo Rivera Ordonez, Diana Katherine Mantilla Barbosa, Osvaldo Lara, Mauricio R. Pati?o, Luis Fernando Diaz Escobar, Donoband Edson Dejesus Melgarejo Fari?a, Analia Cardozo Villamayor, Adolfo Javier Zelaya Zarza, Danny Moises Barrientos Iman, Liliana Rodriguez Kadota, Bruce Campbell, Graeme J. Hankey, Casey Hair, Timothy Kleinig, Alice Ma, Rodrigo Tomazini Martins, Ramesh Sahathevan, Vincent Thijs, Daniel Salazar, Teddy Yuan-Hao Wu, Diogo C. Haussen, David Liebeskind, Dileep R. Yavagal, Tudor G. Jovin, Osama O. Zaidat, Thanh N. Nguyen, on behalf of the SVIN COVID-19 Global Stroke Registry
doi : 10.1212/WNL.0000000000011885
vol. 96 no. 23 e2824-e2838
To measure the global impact of COVID-19 pandemic on volumes of IV thrombolysis (IVT), IVT transfers, and stroke hospitalizations over 4 months at the height of the pandemic (March 1 to June 30, 2020) compared with 2 control 4-month periods.
Clinical and Neuroimaging Outcomes of Direct Thrombectomy vs Bridging Therapy in Large Vessel OcclusionAnalysis of the SELECT Cohort Study
Amrou Sarraj, James Grotta, Gregory W. Albers, Ameer E. Hassan, Spiros Blackburn, Arthur Day, Clark Sitton, Michael Abraham, Chunyan Cai, Mark Dannenbaum, Deep Pujara, William Hicks, Ronald Budzik, Nirav Vora, Ashish Arora, Bader Alenzi, Wondwossen G. Tekle, Haris Kamal, Osman Mir, Andrew D. Barreto, Maarten Lansberg, Rishi Gupta, Sheryl Martin-Schild, Sean Savitz, Georgios Tsivgoulis, for the SELECT Investigators
doi : 10.1212/WNL.0000000000012063
vol. 96 no. 23 e2839-e2853
To evaluate the comparative safety and efficacy of direct endovascular thrombectomy (dEVT) compared to bridging therapy (BT; IV tissue plasminogen activator + EVT) and to assess whether BT potential benefit relates to stroke severity, size, and initial presentation to EVT vs non-EVT center.
Socioeconomic and Geographic Disparities in Idiopathic Intracranial Hypertension
Venkatesh L. Brahma, Jonathan Snow, Vicky Tam, Ahmara G. Ross, Madhura A. Tamhankar, Kenneth S. Shindler, Robert A. Avery, Grant T. Liu, Ali G. Hamedani
doi : 10.1212/WNL.0000000000012037
vol. 96 no. 23 e2854-e2860
To identify relationships between idiopathic intracranial hypertension (IIH) and socioeconomic determinants of health, such as low-income status and proximity to healthy food.
Clinical Outcome and Striatal Dopaminergic Function After Shunt Surgery in Patients With Idiopathic Normal Pressure Hydrocephalus
Massimiliano Todisco, Roberta Zangaglia, Brigida Minafra, Patrizia Pisano, Giuseppe Trifir?, Irene Bossert, Nicol? Gabriele Pozzi, Joachim Brumberg, Roberto Ceravolo, Ioannis Ugo Isaias, Alfonso Fasano, Claudio Pacchetti
doi : 10.1212/WNL.0000000000012064
vol. 96 no. 23 e2861-e2873
To determine changes in clinical features and striatal dopamine reuptake transporter (DAT) density after shunt surgery in patients with idiopathic normal pressure hydrocephalus (iNPH).
Functional Role of the Cerebellum in Parkinson DiseaseA PET Study
Audrey Riou, Jean-François Houvenaghel, Thibaut Dondaine, Sophie Drapier, Paul Sauleau, Dominique Drapier, Joan Duprez, Murielle Guillery, Florence Le Jeune, Marc Verin, Gabriel Robert
doi : 10.1212/WNL.0000000000012036
vol. 96 no. 23 e2874-e2884
To test for cerebellar involvement in motor and nonmotor impairments in Parkinson disease (PD) and to determine patterns of metabolic correlations with supratentorial brain structures, we correlated clinical motor, cognitive, and psychiatric scales with cerebellar metabolism.
New Model for Estimation of the Age at Onset in Spinocerebellar Ataxia Type 3
Linliu Peng, Zhao Chen, Zhe Long, Mingjie Liu, Lijing Lei, Chunrong Wang, Huirong Peng, Yuting Shi, Yun Peng, Qi Deng, Shang Wang, Guangdong Zou, Linlin Wan, Hongyu Yuan, Lang He, Yue Xie, Zhichao Tang, Na Wan, Yiqing Gong, Xuan Hou, Lu Shen, Kun Xia, Jinchen Li, Chao Chen, Rong Qiu, Thomas Klockgether, Beisha Tang, Hong Jiang
doi : 10.1212/WNL.0000000000012068
vol. 96 no. 23 e2885-e2895
The aim of this study was to develop an appropriate parametric survival model to predict patient's age at onset (AAO) for spinocerebellar ataxia type 3/Machado-Joseph disease (SCA3/MJD) populations from mainland China.
Intraprocedural Angiographic Signs Observed During Endovascular Thrombectomy in Patients With Acute Ischemic StrokeA Systematic Review
Wenzhao Liang, Yimeng Wang, Zhihua Du, Jing Mang, Jun Wang
doi : 10.1212/WNL.0000000000012069
vol. 96 no. 23 1080-1090
In the real-world practice of endovascular thrombectomy (EVT) for acute ischemic stroke (AIS), the analysis of intraprocedural angiographic signs (IPASs) still challenges neurointerventionists. This review provides insights into the significance of these subtle changes for predicting underlying etiology, technical feasibility, and patient prognosis, thus promoting the potential real-time application of these signs.
Intra-arterial Melphalan for Neurologic Non-Langerhans Cell Histiocytosis
Jasmine H. Francis, Y. Pierre Gobin, Ruham Alshiekh Nasany, Jared Knopman, Gary A. Ulaner, Katherine S. Panageas, Vaios Hatzoglou, Kim Salvaggio, David H. Abramson, Athos Patsalides, Eli L. Diamond
doi : 10.1212/WNL.0000000000012070
vol. 96 no. 23 1091-1093
Visualization of Gray Matter Atrophy and Anterior Corticospinal Tract Signal Hyperintensity in Amyotrophic Lateral Sclerosis Using 7T MRI
Virginie Callot, Aurélien Massire, Maxime Guye, Shahram Attarian, Annie Verschueren
doi : 10.1212/WNL.0000000000012072
vol. 96 no. 23 1094-1095
Corpus Callosum Hyperintensity in Normal Pressure Hydrocephalus After Ventriculoperitoneal Shunt
Jinyoung Youn, Gabor G. Kovacs, Paul Kongkham, Alfonso Fasano
doi : 10.1212/WNL.0000000000012041
vol. 96 no. 23 1096-1097
Clinical Reasoning: A 70-Year-Old Man With Right Arm and Leg Shaking
Jessica Frey, Eric Seachrist
doi : 10.1212/WNL.0000000000012047
vol. 96 no. 23 1098-1101
Pearls & Oy-sters: Moyamoya Vasculopathy and Its Association With Congenital Heart Disease
Justus Osterloh, Christian Heim, Gabriela Siedler, Tobias Engelhorn, Arnd Doerfler, Stefan Schwab, Bernd Kallmünzer
doi : 10.1212/WNL.0000000000012049
vol. 96 no. 23 e2896-e2898
Teaching NeuroImages: Hirayama Disease With Symmetric Atrophy of Bilateral Distal Upper Extremities
Ye Liu, Yue Zhang, Qiang Dong
doi : 10.1212/WNL.0000000000011380
vol. 96 no. 23 e2899-e2900
Teaching Video NeuroImages: Anti-IgLON5 DiseaseA Long-Course Presentation With a Response to Immunotherapy
Javier Villacieros-?lvarez, Carlos Manuel Ord?s, Gustavo Torres-Gaona, Ana D?ez-Barrio, Cristina Prieto-Jurczynska, Carles Gaig
doi : 10.1212/WNL.0000000000011381
vol. 96 no. 23 e2901-e2902
Editors' Note: Phenotypic Variability in ALS-FTD and Effect on Survival
Aravind Ganesh, Steven Galetta
doi : 10.1212/WNL.0000000000012077
vol. 96 no. 23 1102
Reader Response: Phenotypic Variability in ALS-FTD and Effect on Survival
Kazuo Abe
doi : 10.1212/WNL.0000000000012071
vol. 96 no. 23 1102-1103
Author Response: Phenotypic Variability in ALS-FTD and Effect on Survival
Rebekah M. Ahmed, Matthew C. Kiernan
doi : 10.1212/WNL.0000000000012073
vol. 96 no. 23 1103-1104
Editors' Note: Teaching Video NeuroImages: Pathologic Yawning: A Sign of Brainstem Involvement in Acute Disseminated Encephalomyelitis?
Aravind Ganesh, Steven Galetta
doi : 10.1212/WNL.0000000000012078
vol. 96 no. 23 1104
Reader Response: Teaching Video NeuroImages: Pathologic Yawning: A Sign of Brainstem Involvement in Acute Disseminated Encephalomyelitis?
Juichi Fujimori, Ichiro Nakashima
doi : 10.1212/WNL.0000000000012075
vol. 96 no. 23 1104-1105
Author Response: Teaching Video NeuroImages: Pathologic Yawning: A Sign of Brainstem Involvement in Acute Disseminated Encephalomyelitis?
Kenneth A. Myers
doi : 10.1212/WNL.0000000000012076
vol. 96 no. 23 1105
Decreased GABA-A Binding on FMZ-PET in Succinic Semialdehyde Dehydrogenase Deficiency
doi : 10.1212/WNL.0000000000011754
vol. 96 no. 23 1106
Sex Differences in Treatment and Outcome After StrokePooled Analysis Including 19,000 Participants
doi : 10.1212/WNL.0000000000011946
vol. 96 no. 23 1106
