Neurology




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Phase Contrast Spine MRI for the Evaluation of CSF Leak, and Why It Matters.

Carroll, Ian MD, MS; Callen, Andrew MD

doi : 10.1212/WNL.0000000000201694

Volume 100(7) pgs. 313-356,e651-e763 February 14, 2023

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Pregnancy and Use of Antiseizure Medication: What Do We Know About the Long-term Cognitive Risks for the Child?.

Dreier, Julie Werenberg PhD; Meador, Kimford J. MD; Christensen, Jakob MD, PhD, DrMedSci

doi : 10.1212/WNL.0000000000201650

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CSF Flow and Spinal Cord Motion in Patients With Spontaneous Intracranial Hypotension: A Phase Contrast MRI Study.

Wolf, Katharina MD; Luetzen, Niklas MD; Mast, Hansjoerg; Kremers, Nico MD; Reisert, Marco PhD; Beltran, Saul; Fung, Christian MD; Beck, Jurgen MD; Urbach, Horst MD

doi : 10.1212/WNL.0000000000201527

Spontaneous intracranial hypotension (SIH) is characterized by loss of CSF volume. We hypothesize that in this situation of low volume, a larger CSF flow and spinal cord motion at the upper spine can be measured by noninvasive phase contrast MRI.

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Ten-Year Follow-up of Internal Neurofibroma Growth Behavior in Adult Patients With Neurofibromatosis Type 1 Using Whole-Body MRI.

Ly, K. Ina MD; Merker, Vanessa L. PhD; Cai, Wenli PhD; Bredella, Miriam A. MD; Muzikansky, Alona MA; Thalheimer, Raquel D. MSc; Da, Jennifer Liwei BA; Orr, Christina C. MSN; Herr, Hamilton P. MA; Morris, Mary E. MD, PhD; Chang, Connie Y. MD; Harris, Gordon J. PhD; Plotkin, Scott R. MD, PhD *; Jordan, Justin T. MD, MPH *

doi : 10.1212/WNL.0000000000201535

Internal neurofibromas, including plexiform neurofibromas (PNF), can cause significant morbidity in patients with neurofibromatosis type 1 (NF1). PNF growth is most pronounced in children and young adults, with more rapid growth thought to occur in a subset of PNF termed distinct nodular lesions (DNL).

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Randomized Double-Blind Placebo-Controlled Trial of the Corticosteroid-Sparing Effects of Immunoglobulin in Myasthenia Gravis.

Bril, Vera MD; Szczudlik, Andrzej MD; Vaitkus, Antanas MD, PhD; Rozsa, Csilla MD; Kostera-Pruszczyk, Anna MD, PhD; Hon, Petr MD; Bednarik, Josef MD; Tyblova, Michaela MD, PhD; Kohler, Wolfgang MD; Toomsoo, Toomas MD, PhD; Nowak, Richard J. MD; Mozaffar, Tahseen MD; Freimer, Miriam L. MD; Nicolle, Michael W. MD, DPhil; Magnus, Tim MD; Pulley, Michael T. MD, PhD; Rivner, Michael MD; Dimachkie, Mazen M. MD; Distad, B. Jane MD; Pascuzzi, Robert M. MD; Babiar, Donna BA; Lin, Jiang PhD; Querolt Coll, Montse MS; Griffin, Rhonda MS; Mondou, Elsa MD

doi : 10.1212/WNL.0000000000201501

Myasthenia gravis (MG) is an autoimmune disease characterized by dysfunction at the neuromuscular junction. Treatment frequently includes corticosteroids (CSs) and IV immunoglobulin (IVIG).

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Plasma Phosphorylated Tau at Threonine 181 and Neuropsychiatric Symptoms in Preclinical and Prodromal Alzheimer Disease.

Ghahremani, Maryam PhD; Wang, Meng MSc; Chen, Hung-Yu PhD; Zetterberg, Henrik MD, PhD; Smith, Eric MD, MPH; Ismail, Zahinoor MD; for the Alzheimer's Disease Neuroimaging Initiative*

doi : 10.1212/WNL.0000000000201517

Plasma phosphorylated tau at threonine 181 (p-tau181), a well-validated marker of Alzheimer disease (AD) pathologic change, could be a more efficient way to diagnose AD than invasive or expensive biomarkers requiring CSF or PET.

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Association of Dietary Intake of Flavonols With Changes in Global Cognition and Several Cognitive Abilities.

Holland, Thomas Monroe MD, MS; Agarwal, Puja PhD; Wang, Yamin PhD; Dhana, Klodian MD, PhD; Leurgans, Sue E. PhD; Shea, Kyla PhD; Booth, Sarah L. PhD; Rajan, Kumar B. PhD; Schneider, Julie A. MD, MS; Barnes, Lisa L. PhD

doi : 10.1212/WNL.0000000000201541

Previous research has examined the association between cognition and flavonoids: bioactives found in foods, known to possess anti-inflammatory and antioxidant properties.

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Impact of White Adipose Tissue on Brain Structure, Perfusion, and Cognitive Function in Patients With Severe Obesity: The BARICO Study.

Vreeken, Debby MSc *; Seidel, Florine MSc *; de La Roij, Guido MSc; Vening, Wouter MD; den Hengst, Willem A. MD, PhD; Verschuren, Lars PhD; Ozsezen, Serdar Msc; Kessels, Roy P.C. PhD; Duering, Marco MD, PhD; Mutsaerts, Henk J.M.M. MD, PhD; Kleemann, Robert PhD; Wiesmann, Maximilian PhD; Hazebroek, Eric J. MD, PhD +; Kiliaan, Amanda J. PhD +

doi : 10.1212/WNL.0000000000201538

While underlying pathophysiology linking obesity to brain health is not completely understood, white adipose tissue (WAT) is considered a key player. In obesity, WAT becomes dysregulated, showing hyperplasia, hypertrophy, and eventually inflammation.

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Association Between Characteristics of National Association of Epilepsy Centers and Reported Utilization of Specific Surgical Techniques.

Arredondo, Kristen H. MD; Ahrens, Stephanie M. DO; Bagic, Anto I. MD, PhD; Bai, Shasha PhD; Chapman, Kevin E. MD; Ciliberto, Michael A. MD; Clarke, Dave F. MD; Eisner, Mariah MS; Fountain, Nathan B. MD; Gavvala, Jay R. MD; Perry, M. Scott MD; Rossi, Kyle C. MD; Wong-Kisiel, Lily C. MD; Herman, Susan T. MD; Ostendorf, Adam P. MD; on behalf of the NAEC Center Director Study Group

doi : 10.1212/WNL.0000000000201526

early one-third of persons with epilepsy will continue having seizures despite trialing multiple antiseizure medications. Epilepsy surgery may be beneficial in these cases, and evaluation at a comprehensive epilepsy center is recommended.

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Prenatal Carbamazepine Exposure and Academic Performance in Adolescents: A Population-Based Cohort Study.

Ren, Tai MD; Lee, Priscilla Ming Yi PhD; Li, Fei MD, PhD *; Li, Jiong MD, PhD *

doi : 10.1212/WNL.0000000000201529

To investigate whether children born to mothers who used carbamazepine during pregnancy had worse academic performance in adolescence

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Safety and Outcome of Revascularization Treatment in Patients With Acute Ischemic Stroke and COVID-19: The Global COVID-19 Stroke Registry.

Marto, Joao Pedro MD *; Strambo, Davide MD *; Ntaios, George MD; Nguyen, Thanh N. MD, FRCPC; Herzig, Roman MD, PhD; Czlonkowska, Anna MD, PhD; Demeestere, Jelle MD; Mansour, Ossama Yassin MD, PhD; Salerno, Alexander MD; Wegener, Susanne MD; Baumgartner, Philipp MD; Cereda, Carlo W. MD; Bianco, Giovanni MD; Beyeler, Morin MD; Arnold, Marcel MD; Carrera, Emmanuel MD; Machi, Paolo MD; Altersberger, Valerian MD; Bonati, Leo MD;

doi : 10.1212/WNL.0000000000201537

COVID-19-related inflammation, endothelial dysfunction, and coagulopathy may increase the bleeding risk and lower the efficacy of revascularization treatments in patients with acute ischemic stroke (AIS).

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Endovascular vs Medical Management for Late Anterior Large Vessel Occlusion With Prestroke Disability: Analysis of CLEAR and RESCUE-Japan.

Siegler, James E. MD; Qureshi, Muhammad M. MBBS, MPH; Nogueira, Raul G. MD; Tanaka, Kanta MD, PhD; Nagel, Simon MD; Michel, Patrik MD; Vigilante, Nicholas BS; Ribo, Marc MD; Yamagami, Hiroshi MD, PhD; Yoshimura, Shinichi MD, PhD; Abdalkader, Mohamad MD; Haussen, Diogo C. MD; Mohammaden, Mahmoud H. MD; Nannoni, Stefania MD PhD; Mohlenbruch, Markus A. MD; Henon, Hilde MD, PhD; Sheth, Sunil A. MD; Ortega-Gutierrez, Santiago MD MS; Olive-Gadea, Marta MD; Caparros, Francois MD; Seker, Fatih MD; Zaidi, Syed MD; Castonguay, Alicia C. PhD; Uchida, Kazutaka MD, PhD; Sakai, Nobuyuki MD; Puri, Ajit S. MD; Farooqui, Mudassir MD, MPH; Toyoda, Kazunori MD, PhD; Salazar-Marioni, Sergio MD; Takeuchi, Masataka MD, PhD; Farzin, Behzad MD; Masoud, Hesham E. MD; Kuhn, Anna Luisa MD, PhD; Rana, Ameena MD; Morimoto, Masafumi MD, PhD; Shibata, Masunari MD, PhD; Nonaka, Tadashi MD, PhD; Klein, Piers MA; Sathya, Anvitha BA; Kiley, Nicole L. PA-C; Cordonnier, Charlotte MD, PhD; Strambo, Davide MD; Demeestere, Jelle MD; Ringleb, Peter A. MD; Roy, Daniel MD; Zaidat, Osama O. MD; Jovin, Tudor G. MD; Kaesmacher, Johannes MD, PhD; Fischer, Urs MD, MSc; Raymond, Jean MD; Nguyen, Thanh N. MD, FRCPC

doi : 10.1212/WNL.0000000000201543

Current guidelines do not address recommendations for mechanical thrombectomy (MT) in the extended time window (>6 hours after time last seen well [TLSW]) for large vessel occlusion (LVO) patients with preexisting modified Rankin Scale (mRS) > 1.

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Clinical, Imaging, and Laboratory Findings in Patients With GATA2 Deficiency Presenting With Early-Onset Ischemic Stroke.

Bierman-Chow, Shaia BA; Holland, Steven M. MD; Hsu, Amy P. BA; Palmer, Cindy RN; Lynch, John DO; Mina, Yair MD; Joo (Sophie) Cho, Hyun MD

doi : 10.1212/WNL.0000000000201569

The purpose of this study was to characterize the clinical, laboratory, and imaging findings of 10 patients with GATA2 deficiency who presented with early-onset ischemic stroke.

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Primary Melanocytoma Arising From Trigeminal Nerve.

Liu, Jun MD *; Zhang, Wenjun MD *; Ye, Xinyun MD; Zhang, Si MD +; Jiang, Qiuhua MD +

doi : 10.1212/WNL.0000000000201570

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Clinical Reasoning: Rapidly Progressive Dementia in a Man With HIV Infection and Undetectable Plasma Viral Load.

Chishimba, Lorraine Chishimba MMED; Chomba, Mashina MBChB MMed; Zimba, Stanley MMED, STP; Asukile, Melody Tunsubilege MBChB, MMed, FC Neurol(SA); Makai, Obrie MMED; Saylor, Deanna R. MD, MHS

doi : 10.1212/WNL.0000000000201576

AB Neurocognitive decline associated with HIV infection remains prevalent even in the antiretroviral therapy (ART) era, albeit usually in less severe forms

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Right Brain: Oriented to Self.

Geczi, Kristin BA

doi : 10.1212/WNL.0000000000201602

AB In medical school, students learn to view the world through a biomedical lens. While necessary clinically, this lens can be impersonal. For example, the mental status examination (MSE) evaluates cognitive function through a brief assessment of alertness and orientation to person, place, time, and situation.

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Teaching Video NeuroImage: Delayed Radiation-Induced Unilateral Myokymia of the Tongue.

Senerchia, Gianmaria MD; Iuzzolino, Valentina Virginia MD; Zoccolella, Stefano MD; Ugga, Lorenzo MD, PhD; Iodice, Rosa MD; Manganelli, Fiore MD; Dubbioso, Raffaele MD, PhD

doi : 10.1212/WNL.0000000000201607

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Editors' Note: Prospective Natural History Study in 24 Adult Patients With LGMDR12 Over 2 Years of Follow-up: Quantitative MRI and Clinical Outcome Measures.

Siegler, James E. MD; Galetta, Steven MD

doi : 10.1212/WNL.0000000000206870

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Reader Response: Prospective Natural History Study in 24 Adult Patients With LGMDR12 Over 2 Years of Follow-up: Quantitative MRI and Clinical Outcome Measures.

Kawada, Tomoyuki

doi : 10.1212/WNL.0000000000206871

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Author Response: Prospective Natural History Study in 24 Adult Patients With LGMDR12 Over 2 Years of Follow-up: Quantitative MRI and Clinical Outcome Measures.

De Wel, Bram; Claeys, Kristl G.

doi : 10.1212/WNL.0000000000206872

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Editors' Note: Association of Sleep, Neuropsychological Performance, and Gray Matter Volume With Glymphatic Function in Community-Dwelling Older Adults.

Siegler, James E. MD; Galetta, Steven MD

doi : 10.1212/WNL.0000000000206873

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Reader Response: Association of Sleep, Neuropsychological Performance, and Gray Matter Volume With Glymphatic Function in Community-Dwelling Older Adults.

Piantino, Juan A.; Iliff, Jeffrey J.; Lim, Miranda M.; Levendovszky, Swati Rane

doi : 10.1212/WNL.0000000000206874

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Author Response: Association of Sleep, Neuropsychological Performance, and Gray Matter Volume With Glymphatic Function in Community-Dwelling Older Adults.

Siow, Tiing Yee; Toh, Cheng Hong; Hsu, Jung-Lung; Liu, Geng-Hao; Lee, Shwu-Hua; Chen, Ning-Hung; Fu, Changjui James; Castillo, Mauricio; Fang, Ji-Tseng

doi : 10.1212/WNL.0000000000206875

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