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Cluster Headache: Worse in Female Patients.
Burish, Mark J. MD, PhD; Lipton, Richard B. MD
doi : 10.1212/WNL.0000000000206807
Volume 100(12) pgs. 547-595,e1207-e1320 March 21, 2023
Deep Learning Algorithms for Brain Imaging: From Black Box to Clinical Toolbox?.
Haight, Thaddeus J. PhD; Eshaghi, Arman MD, PhD
Antithrombotic Therapy in Patients With Cerebral Microbleeds or Cortical Siderosis: Is This Contraindicated?.
Schneck, Michael J. MD, MBA *; Biller, Jose MD *
Sex Differences in Clinical Features, Treatment, and Lifestyle Factors in Patients With Cluster Headache.
Fourier, Carmen MSc, PhD; Ran, Caroline MSc, PhD; Steinberg, Anna MD, PhD; Sjostrand, Christina MD, PhD; Waldenlind, Elisabet MD, PhD; Belin, Andrea Carmine MSc, PhD
doi : 10.1212/WNL.0000000000201688
Cluster headache is considered a male-dominated disorder, but we have previously suggested that female patients may display a more severe phenotype. Studies on sex differences in cluster headache have been conflicting; therefore, this study, with the largest validated cluster headache material at present, gives more insights into sex-specific characteristics of the disease.
Association of CSF and Serum Neurofilament Light and Glial Fibrillary Acidic Protein, Injury Severity, and Outcome in Spinal Cord Injury.
Stukas, Sophie PhD; Cooper, Jennifer BMLSc; Gill, Jasmine MSc; Fallah, Nader PhD; Skinnider, Michael A. BASc; Belanger, Lise RN; Ritchie, Leanna RN; Tsang, Angela RN; Dong, Kevin BSc; Streijger, Femke PhD; Street, John MD, PhD, FRCSI; Paquette, Scott MD, Med, FRSCS; Ailon, Tamir MD, MPH, FRCSC; Dea, Nicolas MD, MSc, FRCSC; Charest-Morin, Raphaele MD, FRCSC; Fisher, Charles G. MD, MPH, FRCSC; Bailey, Christopher S. MD, MSc, FRCSC; Dhall, Sanjay MD; Mac-Thiong, Jean-Marc MD, PhD, FRCSC; Wilson, Jefferson R. MD, PhD, FRCSC; Christie, Sean MD, FRCSC; Dvorak, Marcel F. MD, FRCSC; Wellington, Cheryl L. PhD; Kwon, Brian K. MD, PhD, FRCSC
doi : 10.1212/WNL.0000000000206744
Traumatic spinal cord injury (SCI) is highly heterogeneous, and tools to better delineate pathophysiology and recovery are needed. Our objective was to profile the response of 2 biomarkers, neurofilament light (NF-L) and glial fibrillary acidic protein (GFAP), in the serum and CSF of patients with acute SCI to evaluate their ability to objectively characterize injury severity and predict neurologic recovery.
Clinical and Neurophysiologic Phenotypes in Neonates With BRAT1 Encephalopathy.
Carapancea, Evelina MD; Cornet, Marie-Coralie MD, PhD; Milh, Mathieu MD, PhD; De Cosmo, Lucrezia MD; Huang, Eric J. MD, PhD; Granata, Tiziana MD; Striano, Pasquale MD, PhD; Ceulemans, Berten MD, PhD; Stein, Anja MD; Morris-Rosendahl, Deborah PhD; Conti, Greta MD; Mitra, Nipa MD, DNB (Paediatrics), MRCPCH; Raymond, F. Lucy MD, PhD; Rowitch, David H. MD, PhD; Solazzi, Roberta MD; Vercellino, Fabiana MD; De Liso, Paola MD, PhD; D'Onofrio, Gianluca MD; Boniver, Clementina MD; Danhaive, Olivier MD; Carkeek, Katherine MD; Salpietro, Vincenzo MD, PhD; Weckhuysen, Sarah MD, PhD; Fedrigo, Marny MD, PhD; Angelini, Annalisa MD; Castellotti, Barbara MD; Lederer, Damien MD; Benoit, Valerie PhD; Raviglione, Federico MD; Guerrini, Renzo MD, PhD; Dilena, Robertino MD *; Cilio, Maria Roberta MD, PhD *
doi : 10.1212/WNL.0000000000206755
BRAT1 encephalopathy is an ultra-rare autosomal recessive neonatal encephalopathy. We delineate the neonatal electroclinical phenotype at presentation and provide insights for early diagnosis.
Hazard Perception Skill and Driver Behavior in Patients With Functional Neurologic Disorders.
Lagrand, Tjerk J. MD *; Vaezipour, Atiyeh PhD *; Hill, Andrew PhD; Horswill, Mark S. PhD; Lehn, Alexander C. MD
doi : 10.1212/WNL.0000000000206757
Driving in patients with functional neurologic disorders (FND) is a major concern, but current guidelines (where they exist) are based on expert consensus only due to a lack of relevant empirical evidence.
Development and External Validation of a Deep Learning Algorithm to Identify and Localize Subarachnoid Hemorrhage on CT Scans.
Thanellas, Antonios MSc *; Peura, Heikki MD *; Lavinto, Mikko MSc, PhD; Ruokola, Tomi MSc, PhD; Vieli, Moira BM; Staartjes, Victor E. MD; Winklhofer, Sebastian MD; Serra, Carlo MD; Regli, Luca MD; Korja, Miikka MD, PhD
doi : 10.1212/WNL.0000000000201710
In medical imaging, a limited number of trained deep learning algorithms have been externally validated and released publicly. We hypothesized that a deep learning algorithm can be trained to identify and localize subarachnoid hemorrhage (SAH) on head computed tomography (CT) scans and that the trained model performs satisfactorily when tested using external and real-world data. Methods: We used noncontrast head CT images of patients admitted to Helsinki University Hospital between 2012 and 2017.
Stroke Risk and Antithrombotic Treatment During Follow-up of Patients With Ischemic Stroke and Cortical Superficial Siderosis.
Marti-Fabregas, Joan MD, PhD *; Camps-Renom, Pol MD, PhD *; Best, Jonathan G. MD; Ramos-Pachon, Anna MD; Guasch-Jimenez, Marina MD; Martinez-Domeno, Alejandro MD; Guisado-Alonso, Daniel MD; Gomez-Anson, Beatriz M. MD, PhD; Ambler, Gareth PhD; Wilson, Duncan PhD; Lee, Keon-Joo MD; Lim, Jae-Sung MD, PhD; Bae, Hee-Joon MD; Shiozawa, Masayuki MD; Koga, Masatoshi MD, PhD; Toyoda, Kazunori MD, PhD; Hennerici, Michael G. MD; Chabriat, Hugues PD, PhD; Jouvent, Eric MD, PhD; Wong, Debbie Yuen Kwun MSc; Mak, Henry MD; Lau, Kui Kai DPhil; Kim, Young Dae MD, PhD; Song, Tae-Jin MD, PhD; Heo, Ji-Hoe MD; Eppinger, Sebastian MD; Gattringer, Thomas MD; Uysal, Ender MD; Demirelli, Derya Selcuk MD; Bornstein, Natan MD; Ben Assayag, Einor PhD; Hallevi, Hen MD; Molad, Jeremy A. MD; Nishihara, Masashi MD; Tanaka, Jun MD; Hara, Hideo PhD; Yakushiji, Yusuke PhD; Coutts, Shelagh B. MD; Smith, Eric MD, MPH; Polymeris, Alexandros A. MD; Wagner, Benjamin MD; Seiffge, David MD, PhD; Lyrer, Philippe A. MD; Peters, Nils MD; Engelter, Stefan T. MD; Al-Shahi Salman, Rustam MD, PhD; Jager, Hans Rudolf MD; Lip, Gregory Y.H. FRCP; Goeldlin, Martina MD; Panos, Leonidas MD; Karayiannis, Christopher Charles MD; Phan, Thanh G. MBBS, FRACP, PhD; Srikanth, Velandai K. MD, PhD; Christ, Nicolas MD; Gunkel, Sarah MD; Fluri, Felix MD; Leung, Thomas W. MD; Soo, Yannie O.Y. MD; Chu, Winnie MD; Abrigo, Jill MD; Barbato, Carmen MD; Browning, Simone Bsc; Simister, Robert MD; Mendyk, Anne-Marie RN; Bordet, Regis MD; Hilal, Saima MD, PhD; Gyanwali, Bibek MD; Chen, Christopher MD; Jung, Simon MD; Necioglu Orken, Dilek MD; Werring, David FRCP, PhD; Prats-Sanchez, Luis MD, PhD; and Microbleeds International Collaborative Network (MICON)
doi : 10.1212/WNL.0000000000201723
In patients with ischemic stroke (IS) or transient ischemic attack (TIA) and cortical superficial siderosis (cSS), there are few data regarding the risk of future cerebrovascular events and also about the benefits and safety of antithrombotic drugs for secondary prevention.
Age- and Sex-Specific Trends in Medical Complications After Acute Ischemic Stroke in the United States.
Ahmed, Rashid MD; Mhina, Carl MD, MPH; Philip, Karan MD; Patel, Smit D. MBBS; Aneni, Ehimen MD, MPH; Osondu, Chukwuemeka MD, MPH; Lamikanra, Oluwatomi MD, MPH; Akano, Emmanuel Oladele MD; Anikpezie, Nnabuchi MD, DrPH; Albright, Karen C. PhD, MS, DO, MPH; Latorre, Julius G. MD, MPH; Chaturvedi, Seemant MD; Otite, Fadar Oliver MD, ScM
doi : 10.1212/WNL.0000000000206749
To test the hypothesis that the age and sex-specific prevalence of infectious (pneumonia, sepsis, and urinary tract infection [UTI]) and noninfectious (deep venous thrombosis [DVT], pulmonary embolism [PE], acute renal failure [ARF], acute myocardial infarction [AMI], and gastrointestinal bleeding [GIB]) complications increased after acute ischemic stroke (AIS) hospitalization in the United States from 2007 to 2019. Methods: We conducted a serial cross-sectional study using the 2007-2019 National Inpatient Sample
Investigating the Long-term Effect of Pregnancy on the Course of Multiple Sclerosis Using Causal Inference.
Gavoille, Antoine MD; Rollot, Fabien; Casey, Romain PhD; Debouverie, Marc MD, PhD; Le Page, Emmanuelle MD; Ciron, Jonathan MD; De Seze, Jerome PhD; Ruet, Aurelie MD, PhD; Maillart, Elisabeth MD; Labauge, Pierre PhD; Zephir, Helene PhD; Papeix, Caroline MD; Defer, Gilles MD; Lebrun-Frenay, Christine PhD; Moreau, Thibault PHD; Laplaud, David Axel PhD; Berger, Eric MD; Stankoff, Bruno PhD; Clavelou, Pierre PhD; Thouvenot, Eric PhD; Heinzlef, Olivier MD; Pelletier, Jean PhD; Al Khedr, Abdullatif MD; Casez, Olivier MD; Bourre, Bertrand MD; Cabre, Philippe PhD; Wahab, Abir MD; Magy, Laurent MD; Camdessanche, Jean-Philippe PHD; Maurousset, Aude MD; Moulin, Solene MD, PhD; Ben, Nasr Haifa MD; Boulos, Dalia Dimitri MD; Hankiewicz, Karolina MD; Neau, Jean-Philippe MD; Pottier, Corinne MD; Nifle, Chantal MD; Rabilloud, Muriel MD; Subtil, Fabien MD; Vukusic, Sandra PhD; on behalf of Observatoire Francais de la Sclerose en Plaques (OFSEP) Investigators
doi : 10.1212/WNL.0000000000206774
The question of the long-term safety of pregnancy is a major concern in patients with multiple sclerosis (MS), but its study is biased by reverse causation (women with higher disability are less likely to experience pregnancy).
Oral Anticoagulants and the Risk of Dementia in Patients With Nonvalvular Atrial Fibrillation: A Population-Based Cohort Study.
Rahman, Alvi A. MSc; Michaud, Jonathan MSc; Dell'Aniello, Sophie MSc; Moodie, Erica E.M. PhD; Brophy, James M. MD, PhD; Durand, Madeleine MD, MSc; Guertin, Jason R. PhD; Boivin, Jean-Francois MD, PhD; Renoux, Christel MD, PhD
doi : 10.1212/WNL.0000000000206748
Nonvalvular atrial fibrillation (NVAF) is associated with an increased risk of dementia. Oral anticoagulants (OACs) are essential for stroke prevention in NVAF, and studies have shown a possible protective effect on dementia.
What Is the Involvement of the Cerebellum During Sleep?.
Benarroch, Eduardo MD
Comment: Introducing Neurology Education in 2035.
Jones, Lyell K. Jr MD; Gross, Robert A. MD, PhD
Neurology Education in 2035: The Neurology Future Forecasting Series.
Moeller, Jeremy MD, MSc; Salas, Rachel Marie E. MD, MEd
doi : 10.1212/WNL.0000000000201669
AB In the past decade, there have been dramatic changes in all aspects of neurologic care, and along with this, neurology education has transformed. These changes have affected all aspects of education across the educational continuum, including learners, teachers, educators, content, delivery methods, assessments, and outcomes. Health systems science, health humanities, diversity, equity, and inclusion and health disparities are becoming core components of neurology curricula, and, in the future, will be integrated into every aspect of our educational mission.
Pearls & Oy-sters: Trigeminal Cystic Schwannoma Presenting With Foster Kennedy Syndrome, Sixth Nerve Palsy, and Focal Seizures.
Mahjoub, Yasamin MD; Wan, Miranda MD; Subramaniam, Suresh MD
doi : 10.1212/WNL.0000000000201700
AB Foster Kennedy syndrome refers to a finding of optic atrophy in one eye from direct compression of the optic nerve by a mass lesion and contralateral papilledema in the nonatrophic optic nerve caused by an increased intracranial pressure.
Right Brain: You Are Gone.
Park, Sojung Kara DO
doi : 10.1212/WNL.0000000000201721
AB This poem describes the author's experience performing her first brain death examination as a neurology resident. The author hopes this work may prompt readers to reflect on similar experiences.
Editors' Note: Association Between Dietary Habits in Midlife With Dementia Incidence Over a 20-Year Period.
Ganesh, Aravind MD, DPhil, FRCPC; Galetta, Steven MD
Reader Response: Association Between Dietary Habits in Midlife With Dementia Incidence Over a 20-Year Period.
Kawada, Tomoyuki
Reader Response: Association Between Dietary Habits in Midlife With Dementia Incidence Over a 20-Year Period.
Hoffman, Richard M.
Author Response: Association Between Dietary Habits in Midlife With Dementia Incidence Over a 20-Year Period.
Glans, Isabelle
