Neurology




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Acute Ischemic Stroke: Don't Skip the Thrombolytics Before Transfer for Thrombectomy.

Cronin, Carolyn A. MD, PhD

doi : 10.1212/WNL.0000000000206841

Volume 100(14) pgs. 643-688,e1436-e1528 April 4, 2023

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Adverse Pregnancy Outcomes and Migraine: What We Know and What We Can Do.

VanderPluym, Juliana H. MD

doi : 10.1212/WNL.0000000000207089

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IV Thrombolysis Initiated Before Transfer for Endovascular Stroke Thrombectomy: A Systematic Review and Meta-analysis.

Katsanos, Aristeidis H. MD; Sarraj, Amrou MD; Froehler, Michael MD; Purrucker, Jan MD; Goyal, Nitin MD; Regenhardt, Robert William MD, PhD; Palaiodimou, Lina MD; Mueller-Kronast, Nils H. MD; Lemmens, Robin MD; Schellinger, Peter D. MD; Sacco, Simona MD; Turc, Guillaume MD; Alexandrov, Andrei V. MD; Tsivgoulis, Georgios MD, PhD

doi : 10.1212/WNL.0000000000206784

The role of IV thrombolysis (IVT) in patients with large vessel occlusions (LVOs) administered before transfer from a primary stroke center (PSC) to a comprehensive stroke center (CSC) is questioned.

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Age-Related Differences in the Role of Risk Factors for Ischemic Stroke.

Howard, George DrPH; Banach, Maciej MD, PhD; Kissela, Brett MD, MS; Cushman, Mary MD, MSc; Muntner, Paul PhD; Judd, Suzanne E. PhD; Howard, Virginia J. PhD

doi : 10.1212/WNL.0000000000206837

Reports assessing the association of stroke risk factors with incident stroke have generally assumed a uniform magnitude of associations across the age spectrum, an assumption we assess in this report

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Premature Cardiovascular Disease and Brain Health in Midlife: The CARDIA Study.

Jiang, Xiaqing MD, PhD, MPH; Lewis, Cora E. MD, MSPH; Allen, Norrina B. PhD, MPH; Sidney, Stephen MD, MPH; Yaffe, Kristine MD

doi : 10.1212/WNL.0000000000206825

To understand the role of premature (defined as <= 60 years) cardiovascular disease (CVD) in brain health earlier in life, we examined the associations of premature CVD with midlife cognition and white matter health.

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Prepregnancy Migraine, Migraine Phenotype, and Risk of Adverse Pregnancy Outcomes.

Purdue-Smithe, Alexandra C. PhD; Stuart, Jennifer J. ScD; Farland, Leslie V. ScD; Kang, Jae H. ScD; Harriott, Andrea M. MD, PhD; Rich-Edwards, Janet W. ScD; Rexrode, Kathryn MD, MPH

doi : 10.1212/WNL.0000000000206831

Migraine is a highly prevalent neurovascular disorder among reproductive-aged women. Whether migraine history and migraine phenotype might serve as clinically useful markers of obstetric risk is not clear.

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Estrogen Receptor Genes, Cognitive Decline, and Alzheimer Disease.

Oveisgharan, Shahram MD; Yang, Jingyun PhD; Yu, Lei PhD; Burba, Dominika MS; Bang, Woojeong MS; Tasaki, Shinya PhD; Grodstein, Fran PhD; Wang, Yanling PhD; Zhao, Jinying PhD; De Jager, Philip Lawrence PhD; Schneider, Julie A. MD; Bennett, David A. MD

doi : 10.1212/WNL.0000000000206833

Lifetime risk of Alzheimer disease (AD) dementia is twofold higher in women compared with men, and low estrogen levels in postmenopause have been suggested as a possible contributor.

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Effectiveness of Antiseizure Medication Triple Therapy in Patients With Glioma With Refractory Epilepsy: An Observational Cohort Study.

van der Meer, Pim B. MSc; Dirven, Linda PhD; Fiocco, Marta PhD; Vos, Maaike J. PhD; Kouwenhoven, Mathilde C.M. PhD; van den Bent, Martin J. PhD; Taphoorn, Martin J.B. PhD; Koekkoek, Johan A.F. PhD

doi : 10.1212/WNL.0000000000206852

Approximately 10% of patients with glioma with epilepsy need antiseizure medication (ASM) triple therapy due to refractory epilepsy.

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Natural Course and Prognosis of Primary Spinal Glioblastoma: A Nationwide Study.

Amelot, Aymeric MD, PhD; Terrier, Louis-Marie MD, PhD; Mathon, Bertrand MD; Joubert, Christophe MD; Picart, Thiebaud MD, PhD; Jecko, Vincent MD; Bauchet, Luc MD, PhD; Bernard, Florian MD, PhD; Castel, Xavier MD, PhD; Chenin, Louis MD; Cook, Ann-Rose MD; Emery, Evelyne MD, PhD; Figarella-Branger, Dominique MD, PhD; Gauchotte, Guillaume MD, PhD; Graillon, Thomas MD, PhD; Jouvet, Anne MD, PhD; Kalamarides, Michel MD, PhD; Knafo, Steven MD, PhD; Lazard, Arnaud MD; Lubrano, Vincent MD, PhD; Mokhtari, Karima MD, PhD; Rigau, Valerie MD, PhD; Roualdes, Vincent MD, PhD; Rousseau, Audrey MD, PhD; Seizeur, Romuald MD, PhD; Uro-Coste, Emmanuelle MD, PhD; Voirin, Jimmy MD, PhD; Metellus, Philippe MD, PhD; Pallud, Johan MD, PhD; Zemmoura, Ilyess MD, PhD; and the Medullary Glioblastoma study group

doi : 10.1212/WNL.0000000000206834

Primary spinal glioblastoma (PsGBM) is extremely rare. The dramatic neurologic deterioration and unresectability of PsGBM makes it a particularly disabling malignant neoplasm.

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Characteristics and Outcomes of Athletes With Slow Recovery From Sports-Related Concussion: A CARE Consortium Study.

McAllister, Thomas W. MD; Broglio, Steven P. PhD; Katz, Barry P. PhD; Perkins, Susan M. PhD; LaPradd, Michelle MS; Zhou, Wenxian MS; McCrea, Michael A. PhD; on behalf of Concussion Assessment, Research and Education (CARE) Consortium

doi : 10.1212/WNL.0000000000206853

Some athletes experience a slow recovery after sport-related concussion (SRC). There is little agreement on what constitutes slow recovery, however, and minimal data on the prevalence, predictors, or prognosis for this group.

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Long-term Safety, Dose Stability, and Efficacy of Opioids for Patients With Restless Legs Syndrome in the National RLS Opioid Registry.

Winkelman, John Weyl MD, PhD; Wipper, Benjamin BA; Zackon, Jordana BA

doi : 10.1212/WNL.0000000000206855

Restless legs syndrome (RLS) is a sensory-motor neurologic disorder. Low-dose opioids are prescribed for patients with refractory or augmented RLS.

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Biological Sex Differences in Risk Factors and Outcomes Among Hospitalized Adults With Stroke in Lusaka, Zambia.

Nutakki, Aparna BA; Chomba, Mashina MBChB, MMed; Chishimba, Lorraine Chishimba MMED; Zimba, Stanley MMED, STP; Gottesman, Rebecca F. MD, PhD; Bahouth, Mona N. MD, PhD; Saylor, Deanna R. MD, MHS

doi : 10.1212/WNL.0000000000201696

We investigated sex differences in clinical characteristics and outcomes among hospitalized adults with stroke in Zambia. Methods: We retrospectively collected information for 324 consecutively hospitalized adults with stroke on the neurology service at the University Teaching Hospital in Lusaka, Zambia, between October 2018 and March 2019.

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Complicated Monkeypox Infection in a Patient With Multiple Sclerosis and Fingolimod Treatment.

Muller-Jensen, Leonie MD *; Kriedemann, Helene MD *; Anvari, Kerstin MD; Huehnchen, Petra MD; Siffrin, Volker MD

doi : 10.1212/WNL.0000000000206743

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NEXMIF Epilepsy: An Alternative Cause of Progressive Myoclonus.

Chorny, Lauren E. DO; Nordli, Douglas R. III MD; Galan, Fernando MD

doi : 10.1212/WNL.0000000000201722

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Clinical Reasoning: A 23-Year-Old Man With Progressive Asymmetric Weakness and Numbness.

Kaplan, Emma H. MD *; Torabian, Kaveh MS *; Edwards, Camille V. MD; Kaku, Michelle C. MD; Anand, Pria MD; Lau, K. H. Vincent MD

doi : 10.1212/WNL.0000000000206773

AB We report a case of a 23-year-old man who presented with progressive asymmetric weakness and numbness in his distal extremities over 4 months, with initial symptoms starting days after a coronavirus 2019 (COVID-19) vaccine booster.

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Teaching NeuroImage: Ictal Pouting Associated With Focal Cortical Dysplasia and Frontal Seizures on Stereotactic Depth Electrode EEG.

Marques, Paula MD *; Wennberg, Richard MD *; Andrade, Danielle M. MD, MSc *

doi : 10.1212/WNL.0000000000206760

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Teaching Video NeuroImage: Reverse Ocular Bobbing as a Presenting Feature of Brainstem Cavernoma.

Singh, Kavindra MBBS, MS, MCh; Salunke, Pravin MBBS, MS, MCh

doi : 10.1212/WNL.0000000000206756

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Editors' Note: Long-term Neurologic Safety in Patients With B-Cell Lymphoma Treated With Anti-CD19 Chimeric Antigen Receptor T-Cell Therapy.

Lewis, Ariane MD; Galetta, Steven MD

doi : 10.1212/WNL.0000000000207208

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Reader Response: Long-term Neurologic Safety in Patients With B-Cell Lymphoma Treated With Anti-CD19 Chimeric Antigen Receptor T-Cell Therapy.

Karschnia, Philipp; Rejeski, Kaj; Subklewe, Marion; von Baumgarten, Louisa

doi : 10.1212/WNL.0000000000207209

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Reader Response: Long-term Neurologic Safety in Patients With B-Cell Lymphoma Treated With Anti-CD19 Chimeric Antigen Receptor T-Cell Therapy.

Tan, Brendan Jen-Wei; Chan, Ling-Ling; Tan, Eng-King

doi : 10.1212/WNL.0000000000207210

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