Neurology




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Spotlight on the August 10 Issue

Merino, Jose G. MD, MPhil; Editor-in-Chief, Neurology(R)

doi : 10.1212/WNL.0000000000012384

Volume 97(6), 10 August 2021, p 255-256

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Ongoing Axonal Injury in Chronic Active Lesions in Multiple Sclerosis: In Vivo Quantification Using Serum Neurofilament

Preziosa, Paolo MD, PhD; Schoonheim, Menno M. MSc, PhD

doi : 10.1212/WNL.0000000000012331

Volume 97(6), 10 August 2021, p 257-258

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Chronic White Matter Inflammation and Serum Neurofilament Levels in Multiple Sclerosis

Maggi, Pietro MD, PhD*; Kuhle, Jens MD, PhD*; Schadelin, Sabine MSc; van der Meer, Franziska PhD; Weigel, Matthias PhD; Galbusera, Riccardo MD; Mathias, Amandine PhD; Lu, Po-Jui MSc; Rahmanzadeh, Reza MD; Benkert, Pascal PhD; La Rosa, Francesco MSc; Bach Cuadra, Meritxell PhD; Sati, Pascal PhD; Theaudin, Marie MD; Pot, Caroline MD, PhD; van Pesch, Vincent MD, PhD; Leppert, David MD; Stadelmann, Christine MD; Kappos, Ludwig MD; Du Pasquier, Renaud MD; Reich, Daniel S. MD, PhD; Absinta, Martina MD, PhD*; Granziera, Cristina MD, PhD*

doi : 10.1212/WNL.0000000000012326

Volume 97(6), 10 August 2021, p e543-e553

To assess whether chronic white matter inflammation in patients with multiple sclerosis (MS) as detected in vivo by paramagnetic rim MRI lesions (PRLs) is associated with higher serum neurofilament light chain (sNfL) levels, a marker of neuroaxonal damage.

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Association of Epilepsy Surgery With Changes in Imaging-Defined Brain Age

de Bezenac, Christophe E. PhD; Adan, Guleed MBBS; Weber, Bernd MD, PhD; Keller, Simon S. PhD

doi : 10.1212/WNL.0000000000012289

Volume 97(6), 10 August 2021, p e554-e563

To determine whether surgery in patients with mesial temporal lobe epilepsy (mTLE) is associated with reduced brain-predicted age as a neural marker overall brain health, we compared brain-predicted and chronologic age difference (brain age gap estimation [BrainAGE]) in patients before and after surgery with healthy controls.

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Safety and Efficacy of Coma Induction Following First-Line Treatment in Status Epilepticus: A 2-Center Study

De Stefano, Pia MD; Baumann, Sira Maria; Semmlack, Saskia MD; Ruegg, Stephan MD; Marsch, Stephan MD; Seeck, Margitta MD PhD*; Sutter, Raoul MD*

doi : 10.1212/WNL.0000000000012292

Volume 97(6), 10 August 2021, p e564-e576

To explore the safety and efficacy of artificial coma induction to treat status epilepticus (SE) immediately after first-line antiseizure treatment instead of following the recommended approach of first using second-line drugs.

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Clinical and Genetic Features in Patients With Reflex Bathing Epilepsy

Accogli, Andrea MD*; Wiegand, Gert MD*; Scala, Marcello MD; Cerminara, Caterina MD; Iacomino, Michele PhD; Riva, Antonella MD; Carlini, Barbara MSc; Camerota, Letizia MD; Belcastro, Vincenzo MD; Prontera, Paolo MD, PhD; Fernandez-Jaen, Alberto MD, PhD; Bebek, Nerses MD, PhD; Scudieri, Paolo PhD; Baldassari, Simona PhD; Salpietro, Vincenzo MD; Novelli, Giuseppe PhD; De Luca, Chiara MD; von Stulpnagel, Celina MD; Kluger, Felicitas MD; Kluger, Gerhard Josef MD; Wohlrab, Gabriele Christine MD; Ramantani, Georgia MD; Lewis-Smith, David MClinRes, MRCP; Thomas, Rhys H. PhD, FRCP; Lai, Ming MBBS; Verrotti, Alberto MD, PhD; Striano, Salvatore MD; Depienne, Christel PhD; Minetti, Carlo MD, PhD; Benfenati, Fabio MD, PhD; Brancati, Francesco MD, PhD; Zara, Federico PhD; Striano, Pasquale MD, PhD

doi : 10.1212/WNL.0000000000012298

Volume 97(6), 10 August 2021, p e577-e586

To describe the clinical and genetic findings in a cohort of individuals with bathing epilepsy, a rare form of reflex epilepsy.

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Seizure Control in Neonates Undergoing Screening vs Confirmatory EEG Monitoring

Wusthoff, Courtney J. MD, MS; Sundaram, Vandana MPH; Abend, Nicholas S. MD, MSCE; Massey, Shavonne L. MD, MSCE; Lemmon, Monica E. MD; Thomas, Cameron MD, MS; McCulloch, Charles E. PhD; Chang, Taeun MD; Soul, Janet S. MDCM; Chu, Catherine J. MD, MA, MMSc; Rogers, Elizabeth E. MD; Bonifacio, Sonia Lomeli MD; Cilio, Maria Roberta MD, PhD; Glass, Hannah C. MDCM*; Shellhaas, Renee A. MD, MS*; on behalf of the Neonatal Seizure Registry Group

doi : 10.1212/WNL.0000000000012293

Volume 97(6), 10 August 2021, p e587-e596

To determine whether screening continuous EEG monitoring (cEEG) is associated with greater odds of treatment success for neonatal seizures.

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Health Care Resource Utilization Associated With Parkinson Disease Among Medicare Beneficiaries

Gandhi, Aakash Bipin BPharm; Onukwugha, Eberechukwu PhD; Albarmawi, Husam MS*; Johnson, Abree MS; Myers, Daniela E. MPH; Gray, David PhD*; Alvir, Jose DrPH; Hynicka, Lauren PharmD; Shulman, Lisa M. MD

doi : 10.1212/WNL.0000000000012290

Volume 97(6), 10 August 2021, p e597-e607

To compare differences in health care resource utilization (HcRU) over time between Medicare beneficiaries with and without Parkinson disease (PD).

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Short- and Long-term Health Care Resource Utilization and Costs Following Intracerebral Hemorrhage

Fernando, Shannon M. MD, MSc; Qureshi, Danial MSc; Talarico, Robert MSc; Dowlatshahi, Dar MD, PhD; Sood, Manish M. MD, MSc; Smith, Eric E. MD, MPH; Hill, Michael D. MD, MSc; McCredie, Victoria A. MBChB, PhD; Scales, Damon C. MD, PhD; English, Shane W. MD, MSc; Rochwerg, Bram MD, MSc; Tanuseputro, Peter MD, MHSc*; Kyeremanteng, Kwadwo MD, MHA*

doi : 10.1212/WNL.0000000000012355

Volume 97(6), 10 August 2021, p e608-e618

We sought to evaluate the short- and long-term resource use and costs associated with intracerebral hemorrhage (ICH) taken from an entire population. We in addition sought to evaluate the association of oral anticoagulation (OAC) and health care costs.

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Development and Validation of a Polygenic Risk Score for Stroke in the Chinese Population

Lu, Xiangfeng PhD*; Niu, Xiaoge PhD*; Shen, Chong PhD; Liu, Fangchao PhD; Liu, Zhongying PhD; Huang, Keyong PhD; Wang, Laiyuan PhD; Li, Jianxin MD; Hu, Dongsheng PhD; Zhao, Yingxin MD; Yang, Xueli PhD; Lu, Fanghong MD; Liu, Xiaoqing MD; Cao, Jie MD; Chen, Shufeng PhD; Li, Hongfan MD; Tang, Wuzhuang MD; Ren, Zhanyun MD; Yu, Ling MD; Wu, Xianping MD; Wu, Xigui MD; Li, Ying MD; Zhang, Huan PhD; Huang, Jianfeng MD; Hu, Zhibin PhD; Shen, Hongbing PhD; Willer, Cristen J. PhD; Gu, Dongfeng PhD

doi : 10.1212/WNL.0000000000012263

Volume 97(6), 10 August 2021, p e619-e628

To construct a polygenic risk score (PRS) for stroke and evaluate its utility in risk stratification and primary prevention for stroke.

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Automated Quantitative Pupillometry in the Critically Ill: A Systematic Review of the Literature

Opic, Petra MD, PhD; Ruegg, Stephan MD; Marsch, Stephan MD, DPhil; Gut, Stephan Sebastian MSc; Sutter, Raoul MD

doi : 10.1212/WNL.0000000000012295

Volume 97(6), 10 August 2021, p e629-e642

A systematic literature search has been performed to identify potential confounders for outcome prediction using pupillary light reflex in adult critically ill patients, as measured by handheld automated pupillometry devices.

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Robert Wartenberg and the American Academy of Neurology

Burkholder, David B. MD; Boes, Christopher J. MD

doi : 10.1212/WNL.0000000000012104

Volume 97(6), 10 August 2021, p 268-272

Robert Wartenberg (1887-1956) was born in Grodno (in present-day Belarus) and received his medical degree in Germany in 1919. He enjoyed a productive career at the University of Freiburg until 1935, when he fled Nazi Germany for the United States. Bernard Sachs, with whom he had worked during a Rockefeller fellowship in 1926, helped him secure a position at the University of California Medical Center in San Francisco in 1936. He was popular with students there as his sizeable personality translated into an engaging classroom style, but that same personality could create friction with colleagues. Following World War II, neurology as a specialty was growing and establishing its place in the medical landscape. With this goal in mind, A.B. Baker and other young neurologic leaders formed the American Academy of Neurology (AAN) in 1948 as an inclusive professional society. Baker recruited Wartenberg to join, he agreed, and immediately provided his own critiques on the organization. Wartenberg's standing in the academic community combined with his strong personality would serve Baker well as Wartenberg shielded the young AAN leadership from potential retribution. He was especially invested in ensuring the Academy had a journal as a means of development, and the journal Neurology(R) was born. Wartenberg died on November 16, 1956, and was honored for his service to the Academy with the Robert Wartenberg Memorial Lecture, which stands today as one of the principal events at the Annual Meeting.

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Brain Health-Curbing Stroke, Heart Disease, and Dementia: The 2020 Wartenberg Lecture

Hachinski, Vladimir MD, DSc

doi : 10.1212/WNL.0000000000012103

Volume 97(6), 10 August 2021, p 273-279

There is no health without brain health, which is threatened by rising curves of stroke, ischemic heart disease, and dementia (the triple threat). The fastest growing and intractable threat has been dementia. Focusing on finding a drug to stop Alzheimer disease has yielded growing knowledge but no treatments, partly because in the elderly, cognitive impairment results from multiple interactive pathologies aggravated by fragility and tempered by resilience on the advancing background of aging. The concept of vascular cognitive impairment (VCI) cuts pragmatically through this complexity. VCI is any cognitive impairment caused by or associated with vascular factors. It spans the spectrum of undetected cognitive impairment to full-blown dementia. The vascular component represents the only major current, treatable, and preventable contributor to dementia and offers the possibility of delaying, mitigating, or preventing more dementias in the near future. The triple threat conditions share the same protective and treatable risk factors and can be prevented together. The approach needs to be comprehensive, identifying all relevant environmental, socioeconomic, health care, and individual factors; targeted, as risks and protective factors differ among populations and individuals; and and investment valued, yielding worthwhile returns in terms of money, effort, or time. The World Stroke Organization's proclamation calling for the joint prevention of stroke and potentially preventable dementias has been endorsed by 23 international, regional, and national brain and heart organizations, including the American Academy of Neurology. We need to develop joint prevention programs to curb the triple threat. Millions of brains depend on it.

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Factors Associated With, and Mitigation Strategies for, Health Care Disparities Faced by Patients With Headache Disorders

Kiarashi, Jessica MD; VanderPluym, Juliana MD; Szperka, Christina L. MD, MSCE; Turner, Scott DNP; Minen, Mia T. MD, MPH; Broner, Susan MD; Ross, Alexandra C. PhD; Wagstaff, Amanda E. PhD; Anto, Marissa MD; Marzouk, Maya MA; Monteith, Teshamae S. MD; Rosen, Noah MD; Manrriquez, Salvador L. DDS; Seng, Elizabeth PhD; Finkel, Alan MD; Charleston, Larry IV MD, MSc

doi : 10.1212/WNL.0000000000012261

Volume 97(6), 10 August 2021, p 280-289

To review contemporary issues of health care disparities in headache medicine with regard to race/ethnicity, socioeconomic status (SES), and geography and propose solutions for addressing these disparities.

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Transcortical Sensory Aphasia Sonnet: What Happens When Your Words Are Not Your Own?

Acosta, Lealani Y. Mae MD, MPH

doi : 10.1212/WNL.0000000000012299

Volume 97(6), 10 August 2021, p 290

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Autoimmune Septin-5 Disease Presenting as Spinocerebellar Ataxia and Nystagmus

Herrero San Martin, Alejandro MD; Amarante Cuadrado, Carla MD; Gonzalez Arbizu, Maialen MD; Rabano-Suarez, Pablo MD; Ostos-Moliz, Fernando MD; Naranjo, Laura PhD; Sabater, Lidia PhD; Martinez Hernandez, Eugenia MD, PhD; Ruiz Garcia, Raquel PhD; Toledo Alfocea, Daniel MD

doi : 10.1212/WNL.0000000000012240

Volume 97(6), 10 August 2021, p 291-292

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Global & Community Health: Implementation of and Patient Satisfaction With the First Neurologic Telemedicine Program in Mexico During COVID-19

Dominguez-Moreno, Rogelio MD*; Garcia-Grimshaw, Miguel MD*; Chavez-Martinez, Oswaldo Alan MD; Rebolledo-Garcia, Daniel MD; Diestel-Bautista, Jarumi Crystal MD; Michel-Chavez, Anaclara MD; Calderon-Martinez, Juan Andres MD; Tristan-Samaniego, Dioselina Panama MD; Vigueras-Hernandez, Alma MD; Estrada-Rodriguez, Humberto MD; Vega-Boada, Felipe Arturo MD; Davila-Maldonado, Luis MD; Tanimoto, Miguel Angel MD; Cantu-Brito, Carlos MD, PhD; Gonzalez-Duarte, Alejandra MD*

doi : 10.1212/WNL.0000000000012291

Volume 97(6), 10 August 2021, p 293-296

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Pearls & Oy-sters: Rapidly Reversible Dementia: Vitamin B12 Deficiency in a 29-Year-Old Woman

Huddar, Akshata DM; Seshagiri, Doniparthi Venkata DM; Ramakrishnan, Subasree DM; Kenchaiah, Raghavendra DM

doi : 10.1212/WNL.0000000000012102

Volume 97(6), 10 August 2021, p e643-e646

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Teaching NeuroImage: Increasing SPECTations for Ictal SPECT in Epilepsy Surgical Evaluation

Nascimento, Fabio A. MD; Cochran, Rory L. MD, PhD; Chow, David Z. MD; Scott, James A. MD; Chu, Catherine J. MD

doi : 10.1212/WNL.0000000000012097

Volume 97(6), 10 August 2021, p e647-e648

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Teaching Video NeuroImage: Resolution of Ptosis After Forceful Eye Closure: Bedside Diagnosis of Myasthenia Gravis

Zouvelou, Vasiliki MD, PhD; Daponte, Ariadne MD

doi : 10.1212/WNL.0000000000012100

Volume 97(6), 10 August 2021, p e649-e650

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Editors' Note: Association of Position Played and Career Duration and Chronic Traumatic Encephalopathy at Autopsy in Elite Football and Hockey Players

Siegler, James E. MD; Galetta, Steven MD

doi : 10.1212/WNL.0000000000012380

Volume 97(6), 10 August 2021, p 297

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Reader Response: Association of Position Played and Career Duration and Chronic Traumatic Encephalopathy at Autopsy in Elite Football and Hockey Players

Mez, Jesse; Alosco, Michael L.; Nowinski, Christopher J.; McKee, Ann C.; Tripodis, Yorghos

doi : 10.1212/WNL.0000000000012381

Volume 97(6), 10 August 2021, p 297-298

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Author Response: Association of Position Played and Career Duration and Chronic Traumatic Encephalopathy at Autopsy in Elite Football and Hockey Players

Wennberg, Richard; Schwab, Nicole; Hazrati, Lili-Naz

doi : 10.1212/WNL.0000000000012382

Volume 97(6), 10 August 2021, p 298-299

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Reader Response: Association of Position Played and Career Duration and Chronic Traumatic Encephalopathy at Autopsy in Elite Football and Hockey Players

Dams-O'Connor, Kristen

doi : 10.1212/WNL.0000000000012383

Volume 97(6), 10 August 2021, p 299

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Author Response: Association of Position Played and Career Duration and Chronic Traumatic Encephalopathy at Autopsy in Elite Football and Hockey Players

Wennberg, Richard; Schwab, Nicole; Hazrati, Lili-Naz

doi : 10.1212/WNL.0000000000012385

Volume 97(6), 10 August 2021, p 299-300

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Convexity Subarachnoid Hemorrhage in Lobar Intracerebral Hemorrhage: A Prognostic Marker

doi : 10.1212/WNL.0000000000011857

Volume 97(6), 10 August 2021, p 300

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Association of Gray Matter Atrophy Patterns With Clinical Phenotype and Progression in Multiple Sclerosis

doi : 10.1212/WNL.0000000000012021

Volume 97(6), 10 August 2021, p 300

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