JOURNAL OF NEUROLOGY NEUROSURGERY AND PSYCHIATRY

Metabolic brain networks in dementia with Lewy bodies: from prodromal to manifest disease stages
Perovnik M, Simončič U, Jamšek J, Gregorič Kramberger M, Brumberg J, Meyer PT, Perani D, Caminiti SP, Brendel M, Stockbauer AC, Camacho V, Alcolea D, Vandenberghe R, Van Laere K, Ko JH, Lee CS, Pardini M, Lombardo L, Padovani A, Pilotto A, Ochoa-Figueroa MA, Davidsson A, Cháfer-Pericás C, Álvarez-Sánchez L, Garibotto V, Lemstra AW, Ferreira D, Morbelli SD, Tang CC, Eidelberg D, Trošt M and
Dementia with Lewy bodies (DLB) is the second most common neurodegenerative dementia, yet it remains under-recognised and misdiagnosed, which delays treatment, causes inaccurate prognosis and limits research opportunities. Imaging with 2-[F]fluoro-2-deoxy-D-glucose positron emission tomography (FDG PET) is a supportive DLB biomarker. We evaluated a multivariate, quantifiable metabolic network biomarker, termed DLB-related pattern (DLBRP), for its further clinical translation across centres and disease stages.
Swedish nationwide study of 377 patents with non-aneurysmal subarachnoid haemorrhage: a disease with distinct demographics and risk factors
Klurfan P, Jakola A, Baldvinsdóttir B, Kronvall E, Aineskog H, Alpkvist P, Eneling J, Friðriksson S, Enblad P, Lindvall P, Nilsson OG, Svensson M, Ronne Engström E and Hillman J
Non-aneurysmal subarachnoid haemorrhage (NASAH) accounts for less than 20% of spontaneous subarachnoid haemorrhage (SAH). However, its epidemiological characteristics, risk factors and aetiology remain poorly defined.
Epstein-Barr virus reactivation as a trigger in autoimmune GFAP astrocytopathy
Bernard Healey SA and Benjamin L
Intrathecal Epstein-Barr virus reactivation in patients with autoimmune glial fibrillary acidic protein astrocytopathy
Handa H, Uzawa A, Kimura A, Mori M, Iizuka T, Yasuda M, Sugiyama A, Shimohata T and Kuwabara S
The pathogenic mechanisms underlying autoimmune glial fibrillary acidic protein (GFAP) astrocytopathy (GFAP-A), a central nervous system disorder associated with GFAP autoimmunity, remain controversial. The present study aimed to investigate the potential role of the intrathecal reactivation of Epstein-Barr virus (EBV) in patients with GFAP-A.
Vitamin D intake and multiple sclerosis risk in the Norwegian Mother, Father and Child cohort
Kapali A, Daltveit AK, Myhr KM, Bjornevik K, Eid K, Bjørk MH, Brantsæter AL, Riise T and Cortese M
Higher vitamin D has consistently been associated with a lower multiple sclerosis (MS) risk, but some controversy remains about whether this is due to vitamin D itself or sunlight.
Survival and mortality rates in early onset dementia
Katisko K, Aaltonen M, Aho K, Heikkinen S, Kivisild A, Lehtonen A, Leppänen L, Rinnankoski I, Soppela H, Tervonen L, Suhonen NM, Haapasalo A, Hartikainen P, Krüger J and Solje E
The socioeconomic burden of early onset dementia (EOD) defined as disease onset before the age of 65 years, is substantial due to its widespread disabling effects in relatively young individuals. While dementia is widely recognised as a major contributor to mortality among the elderly, only a limited number of studies have assessed survival and factors associated with prognosis specifically in EOD.
Elevated serum β-synuclein predicts cognitive decline and progression to dementia
Kong N, Jung JH and
Synapses are essential for cognitive processes, and synaptic dysfunction is a hallmark of Alzheimer's disease (AD). Beta (β)-synuclein, a homologue of alpha-synuclein, is a presynaptic phosphoprotein abundantly expressed in the brain. It has emerged as a promising candidate biomarker for synaptic dysfunction. However, its role in longitudinal clinical progression has not been fully elucidated. This study investigated the associations of serum β-synuclein levels with AD pathologies, cognitive performance and progression to dementia.
Postsurgical psychogenic non-epileptic seizure: a treatment-related functional neurological disorder
Osawa SI, Ogawa M, Iwaki H, Akitsuki Y, Fujikawa M, Ukishiro K, Jin K, Sakuma A, Tomita H, Suzuki K, Nakasato N and Endo H
Personalised dual-site alpha transcranial alternating current stimulation (tACS) targeting right frontoparietal network reduces craving in heroin use disorder
Wang D, Du Z, Zhao J, Li R, Cai S, Liu X, Tu P, Sun G, Yuan C, Liu J, Wen X, Xue Y and Yuan K
Metabolic profiles associated with fat loss in Parkinson's disease
Higashi A, Mizutani Y, Ohdake R, Maeda Y, Yoshimoto J, Shima S, Seino Y, Ueda A, Ito M, Suzuki A and Watanabe H
Weight loss is a substantial non-motor feature of Parkinson's disease (PD) associated with worse clinical outcomes, but the underlying mechanisms remain poorly understood. Thus, we investigated the mechanisms of PD-related weight loss by examining the correlation between body composition and various plasma metabolites.
Extended window of relapse recovery in RRMS: an analysis of the DECIDE dataset
Mostert J, Strijbis EM, D'Haeseleer M, Moral E, Brieva L, Comtois J, Repovic P, Bowen JD, Cutter G and Koch M
The main goal of treatment in relapsing-remitting multiple sclerosis (RRMS) is to reduce the occurrence of relapses. However, little is known about the natural history of relapse recovery.
Beyond the modified Rankin Scale: the unseen burden of stroke in young adults
Putaala J and Aarnio K
Patient-reported outcomes after stroke in young adults: University College London (UCL) Young Stroke Systematic Evaluation Study (ULYSSES)
Mussa R, Ambler G, Ozkan H, Mitchell J, Banerjee G, Leff AP, McLernon S, Perry RJ, Simister R, Chandratheva A and Werring DJ
Few studies have investigated patient-reported non-motor outcomes after stroke in young adults. We aimed to assess their prevalence and patterns in this population to identify unmet needs.
Trajectories of Glasgow Outcome Scale-Extended after traumatic brain injury: an analysis of the TRACK-TBI cohort
Curpen PP, To XV, Lu M, Winter C, Bellapart J, Newcombe VF and Nasrallah F
Recovery following traumatic brain injury (TBI) is highly heterogeneous. Characterising longitudinal functional trajectories may enable more individualised care and inform the trial design. This study aimed to identify distinct patterns of functional recovery in the first 12 months post-injury using the Glasgow Outcome Scale - Extended (GOSE).
Biomarkers to predict relapse in myelin oligodendrocyte glycoprotein antibody-associated disease: a systematic review and meta-analysis
Andersen J, Trewin BP, Dale RC, Ramanathan S and Brilot F
Detection of immunoglobulin G targeting myelin oligodendrocyte glycoprotein (MOG-IgG) is the mainstay of laboratory diagnosis of MOG antibody-associated disease. Laboratory biomarkers have the potential to predict disease course and activity, thus informing prompt therapeutic decisions to minimise relapse-associated disability accrual.
Autologous haematopoietic stem cell transplantation in multiple sclerosis: where does it fit in the treatment algorithm?
Samara A and Cohen JA
Is resective surgery cost-effective for adults with epilepsy? A cost-utility analysis in a publicly funded healthcare system
Bonnon A, Kopanidis P, Kemmis-Betty S, Wonderling D, de Tisi J, Miserocchi A, Sleem O, Zisakis IS, Winterbottom J, Ziso B, Marson AG, Cooper P, Mohanraj R, Chauhan V, Faulkner H, Slaght SJ, Adcock J, Kinton L, Akay EM, Ellawela S, Mullatti N, Hamandi K, Sieradzan K, Chelvarajah R, Cross JH, Duncan JS and Sen A
Resective epilepsy surgery is an established clinical intervention, but the cost-effectiveness at a national healthcare level is uncertain. This study evaluates the cost-effectiveness of resective epilepsy surgery compared with medical management in adults from national healthcare and personal social services perspectives.
Thromboembolic risk of intravenous and subcutaneous immunoglobulin treatment for neuroinflammatory diseases
Rogers T, White LM, Cooper S, Smith H, Gosal D and Keh RYS
Intravenous immunoglobulin (IVIg) is effective in many neuroinflammatory disorders but carries a risk of thromboembolic events (TEEs). Subcutaneous immunoglobulin (SCIg) is effective, but its thromboembolic risk profile is less well-described, particularly in patients with prominent vascular risk factors. We investigated the thromboembolic risk profile of IVIg and SCIg using a large single-centre retrospective dataset of patients with neuroinflammatory disorders.
Relapse activity after assisted reproductive technology treatments in women with multiple sclerosis: a nationwide cohort study in Denmark
von Kappelgaard L, Framke E, Vassard D, Pinborg A, Schwarze JE, Sabidó M and Magyari M
Evidence on relapse activity in relapsing-remitting multiple sclerosis (RRMS) after assisted reproductive technology (ART) treatment differs. We investigated whether relapse activity increased after ART initiation.
Autologous haematopoietic stem cell transplantation affects long-term progression independent of relapse activity in aggressive multiple sclerosis: a comparative matched study
Mariottini A, Mazzeo AC, Simonetti E, Boncompagni R, Covicchio J, Barilaro A, Cutini I, Di Cristinzi M, Gozzini A, Mattei A, Mealli F, Repice AM, Nozzoli C and Massacesi L
Treatment of progression independent of relapse activity (PIRA) is a relevant unmet need in multiple sclerosis (MS), being only modestly affected by disease-modifying treatments (DMTs) which target predominantly adaptive immunity in the periphery. As chemotherapy administered during autologous haematopoietic stem cell transplantation (AHSCT) is bioavailable within the central nervous system (CNS), the hypothesis that AHSCT could affect long-term PIRA was explored in aggressive relapsing-remitting (RR)-MS.
Going beyond seizure control: evidence for cost-effectiveness of epilepsy surgery
Singh G
Midlife plasma proteomic profiles indicate altered amyloid and tau processing in former elite rugby players
Graham N, Zimmerman K, Hain J, Rooney E, Lee Y, Del Giovane M, Parker T, Wilson M, Patel M, Veleva E, Swann O, Heslegrave AJ, Li LM, Zetterberg H, Friedland D, Sylvester R and Sharp D
Contact sports, including rugby union, are associated with higher rates of neurodegenerative dementia, due to various underlying pathologies such as Alzheimer's disease (AD) and chronic traumatic encephalopathy (CTE). New ultrasensitive multiplexed immunoassays may clarify disease mechanisms after repetitive head impacts (RHI) and traumatic brain injury, potentially aiding risk-stratification, early diagnosis and dementia treatment.
Quantification of muscle glycogen distribution in Pompe disease using 7 Tesla C NMR spectroscopy
Beha GH, Stemmerik MG, Boer VO, van der Ploeg AT, van der Beek NA, Andersen H, Marsman A, Jacobsen LN, Theunissen MTM, Petersen ET and Vissing J
Late-onset Pompe disease has a characteristic pattern of fat replacement and wasting of especially axial and hamstring muscles. This characteristic pattern of muscle degeneration is still to be explained but could relate to differences in how glycogen is deposited in the different muscles. This cross-sectional observational study investigates the glycogen levels of different muscle groups in young late-onset Pompe subjects and matched controls.
Global burden of disease study highlights the global, regional and national trends of stroke
Yang S, Deng M, Ren X, Wang F, Kong Z, Luo J, Cao Y, Han G, Yin H, Xiang X, Liu J, Zhang J and Tan Y
Stroke remains a significant global health challenge, especially in low- and middle-income countries, despite advances in treatment and prevention. Understanding stroke trends is crucial for guiding prevention and healthcare strategies.
Clinical specificities and outcome of LGI1-antibody encephalitis according to age, sex and HLA
Campetella L, Villagrán-García M, Farina A, Villard M, Benaiteau M, Vogrig A, Iorio R, Ciano-Petersen NL, Psimaras D, Navarro V, Sempere VP, Gonçalves D, Picard G, Rogemond V, Joubert B, Mignot E, Honnorat J and Muñiz-Castrillo S
Patients with leucine-rich glioma-inactivated 1 antibody (LGI1-Ab) encephalitis are typically elderly men that often carry human leucocyte antigen (HLA)- (≈90%). Herein, we aimed to investigate whether patients with atypical demographic profiles or not carrying have distinct clinical manifestations and outcome.
Home-based EXergames To impRovE cognitive function in MUltiple Sclerosis (EXTREMUS)
Prosperini L, Tacchino A, Ruggieri S, Brichetto G, Podda J, Anastasi D, Cardini R, Corrini C, Quartuccio ME, Alcamisi I, Di Giovanni R, Gamberini G, Grange E, Pietrolongo E, Rispoli MG, Tomassini V, Cattaneo D and Solaro C
Motor and cognitive dysfunctions are common and disabling features in multiple sclerosis (MS) that remain challenging to treat. Here, we aimed to explore the effect of exergames as a stand-alone approach for people with MS and impaired processing speed.
Revisiting 'hot cross bun' sign: a multicentre MRI study of 97 patients with autopsy-confirmed multiple system atrophy
Sugiyama A, Riku Y, Koga S, Yokota H, Mukai H, Takao M, Hayashi K, Takeda T, Hirano S, Yoshida M, Iwasaki Y, Yasui K, Ando T, Ito Y, Tamura T, Sekiya H, Dickson DW, Middlebrooks EH, Takahashi Y, Sato N, Mizutani M, Sano T, Mihara B, Komori T and Kuwabara S
The purpose of this study was to clarify the usefulness of the 'hot cross bun' sign (HCBS) as a diagnostic imaging marker in a large cohort of patients with multiple system atrophy (MSA) and spinocerebellar ataxia (SCA).
Sporadic amyotrophic lateral sclerosis: what is the impact of the mitochondrial genome?
Bannwarth S and Paquis-Flucklinger V
Moderate-high efficacy disease-modifying therapies reduce relapse risk in late-onset multiple sclerosis
Foong YC, Merlo D, Gresle M, Buzzard K, Horakova D, Havrdova EK, Kalincik T, Roos I, Hodgkinson S, Lechner-Scott J, Lugaresi A, Weinstock-Guttman B, Ozakbas S, Surcinelli A, Foschi M, Boz C, Khoury SJ, Yamout B, Laureys G, Blanco Y, Skibina O, Kuhle J, John N, Alroughani R, Prevost J, Van Pesch V, Tomassini V, Prat A, Girard M, Terzi M, Shaygannejad V, Ampapa R, Gray O, Etemadifar M, Guimarães J, McCombe PA, Gerlach O, Solaro C, Butzkueven H, Zhu C, van der Walt A and Study Group M
Late-onset multiple sclerosis (LOMS) now comprises over 10% of MS diagnoses in contemporary cohorts. The effectiveness of disease-modifying therapies (DMTs) in LOMS is unclear. We aimed to establish the comparative effectiveness of moderate-high-efficacy versus low-efficacy DMTs in LOMS.
Beneficial impact of physical activity on multiple sclerosis disability progression
Hedström AK, Olsson T, Piehl F and Alfredsson L
Physical activity has been associated with neuroprotective and immunomodulatory benefits, potentially influencing long-term disability outcomes in multiple sclerosis (MS). However, longitudinal evidence on its role in modifying disease progression remains limited.