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  • Case Report|Open Access

    Cytology abnormal of cerebrospinal fluid in superficial siderosis of the central nervous system

    Cui Wang , Jian-Xia Diao , Shu-Min Li
    Superficial siderosis of the central nervous system (SSCNS) is usually caused by chronic subarachnoid hemorrhage which leads to the accumulation of hemosiderin in the subpial layers of the brain and the spinal cord. The exact clinical manifestations and T2-weighted magnetic resonance imaging (MRI) the patient presented here is diagnosed SSCNS mainly due to the cytology of cerebrospinal fluid (CCSF) and the superficial siderosis of T2-weighted MRI. CCSF can be a good complementary to the diagnosis of SSCNS.
    Published on: 9 Aug 2017
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  • Topic: Stroke|Open Access

    Relationship of cerebral microbleeds to inflammatory marker levels

    Qiao-Li Lu , Chen Li , Ying Song , Liang Wang , Zhi-Rong Jia
    Aim: The purpose of this study is to investigate the incidence, distribution and risk factors of cerebral microbleeds (CMBs) and the relation between CMBs and inflammation in ischemic cerebrovascular disease. Methods: Two hundred and one patients without acute infarction or transient ischemic attack were enrolled. The presence and number of CMB were assessed on susceptibility-weighted imaging. The traditional risk factors of CMB were recorded. Levels of high-sensitivity C-reactive protein (hs-CRP), interleukin-6 (IL-6), and matrix metalloproteinase-9 (MMP-9) were tested. Logistic regression...
    Published on: 8 Aug 2017
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  • Editorial|Open Access

    Neurocysticercosis and hippocampal damage: a causal link favored by epileptogenesis or neuroinflammation?

    Oscar H. Del Brutto , Victor J. Del Brutto
    Published on: 8 Aug 2017
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  • Topic: Infectious Disease of Central Nervous System|Open Access

    Developments in auxiliary examination of Creutzfeldt-Jakob disease

    Wei Zhao , Jiao-Jiao Jiang , Jia-Tang Zhang
    Creutzfeldt-Jakob disease (CJD), which is caused by prion scrapie protein, is a rare, chronic, transmissible and fatal disease. Clinical manifestations of CJD include rapidly progressive dementia, cerebellar ataxia, visual disturbance, as well as pyramidal and extrapyramidal tract signs. Four subtypes of CJD have been reported, including sporadic, familial or genetic, iatrogenic and variant. Given the infectiousness and high mortality of the disease, it is imperative that earlier and more accurate diagnostic methods are developed. In the past years, 14-3-3 protein testing and periodic sharp...
    Published on: 21 Jul 2017
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  • Commentary|Open Access

    Hot topics of autoimmune encephalitis

    Ying Peng , Jia-Wei Wang
    Published on: 11 Jul 2017
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  • Original Article|Open Access

    Analysis of clinical data of viral encephalitis patients complicated with epilepsy during the acute phase

    Shi-Ying Chen , Wei Ma , Yan-Yan Chen , Xue-Wen Fan
    Aim: To compare the difference between viral encephalitis patients complicated with epilepsy group and those without epilepsy. Methods: The authors retrospectively study 116 cases of viral encephalitis patients admitted to the General Hospital of Ningxia Medical University and the Cardia-Cerebrovascular Disease Hospital of Ningxia Medical University from January 2011 to December 2016. There were 39 cases with epilepsy and 77 cases without epilepsy. By surveying the Hospital Information System, the authors collected their clinical data including general situations, medical history, physical...
    Published on: 11 Jul 2017
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  • Case Report|Open Access

    Thymoma-associated panencephalitis: a newly emerging paraneoplastic neurologic syndrome

    Lynda Adaobi Nwabuobi , Jacob Christian Pellinen , Thomas Mark Wisniewski
    Recently, a few case reports of thymoma-associated panencephalitis (TAPE) have brought to light a disease entity that has not been fully characterized. Literature review of TAPE reveals an array of associated neuronal antibodies, with varied responses to thymomectomy with or without immunotherapy. This report describes a case of TAPE and proposes that the GABAA receptor antibody is a potential target antigen driving the immune process in this disease entity. Treatment-wise, early thymomectomy consistently improves the overall course of disease. Further study of such cases will be critical...
    Published on: 16 Jun 2017
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  • Review|Open Access

    The association between human cytomegalovirus and glioblastomas: a review

    Christian B. Hochhalter , Christopher Carr , Brannan E. O’Neill , Marcus L. Ware , Michael J. Strong
    Human cytomegalovirus (HCMV) was reported in glioblastoma multiforme (GBM) over a decade ago and this finding has the potential to increase our understanding of the disease and it offers an alternative tumor-specific therapeutic target. Due of this promise, there is a fair amount of time, energy and money being directed towards understanding and utilizing this connection for eventual therapeutic purposes. Nevertheless, the association between GBM and HCMV remains controversial. Several studies have reported conflicting results, further undermining the potential clinical value of this...
    Published on: 16 Jun 2017
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  • Minireview|Open Access

    How are necroptosis, immune dysfunction, and motoneuron death connected in amyotrophic lateral sclerosis?

    Jian-Feng Liu , Ou-Xiang Zheng , Jun-Guo Xin , Hannah H. Chen , John J. Xin
    Abnormal immune response/inflammation is present in patients of amyotrophic lateral sclerosis (ALS). Autoimmune-related inflammation has been thought to be involved in the pathogenesis of ALS. However, how the abnormal immune responses are initiated, what specific immune cells and how these immune cells are involved in this disease have not been well understood. This is partly owing to two facts of ALS: late diagnosis and chronic nature. The late diagnosis makes it difficult to conclude whether the abnormal immune responses/inflammation is the cause or result of the disease. The chronic...
    Published on: 16 Jun 2017
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  • Case Report|Open Access

    Miller-Fischer syndrome after etanercept

    Elena Grebenciucova , John H. Pula
    The authors describe a case of Miller-Fischer syndrome, a rare demyelinating syndrome, preceded by a viral prodrome and three doses of etanercept, an anti-tumor necrosis factor α (anti-TNFα) agent. Anti-TNFα agents are associated with an induction of episodes of demyelination and may unmask multiple sclerosis in those who are immunogenetically predisposed.
    Published on: 23 May 2017
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  • Topic: Stroke|Open Access

    When friend turns foe: central and peripheral neuroinflammation in central nervous system injury

    Paul Marcet , Nicole Santos , Cesar V. Borlongan
    Injury to the central nervous system (CNS) is common, and though it has been well studied, many aspects of traumatic brain injury (TBI) and stroke are poorly understood. TBI and stroke are two pathologic events that can cause severe, immediate impact to the neurostructure and function of the CNS, which has been recognized recently to be exacerbated by the body’s own immune response. Although the brain damage induced by the initial trauma is most likely unsalvageable, the secondary immunologic deterioration of neural tissue gives ample opportunity for therapeutic strategists seeking to...
    Published on: 17 May 2017
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  • Case Report|Open Access

    A case report of anti-N-methyl-d-aspartate receptor autoimmune encephalitis with sensory attack. Is limbic encephalitis only “limbic”?

    Sheng Chen , Xiao-Jie Zhang , Meng-Sha Yao , Xing-Hua Luan , Fei Yuan , Jun Liu , Shu-Feng Chen , Chen-Fei Jia , Sheng-Di Chen
    To emphasize the early diagnosis and treatment of anti-N-methyl-d-aspartate-receptor (NMDAR) autoimmune encephalitis, a rare clinical condition, teratoma-related, anti-NMDAR encephalitis should be suspected if young patients present with psychiatric, movement, and sensory symptoms. Early diagnosis and treatment can decrease the mortality and disability rate.
    Published on: 10 May 2017
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  • Review|Open Access

    Neuroimaging of corpus callosum in central nervous system demyelinating disorders

    Masoud Etemadifar , Amir Neshatfar , Amir Arsalan Zamani , Mehri Salari
    Corpus callosum (CC) is the largest white matter structure in the brain, consisting of 200-250 million contralateral axonal projections. It is the major commissural pathway connecting the hemispheres of human brain. The pathology of CC includes wide variety of entities that arise from different causes such as congenital, inflammatory, tumoral, degenerative, infectious, etc. This study reviews the most reliable neuroimaging data of human CC in central nervous system (CNS) demyelinating diseases to facilitate the understanding of different pathological entities of the CC and their role in...
    Published on: 27 Apr 2017
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  • Short Communication|Open Access

    Trends in neurology fellowship training

    Jordan S.A. Williams , Trent S. Hodgson , Fernando D. Goldenberg , Rimas V. Lukas
    Aim: A need for Neurologists exists in the US. The majority of Neurology residency graduates go on to additional subspecialty training. Methods: Data from the Accreditation Council for Graduate Medical Education from 2001-2014 and the United Council for Neurologic Subspecialties from was analyzed for trends in the number of Neurology subspecialty training programs and their composition. Results: There has been an overall trend of growth in the number of accredited Neurology subspecialty training programs and fellows. These trends vary between specific subspecialties. Conclusion: The authors...
    Published on: 18 Apr 2017
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  • Case Report|Open Access

    Two cases of Guillain-Barré syndrome after cerebral hemorrhage or head trauma

    Huan Jia , Ye Tian , Yan-Min Wu , Bin Li
    Guillain-Barré syndrome (GBS) is an uncommon disease involving widespread peripheral nerve inflammatory demyelination which results in ascending symmetrical limb paralysis and areflexia. Approximately 2/3 of cases occurred following a simple, trivial antecedent infection. In northern China, diarrhea caused by Campylobacter jejuni is the most common etiology of GBS. This article presents 2 cases - post cerebral hemorrhage and post head traumatic GBS. Both patients suffered from acute motor axonal neuropathy, a main subtype of GBS, 14 days after cerebral hemorrhage or head trauma without any...
    Published on: 12 Apr 2017
    [HTML]   [PDF]   Viewed:730 Downloaded:69
  • Topic: Infectious Disease of Central Nervous System|Open Access

    Developing an international consensus guidance for myasthenia gravis using RAND/UCLA appropriateness method

    Wei-Bin Liu , Hao Ran , Chuang-Yi Ou , Li Qiu , Zhi-Dong Huang , Zhong-Qiang Lin , Yin-Kai Li , Xiao-Xi Liu , Hao Huang , Wei Fang
    Aim: Myasthenia gravis (MG) is a rare and heterogeneous disease for which there is no generally accepted standard of care. Thus, it is critical that MG experts develop consensus guidelines based on their practice and disease management to assist clinicians and provide advice for insurance companies, health organizations and institutional review boards. Methods: An international treatment guidance was developed based on national guidelines established in the US, Denmark, Norway, Germany, Japan, Netherlands, United Kingdom and Europe. The RAND/UCLA appropriateness method (RAM) was applied to...
    Published on: 30 Mar 2017
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  • Topic: Stroke|Open Access

    Cerebral ischemia at early postoperative period of direct revascularization for moyamoya disease: a case report and literature review

    Xiao-Lin Chen , Li Ma , Yu Chen , Jun-Lin Lu , Xun Ye , Rong Wang , Yuan-Li Zhao
    Hypoperfusion and hyperperfusion could be causes of early postoperative complications that lead to neurological deterioration in patients with moyamoya diseases (MMD) after superficial temporal artery (STA) and middle cerebral artery (MCA) anastomosis. Here, the authors described a case of child-onset bilateral MMD that manifested transient cerebral ischemia in the contralateral hemisphere after left STA-MCA bypass in young adulthood. A new onset of cerebral ischemia in the contralateral hemisphere and transient neurological deterioration suggested the fragile hemodynamics of MMD during...
    Published on: 24 Mar 2017
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  • Original Article|Open Access

    Prenatal zinc supplementation to lipopolysaccharide infected female rats prevents neurochemical, behavioral and biochemical deficits produced in infants

    Neha Sharma , Palvi Arora , Bimla Nehru
    Aim: Recent research revealed an association between maternal infection i.e. lipopolysaccharide (LPS) exposure during pregnancy and increased risk for central nervous system disorders being passed onto the off-spring. Therefore, the present study was designed to investigate the effect of LPS infection during d14-17 of pregnancy (equivalent to third trimester in humans) on neurochemical, neurobehavioral abnormalities, biochemical as well as histopathological parameters in male/female pups. Also, the effect of zinc supplementation throughout pregnancy to female rats in ameliorating LPS...
    Published on: 21 Mar 2017
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  • Guidelines|Open Access

    Treatment guidelines of chronic inflammatory demyelinating polyneuropathy in China

    Li-Ying Cui , Chuan-Qiang Pu , Xue-Qiang Hu
    Chronic inflammatory demyelinating polyradiculoneuropathy, or chronic inflammatory demyelinating polyneuropathy (CIDP) is an acquired immune-mediated inflammatory disorder at the peripheral nervous system, in which the progression is chronic and also remission relapse. In most cases, it is also associated with cerebrospinal fluid (CSF) protein-cell separation. Electrophysiologically, the peripheral nerve conduction velocity decreases, blocks and characterized as discrete abnormal waveform. Pathologically, there is also multifocal demyelination of myelinated fibers, nerve endometrial edema,...
    Published on: 20 Feb 2017
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  • Case Report|Open Access

    Reversible posterior leukoencephalopathy syndrome: single photon emission computerized tomography observations

    Salvadeeswaran Meenakshi-Sundaram , Sathyam Senthilnathan , Kaliappan Gurusamy Srinivasan , Somalinga Nagendran Karthik , Pandi Suresh , Somasundaram Palanirajan
    The authors report clinical correlations of single photon emission computerized tomography (SPECT) findings in reversible posterior leukoencephalopathy (RPL). These are observations that have not received wide attention in literature. A 31-year-old hypertensive gentleman, on discontinuing antihypertensive medications, presented with vomiting, headache, focal motor to bilateral tonic-clonic seizures, altered sensorium, right gaze palsy and right hemiparesis. Accelerated hypertension was noted and he improved well with antihypertensive and anticonvulsant therapy. While cranial magnetic...
    Published on: 20 Feb 2017
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