Most Viewed: Last ONE YEAR
  • Review

    Current diagnosis and treatment of cryptococcal meningitis without acquired immunodeficiency syndrome

    Xiao-Su Guo , Hui Bu , Jun-Ying He , Yue-Li Zou , Yue Zhao , Yuan-Yuan Li , Jun-Zhao Cui , Ming-Ming Zheng , Wei-Xin Han , Ze-Yan Zhao
    Cryptococcal meningitis (CM) is a central nervous system infectious disease caused by Cryptococcus. It is the most common fungal infection in the central nervous system, accounting for about 48% of fungal infection. The disease occurs mainly in acquired immunodeficiency syndrome (AIDS) patients and concentrates in the immunocompromised people without AIDS. There are nearly one million new cases of CM each year, and about 70% of them died. In China, CM occurs mainly in people without AIDS and there is an increasing trend in recent years. Early diagnosis and treatment is the key to reducing...
    Published on: 18 Nov 2016
    Views: 32007
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  • Review

    Neurological manifestations in Fabry disease

    Joseph Bruno Bidin Brooks , Yara Dadalti Fragoso
    Fabry disease (FD) is a rare, progressive, multisystem and highly debilitating disease. FD is an X-linked lysosome storage disorder that results in α-galactosidase A deficiency. The subsequent accumulation of glycosphingolipids is more evident in vascular endothelium and smooth-muscle cells. The resulting effect of the deposition is generalized inflammation and vasculopathy, which can also affect the central and peripheral nervous system. FD progresses with kidney dysfunction, angiokeratoma of the skin, cardiomyopathy, cerebrovascular events and neurological disorders. In the present...
    Published on: 28 Oct 2016
    Views: 8522
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  • Review

    Necroptosis: a new link between cell death and inflammation

    Yuan-Hang Pan , Xun-Yuan Liu , Jia-Qiang Liu , Qian Liu , Yang Yang , Jia-Lei Yang , Xiu-Fen Zhang , Yin Wu , Ya-Zhou Wang
    Necroptosis is a type of newly identified cell death induced by apoptotic stimuli under conditions where apoptotic execution is prevented. Studies over the past 10 years have revealed the molecular mechanism of necroptosis and challenged the old conception that necrosis is un-programmed. Recently, more and more data have emerged suggesting a close association between necroptosis and inflammation. In this review, the authors summarized the current knowledge of the mechanism of necroptosis, focusing on tumour necrosis factor α induced necroptosis and the roles of necroptosis in regulating...
    Published on: 8 Jul 2016
    Views: 7049
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  • Topic: Autoimmune neurological diseases associated with autoantibodies specific for synaptic antigens

    Autoimmune encephalopathies in children: diagnostic clues and therapeutic challenges

    Giorgia Olivieri , Ilaria Contaldo , Gloria Ferrantini , Elisa Musto , Roberta Scalise , Maria Chiara Stefanini , Domenica Battaglia , Eugenio Mercuri
    Neuronal surface antibody syndromes (NSAS) encompass a variety of disorders associated with “neuronal surface antibodies”. These share clinical and neuroradiological features that pose challenges related to their recognition and treatment. Recent epidemiological studies show a clear predominance for the glutamate-N-methyl-D-aspartate receptor encephalitis in both adults and pediatric population. Despite this, the overall NSAS’s incidence remains underestimated, and diagnosis persists to be not always easy to achieve. Based on current literature data, in this paper the authors propose a...
    Published on: 8 Jul 2016
    Views: 5646
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  • Case Report

    Differentiation of radiation necrosis from glioblastoma recurrence after radiotherapy

    Chrissa Sioka , Anastasia Zikou , Anna Goussia , Spyridon Tsiouris , Loucas G. Astrakas , Athanassios P. Kyritsis
    The standard treatment of glioblastoma, the most common type of primary-brain-tumor, involves radiotherapy with concomitant temozolomide chemotherapy. A patient with glioblastoma, post radiotherapy developed magnatic resonance imaging (MRI) changes consistent with either radiation-induced tumor necrosis or tumor recurrence. Perfusion MRI was suggestive of radiation necrosis, but magnetic resonance spectroscopy and 99mTc-Tetrofosmin single photon emission computed tomography was indicative of tumor recurrence. Positron emission tomography scan was not available. Tumor recurrence was...
    Published on: 8 Jul 2016
    Views: 4466
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  • Editorial

    On the need to unify neuroscience and physics

    Maurits van den Noort , Sabina Lim , Peggy Bosch
    Published on: 26 Dec 2016
    Views: 4171
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  • Case Report

    Progressive muscle cramps with pain as atypical initial presentations of amyotrophic lateral sclerosis: a case report

    Cheng-Hui Liu , Chi Zhu , Fan Zeng , Heng Yang , Yan-Jiang Wang
    Amyotrophic lateral sclerosis (ALS) is the most common form of motor neuron disease and is a progressive and devastating neurodegenerative disease that affects both lower and upper motor neurons. Muscle cramps, which are characterized by a sudden, painful, involuntary contraction of muscles, are not rare in ALS patients. However, muscle cramps do not normally present early in ALS and therefore not used for the initial diagnosis of ALS. In this paper the authors present a case of ALS with initial manifestation of progressive painful muscle cramps in the absence of muscle weakness. This case...
    Published on: 20 Jul 2016
    Views: 3862
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  • Original Article

    Inhibition and reversal of growth cone collapse in adult sensory neurons by enteric glia-induced neurotrophic factors

    Simon Feng , Kiran Reddy , Cai-Xin Su , Shu-Cui Jiang
    Aim: Previous studies show enteric glia (EG)-conditioned medium promotes neurite outgrowth in adult dorsal root ganglia (DRG) derived sensory neurons. This EG-conditioned medium contains various neurotrophic factors, including nerve growth factor (NGF), brain-derived neurotrophic factor (BDNF), glial cell line-derived neurotropic factor (GDNF), and neurotrophin-3 (NT-3). This study attempts to determine the importance of these neurotrophic factors in enabling DRG-derived sensory neuron axons to overcome the inhibitory guidance cues released from the glial scar. Methods: A Semaphorin 3A...
    Published on: 31 Aug 2016
    Views: 1855
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  • Review

    Immune-to-brain signaling and substrates of altered behavior during inflammation

    Jan Pieter Konsman
    During the systemic inflammatory response to acute infection, and when in a safe environment, endothermic mammals typically display reduced activity and food intake, increased sleep, and the adoption of a curled-up position. These changes in behavior, in concert with fever, are adaptive in that they contribute to host survival. The present review addresses the immune-to-brain signaling pathways as well as possible neural substrates mediating reduced exploration and food intake during acute systemic inflammation. These involve rapid activation of peripheral nerves and glutamatergic brainstem...
    Published on: 26 Sep 2016
    Views: 1676
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  • Topic: Infectious Disease of Central Nervous System

    A review with comments on herpes simplex encephalitis in adults

    Xu-Zheng Zuo , Wei-Ju Tang , Xiu-Ying Chen , Wen Huang
    Herpes simplex encephalitis (HSE) can cause permanent injury to the brain parenchyma. As such, it is usually treated as a medical emergency for which correct immediate diagnosis and introduction of specific therapies are critical for survival and prognosis. Here, the authors review the current status of diagnosis and treatments and discuss unsolved issues surrounding therapeutic interventions. The authors also highlight the current expectations for future management of HSE.
    Published on: 20 Feb 2017
    Views: 1551
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  • Commentary

    Sex differences in Alzheimer’s disease

    Yi Xing
    Recently, Koran et al.[1] published an article, named “Sex differences in the association between Alzheimer’s disease (AD) biomarkers and cognitive decline” in Brain Imaging and Behavior. The result proved that there were sex-specific associations between biomarkers of AD. This article added evidence to the theory of sex differences in AD.
    Published on: 8 Jul 2016
    Views: 1394
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  • Case Report

    A case report of acute pediatric bacterial meningitis due to the rare isolate, Pseudomonas putida

    Grishma V. Kulkarni
    Acute bacterial meningitis (ABM) is the medical emergency which warrants an early diagnosis and an aggressive therapy. Despite the availability of the potent newer antibiotics, the mortality caused by ABM and its complications remain high in India, ranging from 16% to 32%. The aim of this case report is to present the rare isolation of Pseudomonas putida from cerebrospinal fluid sample. Besides this, the author also emphasizes the importance of correctly identifying the organism and thus the selection of the most accurate antibiotic from the susceptibility profile to allow for early...
    Published on: 26 Sep 2016
    Views: 1373
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  • Editorial

    Interleukin-1beta: a common thread between inflammation, pain and opioid tolerance

    Shekher Mohan
    Published on: 26 Sep 2016
    Views: 1330
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  • Case Report

    Takayasu’s arteritis - aphasia as an initial presentation

    Davinder Singh Rana , Anuradha Batra , Ish Anand , Samir Patel , Pooja Gupta
    Takayasu arteritis (TA) is an uncommon disease of young women, characterized by granulomatous vasculitis of medium and large arteries. Neurological involvement is reported in only a minority of patients and occurrence of neurological syndromes as the first manifestation of disease has been rarely reported. We present clinical, laboratory and imaging findings of a 40 years old lady with TA, who initially presented with clinical manifestations of stroke in form of aphasia. The rarity of the disease and especially such a presentation can cause considerable delay in the diagnosis and treatment.
    Published on: 31 Aug 2016
    Views: 1318
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  • Original Article

    Single low-dose lipopolysaccharide preconditioning: neuroprotective against axonal injury and modulates glial cells

    Ryan C. Turner , Zachary J. Naser , Brandon P. Lucke-Wold , Aric F. Logsdon , Reyna L. Vangilder , Rae R. Matsumoto , Jason D. Huber , Charles L. Rosen
    Aim: Over 7 million traumatic brain injuries (TBI) are reported each year in the United States. However, treatments and neuroprotection following TBI are limited because secondary injury cascades are poorly understood. Lipopolysaccharide (LPS) administration before controlled cortical impact can contribute to neuroprotection. However, the underlying mechanisms and whether LPS preconditioning confers neuroprotection against closed-head injuries remains unclear. Methods: The authors hypothesized that preconditioning with a low dose of LPS (0.2 mg/kg) would regulate glial reactivity and...
    Published on: 20 Jan 2017
    Views: 1275
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  • Original Article

    Possible role of microparticles in neuroimmune signaling of microglial cells

    Stephanie M. Schindler , Ekta Bajwa , Jonathan P. Little , Andis Klegeris
    Aim: Submicron fragments termed microparticles (MPs), derived from all major central nervous system cell types including neurons and glia (microglia, astrocytes, oligodendrocytes), have emerged as novel intercellular signaling agents. This study tested the hypothesis that MPs derived from activated microglia, which represent the mononuclear phagocyte system in the brain, could induce pro-inflammatory and cytotoxic responses of microglia in an autocrine or paracrine manner. Methods: Human THP-1 monocytic cells were used to model human microglia. MPs derived from these cells were reapplied to...
    Published on: 28 Oct 2016
    Views: 1266
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  • Editorial

    Schizophrenia and comorbid sleep disorders

    Maurits van den Noort , Heike Staudte , Benoît Perriard , Sujung Yeo , Sabina Lim , Peggy Bosch
    Published on: 28 Oct 2016
    Views: 1249
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  • Topic: Stroke

    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
    Views: 1183
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  • Review

    Population of inflammatory cells in intracranial aneurysm with the special insight to the development of novel diagnostic and therapeutic approaches

    Hirokazu Koseki , Tomohiro Aoki
    Intracranial aneurysms (IAs) can cause a lethal subarachnoid hemorrhage after rupture. The prevalence of IA is high in the general public; however, the annual risk for the rupture of an incidentally found lesion is relatively low. Therefore, it is crucial to selectively diagnose rupture-prone IAs among many diagnosed IAs, and properly treat such IAs before rupture. Recent studies using human IA specimens or experimentally-induced IAs in animals have revealed some important findings regarding the role of inflammatory cells infiltrating IA lesions. Currently, IA is considered an inflammatory...
    Published on: 31 Aug 2016
    Views: 1153
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  • Case Report

    D-cycloserin, a NMDA-agonist may be a treatment option for anti-NMDAR encephalitis

    Hong-Zhi Guan , Tie-Kuan Du , Jin Xu , Xia Lv , Hua-Dong Zhu , Yi-Cheng Zhu , Bin Peng , Li-Ying Cui
    Anti-N-methyl-D-aspartate receptor (NMDAR) encephalitis is caused by reversible neuron dysfunction associated an autoantibody-mediated decrease of NMDAR in the entire brain. A N-methyl-D-aspartate (NMDA) -agonist treatment for anti-NMDAR encephalitis might have a role considering its specific mechanism. The authors used D-cycloserine, a partial NMDA-agonist in a refractory case with prolonged intensive care unit duration. A 13-year-old female presented with headache, cognitive deterioration, generalized seizures, coma and hypoventilation with required mechanical ventilation. Anti-NMDAR...
    Published on: 31 Aug 2016
    Views: 1098
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