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Correspondence: Electroconvulsive therapy in N-methyl-D-aspartate receptor encephalitis 通讯:N-甲基-D-天冬氨酸受体脑炎的电休克疗法。
IF 2.9 4区 医学 Q3 IMMUNOLOGY Pub Date : 2025-01-15 DOI: 10.1016/j.jneuroim.2024.578404
Jonathan Reed Komisar , Sohag Sanghani , Grace Thrall , Leonardo V. Lopez , Khyati Brahmbhatt , Stanley Brewer , Jacob Feigal , James Luccarelli , Nasuh Malas , Dennis Popeo , Joshua Ryan Smith , Chase Samsel , D. Catherine Fuchs , GenaLynne C. Mooneyham
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引用次数: 0
Pure spinal multiple sclerosis: A case series of a possible new entity 临时切除:纯脊髓型多发性硬化症:一个可能的新病例系列。
IF 2.9 4区 医学 Q3 IMMUNOLOGY Pub Date : 2025-01-15 DOI: 10.1016/j.jneuroim.2024.578429
Masoud Etemadifar , Seyyed-Ali Alaei , Nahad Sedaghat , Amir Hossein Ghandehari , Ahmadreza Dehghani , Zahra-sadat Mirian , Mahdi Norouzi , Mohammadreza Etemadifar , Mehri Salari

Background

Recent literature describes a condition similar to multiple sclerosis (MS) but with demyelinating lesions limited to the spinal cord. This condition, referred to as “pure spinal” MS, might benefit from disease-modifying treatment (DMT).

Methods

We screened the medical records of approximately 8000 patients with demyelinating diseases at the Isfahan MS clinic in Iran. Criteria for inclusion in the case series were adults with a demyelinating disease limited to the spinal cord, positive oligoclonal IgG bands in cerebrospinal fluid (CSF), and negative results for other potential diagnoses.

Results

Seven people with pure spinal MS were identified (all women, mean age [SD]: 40.14 [6.17] years at the first visit, mean follow-up duration [SD]: 98 [39.41] months). Two had a family history of conventional MS in their siblings. All patients exhibited lower limb weakness and tested negative for anti-MOG and anti-AQP4 antibodies. They experienced relapsing-remitting partial myelitis, with new spinal cord lesions on MRI but no extraspinal CNS lesions. DMT significantly reduced relapse rates in all patients, and two showed no increase in EDSS scores.

Conclusion

Pure spinal MS might be an atypical form of MS. Those affected may benefit from DMT; therefore, further investigation and consideration in the upcoming revisions of the McDonald criteria are recommended.
背景:最近的文献描述了一种与多发性硬化症(MS)相似的病症,但其脱髓鞘病变仅限于脊髓。这种情况被称为 "纯脊髓 "多发性硬化症,可能会受益于疾病改变治疗(DMT):我们筛选了伊朗伊斯法罕多发性硬化症诊所约 8000 名脱髓鞘疾病患者的病历。纳入病例系列的标准是患有局限于脊髓的脱髓鞘疾病、脑脊液(CSF)中寡克隆 IgG 带阳性且其他潜在诊断结果为阴性的成人患者:结果:共发现七名纯脊髓型多发性硬化症患者(均为女性,平均年龄[SD]:40.14 [6.17]:首次就诊时平均年龄为 40.14 [6.17] 岁,平均随访时间 [SD] 为 98 [39.41] 个月)。其中两人的兄弟姐妹有传统多发性硬化症家族史。所有患者均表现为下肢无力,抗MOG和抗AQP4抗体检测均为阴性。他们都经历过复发-缓解型部分脊髓炎,核磁共振检查有新的脊髓病变,但没有脊髓外中枢神经系统病变。DMT明显降低了所有患者的复发率,其中两名患者的EDSS评分没有增加:结论:纯脊髓型多发性硬化症可能是多发性硬化症的一种非典型形式。结论:纯脊髓型多发性硬化症可能是一种非典型多发性硬化症,患者可能会从 DMT 中获益;因此,建议进一步调查,并在即将修订的麦克唐纳标准中加以考虑。
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引用次数: 0
Seasonal variation in myasthenia gravis incidence 重症肌无力发病率的季节变化。
IF 2.9 4区 医学 Q3 IMMUNOLOGY Pub Date : 2025-01-09 DOI: 10.1016/j.jneuroim.2025.578524
Silvia Falso , Pietro Zara , Sofia Marini , Mariangela Puci , Eleonora Sabatelli , Giovanni Sotgiu , Martina Marini , Gregorio Spagni , Amelia Evoli , Paolo Solla , Raffaele Iorio , Elia Sechi

Introduction

Environmental factors may contribute to myasthenia gravis (MG) development, sometimes with seasonal patterns of exposure. However, whether seasonality has an impact on MG incidence remains unclear. We aimed to investigate the association between seasonality and MG onset.

Methods

We reviewed data of MG patients with acetylcholine receptor (AChR)-IgG and disease onset between January 2010–December 2019, from two Italian cohorts: 1) an hospital-based cohort and 2) a population-based cohort. MG cases were assigned to four season-trimesters based on month of onset to determine seasonal association with MG incidence.

Results

We enrolled 316 patients:214 in the hospital-based and 102 in the population-based cohort. Median age at onset was 66 years (range, 8–92); Female accounted for 41.1 %. The median number of new MG cases per season-trimester was significantly higher in summer than other trimesters (p = 0.009), and associated with higher environmental temperatures.

Discussion

Our findings suggest that MG onset may be more common in summer and at higher environmental temperatures. Identifying the determinants of this association may improve our understanding of disease pathophysiology.
环境因素可能有助于重症肌无力(MG)的发展,有时有季节性的暴露模式。然而,季节性是否对MG发病率有影响尚不清楚。我们的目的是调查季节性与MG发病之间的关系。方法:我们回顾了2010年1月至2019年12月期间伴有乙酰胆碱受体(AChR)-IgG和疾病发病的MG患者的数据,这些患者来自两个意大利队列:1)基于医院的队列和2)基于人群的队列。MG病例根据发病月份分为四个季节,以确定MG发病率的季节性关系。结果:我们纳入了316例患者:214例以医院为基础,102例以人群为基础。发病年龄中位数为66岁(范围8-92岁);女性占41.1%。夏季妊娠期MG新发病例中位数显著高于其他妊娠期(p = 0.009),且与较高的环境温度有关。讨论:我们的研究结果表明,MG的发病可能在夏季和较高的环境温度下更为常见。确定这种关联的决定因素可以提高我们对疾病病理生理学的理解。
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引用次数: 0
Letter to the Editor Regarding “Spinocerebellar ataxia masquerading as multiple sclerosis, a case report” 致编辑的信关于“脊髓小脑共济失调伪装成多发性硬化症,一例报告”。
IF 2.9 4区 医学 Q3 IMMUNOLOGY Pub Date : 2025-01-09 DOI: 10.1016/j.jneuroim.2025.578523
Bade Gulec , Elif Everest , Ugur Uygunoglu
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引用次数: 0
Myelin oligodendrocyte glycoprotein antibody-associated disease (MOGAD) as a cause of new-onset refractory status epilepticus (NORSE): Case report and review of literature 髓鞘少突胶质细胞糖蛋白抗体相关疾病(MOGAD)作为新发难治性癫痫持续状态(NORSE)的原因:病例报告和文献回顾
IF 2.9 4区 医学 Q3 IMMUNOLOGY Pub Date : 2025-01-08 DOI: 10.1016/j.jneuroim.2025.578522
Abhishek Vaingankar , Ayush Agarwal , Divyani Garg , Pranjal Gupta , Ajay Garg , Divya M. Radhakrishnan , Awadh K. Pandit , Achal Kumar Srivastava
Myelin oligodendrocyte glycoprotein antibody-associated disease (MOGAD) is a rare cause of NORSE. We describe the case of a young girl who presented with NORSE associated with MOGAD along with a systematic review of all cases of NORSE associated with MOGAD till date. Seizures associated with MOGAD are usually associated with good outcome but can occasionally be catastrophic and non-responsive to conventional therapies. Early initiation of anti-IL6 therapies might help improve outcomes in such patients.
髓鞘少突胶质细胞糖蛋白抗体相关疾病(MOGAD)是一种罕见的NORSE病因。我们描述了一名年轻女孩的病例,她出现了与MOGAD相关的NORSE,并对迄今为止与MOGAD相关的所有NORSE病例进行了系统回顾。与MOGAD相关的癫痫发作通常具有良好的预后,但偶尔也可能是灾难性的,对常规治疗无反应。早期开始抗il - 6治疗可能有助于改善这类患者的预后。
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引用次数: 0
NOD-like receptor protein 3 inhibition by MCC950 improves the cognitive function of rats with sepsis-associated encephalopathy
IF 2.9 4区 医学 Q3 IMMUNOLOGY Pub Date : 2025-01-06 DOI: 10.1016/j.jneuroim.2024.578517
Li Zhang , Long Ma , Yi Wang , Xiang Li , Yanjie Yang , Ling Yang , Xiangyou Yu
This study aimed to investigate the effects of MCC950 in a rat model of sepsis-associated encephalopathy (SAE). Adult male rats were randomly assigned to 12 groups according to the surgery or treatment received and evaluation times. The SAE model was established using the cecal ligation and puncture (CLP) method. Intraperitoneal injections of normal saline (10 mL/kg) or MCC950 (10 mg/kg) were administered 30 min pre-surgery and daily post-surgery. Changes in survival rates, weight loss, and heart rate were assessed at four time points, and neurobehavioral changes were evaluated using the composite neural reflex function scores, light/dark box test, and open-field test (OFT). Compared with the SAE group, the SAE + MCC950 group had significantly higher survival rates (P < 0.05), lower postoperative weight loss rates (P < 0.05), and higher neurological function scores (P < 0.05); the SAE + MCC950 group also traveled further and crossed the central area more frequently in the OFT (P < 0.05), spent more time in the light compartment at different time points (P < 0.05), and exhibited a lower heart rate at different time points (P < 0.05). MCC950 treatment significantly improved cognitive function and related indices in the SAE rats.
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引用次数: 0
Cerebrospinal fluid biomarkers associated with neurofilament light levels: A study in HIV disease
IF 2.9 4区 医学 Q3 IMMUNOLOGY Pub Date : 2025-01-06 DOI: 10.1016/j.jneuroim.2025.578521
Enrico Ripamonti , Magnus Gisslén , Lars Hagberg , Pradeepthi Bathala , Shraddha Kale , Martin Stengelin , George Sigal , Jacob Wohlstadter , Henrik Zetterberg , Richard Price

Background

A retrospective study was conducted in people with HIV (PWH) to explore potential cerebrospinal fluid (CSF) biomarkers linked to CSF neurofilament light levels (NfL), indicative of neuronal injury.

Methods

A sample of 168 participants was tested, including 43 HIV-negative controls and PWH who were classified into subgroups based on HIV and treatment status. Twenty CSF protein biomarkers were analyzed for their association with CSF NfL concentrations using a linear regression forward selection strategy, adjusted for age and sex. Regression trees were utilized to visualize feature relationships.

Results

Age-adjusted average concentrations of CSF NfL ranged from 427 pg/mL (SD = 190) in HIV- participants to 6456 pg/mL (SD = 46,024) in participants with HIV-associated dementia. Significant associations were found between specific biomarkers and CSF NfL levels in different participant subgroups. Noteworthy findings included correlations between CSF t-tau, CSF MCP-1, CSF TNF-α, and albumin ratio with CSF NfL levels in untreated PWH, and CSF IL-21 with CSF NfL in treated, virally suppressed PWH. Association between age and CSF NfL concentrations was a general finding.

Conclusion

We identified specific CSF biomarkers, including CSF t-tau protein, CSF MCP-1, and CSF TNF-α that associated with CSF NfL concentrations in untreated PWH and CSF IL-21 that associated with CSF NfL in PWH with effective treatment, shedding light on neuroinflammatory processes which may underlie HIV-related neuronal injury and the impact of antiviral therapy. Further investigations are needed to validate if elevated CSF IL-21 concentrations persist during long-term treatment, and if particular drug combinations are optimal for decreasing inflammatory latency.
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引用次数: 0
A 7-year-old with new-onset seizures, behavior disturbance, and encephalitis 7岁,新发癫痫,行为障碍,脑炎。
IF 2.9 4区 医学 Q3 IMMUNOLOGY Pub Date : 2024-12-30 DOI: 10.1016/j.jneuroim.2024.578520
MaryGlen V. Stanich , Trevor Memmott , Taumoha Ghosh , Melissa A. Wright
Refractory seizures are common in pediatric neurology; consideration of whether seizures are acutely symptomatic of an underlying disease process is critical. In this case, a previously healthy 7-year-old patient presented with intractable focal seizures in the setting of a viral prodrome and headache. This case highlights a comprehensive work up of new-onset refractory seizures in a patient with features of encephalitis and describes a diagnostic quandary that ultimately led to a rare unifying diagnosis.
难治性癫痫在小儿神经病学中很常见;考虑癫痫发作是否为潜在疾病过程的急性症状是至关重要的。在本病例中,一名健康的7岁患者在病毒性前驱症状和头痛的情况下出现难治性局灶性癫痫发作。本病例强调了对脑炎患者新发难治性癫痫发作的全面研究,并描述了一个诊断困境,最终导致了罕见的统一诊断。
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引用次数: 0
Corrigendum to “Elevated frequencies of activated memory B cells in multiple sclerosis are reset to healthy control levels are B cell depletion with Ocrelizumab” [J. Neuroimmunol. 339:578502 (2024)] “激活记忆B细胞频率升高在多发性硬化症中被重置到健康控制水平是奥克雷单抗的B细胞消耗”的更正[J]。中国生物医学工程学报[j].中国生物医学工程学报。
IF 2.9 4区 医学 Q3 IMMUNOLOGY Pub Date : 2024-12-27 DOI: 10.1016/j.jneuroim.2024.578519
Cody J. Gurski , Zivar Hajiyeva , Anthony J. Veltri , Kaylan Fenton , Samantha O'Dell , Ahmed Z. Obeidat , Bonnie N. Dittel
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引用次数: 0
Vitamin C co-administration with artemether-lumefantrine abrogates chronic stress exacerbated Plasmodium berghei-induced sickness behaviour, inflammatory and oxidative stress responses in mice 维生素C与蒿甲醚-氨芳碱联合使用可消除小鼠慢性应激加剧的伯氏疟原虫引起的疾病行为、炎症和氧化应激反应。
IF 2.9 4区 医学 Q3 IMMUNOLOGY Pub Date : 2024-12-20 DOI: 10.1016/j.jneuroim.2024.578518
Kehinde Joshua Ogundeyi , Abayomi Mayowa Ajayi , Ololade Justina Oduyomi , Stella Afolakemi Adeyemo , Mary O. Ologe , Olusegun George Ademowo
This study evaluated the effects of vitamin C and artemether-lumefantrine (AL) on sickness behaviour and oxido-inflammatory response in chronically stressed mice infected with Plasmodium berghei. Sickness behaviour severity was examined with weight and assessment of mice behaviours. Results showed that stress increased parasitaemia in infected mice. Vitamin C co-administration with AL increased parasite clearance over AL alone, and modulated inflammatory cytokines (TNF-α, IL-1β, IL-10, IL-12) and antioxidant parameters in plasma and brain tissue.
Conclusively, stress worsens malaria-induced sickness behaviour and up-regulates the inflammatory and oxidative stress response. Co-administration of vitamin C with AL appears to counteract these detrimental effects.
本研究评估了维生素C和蒿甲醚-发光芳碱(AL)对感染伯氏疟原虫的慢性应激小鼠的疾病行为和氧化炎症反应的影响。用体重和小鼠行为评估来检查疾病行为的严重程度。结果表明,应激增加了感染小鼠的寄生虫血症。维生素C与AL联合使用比单独使用AL增加了寄生虫清除率,并调节了血浆和脑组织中的炎症因子(TNF-α、IL-1β、IL-10、IL-12)和抗氧化参数。最后,应激会加重疟疾引起的疾病行为,并上调炎症和氧化应激反应。维生素C与AL联合服用似乎可以抵消这些有害影响。
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引用次数: 0
期刊
Journal of neuroimmunology
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