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Acta neurologica Belgica最新文献

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Atypical presentation of a severe form of spontaneous intracranial hypotension due to multiple CSF leaks in the brain and spinal cord: therapeutic challenge. 脑和脊髓多发性脑脊液渗漏引起的严重自发性颅内低血压的不典型表现:治疗挑战。
IF 2.1 4区 医学 Q3 CLINICAL NEUROLOGY Pub Date : 2025-10-04 DOI: 10.1007/s13760-025-02896-8
Brice Fotsing, Alionka Bostan, Bernard Dachy
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引用次数: 0
Acute ischemic stroke triggered by minor trauma in a child with mineralizing vasculopathy: a case report : Pediatric stroke and mineralizing vasculopathy. 矿化血管病变儿童轻微创伤引发急性缺血性卒中:1例报告:小儿卒中和矿化血管病变
IF 2.1 4区 医学 Q3 CLINICAL NEUROLOGY Pub Date : 2025-10-02 DOI: 10.1007/s13760-025-02903-y
Sadullah Şimşek, Mehmet Salih Karaca, Ali Oğuz, Tarık Sağlam
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引用次数: 0
Atypical Rett syndrome with chorea: a case report 非典型Rett综合征伴舞蹈病1例报告。
IF 2.1 4区 医学 Q3 CLINICAL NEUROLOGY Pub Date : 2025-10-02 DOI: 10.1007/s13760-025-02901-0
M. Erdogan, E. Olinger, S. Ferrao Santos
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引用次数: 0
Opalski syndrome with ipsilateral upper motor neuron type facial palsy Opalski综合征伴同侧上运动神经元型面瘫。
IF 2.1 4区 医学 Q3 CLINICAL NEUROLOGY Pub Date : 2025-10-02 DOI: 10.1007/s13760-025-02908-7
Somarajan Anandan, Sajeesh S. Rajendran, Alfia Najeem, Gopika Shaji Kuttickal
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引用次数: 0
Metronidazole-induced encephalopathy: reversible but not to be missed. 甲硝唑诱导的脑病:可逆但不可错过。
IF 2.1 4区 医学 Q3 CLINICAL NEUROLOGY Pub Date : 2025-10-02 DOI: 10.1007/s13760-025-02895-9
Vincent Leclercq, Audrey Cambier, Imene Chafai, Chiara Mabiglia, Gilles Naeije
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引用次数: 0
Sudden neurological decline after trauma: cerebral fat embolism unveiled 外伤后突然神经功能下降:脑脂肪栓塞。
IF 2.1 4区 医学 Q3 CLINICAL NEUROLOGY Pub Date : 2025-10-02 DOI: 10.1007/s13760-025-02898-6
E. Vergauwe, E. Elseviers, C. M.J. Loos
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引用次数: 0
Posterior auricular neuropathy as a complication of facial nerve palsy in a patient with polyneuritis cranialis 颅多神经炎患者面神经麻痹并发耳后神经病1例。
IF 2.1 4区 医学 Q3 CLINICAL NEUROLOGY Pub Date : 2025-09-30 DOI: 10.1007/s13760-025-02907-8
Olivia Pype, Sofie Carrette

Ipsilateral facial, neck, or retroauricular pain is a common but often underrecognized feature of peripheral facial nerve palsy. We report a rare case of posterior auricular nerve neuropathy following facial nerve palsy in the context of polyneuritis cranialis. This case highlights posterior auricular nerve neuropathy as a potential complication of peripheral facial nerve palsy and polyneuritis cranialis. Accurate identification of neuropathic pain and appropriate management are essential. Clinicians should remain vigilant for atypical pain patterns during the course of facial nerve palsy, particularly in the setting of polyneuritis cranialis.

同侧面部、颈部或耳后疼痛是周围面神经麻痹的常见但常被忽视的特征。我们报告一个罕见的病例后耳神经病变面神经麻痹在背景下颅多神经炎。本病例强调耳后神经病变是周围面神经麻痹和颅多神经炎的潜在并发症。准确识别神经性疼痛和适当的管理是必不可少的。临床医生应在面神经麻痹过程中对非典型疼痛模式保持警惕,特别是在颅多神经炎的情况下。
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引用次数: 0
Elucidate biomarkers and the molecular pathways associated with genetic variants that contribute to the etiology of Parkinson’s disease 阐明与帕金森病病因的遗传变异相关的生物标志物和分子途径。
IF 2.1 4区 医学 Q3 CLINICAL NEUROLOGY Pub Date : 2025-09-30 DOI: 10.1007/s13760-025-02897-7
Hai Duc Nguyen

Genetic variants can affect signaling pathways that are important in the pathophysiology of Parkinson’s disease (PD). Comprehending their relationship is crucial for the development of diagnostic instruments and preventative drugs for PD. We thoroughly analyzed data from 68 genome-wide association studies to uncover significant genetic variations and clarify the molecular pathways underlying the etiology of Parkinson’s disease (PD) resulting from genetic variants. Six common biomarkers linked to PD were found in all 68 investigations: SNCA, TMEM175, BST1, RIT2, LRRK2, and MCCC1. SNCA ((uparrow)rs5019538 and (uparrow)rs356182), LRRK2 ((uparrow)rs34637584 and (uparrow)rs76904798), and SH3GL2 ((uparrow)rs10756907 and (downarrow)rs13294100) were the main biomarkers associated with PD. The clinical traits of PD, such as age at onset, cognitive progression, motor progression, composite progression, tremor dominant, and postural instability gait difficulty, have been found to be underpinned by additional biomarkers, including APOE, NTRK2, SLCO1B3, SLC28A3, AQP10, SNCAIP, ANO2, CADM1, PTPRD, GPR32, GPR321, SQOR, SULT1C2, GABRG2, CYP4Z1, CDH13, and FANCF. Significant evidence was found linking genetic variants linked to an increased risk of PD to reduced dopamine production, receptor recycling, oxidoreductase activity, and increased amyloid-beta accumulation. Considerable evidence links genetic variations with a lower risk of PD due to improved synaptic vesicle signaling, neuron projection development, controlled histone methylation, and excitatory postsynaptic potential. Additionally, we found MYT1L and hsa-miR-20a-5p, which are essential for understanding the genetic variations linked to PD. These findings provide a solid underpinning for future therapeutic approaches aimed at PD, with a focus on the genetic variants and processes connected to the illness.

Graphic abstract

遗传变异可以影响在帕金森病(PD)病理生理学中重要的信号通路。了解它们之间的关系对PD的诊断仪器和预防药物的开发至关重要。我们全面分析了来自68个全基因组关联研究的数据,以揭示重要的遗传变异,并阐明由遗传变异引起的帕金森病(PD)病因的分子途径。在所有68项研究中发现了6个与PD相关的常见生物标志物:SNCA、TMEM175、BST1、RIT2、LRRK2和MCCC1。SNCA(↑rs5019538和↑rs356182)、LRRK2(↑rs34637584和↑rs76904798)和SH3GL2(↑rs10756907和↓rs13294100)是PD相关的主要生物标志物。PD的临床特征,如发病年龄、认知进展、运动进展、复合进展、震颤主导和姿势不稳定步态困难,已被发现由其他生物标志物支持,包括APOE、NTRK2、SLCO1B3、SLC28A3、AQP10、SNCAIP、ANO2、CADM1、PTPRD、GPR32、GPR321、SQOR、SULT1C2、GABRG2、CYP4Z1、CDH13和FANCF。重要的证据表明,与帕金森病风险增加相关的基因变异与多巴胺产生减少、受体循环、氧化还原酶活性减少和淀粉样蛋白积累增加有关。大量证据表明,遗传变异与PD风险降低有关,这是由于突触囊泡信号传导改善、神经元突起发育、组蛋白甲基化控制和兴奋性突触后电位。此外,我们还发现了MYT1L和hsa-miR-20a-5p,这对于理解与PD相关的遗传变异至关重要。这些发现为未来针对PD的治疗方法提供了坚实的基础,重点关注与疾病相关的遗传变异和过程。
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引用次数: 0
Prevalence of migraine menstrual, migraine and risk factors in women of reproductive age; a multi-centre study. 育龄妇女月经期偏头痛、偏头痛患病率及危险因素多中心研究。
IF 2.1 4区 医学 Q3 CLINICAL NEUROLOGY Pub Date : 2025-09-29 DOI: 10.1007/s13760-025-02893-x
Meryem Erdoğan Acar, Gonca Buran, Yasemin Özyer Güvener, Çiler Yeygel, Ayşegül Dönmez, Nurten Denizhan Kırcan

Purpose: To determine the prevalence and risk factors associated with migraine and menstrual migraine in women of reproductive age.

Method: This multicenter cross-sectional study included 2049 women who were successfully contacted between May and December 2023. The data were collected via an online interview method using the Individual Identification Form, which was created by the researchers and consists of three parts.

Results: The mean age of the study participants was determined to be 24.19 ± 7.76 years. The prevalence of migraine was found to be 16.4%, while the prevalence of menstrual migraine was 56.4%. A statistically significant relationship was identified between migraine diagnosis and a number of variables, including marital status, educational status, employment status, social security status, income status, family type, smoking habits, alcohol consumption and coffee intake (p < 0.05). A statistically significant relationship was found between menstrual headache and marital status, working in a gainful job, presence of social security, income status, family type, smoking, alcohol use and coffee consumption (p < 0.05).

Conclusion: Many sociodemographic characteristics and habits in women's daily lives are among the risk factors for migraine and menstrual migraine. It is advisable for health professionals to provide comprehensive counseling services to facilitate the adoption of healthy behaviors in relation to these risk factors.

目的:了解育龄妇女偏头痛和经期偏头痛的患病率及相关危险因素。方法:本多中心横断面研究纳入2049名于2023年5月至12月成功接触的女性。数据是通过使用个人识别表的在线访谈方法收集的,该表格由研究人员创建,由三部分组成。结果:研究参与者的平均年龄为24.19±7.76岁。偏头痛的患病率为16.4%,而月经期偏头痛的患病率为56.4%。研究发现,偏头痛的诊断与婚姻状况、教育状况、就业状况、社会保障状况、收入状况、家庭类型、吸烟习惯、饮酒习惯和咖啡摄入量等一系列变量之间存在统计学上显著的关系(p结论:女性日常生活中的许多社会人口学特征和习惯都是偏头痛和经期偏头痛的危险因素之一。建议卫生专业人员提供全面的咨询服务,以促进采取与这些危险因素有关的健康行为。
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引用次数: 0
An atypical case of FA2H-related HSP35 with subtle neuroimaging findings and a novel variant in a young adult with spastic paraparesis. fa2h相关HSP35的非典型病例与微妙的神经影像学发现和一种新的变异在一个年轻的成人痉挛性截瘫。
IF 2.1 4区 医学 Q3 CLINICAL NEUROLOGY Pub Date : 2025-09-26 DOI: 10.1007/s13760-025-02899-5
Subhajit Roy, Pooja Mailankody, Gautham Arunachal, Rohan R Mahale, Hansashree Padmanabha

We report a young Indian woman with a homozygous deletion in FA2H manifesting with a progressive spastic paraparesis, skeletal deformities, and subtle oculomotor signs, thereby broadening the phenotypic spectrum of HSP35. Except for diffuse spinal cord atrophy in MRI, other investigations were non-contributory. Whole exome sequencing with mitochondrial analysis revealed a homozygous variant c.32_34delTCT (p.Phe11del) in FA2H gene in Exon 1 of chromosome 16-a likely pathogenic, autosomal recessive mutation (ACMG: PM2,PM4,PP4-Moderate). This report underscores the importance of considering FA2H-related HSP even in late-onset or atypical presentations of adult-onset spastic paraparesis, especially in consanguineous populations, even when classical imaging findings are absent. Genetic testing remains crucial for diagnosis, prognostication, and counselling.

我们报告了一名年轻的印度女性,其FA2H纯合缺失表现为进行性痉挛性麻痹、骨骼畸形和轻微的动眼症状,从而拓宽了HSP35的表型谱。除了MRI显示弥漫性脊髓萎缩外,其他检查均无帮助。全外显子组测序和线粒体分析显示,16号染色体1外显子FA2H基因存在纯合子变异c.32_34delTCT (p.p hi11del),可能是致病的常染色体隐性突变(ACMG: PM2,PM4,PP4-Moderate)。本报告强调了考虑fa2h相关HSP的重要性,即使在迟发性或非典型表现的成人痉挛性截瘫中,特别是在近亲人群中,即使没有经典的影像学发现。基因检测对于诊断、预测和咨询仍然至关重要。
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Acta neurologica Belgica
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