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Journal of experimental neurology最新文献

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Muscle and Its Neuromuscular Synapse – Players in the Pathogenesis of Motor Neuron Disease 肌肉及其神经肌肉突触——运动神经元疾病发病机制的参与者
Pub Date : 2023-01-23 DOI: 10.33696/neurol.4.067
P. G. Noakes, W. Phillips, R. Jeffree, F. Steyn, E. Wolvetang, R. Henderson, P. Mccombe, S. Ngo
Pathogenesis
发病机理
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引用次数: 1
Therapeutic Effectiveness of Brain Computer Interfaces in Stroke Patients: A Systematic Review. 脑机接口在脑卒中患者中的治疗效果:一项系统综述。
Pub Date : 2023-01-01 DOI: 10.33696/neurol.4.077
Yordan P Penev, Alice Beneke, Kevin T Root, Emily Meisel, Sean Kwak, Michael J Diaz, Julia L Root, Mohammad R Hosseini, Brandon Lucke-Wold

Background: Brain-computer interfaces (BCIs) are a rapidly advancing field which utilizes brain activity to control external devices for a myriad of functions, including the restoration of motor function. Clinically, BCIs have been especially impactful in patients who suffer from stroke-mediated damage. However, due to the rapid advancement in the field, there is a lack of accepted standards of practice. Therefore, the aim of this systematic review is to summarize the current literature published regarding the efficacy of BCI-based rehabilitation of motor dysfunction in stroke patients.

Methodology: This systematic review was performed in accordance with the guidelines set forth by the Preferred Reporting Items for Systematic Reviews and Meta-analysis (PRISMA) 2020 statement. PubMed, Embase, and Cochrane Library were queried for relevant articles and screened for inclusion criteria by two authors. All discrepancies were resolved by discussion among both reviewers and subsequent consensus.

Results: 11/12 (91.6%) of studies focused on upper extremity outcomes and reported larger initial improvements for participants in the treatment arm (using BCI) as compared to those in the control arm (no BCI). 2/2 studies focused on lower extremity outcomes reported improvements for the treatment arm compared to the control arm.

Discussion/conclusion: This systematic review illustrates the utility BCI has for the restoration of upper extremity and lower extremity motor function in stroke patients and supports further investigation of BCI for other clinical indications.

背景:脑机接口(BCIs)是一个快速发展的领域,它利用大脑活动来控制外部设备实现多种功能,包括恢复运动功能。临床上,脑机接口对中风介导的损伤患者尤其有影响。然而,由于该领域的快速发展,缺乏公认的实践标准。因此,本系统综述的目的是总结目前发表的关于脑机接口康复治疗中风患者运动功能障碍疗效的文献。方法:本系统审查是根据2020年系统审查和荟萃分析首选报告项目(PRISMA)声明中规定的指南进行的。PubMed、Embase和Cochrane图书馆查询了相关文章,并由两位作者筛选了纳入标准。所有差异都通过两位评审员的讨论和随后达成的共识得到了解决。结果:11/12(91.6%)的研究侧重于上肢结果,并报告与对照组(无脑机接口)相比,治疗组(使用脑机接口的)参与者的初始改善更大。关注下肢结果的2/2项研究报告称,与对照组相比,治疗组有改善。讨论/结论:本系统综述阐明了脑机接口在脑卒中患者上肢和下肢运动功能恢复方面的作用,并支持脑机接口对其他临床适应症的进一步研究。
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引用次数: 0
An Updated Overview of Alzheimer’s Disease 阿尔茨海默病的最新概述
Pub Date : 2022-12-30 DOI: 10.33696/neurol.3.067
Emmanuel Prikas
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引用次数: 1
Commentary: Calcitonin Gene Related Peptide and Its Clinical Utility for the Treatment of Traumatic Brain Injury, Subarachnoid Hemorrhage and Associated Migraine 降钙素基因相关肽及其在治疗创伤性脑损伤、蛛网膜下腔出血和相关偏头痛中的临床应用
Pub Date : 2022-12-28 DOI: 10.33696/neurol.3.065
Y. Mehkri, Maxwell G. Woolridge, B. Lucke-Wold
Commentary Calcitonin gene related peptide (CGRP) is a potent vasodilator and neurotransmitter that has been extensively studied in the context of migraine pathophysiology. Recently, studies have explored its role in the treatment of traumatic brain injury (TBI) and subarachnoid hemorrhage (SAH). Although a multitude of therapies exist for migraine, there has been little study on the management of migraine following neurologic injury. As the incidence of TBI continues to grow, especially in the United States, it is essential to explore additional therapeutic options such as CGRP inhibition (CGRPi). Given its differential effects in TBI and SAH, an important next step is to see how patients with both TBI and SAH treated with CGRPi respond differently than patients with TBI alone. There is also a need for study in patients with severe TBI who could benefit most from this novel strategy. Calcitonin gene-related peptide (CGRP) is a 37-amino acid neurotransmitter that has been shown to be involved in cranial and facial pathology. Most commonly, CGRP’s role as a potent vasodilator [1,2] has been associated with migraine [3]. It’s use in the treatment of traumatic brain injury [3–5] and subarachnoid hemorrhage (SAH) [6–9] has recently been explored in the literature. While there have been numerous studies on mice and other animal models describing exogenous CGRP’s therapeutic effects, its limited efficacy in humans due to its low half-life [10] has prevented its advancement to human trials. Migraines
降钙素基因相关肽(CGRP)是一种强效的血管舒张剂和神经递质,在偏头痛的病理生理学背景下得到了广泛的研究。最近,研究探索了它在治疗创伤性脑损伤(TBI)和蛛网膜下腔出血(SAH)中的作用。尽管偏头痛有多种治疗方法,但对神经损伤后偏头痛的治疗研究很少。随着TBI的发病率持续增长,特别是在美国,有必要探索其他治疗方案,如CGRP抑制(CGRPi)。考虑到CGRPi在TBI和SAH中的不同作用,下一步重要的是观察CGRPi治疗的TBI和蛛网膜下腔出血患者与单独TBI患者的反应如何不同。还有必要对严重TBI患者进行研究,这些患者可以从这种新策略中获益最多。降钙素基因相关肽(CGRP)是一种37个氨基酸的神经递质,已被证明与颅骨和面部病理有关。最常见的是,CGRP作为一种强效血管舒张剂的作用[1,2]与偏头痛有关[3]。最近,文献中对其在治疗创伤性脑损伤[3-5]和蛛网膜下腔出血(SAH)[6-9]中的应用进行了探讨。尽管对小鼠和其他动物模型进行了大量研究,描述了外源性CGRP的治疗效果,但由于其半衰期低,其在人类中的疗效有限[10],阻碍了其进入人体试验。偏头痛
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引用次数: 0
The Jalisco Mutation: Familiar Alzheimer’s Disease in México 哈利斯科州突变:墨西哥人常见的阿尔茨海默病
Pub Date : 2022-12-28 DOI: 10.33696/neurol.3.066
M. Meraz-Ríos, E. A. Cabrera-Reyes, Mayte-Lizeth Padilla-Cristerna
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引用次数: 0
Nonarteritic Anterior Ischemic Optic Neuropathy (NAION) Induced by Selective Agonist of Serotonin 5-HT1 Receptor – A Case Report 5-羟色胺5-HT1受体选择性激动剂诱导非动脉性前缺血性视神经病变1例
Pub Date : 2022-12-13 DOI: 10.33696/neurol.3.063
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引用次数: 0
Discovery of New Candidate Genes for Anorexia Nervosa through Integration of eQTLs with Summary Statistics 通过整合eqtl和汇总统计发现神经性厌食症新的候选基因
Pub Date : 2022-12-13 DOI: 10.33696/neurol.3.061
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引用次数: 0
A Rodent Lumbosacral Spinal Cord Injury Model Reflecting Neurological and Urological Deficits of Humans 反映人类神经和泌尿系统缺陷的啮齿动物腰骶脊髓损伤模型
Pub Date : 2022-12-13 DOI: 10.33696/neurol.3.059
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引用次数: 2
Neuroinflammation and Microglial Polarity: Sirolimus Shifts Microglial Polarity to M2 phenotype in a Mouse Model of Tuberous Sclerosis Complex 神经炎症和小胶质细胞极性:西罗莫司在结节性硬化症小鼠模型中将小胶质细胞极性转变为M2表型
Pub Date : 2022-12-13 DOI: 10.33696/neurol.3.064
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引用次数: 0
Update on Clinical Management with Neurovascular Stents. 神经血管支架临床管理的最新进展。
Pub Date : 2022-01-01 DOI: 10.33696/neurol.3.062
Danyas Sarathy, Mohammed Elghareeb, Alec Clark, Rebecca Zelmanovich, Brandon Lucke-Wold

Endovascular stenting has continued to evolve given the new trials. Several new stents have recently been developed to address specific purposes. In this focused review, we discuss the concepts of neurointerventional stents and address the clinical implications. Furthermore, each type of stent is discussed with supporting evidence for clinical utility. In the final component, we argue for continued development and utilization.

随着新试验的开展,血管内支架植入术也在不断发展。最近,针对特定目的开发了几种新型支架。在这篇重点综述中,我们将讨论神经介入支架的概念并探讨其临床意义。此外,我们还讨论了每种支架的临床应用证据。在最后一部分,我们主张继续开发和使用支架。
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引用次数: 0
期刊
Journal of experimental neurology
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