Publications by authors named "M P McAndrews"

Background And Purpose: Dural arteriovenous fistulas (DAVFs) exhibit varied clinical manifestations, and high-grade cases are associated with both a risk of hemorrhage and (in certain cases) dementia. Less known, however, is the association between DAVF and more subtle cognitive changes, which might not be clinically apparent without formal neurocognitive testing. This study prospectively assesses baseline cognitive changes in patients with unruptured DAVFs and looks at the effects of treatment on any such changes.

View Article and Find Full Text PDF
Article Synopsis
  • Major depressive disorder in older adults (late-life depression) often leads to cognitive impairment, particularly in executive function, which may contribute to treatment resistance.
  • This study analyzed baseline cognitive data from 369 older participants in a clinical trial to understand the relationship between cognitive deficits and the effectiveness of pharmacotherapy for treatment-resistant late-life depression.
  • The findings revealed that participants exhibited significant challenges in inhibitory control and processing speed, with deficits in set shifting specifically predicting poorer response to treatment, indicating a need for tailored therapeutic approaches.
View Article and Find Full Text PDF

Rodents and human studies indicate that the hippocampus, a brain region necessary for memory processing, responds to noxious stimuli. However, the hippocampus has yet to be considered a key brain region directly involved in the human pain experience. One approach to answer this question is to perform quantitative sensory testing on patients with hippocampal damage-ie, medial temporal lobe epilepsy.

View Article and Find Full Text PDF

While time spent in slow wave sleep (SWS) after learning promotes memory consolidation in the healthy brain, it is unclear if the same benefit is obtained in patients with temporal lobe epilepsy (TLE). Interictal epileptiform discharges (IEDs) are potentiated during SWS and thus may disrupt memory consolidation processes thought to depend on hippocampal-neocortical interactions. Here, we explored the relationship between SWS, IEDs, and overnight forgetting in patients with TLE.

View Article and Find Full Text PDF

Post-acute sequelae of SARS-COV-2 (PASC) is growing in prevalence, and involves symptoms originating from the central neurological, cardiovascular, respiratory, gastrointestinal, autonomic nervous, or immune systems. There are non-specific symptoms such as fatigue, headaches, and brain fog, which cannot be ascribed to a single system. PASC places a notable strain on our healthcare system, which is already laden with a large number of acute-COVID-19 patients.

View Article and Find Full Text PDF