Publications by authors named "T Shiner"

Advances in amyloid targeting therapies (ATT) for Alzheimer's disease have introduced new options, necessitating an understanding of physicians' perspectives as these therapies move from trials to practice. A survey of Israeli specialists found that 84% were familiar with new ATT, but 60% raised doubts about their ability to significantly impact disease progression. Neurologists were more likely to recommend these treatments, but concerns included treatment costs and limited real-world experience.

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Background: Glucocerebrosidase 1 (GBA1) mutations are associated with reduced survival in Parkinson's disease but their effect on survival in dementia with Lewy bodies (DLB) is unclear.

Objective: To assess the impact of GBA1 mutations on survival among Ashkenazi Jews with DLB, while controlling for APOE status.

Methods: One hundred and forty participants from Tel Aviv Medical Center, Israel were genotyped for GBA1 mutations and APOE polymorphisms.

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Article Synopsis
  • This study investigates the role of MRI in detecting early changes in white matter among patients with genetic Creutzfeldt-Jakob disease (gCJD) and asymptomatic carriers of the E200K mutation.
  • Researchers found that symptomatic gCJD patients showed distinct alterations in white matter metrics compared to healthy relatives, specifically in terms of higher mean diffusivity and lower fractional anisotropy values.
  • Among healthy relatives, those carrying the E200K mutation with elevated tau protein levels in cerebrospinal fluid exhibited significant white matter changes, suggesting that further monitoring could reveal if these changes predict the development of symptomatic gCJD.
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Susac syndrome (SuS) presents with encephalopathy, visual disturbances, and hearing loss from immune-mediated microvascular occlusion. While acute SuS is well-described, long-term cognitive outcomes with current treatments are underknown. We assessed ten SuS patients treated in accordance with evidence-based guidelines using immunotherapies targeting humoral and cell-mediated pathways.

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