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Article Synopsis
  • Autoimmune neuropathies are disorders where the immune system attacks peripheral nerves, with Guillain-Barré syndrome (GBS) as a common acute form, and chronic inflammatory demyelinating polyradiculoneuropathy (CIDP) as a chronic form.
  • Recent discoveries of specific antibodies associated with nerve damage have changed diagnostic and treatment approaches for GBS and CIDP, making testing for certain antibodies more common.
  • New subtypes of autoimmune neuropathies, defined by antibodies affecting the nodes of Ranvier, have emerged, allowing for better patient classification and targeted therapies, such as anti-CD20 treatment.
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Introduction: Since the initial identification of Miller Fisher syndrome (MFS) and Bickerstaff brainstem encephalitis (BBE),significant milestones have been achieved in understanding these diseases.Discoveries of common serum antibodies (IgG anti-GQ1b), antecedent infections, neurophysiological data, andneuroimaging suggested a shared autoimmune pathogenetic mechanism rather than distinct pathogenesis, leadingto the hypothesis that both diseases are part of a unified syndrome, termed "Fisher-Bickerstaff syndrome". The subsequent identification of atypical anti-GQ1b-positive forms expanded the classification to a broader condition known as "Anti-GQ1b-Antibody syndrome".

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Objectives: Repetitive Transcranial Magnetic Stimulation (rTMS) is considered as a safe and non-invasive developing technique used as a therapeutic method for patients with Relapsing-Remitting Multiple Sclerosis (RRMS) who suffer from disturbances in gait and balance. The aim of our study is to evaluate the long-term effect of high frequency rTMS as a therapeutic option for truncal ataxia in RRMS patients and to assess its impact on the integrity of the white matter (WMI), measured in the form of anisotropy metrics using diffusion tensor imaging (DTI).

Methods: The study was conducted in two phases: phase I; a randomized, single-blind, sham-controlled phase and phase II was a 12 months longitudinal open-label prospective phase.

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The Frequency of Intermediate Alleles in Patients with Cerebellar Phenotypes.

Cerebellum

June 2024

Department of Neuroscience, Psychology, Drug Research and Child Health (NEUROFARBA), University of Florence, Florence, Italy.

Cerebellar syndromes are clinically and etiologically heterogeneous and can be classified as hereditary, neurodegenerative non-hereditary, or acquired. Few data are available on the frequency of each form in the clinical setting. Growing interest is emerging regarding the genetic forms caused by triplet repeat expansions.

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