6,163 results match your criteria: "Department of Clinical Neurophysiology.[Affiliation]"

During ongoing narratives, event boundaries trigger processes relevant for subsequent memory. Previous work has shown that novel, unrelated input presented at an event boundary can retroactively interfere with short-term retention of the preceding event. This interference was attributed to a perturbation of offset-related processes taking place within seconds after encoding and supporting the binding of elements into a coherent event memory.

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Objective: To assess whether the antiseizure medication levetiracetam may improve cognition in individuals with Alzheimer's disease who have not previously experienced a seizure.

Methods: We performed a randomized, double-blind, placebo-controlled crossover pilot study in individuals with mild-to-moderate Alzheimer's disease. Electroencephalography was performed at baseline and those with active epileptiform discharges were excluded.

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Article Synopsis
  • Cortical spreading depression (CSD) significantly impacts cerebral blood flow, and high-field fMRI can effectively measure these changes.
  • The study aimed to understand how visual stimulus-induced blood oxygen level-dependent (BOLD) responses are altered during spontaneous migraine aura attacks in six participants.
  • Findings revealed that auras with somatosensory symptoms showed bilateral BOLD response changes in the somatosensory cortex, indicating a complex relationship between aura manifestations and brain activity.
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Brain metabolic response to repetitive transcranial magnetic stimulation to lesion network in cervical dystonia.

Brain Stimul

December 2024

Turku Brain and Mind Center, Clinical Neurosciences, University of Turku, Turku, Finland; Neurocenter, Turku University Hospital, Turku, Finland; Turku PET Centre, Turku University Hospital, Turku, Finland; Department of Clinical Neurophysiology, University of Turku, Finland.

Article Synopsis
  • A previous study found a specific brain network linked to cervical dystonia (CD), pointing out its potential for treatment, especially with non-invasive techniques like repetitive transcranial magnetic stimulation (rTMS).
  • The study aimed to evaluate how stimulating the somatosensory cortex (S1) affects brain metabolism in CD patients versus healthy controls, using methods like [F]FDG-PET to measure changes.
  • Results showed that cTBS significantly increased metabolism in the S1 and brainstem of CD patients, suggesting abnormal sensory function in CD and supporting future therapeutic trials using this stimulation method.
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Multi-modal MRI for objective diagnosis and outcome prediction in depression.

Neuroimage Clin

November 2024

Department of Electrical Engineering, Eindhoven University of Technology, Groene Loper 19, 5612 AE Eindhoven, the Netherlands; Department of Research and Development, Epilepsy Centre Kempenhaeghe, Sterkselseweg 65, 5590 AB Heeze, the Netherlands.

Article Synopsis
  • The study examines the challenges in effectively treating major depressive disorder (MDD) due to subjective clinical assessments and a lack of reliable quantitative measures, proposing that MRI-derived objective biomarkers could enhance diagnosis and outcome predictions.
  • Researchers aim to develop multi-modal predictors using various MRI techniques from a combined dataset of MDD patients and healthy controls, tackling both diagnosis and treatment outcomes simultaneously.
  • Initial findings indicate that diffusion tensor imaging (DTI) features outperformed other MRI modalities for both diagnosing MDD and predicting treatment outcomes, suggesting a potential for improved clinical decision-making.
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  • The study aimed to identify new markers for narcolepsy type 1 (NT1) by analyzing different phases of the Multiple Sleep Latency Test (MSLT), focusing on sleep-wake instability and patterns during wakefulness.
  • Researchers extracted 163 features related to sleepiness and microsleep from 177 patients with NT1, NT2, and other hypersomnia types, using automated analysis methods.
  • Results showed that NT1 could be effectively distinguished from NT2, Idiopathic Hypersomnia, and Subjective Hypersomnia primarily using 'Lights On' features, indicating potential new markers for diagnosing and understanding NT1.
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Impact of background input on memory consolidation.

Sci Rep

October 2024

Department of Clinical Neurophysiology, University of Twente, Enschede, PO Box 217 7500AE, The Netherlands.

Article Synopsis
  • Memory consolidation is the process by which the hippocampus replays new information to transfer it to the neocortex for long-term storage, primarily during slow-wave sleep.
  • During this phase, low cholinergic tone and low external input are crucial, as high cholinergic tone can hinder this process by reducing network excitability.
  • Experiments using cortical neuronal networks showed that excessive background stimulation disrupts memory formation and consolidation, highlighting the importance of maintaining low background input for effective memory consolidation during slow-wave sleep.
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  • Methotrexate (MTX) is a common medicine for rheumatoid arthritis, but it may affect how well people’s immune systems respond to vaccines and infections.
  • In a study, researchers looked at how MTX treatment affected immune responses in patients who received a COVID-19 vaccine compared to healthy people and others not on MTX.
  • They found that while many immune cells were similar between patients and controls, those on MTX had fewer activated CD4 T cells, leading to slower antibody responses after vaccination.
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The cerebral blood flow, CBF, is an important clinical parameter in neuro-intensive care. The possibility to continuously monitor CBF, computed from referential ICP, rICP (calculated from measured intracranial pressure, ICP, and central venous pressure, CVP) and venous outflow resistance, Rv, could importantly improve patient care. For the CBF(1) method the pulsative part of CBF (with rICP increase due to vascular volume increase) gives the venous outflow resistance, Rv.

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Objective: Acute intermittent porphyria (AIP) is a rare metabolic disorder caused by haploinsufficiency of hepatic porphobilinogen deaminase (PBGD), the third enzyme of the heme biosynthesis. Individuals with AIP experience neurovisceral attacks closely associated with hepatic overproduction of potentially neurotoxic heme precursors.

Design: We replicated AIP in non-human primates (NHPs) through selective knockdown of the hepatic gene and evaluated the safety and therapeutic efficacy of human PBGD (hPBGD) mRNA rescue.

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Fragmented network bursts (NBs) are observed as a phenotypic driver in many patient-derived neuronal networks on multi-electrode arrays (MEAs), but the pathophysiological mechanisms underlying this phenomenon are unknown. Here, we used our previously developed biophysically detailed in silico model to investigate these mechanisms. Fragmentation of NBs in our model simulations occurred only when the level of short-term synaptic depression (STD) was enhanced, suggesting that STD is a key player.

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Background And Purpose: Most patients with isolated rapid eye movement sleep behaviour disorder (iRBD) progress to a parkinsonian alpha-synucleinopathy. However, time to phenoconversion shows great variation. The aim of this study was to investigate whether cholinergic and dopaminergic dysfunction in iRBD patients was associated with impending phenoconversion.

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Education Research: EEG Education in Child Neurology and Neurodevelopmental Disabilities Residencies: A Survey of US and Canadian Program Directors.

Neurol Educ

March 2024

From the Department of Neurology (R.K.), Louisiana State University Health Shreveport, LA; Department of Neurology (I.S.S.), Massachusetts General Hospital, Harvard Medical School, Boston, MA; Department of Neurology (A.H.), CHU Sainte-Justine, Universite de Montreal, Canada; Department of Neurology (C.B.A.), Boston Children's Hospital, Harvard Medical School, Boston, MA; Department of Neurology (E.C.W.), Mayo Clinic Rochester, MN; Department of Neurology (S.B.R.), Vanderbilt University Medical Center Nashville, TN; Department of Clinical Neurophysiology (S.B.), Danish Epilepsy Center, Dianalund and Aarhus University Hospital; Department of Clinical Medicine (S.B.), Aarhus University, Denmark; and Department of Neurology (F.A.N.), Washington University School of Medicine St. Louis, MO.

Background And Objectives: In the United States, many child neurologists (CNs) and neurodevelopmental disability (NDD) specialists who read EEGs in clinical practice had no additional EEG training other than what was received during residency. This practice highlights the importance of ensuring that CN/NDD residents achieve EEG competence before graduation. However, prior survey-based evidence showed that roughly a third of graduating CN residents in the United States do not feel confident interpreting EEGs independently.

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Education Research: Competency-Based EEG Education: An Online Routine EEG Examination for Adult and Child Neurology Residents.

Neurol Educ

December 2023

From the Division of Epilepsy (F.A.N.), Department of Neurology, Washington University School of Medicine, St. Louis, MO; Department of Neurology (F.A.N., S.V.Y.), Massachusetts General Hospital, Harvard Medical School, Boston; Department of Internal Medicine (H.G.), Wake Forest University School of Medicine, Winston-Salem, NC; Division of Epilepsy (R.K.), Department of Neurology, Louisiana State University Health Shreveport; Department of Neurology (R.M.), Emory University School of Medicine, Atlanta, GA; Department of Neurosurgery (S.R.), University Hospital Erlangen; Department of Neurosurgery (S.R.), University Hospital Halle (Saale), Germany; Department of Neurology (W.O.T.), Mayo Clinic, Jacksonville, FL; Department of Neurology (R.E.S.), Wake Forest University School of Medicine, Winston-Salem, NC; Department of Clinical Neurophysiology (S.B.), Danish Epilepsy Center, Dianalund and Aarhus University Hospital; and Department of Clinical Medicine (S.B.), Aarhus University, Denmark.

Background And Objectives: We recently published expert consensus-based curricular objectives for routine EEG (rEEG) interpretation for adult and child neurology residents. In this study, we used this curriculum framework to develop and validate an online, competency-based, formative and summative rEEG examination for neurology residents.

Methods: We developed an online rEEG examination consisting of a brief survey and 30 multiple-choice questions covering EEG learning objectives for neurology residents in 4 domains: normal, abnormal, normal variants, and artifacts.

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Introduction: Restless Legs Syndrome (RLS) is a neurological disorder characterized by an urge to move arms and legs, commonly combined with distress, pain and motor restlessness. It can cause fragmented sleep, daytime symptoms, and decreased quality of life. Pharmacological treatment can suppress symptoms, but not cure.

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Purpose: This pilot study tests the contribution of fluctuating lower motor neuron excitability to motor evoked potential (MEP) variability.

Methods: In six pediatric patients with idiopathic scoliosis and normal neurologic examination, cascades of 30 intraoperative H-reflexes (HRs) and MEPs were evoked in the soleus muscle using constant-current stimulators and recorded through surface electrodes with a 20-second interstimulus interval. First, HRs were obtained with an intensity capable of evoking the maximum response.

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Objective: Reproducibility is key for diagnostic tests involving subjective evaluation by experts. Our aim was to systematically review the reproducibility of visual analysis in clinical electroencephalogram (EEG). In this paper, we give data on the scope of EEG features found, and detailed reproducibility data for the most studied feature.

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Article Synopsis
  • This study evaluated the effectiveness, safety, and tolerability of a new subcutaneous EEG device (sqEEG) for monitoring epilepsy in patients with drug-resistant focal seizures.
  • In the first phase, the sqEEG was able to detect all seizures in patients when compared to traditional scalp EEG, though the semi-automated detection had varying success across patients.
  • In the outpatient phase, concordance between the two detection methods was high for some patients, but others showed discrepancies, and treatment adjustments were often ineffective, with only one patient experiencing a minor side effect (an infection).
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Central Aspects of Tinnitus: Advances in Mechanisms and Neuromodulation.

Brain Sci

August 2024

Department of Clinical Neurophysiology, Maastricht University Medical Center, 6229 HX Maastricht, The Netherlands.

Tinnitus is a complex neuro-otologic disorder with a significant global impact, affecting approximately 14% of adults, with 2% experiencing severe forms [...

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  • A new tool called the International RBD Severity Scale (IRBD-SSS) was developed to assess the severity of REM Sleep Behavior Disorder (RBD) symptoms in patients and their bedpartners at home.
  • The scale includes two versions (one for patients and one for bedpartners) that evaluate vocalizations, body movements, injury, and dream content.
  • Results showed strong acceptability and good psychometric properties for both versions, indicating that IRBD-SSS is effective for testing RBD severity in clinical settings.
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  • This systematic review examines how individuals with epilepsy (PWE), healthcare professionals (HP), and caregivers (CG) participate in the design of medical devices for epilepsy.
  • The review found a steady increase in publications related to user involvement in medical device development (MDD) from 1999 to 2023, with various tools aimed at seizure detection and prevention being the main focus.
  • It emphasizes the importance of user perspectives in MDD, noting that involvement mostly occurs in four out of five development stages, and calls for more effective engagement to improve device quality and patient outcomes.
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David Ferrier's "complex whole": Early traces of a "brain network" concept.

J Hist Neurosci

September 2024

Department of Neurology, Department of Clinical Neurophysiology and MEG Center, Amsterdam Neuroscience, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.

Currently, the idea that the brain is a complex network of interacting brain regions is hardly controversial. The rapid development of this field is often attributed to the emergence of powerful brain-imaging techniques and, around the millennium, the merging of the neuroscience of brain networks with modern mathematical graph theory. However, little is known about the historical roots of this concept.

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The incidence of sudden unexpected death in epilepsy (SUDEP) in the Republic of Ireland.

Seizure

November 2024

Health Research Board, Dublin 2, Ireland. Electronic address:

Background: The incidence of sudden unexpected death in epilepsy (SUDEP) in Ireland has previously been studied in only a small geographical area. Our aim was to calculate an incidence rate for the whole of the Republic of Ireland in 2019.

Methods: All deaths referred to the coroner in 2019 were examined.

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