125 results match your criteria: "Department of Neurology Mayo Clinic[Affiliation]"

Unlabelled: The newly proposed revised criteria for diagnosis and staging of Alzheimer's disease (AD) by the Alzheimer's Association (AA) Workgroup represent a significant milestone in the field. These criteria offer objective measures for diagnosing and staging biological AD, bridging the gap between research and clinical care. Although implementation feasibility may vary across regions and settings, improving the availability and accuracy of biomarkers, especially plasma biomarkers, is expected to enhance the applicability of these criteria in clinical practice.

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  • Physical activity (PA) in older adults is linked to improvements in gait speed and a reduced risk of falls, highlighting its importance for maintaining mobility.
  • A study followed over 4,000 individuals aged 50 and above for about four years, assessing their PA levels and various gait measures using advanced technology.
  • Results showed that higher PA, especially moderate-vigorous activity, correlated with better gait performance and significantly lowered fall risks over time.
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  • A new simplified method was developed to estimate total subarachnoid hemorrhage volume (SAHV) from noncontrast CT scans in patients with aneurysmal subarachnoid hemorrhage (SAH).
  • The study analyzed data from 277 patients and found that the new method provided comparable results to a traditional manual segmentation technique, with no significant differences in outcomes.
  • Higher volumes of SAHV were linked to worse clinical outcomes and an increased risk of delayed cerebral ischemia, specifically with volumes greater than 10 mL indicating a higher risk.
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Objective: To report the first steps of a project to automate and optimize scheduling of multidisciplinary consultations for patients with longstanding dizziness utilizing artificial intelligence.

Study Design: Retrospective case review.

Setting: Quaternary referral center.

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Introduction: Delay in diagnosis of posterior cortical atrophy (PCA) syndrome is common, and the lack of familiarity with assessment tools for identifying visual cortical dysfunction is a contributing factor. We propose recommendations for the approach to the evaluation of PCA clinical features during the office visit, the neuropsychological evaluation, and the research setting. A recommended screening battery for eye clinics is also proposed.

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Introduction: Age-related and Alzheimer's disease (AD) dementia-related neurodegeneration impact brain health. While morphometric measures from T1-weighted scans are established biomarkers, they may be less sensitive to earlier changes. Neurite orientation dispersion and density imaging (NODDI), offering biologically meaningful interpretation of tissue microstructure, may be an advanced brain health biomarker.

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Introduction: This ongoing, prospective study examines the effectiveness of methods used to successfully recruit and retain 238 Black older adults in a longitudinal, observational Alzheimer's disease (AD) study.

Methods: Recruitment strategies included traditional media, established research registries, speaking engagements, community events, and snowball sampling. Participants were asked to complete an annual office testing session, blood-based biomarker collection, optional one-time magnetic resonance imaging (MRI) scan, and community workshop.

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Background: Despite its approval for acute ischemic stroke >25 years ago, intravenous thrombolysis (IVT) remains underused, with inequities by age, sex, race, ethnicity, and geography. Little is known about IVT rates by insurance status.

Methods And Results: We assessed temporal trends from 2002 to 2015 in IVT for acute ischemic stroke in the Nationwide Inpatient Sample using adjusted, surveyweighted logistic regression.

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  • This study explores how social relationships in mid-life might lower the risk of developing dementia related to brain amyloid levels.
  • Participants from the ARIC study were evaluated for their social support and isolation, with brain amyloid assessed later using advanced imaging.
  • Results indicated that strong social connections in mid-life were linked to a reduced risk of dementia, even though they didn't change the effect of amyloid levels on dementia risk.
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  • - The study compared the effectiveness of Lumipulse plasma beta-amyloid (Aβ) 42/40 and pTau181 assays to detect abnormal amyloid-PET imaging in individuals with different cognitive states, using samples from 215 participants.
  • - Lumipulse and IP-MS Aβ42/40 assays had the best diagnostic accuracy (AUCs of 0.81 and 0.84), while the Simoa Aβ42/40 assay showed the lowest accuracy (AUC of 0.57); combining Aβ42/40 with pTau181 provided no significant performance improvements.
  • - Overall, Lumipulse Aβ42/40 and IP-MS performed similarly well in identifying abnormal amy
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Alzheimer's disease (AD) staging criteria lack standardized, empirical description. Well-defined AD staging criteria are an important consideration in protocol design, influencing a more standardized inclusion/exclusion criteria and defining what constitutes meaningful differentiation among the stages. However, many trials are being designed on the basis of biomarker features and the two need to be coordinated.

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  • The study evaluates the effectiveness of a one-week intensive outpatient program for treating functional movement disorder (FMD) at the Mayo Clinic, finding significant patient-reported improvements post-treatment.
  • A diverse group of 201 participants showed various FMD subtypes, with high rates of improvement observed in both self-reported outcomes and investigator assessments.
  • Key predictors of better treatment outcomes included thorough therapeutic screening, more non-motor symptoms, shorter FMD duration, and improvements noted prior to program entry.
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Data standardization in neurophysiology reaches a milestone.

Clin Neurophysiol

November 2023

Professor of Neurology, Associate Professor of Biomedical Engineering, Epilepsy Division, Department of Neurology Mayo Clinic, Rochester, MN, USA. Electronic address:

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Incidence and Outcome of Neurologic Immune-Related Adverse Events Associated With Immune Checkpoint Inhibitors in Patients With Melanoma.

Neurology

December 2023

From the Department of Biomedical Sciences (J.P.), Humanitas University, Milan, Italy; Ella Institute for Immuno-Oncology and Melanoma (R.S., G.B.-B., S.G., R.S.F., J.S., N.A.), Sheba Medical Center; Department of Neurology and Neurosurgery (R.S., G.B.-B., S.G., R.S.F., J.S., N.A., A.T., V.N., A.D.), Sackler Faculty of Medicine, Tel Aviv University; The Graduate School of Business Administration (R.R.-G.), Bar-Ilan University; Department of Neurology (A.T., V.N., A.D.), Sheba Medical Center, Ramat-Gan, Israel; Department of Neurology Mayo Clinic (S.S.), Rochester, MN; Department of Neurology (S.S.), Rambam Medical Center; and Rappaport Faculty of Medicine (S.S.), Technion-Israel Institute of Technology, Haifa, Israel.

Background And Objectives: Neurologic immune-related adverse events (n-irAEs) reportedly occur in up to 8% of patients treated with immune checkpoint inhibitors (ICIs) of all age groups. We investigated the association between age and n-irAEs in patients treated with ICIs and examined the effect of n-irAEs on survival outcomes in a large cohort of patients with melanoma.

Methods: We conducted a retrospective analysis of patients with advanced melanoma treated with ICIs at Ella Institute for Immuno-oncology and Melanoma between January 1, 2015, and April 20, 2022.

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Introduction: We examined associations between plasma-derived biomarkers of Alzheimer's disease (AD) and neuropsychiatric symptoms (NPS) in community-dwelling older adults.

Methods: Cross-sectional study involving 1005 persons ≥50 years of age (mean 74 years, 564 male, 118 cognitively impaired), who completed plasma-derived biomarker (amyloid beta 42 [Aβ42]/Aβ40, phosphorylated tau 181 [p-tau181], p-tau217, total tau [t-tau], neurofilament light [NfL]), and NPS assessment.

Results: P-tau181 (odds ratio [OR] 2.

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Background: Perry disease (or Perry syndrome [PS]) is a hereditary neurodegenerative disorder inevitably leading to death within few years from onset. All previous cases with pathological confirmation were caused by mutations within the cytoskeleton-associated protein glycine-rich (CAP-Gly) domain of the gene.

Objectives: This paper presents the first clinicopathological report of PS due to a novel mutation outside the CAP-Gly domain.

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Objectives: This study aims to analyze the impact of age and sex on botulinum neurotoxin (BoNT-A) dosing and outcomes in adductor spasmodic dysphonia (AdSD).

Methods: A database review of all spasmodic dysphonia patients treated with BoNT from 1989 to 2018 at the Mayo Clinic in Arizona was performed. Only patients who had received ≥4 injections of BoNT-A for AdSD were included.

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Introduction: Remote smartphone assessments of cognition, speech/language, and motor functioning in frontotemporal dementia (FTD) could enable decentralized clinical trials and improve access to research. We studied the feasibility and acceptability of remote smartphone data collection in FTD research using the ALLFTD Mobile App (ALLFTD-mApp).

Methods: A diagnostically mixed sample of 214 participants with FTD or from familial FTD kindreds (asymptomatic: CDR®+NACC-FTLD = 0 [ = 101]; prodromal: 0.

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It is well established that neurological and non-neurological autoimmune disorders can be triggered by viral infections. It remains unclear whether SARS-CoV-2 infection induces similar conditions and whether they show a distinctive phenotype. We retrospectively identified patients with acute inflammatory CNS conditions referred to our laboratory for antibody testing during the pandemic (March 1 to August 31, 2020).

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Introduction: Lumbar puncture (LP) to collect and examine cerebrospinal fluid (CSF) is an important option for the evaluation of Alzheimer's disease (AD) biomarkers but it is not routinely performed due to its invasiveness and link to adverse effects (AE).

Methods: We include all participants who received at least one LP in the Alzheimer's Disease Neuroimaging Initiative (ADNI) Study. For comparison between groups, two-sample -tests for continuous, and Pearson's chi-square test for categorical variables were performed.

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