1,417 results match your criteria: "National Institute of neurology[Affiliation]"

Introduction: Hereditary multiple exostosis or hereditary multiple osteochondromas is a very rare clinical condition. Usually, these lesions tend to occur in the pediatric population, remaining silent until adulthood. Moreover, current studies show a small prevalence in the male population.

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Introduction: Pituitary apoplexy (PA) is a rare neuroendocrinological emergency. The SARS-CoV-2 pandemic recommendations led to a shift in the management of patients with pituitary diseases, especially in the decision-making between conservative and surgical treatment of patients with PA.

Objective: This study aimed to describe the conservative and surgical treatment and the clinical, visual, and endocrinological outcomes in patients with PA at the Pituitary Center of Excellence (PTCEO) during the SARS-CoV-2 pandemic and within three years.

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Monotherapy is the recommended initial treatment for early Parkinson's disease. The pharmacological options for initial treatment include dopaminergic agonists, monoamine oxidase B inhibitors, and levodopa formulations. Several factors should be considered when selecting the optimal treatment, such as disease severity, disease duration, age, activity level, and the risk of developing motor and non-motor complications.

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Impact of Cognitive Intervention on Neurocognitive Development of Schoolchildren Exposed to Lead in a Semi-Urban Community in Mexico.

J Public Health Manag Pract

July 2024

Author Affiliations: National Institute of Public Health, Environmental Health Department, Cuernavaca, Morelos, Mexico (Dr Cortez-Lugo); Universidad Mayor de San Andrés, Bolivian Institute of High-Altitude Biology, La Paz, Bolivia (Ms Huanca-Laura); Environmental Health Department, National Institute of Public Health, Cuernavaca, Morelos, Mexico (Dr Hernández-Bonilla and Ms Alamo-Hernández); Universidad Autónoma de Tamaulipas, Unidad Académica Multidisciplinaria Reynosa-Aztlán, Reynosa, Tamaulipas, Mexico (Dr Montes); National Institute of Public Health, Center for Research in Evaluation and Surveys, Cuernavaca, Morelos, Mexico (Ms García-Feregrino); National Institute of Public Health, Environmental Health Department, Cuernavaca, Morelos, Mexico (Ms Velázquez); and National Institute of Neurology and Neurosurgery, Neurochemistry Department, Tlalpan, Ciudad de México, Mexico (Dr Tristán-López).

Unlabelled: Lead exposure is a severe public health issue that can adversely affect children's neurocognitive development. A semi-urban community in Mexico has been exposed to lead from food cooked in glazed clay pots. A cognitive intervention was conducted from 2015 to 2016 to minimize this negative impact.

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 Transsylvian approach is one of the main approaches for a variety of vascular, tumor, and skull-base lesions. Sylvian fissure harbors a lot of critical structures including the middle cerebral artery and many venous structures. If not done properly, the transsylvian approach could cause several complications.

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Article Synopsis
  • Early treatment of intracranial lesions is crucial but challenging to differentiate, as each type requires different treatment strategies; Cerebral computed tomography perfusion (CTP) imaging is effective in visualizing and quantifying brain lesions' vascularity.
  • This study evaluated the effectiveness of Hounsfield units (HU) and CTP in distinguishing various intracranial space-occupying lesions over a five-year period, involving 244 patients with conditions including glioblastomas, primary central nervous system lymphoma, metastases, and abscesses.
  • Results indicated that combining rCBV and HU measurements enhances diagnostic accuracy for differentiating lesions, and the simplicity and availability of CTP make it a valuable tool for diagnosing and managing brain tumors.
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LRBA is a cytoplasmic protein that is ubiquitously distributed. Almost all LRBA domains have a scaffolding function. In 2012, it was reported that homozygous variants in LRBA are associated with early-onset hypogammaglobulinemia.

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Multitargeted polypharmacotherapy for cancer treatment. theoretical concepts and proposals.

Expert Rev Anticancer Ther

August 2024

Departamento de Cuidados Paliativos, Division de Cirugia, Instituto Nacional de Cancerologia, Mexico City, Mexico.

Introduction: The pharmacological treatment of cancer has evolved from cytotoxic to molecular targeted therapy. The median survival gains of 124 drugs approved by the FDA from 2003 to 2021 is 2.8 months.

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Alterations in the composition of the gut microbiota may be causally associated with several brain diseases. Indole-3-propionic acid (IPrA) is a tryptophan-derived metabolite, which is produced by intestinal commensal microbes, rapidly enters the circulation, and crosses the blood-brain barrier. IPrA has neuroprotective properties, which have been attributed to its antioxidant and bioenergetic effects.

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Intracranial "kissing" aneurysms are rare vascular conditions described as two anatomically adjacent aneurysms originating from either the same or different arteries, with their walls pressed together. Two-dimensional angiography was formerly considered the gold standard for diagnosis, with the three-dimensional rotational type now offering more insightful details about vascular discrepancies. The treatment of anterior communicating artery (AcoA) "kissing" aneurysms poses significant challenges, with surgical clipping proving difficult due to their deep midline location or the bilateral anterograde arterial supply.

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Metronidazole (MTZ) is the most common drug used against () infections; however, treatment failures and high rates of recurrence of trichomoniasis have been reported, suggesting the presence of resistance in to MTZ. Therefore, research into new therapeutic options against infections has become increasingly urgent. This study investigated the trichomonacidal activity of a series of five imidazole carbamate compounds (AGR-1, AGR-2, AGR-3, AGR-4, and AGR-5) through in vitro susceptibility assays to determine the IC value of each compound.

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This retrospective mono-center study focuses on 144 cases of glioblastoma treated over a time span of 12 years in our clinic in Romania. We offer critical insight into the dreadful aspect of this tumor by highlighting the principal characteristics such as localization, the genetic information of each case, progression-free survival (PFS), and overall survival (OS). A tenth of our patients underwent a second surgical procedure, providing a comparable OS to the other part of our study group, proving that surgical treatment as salvage therapy is a viable option.

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The vein of Rolando, also known as the central sulcal vein, is a critical superficial cerebral vein located in the central sulcus, playing a pivotal role in the venous drainage of the motor and sensory cortices. Named after the Italian anatomist Luigi Rolando, this vein serves as a crucial anatomical landmark in neurosurgery, guiding surgeons to approach critical brain structures with minimal damage. This article explores the anatomy and clinical significance of the vein of Rolando, emphasizing its role in neurosurgery and neuroimaging.

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Several studies indicate that some cognitive changes occur after COVID-19. Visuospatial alterations have been reported in 24-40 %. These alterations may be useful as early biomarkers of neurodegenerative disease.

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Introduction: Carotid cavernous fistulas are uncommon vascular abnormalities marked by anomalous connections between the carotid artery and the cavernous sinus. The authors present a case of a direct carotid cavernous fistula and its successful treatment in a 42-year-old female.

Case Presentation: A 42-year-old female presented with right eye painful swelling and visual disturbance.

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Article Synopsis
  • * Results indicate that individuals with over 70% Native American or African American ancestry tend to have worse SDoH indicators, like lower education and socioeconomic status.
  • * Importantly, after accounting for SDoH factors, genetic ancestry did not significantly influence dementia risk or cognitive performance, highlighting the greater importance of social and environmental factors in these communities.
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Article Synopsis
  • * It emphasizes the complexities in deciding how to treat these conditions, such as whether to address the IAs or BAVMs first and what the best treatment strategies are, often requiring careful assessment of the rupture site.
  • * The case of a 29-year-old male with multiple vascular issues, including a ruptured aneurysm linked to a BAVM, illustrates the clinical challenges faced and the necessity of personalized treatment plans for patients.
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Levosimendan is a medication with a range of pharmacological effects, making it appropriate for use in several clinical settings, including advanced heart failure with pulmonary hypertension, cardiogenic shock, and acute heart failure. This case report details the perioperative management of a male in their 40s with a complex medical history, including primary hypoparathyroidism, cirrhosis, and severe pulmonary hypertension, who underwent urgent cadaveric donor liver transplantation. Information available on the perioperative use of levosimendan is still insufficient to be able to regulate behaviors that can guide its management on a regular basis.

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Anticipating Tomorrow: Tailoring Parkinson's Symptomatic Therapy Using Predictors of Outcome.

Mov Disord Clin Pract

August 2024

Edmond J. Safra Program in Parkinson's Disease and the Morton and Gloria Shulman Movement Disorders Clinic, Toronto Western Hospital, University Health Network, Toronto, Ontario, Canada.

Article Synopsis
  • Researchers are looking for better ways to treat people with Parkinson's disease by using their specific symptoms and risks to choose treatments.
  • Experts from a group called the Movement Disorders Society made 19 recommendations on how to customize treatment based on individual patient characteristics.
  • These recommendations help doctors consider future challenges, like memory problems, and how to prevent worsening symptoms, but they are not strict rules and can be changed for each patient.
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Peri-ictal psychiatric manifestations in people with epilepsy: An umbrella review.

Epilepsia Open

August 2024

Epilepsy Program and Neuroepidemiology Unit, Department of Clinical Neurological Sciences, Schulich School of Medicine, Western University, London, Ontario, Canada.

Objective: We aimed to conduct an umbrella review to summarize the existing evidence regarding the prevalence of peri-ictal psychiatric manifestations (PM) in people with epilepsy (PWE) including pre-ictal, ictal, and postictal stages.

Methods: Databases were searched up to June 2023 for systematic reviews (SR) of observational studies that included patients with epilepsy peri-ictal PM. Data selection, data extraction, and risk of bias assessment (with the AMSTAR-2 instrument) were performed by two independent reviewers.

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Corpus callosotomy is a therapeutic approach for drug-resistant epilepsy, with positive outcomes observed in managing atonic seizures. Despite a decline in its usage, radiosurgical callosotomy remains a viable option for drug-resistant epilepsy due to its low risks of post-radiation neoplasia, albeit not with exceptions. Brain radionecrosis is characterized by tissue death and vascular endothelial damage following the procedure.

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We report an epileptic patient who experienced hallucinatory visual experiences of autobiographical memories from her past. These visual experiences were confined to the lower left quadrant of her visual field. We carried out a single-case study that used brain-imaging, EEG and behavioural methods to study this patient.

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Globally, there is growing concern over the presence of lead (Pb) in foods because it is a heavy metal with several toxic effects on human health. However, monitoring studies have not been conducted in Mexico. In this study, we estimated the concentrations of Pb in the most consumed foods and identified those that exceeded the maximum limits (MLs) for Pb in foods established by the International Standards.

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