459 results match your criteria: "Tehran University of Medical Sciences AND Iranian Center of Neurological Research[Affiliation]"

Migraine, a complex disorder, is characterized by recurrent headache episodes. The production of melatonin in the pineal gland, which is crucial for controlling circadian rhythms and sleep-wake cycles, is altered in various conditions, including neurological disorders such as migraine. Recent studies underscore the significance of serum melatonin levels in patients with chronic and episodic migraine, the focus of this study.

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Background: Patients who have Parkinson's disease (PD) present several non-motor issues, such as sexual dysfunction. Deep brain stimulation (DBS) is a great treatment for PD and could affect both motor and non-motor symptoms of patients.

Aim: The main goal of the current study is to evaluate the impact of DBS on the sexual dysfunction among patients with PD.

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From Multiple Sclerosis to Organ-Specific Autoimmune Disorders: Insights into the Molecular and Clinical Implications of Comorbidity.

Mol Neurobiol

September 2024

Hematology, Oncology and Stem Cell Transplantation Research Center, Research Institute for Oncology, Hematology and Cell Therapy, Tehran University of Medical Sciences, Tehran, Iran.

Multiple sclerosis (MS) is a complex autoimmune disorder that affects the central nervous system. Although the pathological mechanisms of MS have been extensively studied, its association with other autoimmune diseases, known as comorbidities, remains unclear. In this comprehensive review article, we aim to clarify the cellular and molecular relationship between MS and the incidence of organ-specific autoimmune comorbidities by summarizing former studies.

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Background: Deep Brain Stimulation (DBS) is FDA-approved for several movement disorders; such as Parkinson's disease, dystonia, and neuropsychiatric disorders. There are various reports of Body mass index (BMI) changes following different DBS targets in various disorders.

Aim: A comprehensive systematic review and meta-analysis were conducted to investigate the impact of DBS on patients' Body Mass Index (BMI) and provide an in-depth overview of its underlying mechanisms.

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Purpose: Neuromyelitis optica spectrum disorder (NMOSD) and myelin oligodendrocyte glycoprotein antibody disease (MOGAD) are immune-mediated disorders that can often manifest with optic neuritis (ON) among other symptoms. Optical coherence tomography angiography (OCTA) is an emerging diagnostic method that can quantify retinal capillary blood flow and vessel density (VD), which have been shown to be affected in NMOSD and MOGAD. Hence, we aimed to systematically review the studies addressing retinal microvasculature using OCTA in these diseases.

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Article Synopsis
  • Migraine affects 10% of the global population and is a major cause of disability, with myofascial trigger points (MTrPs) linked to both migraines and psychological issues like anxiety and depression.
  • A study with 68 migraine patients aimed to explore the relationship between MTrPs, migraine-related disability, anxiety, and depression by utilizing standard scales for assessments.
  • Results revealed a positive correlation between the number of MTrPs and headache severity, and patients with higher anxiety levels had more MTrPs, suggesting that addressing both physical and mental health issues could lead to better migraine treatment approaches.
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Article Synopsis
  • The study explores the effect of rituximab on cognitive impairment in relapsing-remitting multiple sclerosis (RRMS) patients, as there are no approved medications specifically for this issue.
  • In a year-long trial involving 28 RRMS patients, cognitive assessments were conducted at baseline, six months, and twelve months after treatment, using various tests including the MACFIMS and Beck Depression Inventory.
  • Results showed significant improvements in certain cognitive functions, particularly in verbal learning and memory, but did not note significant changes in other cognitive tests, suggesting that rituximab can prevent cognitive decline but further research is needed for more conclusive results.
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Association of new onset seizure and COVID-19 vaccines and long-term follow-up: A systematic review and meta-analysis.

Epilepsia

October 2024

Departments of Neurology, Epidemiology, and Neurosurgery and the Gertrude H. Sergievsky Center, Columbia University, New York, New York, USA.

Article Synopsis
  • Seizures have been observed as a potential side effect of COVID-19 vaccines, but existing studies show no solid evidence indicating an increased risk compared to the general population.
  • A systematic review analyzed data from various databases, including PubMed and Cochrane Library, to compare seizure occurrences in vaccinated individuals versus unvaccinated controls, employing rigorous research standards.
  • The findings revealed no significant difference in the incidence of new seizures between COVID-19 vaccine recipients and unvaccinated individuals, suggesting that vaccination does not elevate the risk of seizures.
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Article Synopsis
  • The study investigated the safety, efficacy, and immune response to the Sinopharm BBIBP-CorV vaccine in people with multiple sclerosis (PwMS) receiving various disease-modifying therapies (DMTs).
  • Out of 261 screened PwMS, 209 were included, showing 66% experienced non-serious adverse events, while only 4.8% had post-vaccination MS activity, and 14.8% had breakthrough COVID-19 infections.
  • Findings revealed that those on fingolimod and anti-CD20 therapies had significantly lower odds of developing specific antibody responses, indicating that these treatments might affect vaccine immunogenicity.
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Article Synopsis
  • * A committee of headache experts identified clinical questions and reviewed twenty-one national and international guidelines to develop these recommendations.
  • * The guidelines outline seventeen questions related to acute migraine treatment, aiming to enhance treatment quality globally, especially in areas with limited medication access.
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Targeting Caspases 3/6 and Cathepsins L/B May Decrease Laminopathy-Induced Apoptosis in Alzheimer's Disease.

J Alzheimers Dis

August 2024

Department of Photodynamic Therapy, Medical Laser Research Center, Academic Center for Education, Culture, and Research (ACECR), Tehran, Iran.

Background: Laminopathy is a pathological manifestation observed in Alzheimer's disease (AD), leading to neuronal apoptosis.

Objective: Our objective was to assess inhibitors of enzymes involved in laminopathy.

Methods: The mRNA expression of the cathepsins L and B, caspases 3 and 6, lamins b1 and b2, granzymes A and B, and lamins A and C were extracted and analyzed from GSE5281 and GSE28146 datasets.

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Background: This study evaluates the cost-effectiveness of adding ocrelizumab to supportive care for primary progressive multiple sclerosis (PPMS) in Iran.

Research Design And Methods: Using a lifetime horizon from the payer's perspective, we developed a decision analytic model with Expanded Disability Status Scales (EDSS) as Markov health states while taking transition probabilities and treatment effects into account. Data were sourced from clinical trials and other literature.

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Introduction: Chronic low back pain (CLBP) is a global burden with an unknown etiology. Reorganization of the cortical representation of paraspinal muscles in the primary motor cortex (M1) may be related to the pathology. Single-pulse transcranial magnetic stimulation (TMS), commonly used to map the functional organization of M1, is not potent enough to stimulate the cortical maps of paraspinal muscles in M1 in CLBP patients with reduced corticospinal excitability (CSE) with intensities even as high as maximum stimulator output (100% MSO).

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This research paper introduces an efficient approach for the segmentation of active and inactive plaques within Fluid-attenuated inversion recovery (FLAIR) images, employing a convolutional neural network (CNN) model known as DeepLabV3Plus SE with the EfficientNetB0 backbone in Multiple sclerosis (MS), and demonstrates its superior performance compared to other CNN architectures. The study encompasses various critical components, including dataset pre-processing techniques, the utilization of the Squeeze and Excitation Network (SE-Block), and the atrous spatial separable pyramid Block to enhance segmentation capabilities. Detailed descriptions of pre-processing procedures, such as removing the cranial bone segment, image resizing, and normalization, are provided.

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Article Synopsis
  • Nuclear pore complexes (NPCs) are critical for transporting materials in and out of the nucleus, and their assembly relies on a transmembrane protein called NDC1, which is essential for recruiting another protein, ALADIN, to the nuclear envelope.
  • Biallelic mutations in the NDC1 gene have been identified in individuals with a triple A-like syndrome (excluding adrenal insufficiency), characterized by symptoms such as intellectual disability, motor impairment, and demyelinating polyneuropathy, which are similar to those seen in triple A syndrome caused by ALADIN mutations.
  • Research indicates that these mutations hinder the proper function of NDC1, affecting its ability to recruit ALADIN, thereby leading to the observed neurological symptoms and
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Background: The rising prevalence of familial multiple sclerosis (MS) in Iran has spurred interest in the potential impact of parental consanguinity on the risk of developing the disease. This study aims to aggregate current knowledge on parental consanguinity and its possible effect on MS risk, particularly among familial MS patients from various regions and ethnicities in Iran. The objective is to enhance the understanding of MS genetics and encourage further research in this field.

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The hidden link: How oral and respiratory microbiomes affect multiple sclerosis.

Mult Scler Relat Disord

August 2024

Multiple Sclerosis Research Center, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, Iran. Electronic address:

Background: Extensive research has explored the role of gut microbiota in multiple sclerosis (MS). However, the impact of microbial communities in the oral cavity and respiratory tract on MS is an emerging area of investigation.

Purpose: We aimed to review the current literature related to the nasal, oral, and lung microbiota in people with MS (PwMS).

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Glycogen storage diseases (GSDs) are a group of metabolic disorders affecting glycogen metabolism, with polyglucosan body myopathy type 1 (PGBM1) being a rare variant linked to RBCK1 gene mutations. Understanding the clinical diversity of PGBM1 aids in better characterization of the disease. Two unrelated Iranian families with individuals exhibiting progressive muscle weakness underwent clinical evaluations, genetic analysis using whole exome sequencing (WES), and histopathological examinations of muscle biopsies.

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Expanding the Clinical Phenotype of PLECTIN-Related Plectinopathies.

Iran J Public Health

May 2024

Department of Medical Genetics, Next Generation Genetic Polyclinic, Mashhad, Iran.

Background: Plectinopathy-associated disorders are caused by mutations in the gene encoding Plectin protein. mutations cause a spectrum of diseases defined by varying degrees of signs, mostly with epidermolysis bullosa simplex with muscular dystrophy (EBS-MD) and plectinopathy-related disorder is limb-girdle muscular dystrophy type 2Q (LGMD2Q). Here we report three cases with EBS-MD and LGMD2Q disorders analyzed by exome sequencing followed by mutation confirmation.

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Key Clinical Message: The co-occurrence of myasthenia gravis (MG) and lichen planus (LP) is a rare phenomenon, with only 13 cases reported in the English literature between 1971 and 2024. Patients with MG or LP, regardless of the thymoma status, require close monitoring for other autoimmune diseases.

Abstract: Myasthenia gravis (MG) is an uncommon autoimmune disease, resulting in fatigable muscle weakness in the ocular, bulbar, and respiratory muscles, as well as muscles of the extremities.

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The Ketogenic Diet (KD) is a dietary regimen that is low in carbohydrates, high in fats, and contains adequate protein. It is designed to mimic the metabolic state of fasting. This diet triggers the production of ketone bodies through a process known as ketosis.

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A substantial portion of schizophrenia spectrum disorder (SSD) patients exhibit resistance to antipsychotic treatments, emphasizing the need for reliable treatment response biomarkers. Previous magnetic resonance imaging (MRI) studies have identified various imaging predictors in SSD. This study focuses on evaluating the effectiveness of diffusion MRI sequences, diffusion tensor imaging (DTI) and diffusion-weighted imaging (DWI), in predicting antipsychotic response in SSD patients.

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