Clinical Neurology and Neurosurgery最新文献

{"title":"Clinical outcomes of percutaneous treatments for trigeminal neuralgia in multiple sclerosis: A reassessment of insights and concerns.","authors":"Hung Youl Seok","doi":"10.1016/j.clineuro.2025.108780","DOIUrl":"https://doi.org/10.1016/j.clineuro.2025.108780","url":null,"abstract":"","PeriodicalId":10385,"journal":{"name":"Clinical Neurology and Neurosurgery","volume":"249 ","pages":"108780"},"PeriodicalIF":1.8,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143432409","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Letter to Editor: Socioeconomic influences on stroke outcomes: A comprehensive zip code-based hospital analysis.","authors":"Alireza Karandish, Muhammed Amir Essibayi, Deepak Khatri, Neil Haranhalli, David J Altschul","doi":"10.1016/j.clineuro.2025.108784","DOIUrl":"https://doi.org/10.1016/j.clineuro.2025.108784","url":null,"abstract":"","PeriodicalId":10385,"journal":{"name":"Clinical Neurology and Neurosurgery","volume":"249 ","pages":"108784"},"PeriodicalIF":1.8,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143432413","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Unilateral biportal endoscopic discectomy for lumbar disc herniation: Learning curve analysis with CUSUM analysis and clinical outcomes","authors":"Oğuz Kağan Demirtaş ,&nbsp;Mehmet İlker Özer","doi":"10.1016/j.clineuro.2025.108755","DOIUrl":"10.1016/j.clineuro.2025.108755","url":null,"abstract":"<div><h3>Background</h3><div>The evolution of spinal surgery has significantly benefited from advances in medical technology. From the introduction of the microscope to spinal surgery by Gazi Yaşargil in 1967 to Kambin's fully endoscopic series in the late 20th century, minimally invasive techniques have continually evolved. One of the latest developments, Unilateral Biportal Endoscopy (UBE), has gained popularity due to its effectiveness and the use of standard arthroscopic instruments, facilitating anatomical orientation for surgeons familiar with microsurgery. Despite its advantages, UBE presents challenges during the learning phase, necessitating a thorough understanding of its learning curve. This study aims to evaluate the learning curve of unilateral biportal endoscopic (UBE) discectomy for the treatment of lumbar disc herniation using CUSUM and risk-adjusted CUSUM (RA-CUSUM) analyses and to share the challenges encountered in the learning process and clinical outcomes.</div></div><div><h3>Method</h3><div>This retrospective study is based on data from patients treated between March 2022 and March 2023. The study included patients with lumbar disc herniation treated via UBE, excluding those with other spinal conditions or previous endoscopic fusions. Data collected included demographics, surgical details, and clinical outcomes, such as VAS, ODI scores, complication rate, recurrence rate, and MacNab criteria.</div></div><div><h3>Results</h3><div>117 patients (126 levels) were included, with a mean age of 46.02 years and a male predominance (62 %). The mean operation time was 77.93 minutes, with significant postoperative improvements in VAS and ODI scores. The overall complication rate was 10.3 %, with a recurrence rate of 5.1 %. CUSUM analysis indicated that the learning curve for UBE was completed after 43 cases, while RA-CUSUM suggested proficiency after 23 cases.</div></div><div><h3>Conclusion</h3><div>UBE discectomy is an effective minimally invasive technique with a learning curve. Using CUSUM and RA-CUSUM analyses, our study provides insights into the learning process and highlights the need for gradual case selection and surgical considerations to achieve proficiency. This technique is considered a promising alternative for surgeons looking to expand their spinal surgery spectrum.</div></div>","PeriodicalId":10385,"journal":{"name":"Clinical Neurology and Neurosurgery","volume":"249 ","pages":"Article 108755"},"PeriodicalIF":1.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143180749","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ictal SPECT success rate using a single SPECT session protocol","authors":"Zheng-Yang Lee ,&nbsp;Kheng-Seang Lim ,&nbsp;Si-Lei Fong ,&nbsp;Kartini Rahmat ,&nbsp;Khine Yee Mon ,&nbsp;Chong-Tin Tan","doi":"10.1016/j.clineuro.2025.108766","DOIUrl":"10.1016/j.clineuro.2025.108766","url":null,"abstract":"<div><h3>Introduction</h3><div>Ictal single-photon emission computed tomography (SPECT) provides additional information on the localisation of the epileptogenic zone. However, ictal SPECT is labour-intensive and expensive. We have developed a more affordable protocol with a single SPECT radiotracer session during a 48-hour video-EEG monitoring (VEM). This study aimed to determine the success rate of ictal SPECT with a single SPECT session (HMPAO or ECD).</div></div><div><h3>Methods</h3><div>This retrospective observational study included all VEM cases performed in the University Malaya Medical Centre, Kuala Lumpur, Malaysia from 1st January 2011 to 30th April 2024, with SPECT as part of the pre-surgical evaluation.</div></div><div><h3>Results</h3><div>A total of 189 cases were included. The mean age was 33.3 years old (range 9–68), and 105 (55.6 %) were male. The mean baseline seizure frequency before VEM was 21.8 per month. The mean number of seizures recorded during a 48-hour VEM was 10.9. A total of 44 (23.3 %) patients had ictal SPECT with a single SPECT session. Ictal SPECT was significantly associated with a higher number of seizures during 48-hour VEM (31.5 ± 58.7 vs 4.4 ± 6.3, <em>p</em> &lt; 0.001) and younger age (29.9 ± 11.8 vs 34.2 ± 11.9, <em>p</em> &lt; 0.05). On multivariate analysis, only the number of seizures during 48-hour VEM was a significant predictor for ictal SPECT (95 % CI, 1.03–1.12; odds ratio, 1.073; <em>p</em> = 0.002). Those with at least three seizures during VEM had a ≥ 30 % chance of having ictal SPECT and ≥ 40 % in those with six or more seizures.</div></div><div><h3>Conclusion</h3><div>A single SPECT session on day 3 of VEM can be a cost-effective option, particularly in those patients with multiple seizures in the first 48 hours of monitoring following a fast medication taper.</div></div>","PeriodicalId":10385,"journal":{"name":"Clinical Neurology and Neurosurgery","volume":"249 ","pages":"Article 108766"},"PeriodicalIF":1.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143182248","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association between vestibular evoked myogenic potentials and different dizziness status in Parkinson's disease: A controlled study","authors":"Xingyue Li ,&nbsp;Xiaoyan Du ,&nbsp;Rui Zhao ,&nbsp;Hongheng Du ,&nbsp;Libo Zhao","doi":"10.1016/j.clineuro.2024.108711","DOIUrl":"10.1016/j.clineuro.2024.108711","url":null,"abstract":"<div><h3>Objective</h3><div>This study compared ocular and cervical vestibular evoked myogenic potentials (oVEMP and cVEMP) among individuals with Parkinson's disease (PD) without dizziness, with nonspecific dizziness (dizziness without orthostatic hypotension), or with dizziness combined with orthostatic hypotension.</div></div><div><h3>Materials and methods</h3><div>We prospectively analyzed 30 of each of the three types of individuals who were admitted to Yongchuan Hospital of Chongqing Medical University (Chongqing, China) between June 2022 and April 2023. The three groups received oVEMP and cVEMP measurements using an electromyography-evoked potential system. For oVEMP, the N10 latency, P16 latency, and amplitude were compared between the three groups and the reference values. For cVEMP, the P13 latency, N23 latency, and amplitude were compared between the three groups and the reference values. Overall characteristics of oVEMP and cVEMP were also assessed using a previously published scoring scale originally developed for individuals with multiple sclerosis between the three groups included. The correlation between VEMP parameters (the latency and amplitude) and VEMP scores were simultaneously analyzed using Pearson’s bivariate correlation analysis.</div></div><div><h3>Results</h3><div>When compared with reference values, the oVEMP and cVEMP parameters of all three groups were found to be slightly different from the reference values. When the three groups included were compared with each other, in terms of oVEMP, the average amplitude in the left eye was significantly higher in those with nonspecific dizziness than in the other two groups. In terms of cVEMP, the average N23 latency on both the right and left sides of the neck and average amplitude on the right side of the neck were significantly higher in those with nonspecific dizziness than in the other two groups. Scores for oVEMP and cVEMP were also significantly higher for those with nonspecific dizziness than for the other two groups. There were no significant differences in oVEMP and cVEMP parameters, and scores for oVEMP and cVEMP between patients with dizziness combined with orthostatic hypotension and those without dizziness. In terms of correlation analysis, the N23 latency of left neck (r = 0.509, <em>p</em> &lt; 0.001), the N23 latency of right neck (r = 0.495, <em>p</em> &lt; 0.001), and the amplitude of right neck (r = 0.304, p = 0.004) correlated positively with cVEMP score.</div></div><div><h3>Conclusions</h3><div>Patients with PD without dizziness, with dizziness attributable to orthostatic hypotension, and with nonspecific dizziness may be all associated with vestibular dysfunction. The VEMP scores were highest in patients with nonspecific dizziness, so vestibular function is more severely affected in patients with nonspecific dizziness. The VEMP especially cVEMP may be useful for early diagnosis of nonspecific dizziness in PD.</div></div>","PeriodicalId":10385,"journal":{"name":"Clinical Neurology and Neurosurgery","volume":"249 ","pages":"Article 108711"},"PeriodicalIF":1.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142892733","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Preexisting opioid daily MME and use duration within a national cohort of lumbar spine surgery patients on quality outcomes","authors":"Joseph Tingen ,&nbsp;Helen Karimi ,&nbsp;Emma Hartman ,&nbsp;Hiba Hamid ,&nbsp;Kayla Etienne ,&nbsp;Jainith Patel ,&nbsp;Alice Tang ,&nbsp;Ron I. Riesenburger ,&nbsp;James Kryzanski","doi":"10.1016/j.clineuro.2025.108732","DOIUrl":"10.1016/j.clineuro.2025.108732","url":null,"abstract":"<div><h3>Objective</h3><div>Pain management surrounding lumbar spine surgery is a complex topic. Though some authors suggest that preoperative opioid use is a negative prognostic factor, its association with patient-reported outcomes and satisfaction after surgery remains controversial. We aimed to uncover the effect of preoperative opioid use on long-term outcomes using a national sample.</div></div><div><h3>Methods</h3><div>Using deidentified data from the lumbar spine surgery Quality Outcomes Database, we compared functional outcomes and satisfaction in 34,934 patients based on presence of preoperative opioid use. Outcomes included Visual Analogue Scale (VAS), Oswestry Disability Index (ODI), and satisfaction indices. Regression subanalysis illustrated the effect of preoperative opioid duration and daily MME.</div></div><div><h3>Results</h3><div>44.1 % used opioids preoperatively. A greater percentage of patients using opioids underwent surgery with instrumentation (p &lt; .005). They exhibited clinically comparable improvement in VAS, ODI, and satisfaction at 3- (p = .069, p &lt; .005, p &lt; .005, respectively) and 12-months (p &lt; .05). Return to work was lower at 3- (74.32 % vs. 80.82 %, p &lt; .005) and 12-months (48.99 % vs. 62.95 %, p &lt; .005). They maintained low postoperative use although greater than opioid naïve patients at 3- (3.1 % vs. 1.2 %, p &lt; .005) and 12-months (3.6 % vs. 0.8 %, p &lt; .005). Preoperative daily MME had no significant effect on outcomes, although increasing duration negatively impacted VAS and ODI scores.</div></div><div><h3>Conclusions</h3><div>Preoperative opioid use by itself should not be used in surgical decision making but rather an individual risk assessment according to chronicity of opioid burden. Longer duration of use appears to impair postoperative improvement but not satisfaction with little influence by daily MME; however, larger, granular analyses remain necessary.</div></div>","PeriodicalId":10385,"journal":{"name":"Clinical Neurology and Neurosurgery","volume":"249 ","pages":"Article 108732"},"PeriodicalIF":1.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142969892","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Characteristics and therapeutic profile of the patients with upper cervical spinal cord ependymoma from the medulla oblongata to C4: A cohort of 108 cases","authors":"Haiyue Lin ,&nbsp;Xing-Yu Chen ,&nbsp;Shixin Gu ,&nbsp;Xiaodong Liu ,&nbsp;Wentao Gu ,&nbsp;Xiaoming Che ,&nbsp;Jianlan Zhao ,&nbsp;Rong Xie","doi":"10.1016/j.clineuro.2025.108758","DOIUrl":"10.1016/j.clineuro.2025.108758","url":null,"abstract":"<div><h3>Background</h3><div>Upper cervical spinal ependymomas (uCSE) is routinely identified as intramedullary ependymomas located from the oblongata medulla to C4 level. Our study aimed to report the outcomes and treatment profiles of uCSE from our cohort of uCSE patients.</div></div><div><h3>Methods</h3><div>This retrospective observational study included 108 patients with upper cervical spinal ependymomas (uCSE) who underwent surgery at Huashan Hospital from 2008 to 2022. Demographic and clinical data were collected to identify risk factors may associated with post-operative spinal cord function, quality of life and respiratory function.</div></div><div><h3>Results</h3><div>The mean age of included patients was 44.30 ± 12.71 years old. The most common uCSE was ependymoma (103 of 108, 95.37 %), followed by subependymoma (3 of 108, 2.78 %) and anaplastic Ependymoma (2 of 108, 1.85 %). Age (<em>P</em> = 0.003), sex (<em>P</em> = 0.004), duration of symptoms (<em>P</em> = 0.010), pre-operative bladder functions (<em>P</em> = 0.012), post-operative pneumonia (P = 0.013) and Carbon Dioxide Retention (CDR) (<em>P</em> = 0.004) could independently correlate with Iiving quality of uCSE patients. Post-operative spinal cord function was associated with pneumonia immediately after operation (<em>P</em> = 0.017). In addition, post-operative pneumonia correlated with tumor location (<em>P</em> = 0.048), pre-operative McCormick scores (<em>P</em> = 0.008)/ motor functions (<em>P</em> = 0.022)/ NRS scores (<em>P</em> = 0.020), and tracheotomy immediately after operation (<em>P</em> &lt; 0.001). Tracheotomy immediately after operation was associated with tumor location (<em>P</em> = 0.023), unsteady walking (<em>P</em> = 0.033), pre-operative NRS scores (<em>P</em> = 0.029), post-operative pneumonia (<em>P</em> &lt; 0.001) and CDR (<em>P</em> &lt; 0.001).</div></div><div><h3>Conclusion</h3><div>Within uCSE patients, post-operative quality of life is associated with pre-operative spinal cord function and symptom duration, which emphasizing the importance of early intervention. Their post-operative respiratory dysfunctions also correlated with post-operative spinal cord function and quality of life.</div></div>","PeriodicalId":10385,"journal":{"name":"Clinical Neurology and Neurosurgery","volume":"249 ","pages":"Article 108758"},"PeriodicalIF":1.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143074063","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical and safety outcomes of decompressive surgery for patients with degenerative lumbar spine disease in the Gaza Strip: a prosective study","authors":"Belal Alhabil ,&nbsp;Amira Al-Azar ,&nbsp;Shahd Alroobi ,&nbsp;Haneen Awadallah ,&nbsp;Motaz Hammad ,&nbsp;Suheir Shaat ,&nbsp;Mohammed Elmadhoun ,&nbsp;Mohammed Alnajjar ,&nbsp;Belal Aldabbour","doi":"10.1016/j.clineuro.2025.108774","DOIUrl":"10.1016/j.clineuro.2025.108774","url":null,"abstract":"<div><h3>Objectives</h3><div>A significant number of patients with degenerative lumbar spine disease (DSD) require decompressive surgery. Disparities in surgical care exist between different countries and regions. This study reports on the clinical and safety outcomes of lumbar decompressive surgery performed in the Gaza Strip, a poor and underserved area with a fragile healthcare system.</div></div><div><h3>Methods</h3><div>Patients with DSD were prospectively followed up after undergoing lumbar decompressive surgery at two major governmental hospitals in the Gaza Strip between October 2019 and March 2020. Outcomes were assessed using the Core Outcome Measure Index (COMI-back) and the Oswestry Disability Index (ODI), measured both before and three months after surgery. Surgical complication rates were also evaluated. A paired t-test was performed to explore the significance of differences in the mean pre- and postoperative scores for each COMI variable and the ODI item.</div></div><div><h3>Results</h3><div>Sixty-six patients were included, consisting of 41 (62.1 %) males and 25 (37.9 %) females, with a mean age of 61.02 ± 11.4 years. The total COMI-back score decreased from 27.3 ± 6 to 10.3 ± 10 postoperatively (p &lt; 0.0001). A decrease of 15.15 points was also noted between the mean ODI scores before and after surgery (p &lt; 0.0001). Similar significant decreases were observed across all COMI-back and ODI items. The three-month global outcome indicated that the operation benefited 47 patients (71.2 %). Likewise, 39 (59 %) and 19 (28.7 %) reported being “highly satisfied” or “satisfied” with the overall state of their back/leg symptoms, respectively. Eight (12.1 %) patients experienced a postoperative complication: six (9.5 %) had wound infections, one (1.5 %) sustained a dural tear, one (1.5 %) experienced a CSF leak, and one (1.5 %) needed reoperation. The mean hospital stay was 2 days ± 1.3 days.</div></div><div><h3>Conclusion</h3><div>The study shows a significant improvement across all outcome parameters from baseline to the three-month postoperative follow-up, with rates of surgical complications and hospital stays comparable to global averages.</div></div>","PeriodicalId":10385,"journal":{"name":"Clinical Neurology and Neurosurgery","volume":"249 ","pages":"Article 108774"},"PeriodicalIF":1.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143341484","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical, etiological, and therapeutic profile of early-onset absence seizures: A case series analysis","authors":"Patrizia Bergonzini ,&nbsp;Elisa Caramaschi ,&nbsp;Alessandra Spallino ,&nbsp;Giovanni Battista Dell'Isola ,&nbsp;Elisabetta Spezia ,&nbsp;Alberto Verrotti ,&nbsp;Lorenzo Iughetti","doi":"10.1016/j.clineuro.2024.108673","DOIUrl":"10.1016/j.clineuro.2024.108673","url":null,"abstract":"<div><div>Typical absence seizures represent a distinctive form of epileptic activity typically observed in pediatric populations, predominantly manifesting between the ages of 4 and 10, constituting Childhood Absence Epilepsy (CAE). However, a subset of patients presents with Early-onset Absence Epilepsy (EOAE), characterized by seizure onset before the fourth year of life, often displaying favorable outcomes with antiseizure medication. Conversely, atypical absence seizures exhibit prolonged duration and frequently entail tonic, atonic, or myoclonic motor elements, suggesting a more severe clinical course, commonly associated with epileptic encephalopathies of childhood onset. Recent genetic investigations have highlighted the involvement of specific genes, notably the SLC1A2 mutation, identified in 10 % of EOAE cases, underlying the GLUT1 deficiency syndrome. Timely recognition of such genetic anomalies facilitates tailored interventions, including ketogenic dietary regimes, shown to ameliorate epileptic symptomatology and neurocognitive sequelae. This retrospective study aimed to delineate the distinct features of EOAE and early-onset atypical absence seizures, facilitating prompt diagnosis, particularly emphasizing genetic aberrations, and initiating precision therapeutic approaches to optimize patient outcomes. Evaluation of 23 patients with absence epilepsy onset within the first four years of life, conducted at the Neuropediatrics Outpatient Clinic of the Policlinico of Modena, revealed that children with atypical absences often exhibit a complex clinical and electroencephalographic phenotype, frequently associated with genetic abnormalities. Notably, neurocognitive prognosis appears less favorable in this subgroup, with half of the patients displaying pharmacoresistance. In contrast, all EOAE cases demonstrated seizure freedom, corroborating previous literature suggesting a relatively benign clinical course in these individuals.</div></div>","PeriodicalId":10385,"journal":{"name":"Clinical Neurology and Neurosurgery","volume":"249 ","pages":"Article 108673"},"PeriodicalIF":1.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142812289","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A prospective design is required to calculate the epidemiological parameters of patients with SARS-CoV-2-vaccination associated GBS","authors":"Josef Finsterer","doi":"10.1016/j.clineuro.2025.108756","DOIUrl":"10.1016/j.clineuro.2025.108756","url":null,"abstract":"","PeriodicalId":10385,"journal":{"name":"Clinical Neurology and Neurosurgery","volume":"249 ","pages":"Article 108756"},"PeriodicalIF":1.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143063980","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}