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Non-Verbal Working Memory in Post-Stroke Motor Aphasia: A Pilot Study Using the Tactual Span. 脑卒中后运动性失语症的非语言工作记忆:一项基于触觉广度的初步研究。
IF 3.2
Neurology International Pub Date : 2025-04-17 DOI: 10.3390/neurolint17040058
Eyal Heled, Ohad Levi, Elana Strobinsky, Gabi Zeilig
{"title":"Non-Verbal Working Memory in Post-Stroke Motor Aphasia: A Pilot Study Using the Tactual Span.","authors":"Eyal Heled, Ohad Levi, Elana Strobinsky, Gabi Zeilig","doi":"10.3390/neurolint17040058","DOIUrl":"https://doi.org/10.3390/neurolint17040058","url":null,"abstract":"<p><p><b>Background</b>: Working memory (WM) impairment is a potential consequence of motor aphasia resulting from left-hemisphere ischemic stroke. While verbal WM has been studied extensively in this disorder, research regarding non-verbal modalities remains limited, particularly visuospatial WM, tactile WM, and the relationship between them. Additionally, language impairments limit the ability to assess WM in aphasia patients, highlighting the necessity of non-verbal diagnostic tools in clinical practice. The current study's objectives were to compare tactile and visuospatial WM in patients with post-stroke motor aphasia and to validate the one-hand version of the Tactual Span task as a clinical measure of WM. <b>Methods</b>: A total of 29 participants-14 with post-stroke motor aphasia and 15 healthy controls-completed a battery of cognitive tests, including the Raven's Colored Progressive Matrices Test, the Visuospatial Span, the Tactual Span, and a visual 1-Back task. <b>Results</b>: There was significantly lower performance across all WM tasks in the aphasia group compared to the controls. Additionally, the Tactual Span successfully discriminated between patients and controls, showing sensitivity estimates of 92.9% and a specificity of 66.7%, with a cut-off score of 4.5 (AUC = 0.91), for the forward stage. The backward stage revealed a sensitivity of 71.4% and a specificity of 73.3%, with a cut-off score of 3.5 (AUC = 0.83). <b>Conclusions</b>: The findings may suggest that non-verbal WM impairment in post-stroke aphasia affects both visuospatial and tactile modalities similarly. Furthermore, the Tactual Span appears to be sensitive to left-hemisphere stroke damage, suggesting its potential utility as a clinical tool for WM assessment in patients with motor aphasia.</p>","PeriodicalId":19130,"journal":{"name":"Neurology International","volume":"17 4","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12029900/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144012582","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Pathophysiologic Mechanisms of Severe Spinal Cord Injury and Neuroplasticity Following Decompressive Laminectomy and Expansive Duraplasty: A Systematic Review. 椎板减压和硬脑膜扩张成形术后严重脊髓损伤和神经可塑性的病理生理机制:系统综述。
IF 3.2
Neurology International Pub Date : 2025-04-16 DOI: 10.3390/neurolint17040057
Eleftherios Archavlis, Davide Palombi, Dimitrios Konstantinidis, Mario Carvi Y Nievas, Per Trobisch, Irina I Stoyanova
{"title":"Pathophysiologic Mechanisms of Severe Spinal Cord Injury and Neuroplasticity Following Decompressive Laminectomy and Expansive Duraplasty: A Systematic Review.","authors":"Eleftherios Archavlis, Davide Palombi, Dimitrios Konstantinidis, Mario Carvi Y Nievas, Per Trobisch, Irina I Stoyanova","doi":"10.3390/neurolint17040057","DOIUrl":"https://doi.org/10.3390/neurolint17040057","url":null,"abstract":"<p><strong>Background: </strong>Severe spinal cord injury (SCI) represents a debilitating condition with long-term physical and socioeconomic impacts. Understanding the pathophysiology of SCI and therapeutic interventions such as decompressive laminectomy and expansive duraplasty is crucial for optimizing patient outcomes.</p><p><strong>Objective: </strong>This systematic review explores the pathophysiology of SCI and evaluates evidence linking decompressive laminectomy and duraplasty to improved neuroplasticity and recovery.</p><p><strong>Methods: </strong>A comprehensive search was conducted in PubMed, Web of Science, and Cochrane Library for studies on decompressive surgery in SCI. Inclusion criteria were original articles investigating pathophysiology, neuroplasticity mechanisms, or surgical outcomes. Data on pathophysiological changes, molecular markers, and functional outcomes were extracted.</p><p><strong>Results: </strong>From 1240 initial articles, 43 studies were included, encompassing both animal models and human clinical data. Findings highlighted the role of inflammatory cascades, blood-spinal cord barrier disruption, and neurotrophic factor modulation in recovery. Decompressive duraplasty was associated with improved intrathecal pressure (ITP) management and neuroplasticity markers, such as BDNF and GAP-43.</p><p><strong>Conclusions: </strong>This review underscores the therapeutic potential of decompressive laminectomy and duraplasty in SCI. While evidence suggests benefits in promoting neuroplasticity, further research is needed to elucidate molecular mechanisms and refine interventions.</p>","PeriodicalId":19130,"journal":{"name":"Neurology International","volume":"17 4","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12030159/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143972488","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Neurofilament Light Chain and Multiple Sclerosis: Building a Neurofoundational Model of Biomarkers and Diagnosis. 神经丝轻链与多发性硬化症:建立生物标志物和诊断的神经基础模型。
IF 3.2
Neurology International Pub Date : 2025-04-11 DOI: 10.3390/neurolint17040056
Rany Aburashed, Ansam Eghzawi, Daniel Long, Robert Pace, Ali Madha, Jeanie Cote
{"title":"Neurofilament Light Chain and Multiple Sclerosis: Building a Neurofoundational Model of Biomarkers and Diagnosis.","authors":"Rany Aburashed, Ansam Eghzawi, Daniel Long, Robert Pace, Ali Madha, Jeanie Cote","doi":"10.3390/neurolint17040056","DOIUrl":"https://doi.org/10.3390/neurolint17040056","url":null,"abstract":"<p><p>Neurofilament light chain (NfL), an abundant cytoskeletal protein in neurons, has emerged as a promising serum biomarker that indicates non-specific neuronal damage secondary to various neurologic diseases, including multiple sclerosis (MS). Emerging evidence suggests that serum NfL levels correlate with future disability, brain atrophy, predict new disease activity, and decrease in response to various disease-modifying therapies. As research continues to validate NfL's potential role in clinical practice, the need for a practical model to conceptualize and visualize its relevance to MS pathology becomes evident-not only for healthcare providers but also for patients. To address this, we propose the Neurofoundational Model (NFM), which likens a neuron to a home, with various parts of the home representing distinct regions of the central nervous system (CNS). In this model, the home (neuron) experiences scenarios such as a fire, an earthquake, and a slow flood, representing distinct MS disease states. A fire illustrates an MS relapse with good recovery, where serum NfL levels rise during the relapse and subsequently return near baseline. An earthquake represents an MS relapse with poor recovery, where NfL levels increase and remain elevated above baseline. Finally, a slow flood depicts MS in progressive stages, characterized by sustained and gradually increasing serum NfL levels without abrupt clinical changes. This approach offers a clear and relatable visualization for clinicians and patients alike, illustrating the dynamics of serum NfL levels during CNS damage caused by demyelination. By integrating this model into clinical practice, we aim to enhance understanding and communication regarding the role of NfL in MS pathology and its potential utility as a biomarker.</p>","PeriodicalId":19130,"journal":{"name":"Neurology International","volume":"17 4","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12029522/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144036668","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Relationship Between Clinical Features of Ischemic Stroke and miRNA Expression in Stroke Patients: A Systematic Review. 缺血性脑卒中患者临床特征与miRNA表达的关系:一项系统综述。
IF 3.2
Neurology International Pub Date : 2025-04-09 DOI: 10.3390/neurolint17040055
Katarzyna Prus, Konrad Rejdak, Federico Bilotta
{"title":"The Relationship Between Clinical Features of Ischemic Stroke and miRNA Expression in Stroke Patients: A Systematic Review.","authors":"Katarzyna Prus, Konrad Rejdak, Federico Bilotta","doi":"10.3390/neurolint17040055","DOIUrl":"https://doi.org/10.3390/neurolint17040055","url":null,"abstract":"<p><p><b>Background/Objectives:</b> Ischemic stroke remains a leading cause of death and disability worldwide. Despite significant progress in reperfusion therapy, the optimal ischemic stroke management strategy has not been developed. Recent studies demonstrate that microRNA may play an essential role in the pathophysiology of ischemic stroke and its possible potential to be a treatment target point. The proposed systematic review aimed to report the relationship between IS's clinical severity and miRNA expression. Secondary outcomes included infarct volume, systemic inflammatory markers, and prognosis, as well as additional features such as stroke subtype, comorbidity, and risk of subsequent stroke in correlation to miRNA expression. <b>Methods</b>: We have performed a systematic search of database resources according to PRISMA statement guidelines. Twenty-seven studies on a total number of 3906 patients were assessed as suitable for the present SR. Included studies analyzed the expression of 30 different miRNA fragments. <b>Results</b>: After investigating available data, we have identified a set of possible miRNA fragment candidates that may be used in stroke diagnostics and have the potential to be a base for the development of future treatment protocols. <b>Conclusions</b>: Studies included in the presented SR indicate that miRNA expression may be significantly associated with clinical severity, infarct volume, and inflammation in ischemic stroke. More prospective, properly designed protocols with consistent methods of miRNA testing and optimized clinical assessment are needed to confirm the role of miRNA expression in the course of a stroke.</p>","PeriodicalId":19130,"journal":{"name":"Neurology International","volume":"17 4","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12029955/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143991187","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Combined MR Volumetry and T2* Relaxometry Reveals the Olfactory System as an Iron-Dependent Structure Affected by Radiation. 磁共振体积法和T2*弛豫法联合揭示嗅觉系统是受辐射影响的铁依赖结构。
IF 3.2
Neurology International Pub Date : 2025-04-08 DOI: 10.3390/neurolint17040053
Njenga R Kamau, Michelle R Tamplin, Chu-Yu Lee, Eric D Axelson, Isabella M Grumbach, Michael S Petronek
{"title":"Combined MR Volumetry and T2* Relaxometry Reveals the Olfactory System as an Iron-Dependent Structure Affected by Radiation.","authors":"Njenga R Kamau, Michelle R Tamplin, Chu-Yu Lee, Eric D Axelson, Isabella M Grumbach, Michael S Petronek","doi":"10.3390/neurolint17040053","DOIUrl":"https://doi.org/10.3390/neurolint17040053","url":null,"abstract":"<p><p><b>Background/Objectives:</b> Radiation therapy can often lead to structural and functional changes in the brain resulting in radiation-induced brain injury. This study investigates the MRI-detectable effects of whole-brain irradiation across all neuroanatomical structures in adult mice, with a specific focus on T2* MRI measurements, to evaluate regions that may be particularly sensitive to iron accumulation. <b>Methods:</b> One year following irradiation or sham treatment, mice were imaged with a 7T MRI to evaluate changes in regional volume and T2* relaxation times across more than 652 neuroanatomical using the DSURQE mouse brain atlas. <b>Results:</b> Statistical analysis identified 301 altered regions with respect to regional volume and 85 regions with respect to T2* relaxation showing significant differences relative to the control group (<i>p</i> < 0.05). Further data refinement, including the consolidation of redundant, bi-lateral structures revealed 18 subregions with significant changes in both volume and T2*. The data refinement revealed that the most represented system was the olfactory system (8/18 regions, 44%). The olfactory regions also showed the most pronounced changes and greatest correlation between the two metrics. <b>Conclusions:</b> These findings are suggestive that ionizing radiation may cause a pronounced disruption in the olfactory system that coincides with potential iron accumulation.</p>","PeriodicalId":19130,"journal":{"name":"Neurology International","volume":"17 4","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12029731/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143995506","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Bridging the Gap Between Research and Clinical Practice in Treatment Strategies and Mechanisms of Acute Ischemic Stroke. 弥合急性缺血性脑卒中治疗策略和机制研究与临床实践之间的差距。
IF 3.2
Neurology International Pub Date : 2025-04-08 DOI: 10.3390/neurolint17040054
Sonu M M Bhaskar
{"title":"Bridging the Gap Between Research and Clinical Practice in Treatment Strategies and Mechanisms of Acute Ischemic Stroke.","authors":"Sonu M M Bhaskar","doi":"10.3390/neurolint17040054","DOIUrl":"https://doi.org/10.3390/neurolint17040054","url":null,"abstract":"<p><p>Acute ischemic stroke (AIS) remains a formidable global health challenge, with approximately 11 [...].</p>","PeriodicalId":19130,"journal":{"name":"Neurology International","volume":"17 4","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12029360/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144002691","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Linking Memory Impairment to Structural Connectivity in Extrahippocampal Temporal Lobe Epilepsy Surgery. 海马外颞叶癫痫手术中记忆障碍与结构连通性的联系。
IF 3.2
Neurology International Pub Date : 2025-03-31 DOI: 10.3390/neurolint17040052
Niels Alexander Foit, Karin Gau, Alexander Rau, Horst Urbach, Jürgen Beck, Andreas Schulze-Bonhage
{"title":"Linking Memory Impairment to Structural Connectivity in Extrahippocampal Temporal Lobe Epilepsy Surgery.","authors":"Niels Alexander Foit, Karin Gau, Alexander Rau, Horst Urbach, Jürgen Beck, Andreas Schulze-Bonhage","doi":"10.3390/neurolint17040052","DOIUrl":"https://doi.org/10.3390/neurolint17040052","url":null,"abstract":"<p><strong>Objective: </strong>Temporal lobe epilepsy (TLE) constitutes the most common drug-refractory epilepsy syndrome. Tailored approaches are required, as TLE originates from extrahippocampal lesions in about one-quarter of surgical candidates. Despite high success rates in seizure control, concern persists regarding postoperative memory decline after lesionectomy. We investigated the associations between structural connectivity and postoperative memory performance in extrahippocampal TLE surgery.</p><p><strong>Methods: </strong>In total, 55 patients (25 females, 30 males; mean age 29.8 ± 14.5 years; epilepsy duration 7.9 ± 10.5 years, 31 left, 24 right TLE) with extrahippocampal TLE undergoing hippocampal-sparing surgery were evaluated with standardized pre- and postoperative neuropsychological testing. Lesion volumes intersected with Human Connectome Project-derived tractography data were employed to assess the structural connectivity integrity via voxel-based and connectome-informed lesion-symptom mapping to identify cortical and white matter structures associated with cognitive outcomes.</p><p><strong>Results: </strong>Post-surgery, the widespread structural disconnection of several major white matter pathways was found, correlating with verbal memory and delayed recall. Additionally, the structural disconnection of the ipsilateral temporal lobe white matter was further associated with hippocampal atrophy.</p><p><strong>Conclusions: </strong>Our study highlights the role of structural connectivity alterations in postoperative memory decline in extrahippocampal TLE surgery. These findings expand the traditional understanding of hippocampal integrity in memory function towards the importance of broader structural networks. Individualized, connectome-informed surgical approaches might protect neurocognitive function.</p>","PeriodicalId":19130,"journal":{"name":"Neurology International","volume":"17 4","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12029327/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144021197","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Demographic and Clinical Characteristics in Different Motor Subtypes of Parkinson's Disease: How Well Do the Findings Fit Within the Framework of Existing Hypotheses? 帕金森病不同运动亚型的人口学和临床特征:这些发现在现有假设框架内的契合程度如何?
IF 3.2
Neurology International Pub Date : 2025-03-27 DOI: 10.3390/neurolint17040051
Timotej Petrijan, Marija Menih
{"title":"Demographic and Clinical Characteristics in Different Motor Subtypes of Parkinson's Disease: How Well Do the Findings Fit Within the Framework of Existing Hypotheses?","authors":"Timotej Petrijan, Marija Menih","doi":"10.3390/neurolint17040051","DOIUrl":"https://doi.org/10.3390/neurolint17040051","url":null,"abstract":"<p><strong>Background and purpose: </strong>This study aimed to investigate risk factors, prodromal signs, and non-motor symptoms (NMSs) across various motor subtypes of Parkinson's disease (PD) and to interpret the findings within the context of existing hypotheses on PD subtypes.</p><p><strong>Methods: </strong>A search of the database yielded 300 individuals who satisfied the study's inclusion and exclusion criteria. Among them, 168 patients diagnosed with idiopathic PD underwent a comprehensive evaluation of both motor and non-motor symptoms. The classification of motor subtypes was conducted according to the methodology proposed by Stebbins.</p><p><strong>Results: </strong>The study population consisted of 59.9% males, with an average age of disease onset at 65.45 years. Among them, 87 (51.8%) were classified as having the tremor-dominant (TD) subtype, 61 (36.3%) had the postural instability and gait disorder (PIGD) subtype, and 20 (11.9%) fell into the intermediate (I) subtype. Significant differences between motor subtypes were observed in age at assessment (<i>p</i> = 0.03), age at onset (<i>p</i> = 0.02), education level (<i>p</i> = 0.015), handedness (<i>p</i> = 0.013), proportion of non-smokers (<i>p</i> = 0.021), cognitive impairment (<i>p</i> = 0.003), and apathy (<i>p</i> = 0.003). Additionally, statistically significant variations were found across different rating scales and questionnaires, including MoCA (<i>p</i> = 0.009), HAM-A (<i>p</i> = 0.008), HAM-D (<i>p</i> = 0.007), H&Y (<i>p</i> = 0.004), SAS (<i>p</i> = 0.004), NMSS Domain 3 (mood/apathy) (<i>p</i> = 0.003), and NMSS Domain 5 (attention/memory) (<i>p</i> = 0.003).</p><p><strong>Conclusions: </strong>The study revealed substantial differences between motor subtypes, underscoring the complexity of PD. These findings highlight the importance of comprehensive evaluations of both MS and NMSs to optimize patient care, improve quality of life, and fit well within the framework of the existing hypotheses of PD subtypes.</p>","PeriodicalId":19130,"journal":{"name":"Neurology International","volume":"17 4","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12029960/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144012443","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Brain Structural Abnormalities in Patients with Post-COVID-19 Headache. covid -19后头痛患者的脑结构异常
IF 3.2
Neurology International Pub Date : 2025-03-26 DOI: 10.3390/neurolint17040050
Klaudia Széphelyi, Szilvia Kóra, Gergely Orsi, József Tollár
{"title":"Brain Structural Abnormalities in Patients with Post-COVID-19 Headache.","authors":"Klaudia Széphelyi, Szilvia Kóra, Gergely Orsi, József Tollár","doi":"10.3390/neurolint17040050","DOIUrl":"https://doi.org/10.3390/neurolint17040050","url":null,"abstract":"<p><strong>Background/objectives: </strong>Headache is one of the most common neurological symptoms associated with COVID-19, affecting approximately 25% of patients. While most headaches resolve within weeks, some persist for months, suggesting underlying structural brain changes. This study aimed to identify brain MRI abnormalities associated with chronic headaches in patients with a history of COVID-19 infection.</p><p><strong>Methods: </strong>This retrospective study included 30 patients with post-COVID-19 headaches and 30 control patients with no history of COVID-19. Demographic characteristics were analyzed using <i>t</i>-tests and chi-square tests. MRI findings were categorized into six types: cortical atrophy, white matter lesions, vascular lesions, lacunar lesions, vascular encephalopathy, and sinusitis. Differences in MRI findings between the two groups were evaluated using chi-square tests. Secondary outcomes included the analysis of symptoms accompanying headaches, diagnoses following MRI, and treatments applied.</p><p><strong>Results: </strong>White matter lesions were significantly more frequent in the post-COVID-19 group (50%) compared to controls (20%) (<i>p</i> = 0.015). Conversely, sinusitis was more prevalent in the control group (36.7%) than in the post-COVID-19 group (6.7%) (<i>p</i> = 0.005). Other MRI abnormalities showed no significant differences. Cognitive dysfunction (30%) and dizziness (33.3%) were the most common associated symptoms. The most frequent diagnoses after MRI in the post-COVID-19 group were headaches/migraines (23.3%), post-COVID-19 headache (20%), and vestibular syndrome (13.3%).</p><p><strong>Conclusions: </strong>Persistent post-COVID-19 headaches may be linked to structural white matter changes observed in MRI. Further research, ideally including pre-infection imaging data, is needed to determine the causal relationship between these lesions and chronic headache symptoms.</p><p><strong>Trial registration: </strong>This study was registered in ClinicalTrials with the trial registration number NCT06825741 on 13 February 2025.</p>","PeriodicalId":19130,"journal":{"name":"Neurology International","volume":"17 4","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12029816/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144002944","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Continuous Measurement in Neurocritical Care of Cerebral Blood Flow (CBF) Calculated from ICP and Central Venous Pressure. 连续测量颅内压和中心静脉压计算的脑血流(CBF)在神经危重症护理中的应用。
IF 3.2
Neurology International Pub Date : 2025-03-25 DOI: 10.3390/neurolint17040049
Erik Ryding
{"title":"Continuous Measurement in Neurocritical Care of Cerebral Blood Flow (CBF) Calculated from ICP and Central Venous Pressure.","authors":"Erik Ryding","doi":"10.3390/neurolint17040049","DOIUrl":"https://doi.org/10.3390/neurolint17040049","url":null,"abstract":"<p><p><b>Background/Objectives:</b> In neurocritical care, usually, the only continuous measurement of brain pathophysiology is intracranial pressure (ICP). The objective of this study was to find the relationship between cerebral blood flow (CBF) and parameters usually measured in neurocritical care, mainly central venous pressure and ICP. <b>Methods:</b> If the venous outflow of the CBF is considered, the CBF is controlled only by two parameters, the <i>rICP</i> (the ICP minus the venous blood pressure in the venous sinus at its outflow) and the <i>Rv</i> (the flow resistance of the soft-walled veins). For the <i>rICP</i>, the sinus blood pressure can be calculated from the central venous pressure (measured at the same horizontal level as the ICP) and the cervical venous flow resistance. For the <i>Rv</i>, the systolic ICP increase indicates the systolic arterial inflow volume, which then flows out before the diastole. The mean ICP increase divided by the mean outflow of the increased blood volume gives the <i>Rv</i>. This method of calculating the CBF by dividing the <i>rICP</i> by the <i>Rv</i> was named <b>CBF(1)</b>. For validation of <b>CBF(1)</b>, data from nine subjects in an open study were used. The data were ICP and MR blood flow measurements of arterial inflow and jugular vein outflow. Since the <i>rICP, Rv</i>, and CBF were unknown, an iterative method was needed to calculate these parameters. <b>Results:</b> The observed <i>Rv</i> and <i>rICP</i> values showed a close correlation, which indicated that CBF was dependant on the <i>rICP</i> only. Consequently, the comparison between the data in the study of the nine subjects, and the calculated values from <b>CBF(1)</b>, boiled down to a comparison between the supine ICP values and the calculated rICP. The comparison showed that the rICP and supine ICP had highly significant similarity, and that the <b>CBF(1)</b> method was validated. <b>Conclusions:</b> A method for CBF measurement from ICP data in neurocritical care was found.</p>","PeriodicalId":19130,"journal":{"name":"Neurology International","volume":"17 4","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12029251/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143973450","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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