Neurology最新文献

{"title":"Clinical Reasoning: A 60-Year-Old Woman With Fever, Headache, Diplopia, and Unilateral Periorbital Swelling","authors":"Naijimiding Rexiati,Shihao Jiang,Aximujiang Axier,Nizhamidingjiang Rexiati,Riqing Su,Zengliang Wang,Pahaerding Balatiniyazi,Maimaitili Aisha","doi":"10.1212/wnl.0000000000218574","DOIUrl":"https://doi.org/10.1212/wnl.0000000000218574","url":null,"abstract":"","PeriodicalId":19256,"journal":{"name":"Neurology","volume":"178 1","pages":""},"PeriodicalIF":9.9,"publicationDate":"2026-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149089090","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Separating Disease Effects From Aging in Spinal Cord Atrophy in Multiple Sclerosis","authors":"Hugo Vrenken","doi":"10.1212/wnl.0000000000218605","DOIUrl":"https://doi.org/10.1212/wnl.0000000000218605","url":null,"abstract":"","PeriodicalId":19256,"journal":{"name":"Neurology","volume":"25 1","pages":""},"PeriodicalIF":9.9,"publicationDate":"2026-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149089095","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Right Brain: Language Without Speech","authors":"Vangipuram Sai Shreya,Vangipuram Harshil Sai","doi":"10.1212/wnl.0000000000218573","DOIUrl":"https://doi.org/10.1212/wnl.0000000000218573","url":null,"abstract":"","PeriodicalId":19256,"journal":{"name":"Neurology","volume":"18 1","pages":""},"PeriodicalIF":9.9,"publicationDate":"2026-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149089096","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Rescuing Intracerebral Hemorrhage From the Penumbra","authors":"Alejandro A. Rabinstein","doi":"10.1212/wnl.0000000000218659","DOIUrl":"https://doi.org/10.1212/wnl.0000000000218659","url":null,"abstract":"","PeriodicalId":19256,"journal":{"name":"Neurology","volume":"5 1","pages":""},"PeriodicalIF":9.9,"publicationDate":"2026-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149092441","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Teaching NeuroImage: Disseminated Paracoccidioidomycosis Presenting With Psychiatric Symptoms and Focal Epilepsy","authors":"Vitória Felice Camargos Muller,Daniel Sabino de Oliveira,Louise Gracielle de Melo e Costa,Thiago Cardoso Vale","doi":"10.1212/wnl.0000000000218570","DOIUrl":"https://doi.org/10.1212/wnl.0000000000218570","url":null,"abstract":"","PeriodicalId":19256,"journal":{"name":"Neurology","volume":"14 1","pages":""},"PeriodicalIF":9.9,"publicationDate":"2026-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149092442","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Linking Military Blast Exposure to Veterans Health Administration Diagnoses: Chronic Health Outcomes in the Millennium Cohort Study.","authors":"Sarah L Martindale, Claire A Kolaja, Jennifer N Belding, Daniel W Trone, Lynne Liu, Rudolph P Rull, Jared A Rowland","doi":"10.1212/WNL.0000000000218595","DOIUrl":"https://doi.org/10.1212/WNL.0000000000218595","url":null,"abstract":"<p><strong>Background and objectives: </strong>To examine associations between high-level blast (HLB) exposure and occupational risk for low-level blast (LLB) exposure during military service and subsequent chronic medical diagnoses among US Veterans receiving Veterans Health Administration (VHA) care.</p><p><strong>Methods: </strong>The Millennium Cohort Study is a population-based cohort study of US service members and Veterans enrolled beginning in 2001 and followed with surveys every 3-5 years. Analyses included participants enrolled between 2001 and 2013 who completed the 2011-2013 survey, had separated from military service, had complete blast and covariate data, and used VHA care for at least 2 calendar years during follow-up. HLB was assessed by self-report of injury resulting from blast or explosion. LLB risk was classified using military occupational specialty codes. Incident VHA-documented diagnoses from 2013 to 2021 were analyzed using modified Poisson regression to estimate adjusted prevalence ratios (APRs) and 95% CIs.</p><p><strong>Results: </strong>Among N = 36,641 Veterans, HLB exposure was associated with increased likelihood of several VHA-documented incident diagnoses, including hepatitis B (APR [1.46]; 95% CI [1.13-1.89]), hepatitis C (1.89; [1.30-2.75]), diabetes (1.28; [1.07-1.52]), hypercholesterolemia (1.31; [1.18-1.46]), hyperlipidemia (1.12, [1.06-1.18]), obesity (1.07, [1.01-1.15]), seizures (1.79; [1.47-2.18]), angina (1.43; [1.18-1.73]), hypertension(1.08; [1.02-1.15]), other heart condition (1.15; [1.05-1.28]), stroke (1.35; [1.05-1.74]), chronic bronchitis (1.28; [1.07-1.52]), emphysema (1.26; [1.05-1.52]), sinusitis (1.13, [1.04-1.23]), neuropathy (1.38; [1.24-1.54]), and bladder infection (1.54; [1.14-2.08]). Occupational risk for LLB exposure was associated with lower likelihood of hepatitis C (0.67; [0.45-0.97]), diabetes (0.84; [0.72-0.99]), hyperlipidemia (0.94; [0.90-0.99]), sinusitis (0.91; [0.85-0.99]), and Crohn disease (0.62; [0.41-0.94]). A significant multiplicative interaction was observed for hepatitis B (1.92; [1.13-3.25]). Additive interaction estimates were generally subadditive, suggesting that high occupational risk for LLB attenuated rather than amplified the associations between HLB and most outcomes.</p><p><strong>Discussion: </strong>Among Veterans receiving VHA care, HLB exposure during military service was associated with a higher prevalence of several clinical conditions years after separation from service. These findings suggest that blast exposure represents a long-term occupational health risk with implications for neurologic disease burden and systemic health.</p>","PeriodicalId":19256,"journal":{"name":"Neurology","volume":"107 8","pages":"e218595"},"PeriodicalIF":8.9,"publicationDate":"2026-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148983285","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Medium-Term Cognitive Outcome in Patients With CNS Lymphomas Treated With Chimeric Antigen Receptor T-Cell Therapy","authors":"Sirine Mersali,Rémy Chapelle,Monica Ribeiro,Nicolas Weiss,Dimitri Psimaras,Loïc Le Guennec,Cristina Birzu,Khê Hoang-Xuan,Ines Boussen,Marine Baron,Véronique Morel,Madalina Uzunov,Valérie Friser,Sylvain Choquet,Caroline Houillier","doi":"10.1212/wnl.0000000000218561","DOIUrl":"https://doi.org/10.1212/wnl.0000000000218561","url":null,"abstract":"","PeriodicalId":19256,"journal":{"name":"Neurology","volume":"178 1","pages":""},"PeriodicalIF":9.9,"publicationDate":"2026-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149089079","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical Reasoning: A 13-Year-Old Boy With Acute-Onset Generalized Dystonia, Rostrocaudal Gradient, and Severe Bulbar Dysfunction","authors":"Yang Zhao,Luhua Wei,Zhiqiang Yi,Zhaoxia Wang,Yunchuang Sun","doi":"10.1212/wnl.0000000000218569","DOIUrl":"https://doi.org/10.1212/wnl.0000000000218569","url":null,"abstract":"","PeriodicalId":19256,"journal":{"name":"Neurology","volume":"24 1","pages":""},"PeriodicalIF":9.9,"publicationDate":"2026-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149089082","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pearls & Oy-sters: Diagnosis of Pediatric Tumefactive Multiple Sclerosis With MRI Biomarkers","authors":"Kelsey Mackenzie Barter,Aye Thant,Monye Pitt,Vishnuvardhan Thotakura,Anne M. Wagner,Claudia Gambrah-Lyles,Matthew Brier,Soe S. Mar","doi":"10.1212/wnl.0000000000218575","DOIUrl":"https://doi.org/10.1212/wnl.0000000000218575","url":null,"abstract":"","PeriodicalId":19256,"journal":{"name":"Neurology","volume":"166 1","pages":""},"PeriodicalIF":9.9,"publicationDate":"2026-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149089087","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ofatumumab and Ocrelizumab: Siblings or Cousins in the Anti-CD20 Family?","authors":"Alessandro Cagol,Cristina Granziera","doi":"10.1212/wnl.0000000000218651","DOIUrl":"https://doi.org/10.1212/wnl.0000000000218651","url":null,"abstract":"","PeriodicalId":19256,"journal":{"name":"Neurology","volume":"76 1","pages":""},"PeriodicalIF":9.9,"publicationDate":"2026-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149089091","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}