{"title":"Two Novel Mutations in the PSAP Gene Causing a Metachromatic Leukodystrophy (MLD)-like Phenotype and a Review of the Literature.","authors":"Pinelopi Dragoumi, Tatiani Soultana Ilia, Euthymia Vargiami, Athanasia Anastasiou, Dimitrios Zafeiriou","doi":"10.4103/neuroindia.NI_1910_20","DOIUrl":"https://doi.org/10.4103/neuroindia.NI_1910_20","url":null,"abstract":"","PeriodicalId":19429,"journal":{"name":"Neurology India","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144963195","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Neurology IndiaPub Date : 2025-09-01Epub Date: 2025-09-13DOI: 10.4103/neurol-india.Neurol-India-D-24-00815
M K Farsana, B N Nandeesh, Jitender Saini, M Netravathi
{"title":"Expanding the Clinical, Radiological, and Pathological Spectrum of SLIPPERS-A Rare Steroid-Responsive Neuroinflammation.","authors":"M K Farsana, B N Nandeesh, Jitender Saini, M Netravathi","doi":"10.4103/neurol-india.Neurol-India-D-24-00815","DOIUrl":"10.4103/neurol-india.Neurol-India-D-24-00815","url":null,"abstract":"<p><strong>Background: </strong>The term Supratentorial Lymphocytic Inflammation with Parenchymal Perivascular Enhancement Responsive to Steroids (\"SLIPPERS\") is an uncommon form of neuroinflammation.</p><p><strong>Case: </strong>We report a 57-year-old gentleman with rapidly progressive cognitive and behavioral changes. Magnetic resonance imaging (MRI) brain showed confluent T2/fluid-attenuated inversion recovery (FLAIR) hyperintensities involving white matter of bilateral frontal, anterior temporal lobes, external capsule, right thalamus, and right corona radiata with peppering contrast enhancement. Stereotactic brain biopsy showed prominent perivascular lymphocytic inflammation. The patient responded well to immunotherapy.</p><p><strong>Conclusions: </strong>SLIPPERS syndrome is an exceedingly rare entity with varied clinical presentation, and diagnosis is dependent on neuropathological features. Prompt recognition is crucial for a timely response to immunomodulation.</p>","PeriodicalId":19429,"journal":{"name":"Neurology India","volume":"73 5","pages":"1061-1065"},"PeriodicalIF":0.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145058465","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Neurology IndiaPub Date : 2025-09-01Epub Date: 2025-09-13DOI: 10.4103/neurol-india.Neurol-India-D-24-00670
Harish Nigam, Rajarshi Chakraborty, Sarvesh K Chaudhary, Ankit Khetan, Mohd I Khan
{"title":"Isolated Idiopathic Persistent Hypoglossal Nerve Palsy: A Case Series with Review of Literature.","authors":"Harish Nigam, Rajarshi Chakraborty, Sarvesh K Chaudhary, Ankit Khetan, Mohd I Khan","doi":"10.4103/neurol-india.Neurol-India-D-24-00670","DOIUrl":"10.4103/neurol-india.Neurol-India-D-24-00670","url":null,"abstract":"<p><p>Isolated hypoglossal nerve palsy is a clinical disorder affecting the hypoglossal nerve presenting with dysphagia, dysarthria, and tongue wasting. The common etiologies are tumor, trauma, vascular lesions, infections, autoimmune/demyelinating disorders, and idiopathic. Isolated idiopathic hypoglossal can occur in a substantial number of cases with variable outcome. This case series of 3 patients (58-year-old woman, 26-year-old woman, and 67-year-old man) presented with isolated idiopathic unilateral hypoglossal palsy of 1-2 months duration, which remained persistent even on 6-8 months of follow-up. The importance of an extensive and meticulous workup cannot be overemphasized in these conditions to rule out the more common treatable and reversible causes.</p>","PeriodicalId":19429,"journal":{"name":"Neurology India","volume":"73 5","pages":"1048-1050"},"PeriodicalIF":0.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145058482","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Treatment Profile of Migraine in India: A Glimpse of the Real World Scenario.","authors":"Avinash Kumar, Gs Shubha Bhat, Durai Murukan Gunasekaran, Girish N Rao, Girish Baburao Kulkarni, Guduru Sravanthi, Neerupaka Venkatachalam, Pooja Mailankody","doi":"10.4103/neurol-india.Neurol-India-D-24-00769","DOIUrl":"10.4103/neurol-india.Neurol-India-D-24-00769","url":null,"abstract":"<p><strong>Background and objectives: </strong>Migraine is a highly prevalent, disabling disease of the brain. Despite the availability of migraine-specific medications, it is undertreated across the world. This study reports the real-world scenario regarding the treatment patterns of migraine in India.</p><p><strong>Materials and methods: </strong>We conducted a cross-sectional study of 400 persons with migraines, fulfilling the ICHD-3 criteria. The demographic details, history of headache, disability, and treatment details, including pathways to care, were collected.</p><p><strong>Results: </strong>The majority (77.3%) of those with migraine were females, unemployed (64%), and reported a mean age of 37.2 ± 11.5 years. The median duration of migraine was 24 months. The most common diagnosis was episodic migraine (57.3%), and the remaining cases were chronic migraine. Only 11 (<3%) among the 400 patients disclosed visiting a Complementary and Alternative Medicine (CAM) practitioner. The majority of the patients (72.5%) routinely used balms and oils for acute pain relief. The most common abortive medications were naproxen, frequently in combination with domperidone, and/or paracetamol. Among the patients with a high frequency of episodic migraines, only 25% were on adequate prophylaxis.</p><p><strong>Conclusion: </strong>This study describes the pattern of acute and preventive treatment of migraine in a large sample of patients with migraine attending a tertiary care center. After identifying the gaps and comparison them with international literature, we suggest that awareness programs targeting pharmacists, as well as the education and empowerment of healthcare professionals at the grassroots level, may be required to tackle the challenges posed in the management of migraine.</p>","PeriodicalId":19429,"journal":{"name":"Neurology India","volume":"73 5","pages":"1018-1027"},"PeriodicalIF":0.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145058525","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Neurology IndiaPub Date : 2025-09-01Epub Date: 2025-09-13DOI: 10.4103/neurol-india.neurol-india_9_25
{"title":"Erratum: Facial Diplegia with Diminished Vision in a Young Boy: Cytomegalovirus-Induced.","authors":"","doi":"10.4103/neurol-india.neurol-india_9_25","DOIUrl":"https://doi.org/10.4103/neurol-india.neurol-india_9_25","url":null,"abstract":"","PeriodicalId":19429,"journal":{"name":"Neurology India","volume":"73 5","pages":"1126"},"PeriodicalIF":0.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145058479","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}