Revista de neurologia最新文献

{"title":"Reply to: Letter to the Editor - Extending the Phase-dependent VEGF Framework to Post-Intracerebral Hemorrhage Epileptogenesis.","authors":"Yunlian Niu, Xiaoqian Wang, Yichen Huang, Xuemei Zhang, Yijie You, Peiyuan Ding, Fengbing Sun, Jian Zhang","doi":"10.31083/RN57522","DOIUrl":"10.31083/RN57522","url":null,"abstract":"","PeriodicalId":21281,"journal":{"name":"Revista de neurologia","volume":"81 9","pages":"57522"},"PeriodicalIF":0.6,"publicationDate":"2026-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13653191/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149081923","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Consensus for the Diagnosis and Treatment of Patients With Spinal Muscular Atrophy (SMA) in Latin America.","authors":"Andrés E Nascimento Osorio, Graciela Barros Acevedo, María de Los Ángeles Beytía, Edna J Bobadilla Quesada, Sandra M Castellar-Leones, Claudia Castiglioni, Marco J Casartelli Galeano, Guilca Contreras Caicedo, María Fernanda Cordero Molina, Rosa E Escobar Cedillo, Francisco Espinel, Nicholas Earle, Carlos A Franco Toñanez, Henry H Galvez Quiñonez, Juliana Gurgel-Giannetti, Alfonso P Gutiérrez Mata, María C Hervias Ruz, Javier E Linzoain, Mariela A Lucero, Conrado Medici, Sandra C Mesa Restrepo, María E Meza Cano, Soledad Monges, Leticia M Munive Baez, Lourdes I Núñez Antelo, Rogelio R Odales Ibarra, Verónica D Artiga-Rodríguez, Eva S Pérez Almengor, Peggy C Martínez Esteban, Diana Ramírez-Montaño, Rodrigo Moreno-Salgado, Matilde Ruiz García, Verónica Sáez Galaz, Edwin S Vargas Cañas, Jorge A Bevilacqua, Edmar Zanoteli, Carol J Zuniga García, María R Gueçaimburu, Mario Gutiérrez-Saenz, Jesús A Armijo Gómez","doi":"10.31083/RN53782","DOIUrl":"10.31083/RN53782","url":null,"abstract":"<p><strong>Background: </strong>5q spinal muscular atrophy (5q SMA) is an autosomal recessive neuromuscular disorder caused by mutations in the survival motor neuron 1 gene (<i>SMN1</i>), leading to deficiency of SMN protein and a variable clinical spectrum influenced by survival motor neuron 2 gene (<i>SMN2</i>) copy number. The advent of disease-modifying therapies (DMTs) has transformed its clinical course, requiring timely diagnosis, multidisciplinary care, and longitudinal response assessment. In Latin America (LATAM), significant gaps and heterogeneity persist in access to genetic diagnosis, newborn screening, DMTs, and specialized follow-up. To develop a Latin American consensus providing recommendations for diagnosis, comprehensive management (respiratory, swallowing/nutrition, rehabilitation, and DMTs), and evaluation of response to DMTs in patients with SMA, incorporating real-world access considerations.</p><p><strong>Methods: </strong>A regional expert panel conducted a formal consensus process (2025-2026) through iterative questionnaires and structured discussions. Agreement was defined as ≥70% concordance. Additionally, a regional survey assessed access to diagnostic and therapeutic resources.</p><p><strong>Results: </strong>Forty professionals from 15 countries participated. While 90% reported access to genetic testing (MLPA), only 35% indicated availability within the public healthcare system; private access and pharmaceutical industry support were also reported as pathways to testing. No participating country reported nationwide implementation of newborn screening for SMA; 22.5% of respondents reported pilot programs or future implementation proposals. Access to at least one DMT was reported by 92.5% of respondents; however, delays between diagnosis and treatment initiation were frequent and remain an important challenge across the region. Consensus recommendations were established for diagnosis, functionally stratified multidisciplinary care, and response assessment based on motor and non-motor domains using validated tools and individualized follow-up.</p><p><strong>Conclusions: </strong>This consensus provides a practical and adaptable framework to optimize SMA care in LATAM, supporting longitudinal, patient-centered clinical decision-making.</p>","PeriodicalId":21281,"journal":{"name":"Revista de neurologia","volume":"81 9","pages":"53782"},"PeriodicalIF":0.6,"publicationDate":"2026-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13653183/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149081833","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Meningiomas in Elderly Patients: Epidemiology, Clinical Characteristics, Prognostic Factors, and Personalized Treatment Strategies.","authors":"Shuaishuai Wu, Jingjing Wang, Liu Zhang, Xiangji Meng, Yanfen Yao, Haiyan Jia, Zongxu Sun, Yahu Bai, Haixia Jin, Lingzhi Li, Changli Wang","doi":"10.31083/RN53896","DOIUrl":"10.31083/RN53896","url":null,"abstract":"<p><p>As the global population ages, the incidence of meningiomas rises, and the demand for clinical management of elderly patients also rises. Meningiomas are common intracranial tumors, and their incidence increases with age. Elderly patients with meningiomas are prone to comorbidities, reduced reserve function, atypical manifestations, increased perioperative risks, and impaired functional recovery, making management more difficult. The application of neuroimaging leads to more elderly patients with asymptomatic or incidentally discovered meningiomas. Choosing the best strategy among monitoring, surgery, radiotherapy, and other strategies is therefore key to clinical decision-making. For asymptomatic, small, and radiologically low-risk meningiomas in elderly patients, active surveillance is generally the preferred initial strategy. Surgery is more appropriate for symptomatic tumors, lesions with mass effect, documented growth, progressive peritumoral edema, neurological deterioration, or other high-risk clinical and radiological features. However, the treatment goal for elderly patients should emphasize symptom relief, preservation of neurological function, and quality of life more than pursuing gross total resection as routine. Stereotactic radiosurgery and fractionated radiotherapy provide important supplementary treatments for very elderly patients, high surgical risk patients, and postoperative residual lesions. This article reviews recent advances in understanding meningiomas in elderly and very elderly patients, focuses on epidemiology, clinical characteristics, prognostic factors, and treatment strategies, and also discusses the core principles of individualized management for this population to guide clinical practice.</p>","PeriodicalId":21281,"journal":{"name":"Revista de neurologia","volume":"81 9","pages":"53896"},"PeriodicalIF":0.6,"publicationDate":"2026-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13653187/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149081839","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association of Short-Course Methylprednisolone Therapy With Early Composite Imaging Abnormalities in Patients With Early Neurological Deterioration After Endovascular Thrombectomy for Acute Ischemic Stroke.","authors":"Changsi Ai, Zuolei Zhu, Langqin Zhang","doi":"10.31083/RN54438","DOIUrl":"10.31083/RN54438","url":null,"abstract":"<p><strong>Background: </strong>Early neurological deterioration (END) after endovascular thrombectomy (EVT) may be accompanied by heterogeneous postprocedural imaging abnormalities. We investigated the association between short-course methylprednisolone and a study-defined early composite imaging abnormality after EVT.</p><p><strong>Methods: </strong>This single-center retrospective analysis included 297 patients with acute ischemic stroke who developed END within 72 hours after EVT (96 treated with methylprednisolone and 201 not treated). The index time was defined as completion of the post-END treatment decision, and the first intravenous methylprednisolone dose marked the onset of exposure. The first evaluable scan obtained after END confirmation but before completion of the treatment decision was designated the index scan. All evaluable scans obtained after the index time through 72 hours after EVT were reviewed. For patients who met the primary composite outcome, the endpoint scan was the first scan showing a new abnormality or progression of a preexisting abnormality that met the specified progression criteria; for patients who did not meet the primary outcome, it was the last evaluable scan within 72 hours after EVT. Multivariate logistic regression, propensity-score analyses, a restricted analysis among patients with modified Thrombolysis in Cerebral Infarction (mTICI) grade 2b-3, and false discovery rate (FDR) correction were used.</p><p><strong>Results: </strong>The composite outcome occurred in 42 of 96 treated patients and 122 of 201 untreated patients (43.8% vs 60.7%; <i>p</i> = 0.006). After multivariate adjustment, short-course methylprednisolone was associated with lower odds of the composite outcome (adjusted odds ratio, 0.46; 95% confidence interval [CI], 0.27-0.80; <i>p</i> = 0.005). The results were directionally consistent among patients with mTICI grades 2b-3 (adjusted odds ratio, 0.48; 95% CI, 0.27-0.86; <i>p</i> = 0.013), whereas the estimate for mTICI grades 0-2a was imprecise (<i>p</i> = 0.699). The index-to-endpoint-scan interval, endpoint imaging modality, and post-index scan frequency were comparable between groups. After FDR correction across 17 exploratory outcomes, only new or worsening cerebral edema remained statistically significant (<i>q</i> = 0.034). Neither the 90-day 3-category modified Rankin Scale (mRS) distribution nor the comparison of mRS 0-2 remained statistically significant after correction. Safety estimates were imprecise.</p><p><strong>Conclusions: </strong>Short-course methylprednisolone was associated with lower odds of the study-defined early post-EVT composite imaging abnormality, primarily reflecting edema-related findings. This observational association did not establish functional benefit and requires prospective confirmation.</p>","PeriodicalId":21281,"journal":{"name":"Revista de neurologia","volume":"81 9","pages":"54438"},"PeriodicalIF":0.6,"publicationDate":"2026-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13653165/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149081892","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Beyond Neurovascular Repair: Should Epileptogenesis Inform VEGF Therapy After Intracerebral Hemorrhage?","authors":"Alejandro Chapa-Rodriguez, Yasier Medina","doi":"10.31083/RN56449","DOIUrl":"10.31083/RN56449","url":null,"abstract":"","PeriodicalId":21281,"journal":{"name":"Revista de neurologia","volume":"81 9","pages":"56449"},"PeriodicalIF":0.6,"publicationDate":"2026-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13653145/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149081864","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors Influencing Health Behavior Adherence in Young and Middle-Aged Stroke Patients.","authors":"Qiaohui Ye, Yanfei Xu","doi":"10.31083/RN51282","DOIUrl":"10.31083/RN51282","url":null,"abstract":"<p><strong>Background: </strong>Health behavior adherence (HBA) is important for effective rehabilitation and secondary prevention after stroke. Young and middle-aged patients may face particular challenges in maintaining recommended health behaviors during hospitalization because of functional impairment, cognitive deficits, pain, and competing social or occupational responsibilities. However, factors associated with HBA in this population remain insufficiently characterized, and practical tools for the early identification of patients at risk of suboptimal adherence are limited. To identify factors associated with HBA in young and middle-aged patients with stroke during hospitalization and to develop a combined predictive model for the early identification of patients with non-high adherence.</p><p><strong>Methods: </strong>A single-center retrospective observational study was conducted, including 298 young and middle-aged stroke patients hospitalized between January 2021 and June 2024. Patients were categorized into a high-adherence group and a non-high-adherence group based on the HBA Index. Differences in demographic and functional characteristics between the groups were compared. Correlation analysis and multivariate logistic regression were performed to identify independent factors affecting HBA. Receiver operating characteristic (ROC) curves were constructed to evaluate the predictive performance of individual indicators and the combined model.</p><p><strong>Results: </strong>Among the 298 patients, 143 (48.0%) were classified as non-high-adherence. The high-adherence group had significantly better functional and cognitive scores, including the Barthel Index (BI), Mini-Mental State Examination (MMSE), Fugl-Meyer Assessment (FMA), and Berg Balance Scale (BBS), and experienced less pain (all <i>p</i> < 0.001). Adherence was positively correlated with BI, MMSE, FMA, and BBS scores, and negatively correlated with Numeric Rating Scale (NRS) pain scores. In multivariate logistic regression analysis, MMSE, NRS, educational level, and first stroke status were independently associated with non-high adherence. In the final parsimonious multivariable logistic regression model, MMSE score, NRS score, educational level, and first-stroke status were independently associated with non-high adherence. The final four-predictor model demonstrated good discrimination.</p><p><strong>Conclusions: </strong>A multidimensional combined predictive model demonstrated good discrimination performance and may help to identify patients at higher risk of non-high adherence.</p>","PeriodicalId":21281,"journal":{"name":"Revista de neurologia","volume":"81 9","pages":"51282"},"PeriodicalIF":0.6,"publicationDate":"2026-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13653176/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149081854","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Risk Stratification for Early Neurological Deterioration After Mechanical Thrombectomy and Development of a 24-h Postprocedural Reassessment Model in Patients With Acute Anterior-Circulation Large-Vessel Occlusion Based on Computed Tomography Perfusion Mismatch Volume.","authors":"Wei Du, Aiping He, Linxu Jiang","doi":"10.31083/RN53745","DOIUrl":"10.31083/RN53745","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Following mechanical thrombectomy for acute ischemic stroke due to anterior-circulation large-vessel occlusion, early neurological deterioration (END) continues to be a clinically consequential complication. Computed tomography perfusion (CTP)-derived mismatch volume estimates the amount of hypoperfused tissue that is not part of the ischemic core, but its value for END stratification at different time points has not been clarified. We therefore examined the relationship between mismatch volume and END and constructed risk models anchored to clearly specified temporal windows.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;Consecutive patients treated with mechanical thrombectomy between January 2021 and December 2024 were retrospectively included. END encompassed either a ≥4-point increase from the preprocedural National Institutes of Health Stroke Scale (NIHSS) score or death from any cause during the first 72 h after thrombectomy; deaths occurring within 72 h were analyzed as END events. Potential nonlinearity was examined using restricted cubic spline (RCS) analysis. Only information known before thrombectomy was entered into the preprocedural baseline model. For the 24-h landmark analysis, patients who remained free of END through 24 h formed the reassessment cohort; successful recanalization status and hemorrhagic transformation subtypes were added to predict delayed END arising after &gt;24-72 h. Discrimination, calibration, clinical utility, and internal validity were evaluated by receiver operating characteristic (ROC) analysis, calibration assessment, decision curve analysis (DCA), and 1000 bootstrap resamples, respectively.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;END occurred in 87 of 438 patients (19.9%): 78 experienced neurological worsening and 9 died within 72 h. The association between mismatch volume and END departed from linearity (&lt;i&gt;p&lt;/i&gt; for nonlinearity = 0.023). Observed END frequencies were 33.0%, 18.9%, and 12.5% for mismatch volumes &lt;75 mL, 75-105 mL, and &gt;105 mL, respectively (&lt;i&gt;p&lt;/i&gt; for trend &lt;0.001). Mismatch volume, ischemic core volume, admission NIHSS score, and collateral score constituted the preprocedural model, which produced an area under the ROC curve (AUC) of 0.789 (95% confidence interval [CI], 0.735-0.843) and a bootstrap-corrected AUC of 0.774. END occurred in 8.0%, 20.7%, and 38.5% of patients assigned to the low-, intermediate-, and high-risk categories of the simplified preprocedural score. Among 387 patients eligible for 24-h reassessment, 36 developed delayed END; the corresponding model yielded an AUC of 0.838 (95% CI, 0.773-0.903). Delayed END was associated with parenchymal hematoma but not with hemorrhagic infarction.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;CTP mismatch volume was related to END following mechanical thrombectomy. The preprocedural and 24-h reassessment models, each defined by its prediction time, retained acceptable discrimination after internal validation; independent extern","PeriodicalId":21281,"journal":{"name":"Revista de neurologia","volume":"81 8","pages":"53745"},"PeriodicalIF":0.6,"publicationDate":"2026-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13541423/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148888575","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of Continuous and Gait-synchronized Transcutaneous Electrical Nerve Stimulation During Gait Training in Chronic Stroke: A Pilot Randomized Trial.","authors":"Ji-Min Na, Min-Keun Song, Hyeng-Kyu Park, In-Sung Choi, Junyeong Lee, Jungwon Yoon, Jae-Young Han","doi":"10.31083/RN53766","DOIUrl":"10.31083/RN53766","url":null,"abstract":"<p><strong>Background: </strong>Post-stroke gait dysfunction may involve impaired integration of motor commands, somatosensory feedback, and phase-dependent peripheral sensory input during locomotion. Transcutaneous electrical nerve stimulation (TENS) combined with gait training may provide additional sensory input, but the relevance of different temporal stimulation profiles remains unclear.</p><p><strong>Objective: </strong>To evaluate the feasibility, safety, and preliminary clinical signals of continuous and gait-synchronized TENS during gait training in individuals with chronic stroke.</p><p><strong>Methods: </strong>Twenty-four participants with chronic stroke were randomized to continuous stimulation (CS), gait-synchronized stimulation (GS), or sham stimulation during standardized gait training. Participants received 12 intervention sessions over 4 weeks. CS delivered non-phase-specific stimulation, whereas GS delivered stimulation according to stance and swing phases. Outcomes were assessed at baseline, post-intervention, and 8-week follow-up. The primary longitudinal analysis was conducted in the modified intention-to-treat (mITT) population using baseline-adjusted linear mixed-effects models, with false discovery rate correction applied to group × time interaction <i>p</i>-values across estimable outcomes.</p><p><strong>Results: </strong>One participant withdrew before intervention without baseline assessment; therefore, 23 participants were included in the mITT analysis. Intervention adherence was high, with 99% of scheduled sessions completed, and no intervention-related adverse events were reported. Comfortable gait speed showed no significant group × time interaction. Maximal gait speed and Berg Balance Scale showed nominal group × time interaction effects before correction, but these did not remain significant after false discovery rate correction. No robust group × time interaction effects were observed after correction. Exploratory per-protocol analyses were unadjusted for baseline imbalance and were interpreted as supportive only.</p><p><strong>Conclusions: </strong>Continuous and gait-synchronized TENS combined with standardized gait training were feasible and well tolerated in individuals with chronic stroke. The adjusted analysis did not provide robust evidence of differential clinical effects among stimulation-timing groups after correction for multiple outcome testing. Larger, adequately powered trials are needed to determine whether continuous or gait-synchronized TENS provides clinically meaningful benefits during post-stroke gait rehabilitation.</p><p><strong>Clinical trial registration: </strong>No: KCT0008481. Registered 17 May, 2023, https://cris.nih.go.kr/cris/search/detailSearch.do?seq=24719&search_page=L.</p>","PeriodicalId":21281,"journal":{"name":"Revista de neurologia","volume":"81 8","pages":"53766"},"PeriodicalIF":0.6,"publicationDate":"2026-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13541420/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148888485","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[XXVII Reunión Anual de la Sociedad Canaria de Neurología (SOCANE). Libro de Comunicaciones].","authors":"","doi":"10.31083/RN53020","DOIUrl":"10.31083/RN53020","url":null,"abstract":"","PeriodicalId":21281,"journal":{"name":"Revista de neurologia","volume":"81 8","pages":"53020"},"PeriodicalIF":0.6,"publicationDate":"2026-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13541421/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148888525","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[XXVIII Reunión Anual de la Sociedad Canaria de Neurología (SOCANE). Libro de Comunicaciones].","authors":"","doi":"10.31083/RN55097","DOIUrl":"10.31083/RN55097","url":null,"abstract":"","PeriodicalId":21281,"journal":{"name":"Revista de neurologia","volume":"81 8","pages":"55097"},"PeriodicalIF":0.6,"publicationDate":"2026-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13541422/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148888510","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}