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The digitalization of psychopathology: 'TV sign' and 'Smartphone sign' as red flags for dementia.
IF 0.6 4区 医学
Neurocase Pub Date : 2025-02-21 DOI: 10.1080/13554794.2025.2467925
Porimita Chutia, Shailendra Mohan Tripathi, Ashwin Jv
{"title":"The digitalization of psychopathology: 'TV sign' and 'Smartphone sign' as red flags for dementia.","authors":"Porimita Chutia, Shailendra Mohan Tripathi, Ashwin Jv","doi":"10.1080/13554794.2025.2467925","DOIUrl":"https://doi.org/10.1080/13554794.2025.2467925","url":null,"abstract":"<p><p>This case series elucidates pathological signs for diagnosis in two patients with Dementia. The first case highlights the term 'Smartphone sign', a novel psychopathology uncovered based on the existing 'TV sign', a rare type of delusional misidentification syndrome (DMS). The second case had symptoms consistent with the 'TV sign'. The possible underlying cause of these signs was hypothesized based on psychopathology, brain region, sensory system, cognition, and environmental factors. Moreover, the treatment outcome in terms of cognition and behavior on low doses of Risperidone and Escitalopram shows promising results and paves the way for the treatment of other DMS.</p>","PeriodicalId":49762,"journal":{"name":"Neurocase","volume":" ","pages":"1-5"},"PeriodicalIF":0.6,"publicationDate":"2025-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143469792","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}
引用次数: 0
The Relationship between Emotional Expression, Difficulty in Emotion Regulation and Anhedonia in Parkinson's Disease.
IF 0.6 4区 医学
Neurocase Pub Date : 2025-02-20 DOI: 10.1080/13554794.2025.2467910
Fatma Gül Helvaci Çelik, Yunus Emre Aktaş, Seda Kiraz, Demet Şeker, Çiçek Hocaoğlu
{"title":"The Relationship between Emotional Expression, Difficulty in Emotion Regulation and Anhedonia in Parkinson's Disease.","authors":"Fatma Gül Helvaci Çelik, Yunus Emre Aktaş, Seda Kiraz, Demet Şeker, Çiçek Hocaoğlu","doi":"10.1080/13554794.2025.2467910","DOIUrl":"https://doi.org/10.1080/13554794.2025.2467910","url":null,"abstract":"<p><p>Parkinson's disease (PD), a range of neuropsychiatric symptoms, including anhedonia, depression, emotional control, and cognitive deficits, may manifest. This study aims to investigate the impact of anhedonia, emotional regulation, and emotional expression on PD. The research included 68 PD patients and 60 healthy controls. Both groups were assessed using the Hospital Anxiety and Depression Scale (HADS), Emotional Expression Scale (EES), the Short Form of the Difficulties in Emotion Regulation Scale (DERS), and the Clinician-Administered Snaith-Hamilton Pleasure Scale (SHAPS), all administered by a psychiatrist. The PD group was evaluated by a neurology specialist using the Unified Parkinson's Disease Rating Scale (UPDRS). Results showed that the PD group scored significantly higher on the HADS (<i>p</i> < 0.01), DERS (<i>p</i> < 0.01), and SHAPS (<i>p</i> < 0.01), while their EES scores were significantly lower (<i>p</i> < 0.01) compared to the control group. Further analysis indicated that a one-unit increase in anhedonia scores corresponded to a 3.125 unit rise in non-motor symptom scores and a 5.034 unit rise in motor symptom scores. The findings suggest that anhedonia is a strong predictor of both motor and non-motor symptoms in PD. The data indicate that the link between anhedonia and PD exists independently of depression and anxiety, highlighting the necessity of addressing anhedonia as a distinct symptom in PD.</p>","PeriodicalId":49762,"journal":{"name":"Neurocase","volume":" ","pages":"1-7"},"PeriodicalIF":0.6,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143469794","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}
引用次数: 0
aFTLD-U presenting with primary progressive aphasia suggestive of non-fluent type with apraxia of speech.
IF 0.6 4区 医学
Neurocase Pub Date : 2025-02-11 DOI: 10.1080/13554794.2025.2464549
Riddhi Patira, Ameneh Zare Shahabadi, Oscar Lopez, Julia Kofler
{"title":"aFTLD-U presenting with primary progressive aphasia suggestive of non-fluent type with apraxia of speech.","authors":"Riddhi Patira, Ameneh Zare Shahabadi, Oscar Lopez, Julia Kofler","doi":"10.1080/13554794.2025.2464549","DOIUrl":"https://doi.org/10.1080/13554794.2025.2464549","url":null,"abstract":"<p><p>Atypical frontotemporal lobar degeneration with ubiquitin-positive inclusions (aFTLD-U) is a rare subtype of Frontotemporal Lobar Degeneration. aFTLD-U is reported with a typically young onset behavioral variant of frontotemporal dementia syndrome, more specifically with younger age, predominant hyperorality, obsessive-compulsive features, and severe caudate atrophy. Very few cases have been reported with prominent language impairment with no major behavioral features. We present another such rare case of aFTLD-U presenting with prominent language impairment adding to the phenotypic spectrum, with language deficits observed primarily in spoken language seen in apraxia of speech associated with non-fluent primary progressive aphasia.</p>","PeriodicalId":49762,"journal":{"name":"Neurocase","volume":" ","pages":"1-4"},"PeriodicalIF":0.6,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143392331","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}
引用次数: 0
Reduced levels of angiogenesis biomarkers predict increased symptom severity in Chinese Americans with Alzheimer's disease with demographic-specific effect.
IF 0.6 4区 医学
Neurocase Pub Date : 2025-02-09 DOI: 10.1080/13554794.2025.2455759
Taylor P Johnson, Elena Tsoy, Jeffrey Shen, Will Rivera, Kevin Lieu, Cande Salazar, Marian Tse, Yi Li, Lauren Goldberger, Brendan M Soo, Joel Kramer, Howard J Rosen, Bruce L Miller, Daniel W Sirkis, Luke W Bonham, Jennifer S Yokoyama
{"title":"Reduced levels of angiogenesis biomarkers predict increased symptom severity in Chinese Americans with Alzheimer's disease with demographic-specific effect.","authors":"Taylor P Johnson, Elena Tsoy, Jeffrey Shen, Will Rivera, Kevin Lieu, Cande Salazar, Marian Tse, Yi Li, Lauren Goldberger, Brendan M Soo, Joel Kramer, Howard J Rosen, Bruce L Miller, Daniel W Sirkis, Luke W Bonham, Jennifer S Yokoyama","doi":"10.1080/13554794.2025.2455759","DOIUrl":"10.1080/13554794.2025.2455759","url":null,"abstract":"<p><p>Alzheimer's disease (AD) symptomatology, while classically studied through the lens of amyloid-β and tau burden, is likely also influenced by multiple-interacting co-pathologies like vascular disease and dysmetabolism. These co-pathologies, especially vascular disease, occur disparately in the Chinese-American population and are often treatable via therapeutics and lifestyle modifications. Given this, we explored whether plasma biomarkers, including an array of vascular-related proteins, associate with cognition in a cohort of 34 Chinese Americans clinically diagnosed as cognitively normal, with mild cognitive impairment, or with AD. We found that a composite score of plasma angiogenesis biomarkers (MMP-1, bFGF, VEGF, and VEGF-C) were positively associated with total Mini Mental State Examination scores (<i>p</i> = 0.045) as well as memory performance (<i>p</i> = 0.006), and that this relationship was most pronounced in AD (biomarker composite score within AD vs MMSE & memory, both <i>p</i> < 0.001). To explore whether these findings were specific to the Chinese-American population, we repeated the above analyses in 73 demographically matched non-Hispanic White American participants and found no significant associations between angiogenesis biomarkers and MMSE or memory, highlighting the potential relevance of vascular dysregulation in Chinese Americans at risk for AD.</p>","PeriodicalId":49762,"journal":{"name":"Neurocase","volume":" ","pages":"1-10"},"PeriodicalIF":0.6,"publicationDate":"2025-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143383912","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}
引用次数: 0
Knowing and not knowing: practical reflections on video based feedback as part of neuro-rehabilitation in a case of persistent anosognosia for hemiplegia. 知道和不知道：视频反馈作为偏瘫患者持续性病感失认的神经康复的一部分的实际反思。
IF 0.6 4区 医学
Neurocase Pub Date : 2025-02-01 Epub Date: 2024-12-10 DOI: 10.1080/13554794.2024.2439568
Jenny Allum, Max Whittaker, Huw Green
{"title":"Knowing and not knowing: practical reflections on video based feedback as part of neuro-rehabilitation in a case of persistent anosognosia for hemiplegia.","authors":"Jenny Allum, Max Whittaker, Huw Green","doi":"10.1080/13554794.2024.2439568","DOIUrl":"10.1080/13554794.2024.2439568","url":null,"abstract":"<p><p>We report the case of DT, a man in his fifties who suffered a large right fronto-parietal hemorrhage, resulting in a dense left weakness and a persistent anosognosia for the resultant hemiplegia. DT engaged in several video-feedback sessions. Video feedback therapy has been successful in previously reported cases of anosognosia, resulting in immediate and lasting resolution. In the current case, similarly dramatic effects were observed, but with a subsequent recurrence of the anosognosic ideation. The present case sheds light on the interplay of neurologic and psychological mechanisms involved in anosognosia and on some of the pragmatic emotional considerations of engaging in this form of rehabilitative therapy.</p>","PeriodicalId":49762,"journal":{"name":"Neurocase","volume":" ","pages":"29-36"},"PeriodicalIF":0.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142802868","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}
引用次数: 0
Comprehensive evaluation and diagnosis of persistent vegetative state after hypoxic-ischemic encephalopathy: a case report. 缺氧缺血性脑病后持续植物人状态的综合评价与诊断1例。
IF 0.6 4区 医学
Neurocase Pub Date : 2025-02-01 Epub Date: 2024-11-30 DOI: 10.1080/13554794.2024.2436682
Guohui Yang, Li Wang, Hongyu Xie, Xinwei Tang, Maisedi Mukedaisihan, Youbei Yang, Chenyu Fan, Junfa Wu, Yi Wu
{"title":"Comprehensive evaluation and diagnosis of persistent vegetative state after hypoxic-ischemic encephalopathy: a case report.","authors":"Guohui Yang, Li Wang, Hongyu Xie, Xinwei Tang, Maisedi Mukedaisihan, Youbei Yang, Chenyu Fan, Junfa Wu, Yi Wu","doi":"10.1080/13554794.2024.2436682","DOIUrl":"10.1080/13554794.2024.2436682","url":null,"abstract":"<p><p>We report a case of a 39-year-old woman with persistent vegetative state (PVS) following cardiac arrest and a right lower extremity fracture. Despite comprehensive rehabilitation for over 4 months, there was no improvement. Neuroelectrophysiological and neuroimaging assessments showed poor brain function, and the coma recovery scale-revised scale results suggested low arousal probability. Furthermore, patients with PVS exhibit autonomic reactivity and physiological responses to external stimuli. It is important to note that while these reactions may manifest as responsiveness to external stimuli, they should be interpreted as automatic physiological responses rather than indicative of consciousness.</p>","PeriodicalId":49762,"journal":{"name":"Neurocase","volume":" ","pages":"17-22"},"PeriodicalIF":0.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142773920","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}
引用次数: 0
A new GRN variant in logopenic variant primary progressive aphasia: a case report and literature review. 原发性进行性失语症中一种新的GRN变异：1例报告及文献复习。
IF 0.6 4区 医学
Neurocase Pub Date : 2025-02-01 Epub Date: 2024-12-04 DOI: 10.1080/13554794.2024.2436215
Sha-Sha Jia, Pu-Lei Li, Ping Gao, Ye Jiang, Cheng-Liang Zhang, Wen-Wei Yun
{"title":"A new <i>GRN</i> variant in logopenic variant primary progressive aphasia: a case report and literature review.","authors":"Sha-Sha Jia, Pu-Lei Li, Ping Gao, Ye Jiang, Cheng-Liang Zhang, Wen-Wei Yun","doi":"10.1080/13554794.2024.2436215","DOIUrl":"10.1080/13554794.2024.2436215","url":null,"abstract":"<p><p>The majority of genetic Primary progressive aphasia (PPA) patients harbor mutations in the granulin (<i>GRN</i>) gene. The present case showed impaired performances in single-word retrieval in spontaneous speech and naming, and repetition. Head MRI revealed marked lateral atrophy in the left parietal cortex. A diagnosis of logopenic variant PPA (lvPPA) was established. Genetic analysis showed a heterozygous 10-bp frameshift deletion in exon 4 of the <i>GRN</i> gene (NM_002087.4), leading to transformation of cysteine into alanine at amino acid 92 and creation of a premature stop codon at position 161. This patient represented a rare case of <i>GRN</i>-associated lvPPA. A new mutation site was detected in exon 4 of <i>GRN</i> gene.</p>","PeriodicalId":49762,"journal":{"name":"Neurocase","volume":" ","pages":"11-16"},"PeriodicalIF":0.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142781690","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}
引用次数: 0
Linguistic characteristics of primary progressive aphasia in a verb-final language. 动末语中原发性进行性失语症的语言特征。
IF 0.6 4区 医学
Neurocase Pub Date : 2025-02-01 Epub Date: 2024-12-05 DOI: 10.1080/13554794.2024.2437152
Jee Eun Sung, Eun-Joo Kim, Sujin Choi, Jee Hyang Jeong
{"title":"Linguistic characteristics of primary progressive aphasia in a verb-final language.","authors":"Jee Eun Sung, Eun-Joo Kim, Sujin Choi, Jee Hyang Jeong","doi":"10.1080/13554794.2024.2437152","DOIUrl":"10.1080/13554794.2024.2437152","url":null,"abstract":"<p><strong>Purpose: </strong>The current study aimed to examine the linguistic characteristics of Korean-speaking individuals diagnosed with primary progressive aphasia(PPA).</p><p><strong>Methods: </strong>Two individuals with agrammatic/non-fluent variants of nfvPPA and two with semantic variants of svPPA participated in this study. Picture description tasks were used to collect connected speech samples. Analysis focused on linguistic variables, including quantitative(number of utterances, words, nouns, and verbs), syntactic(mean length of utterance in morphemes, case markers per utterance, predicates per utterance), and semantic variables(correct information units, verb types). Additionally, participants completed two types of confrontation naming tasks.</p><p><strong>Results: </strong>The nfvPPA group exhibited fewer linguistic units overall compared to the svPPA group, with noun-verb dissociation apparent only in the nfvPPA group. The svPPA group showed poorer performance in content-related linguistic variables. A notable clinical symptom specific to Korean, case marker deficits, was observed in the nfvPPA group.</p><p><strong>Discussion: </strong>The study identified distinct linguistic patterns associated with the subtype of PPA in Korean speakers. The evaluation and interpretation of Korean-specific linguistic variables are crucial for classifying Korean-speaking individuals with PPA. Understanding these variables can enhance our comprehension of the unique linguistic deficits present in Korean PPA, particularly in relation to confrontation naming tasks and their implications for diagnosis and classification.</p>","PeriodicalId":49762,"journal":{"name":"Neurocase","volume":" ","pages":"37-44"},"PeriodicalIF":0.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142787480","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}
引用次数: 0
Behavioral variant frontotemporal dementia with pathogenic variant in MAPT presenting as dementia with Lewy body disease. 伴有MAPT致病变异的行为变异性额颞叶痴呆表现为路易体病痴呆。
IF 0.6 4区 医学
Neurocase Pub Date : 2025-02-01 Epub Date: 2024-12-10 DOI: 10.1080/13554794.2024.2440548
Tianxu Xia, Clara Li, Ayuko Iverson, Jessica Spat-Lemus, Amy Woroch, Georges Naasan
{"title":"Behavioral variant frontotemporal dementia with pathogenic variant in <i>MAPT</i> presenting as dementia with Lewy body disease.","authors":"Tianxu Xia, Clara Li, Ayuko Iverson, Jessica Spat-Lemus, Amy Woroch, Georges Naasan","doi":"10.1080/13554794.2024.2440548","DOIUrl":"10.1080/13554794.2024.2440548","url":null,"abstract":"<p><p>A 75-year-old Chinese American man presented to behavioral neurology clinic for a second opinion of dementia with Lewy body disease (DLB). The clinical manifestations met the criteria for a probable DLB diagnosis. Yet, in-depth evaluation unveiled clinical history, family history, and neuroimaging evidences that suggested a diagnosis of behavioral variant frontotemporal dementia (FTD). A heterozygous pathogenic variant in the microtubule-associated protein Tau (<i>MAPT</i>) was identified through genetic testing and confirmed the diagnosis of autosomal dominant <i>MAPT</i>-related FTD. This case is the first reported instance of <i>MAPT</i>-related FTD presenting with well-formed visual hallucinations in an elderly Chinese American.</p>","PeriodicalId":49762,"journal":{"name":"Neurocase","volume":" ","pages":"23-28"},"PeriodicalIF":0.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142808440","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}
引用次数: 0
Sustained improvement of obsessive-compulsive symptoms following interruption of deep brain stimulation. 中断脑深部刺激后强迫症症状持续改善。
IF 0.6 4区 医学
Neurocase Pub Date : 2025-02-01 Epub Date: 2024-12-16 DOI: 10.1080/13554794.2024.2441942
Israel Aristides de Carvalho Filho, Marcelo Queiroz Hoexter, Fabio L F Godinho, Ricardo F Iglesio, Igor Studart, Isabelle C Alencar, Katia G Benigno, Antonio Carlos Lopes
{"title":"Sustained improvement of obsessive-compulsive symptoms following interruption of deep brain stimulation.","authors":"Israel Aristides de Carvalho Filho, Marcelo Queiroz Hoexter, Fabio L F Godinho, Ricardo F Iglesio, Igor Studart, Isabelle C Alencar, Katia G Benigno, Antonio Carlos Lopes","doi":"10.1080/13554794.2024.2441942","DOIUrl":"10.1080/13554794.2024.2441942","url":null,"abstract":"<p><p>A 59-year-old male with severe treatment-resistant OCD achieved sustained symptom improvement after discontinuing deep brain stimulation (DBS) for over four years. Despite partial relief with ventral capsule/ventral striatum (VC/VS) DBS, complications led to device removal in 2018. Remarkably, the patient remained largely symptom-free, suggesting neuroplasticity changes in dysfunctional neurocircuits. This rare case highlights DBS's role in psychiatry, emphasizing the need for tailored surgical strategies and long-term follow-ups to optimize outcomes and understand DBS mechanisms.</p>","PeriodicalId":49762,"journal":{"name":"Neurocase","volume":" ","pages":"45-48"},"PeriodicalIF":0.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142830677","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}
引用次数: 0
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