{"title":"Diabetes insipidus: Is it the cause or the consequence of intracranial hypotension?","authors":"Melek Kandemir Yılmaz, Özcan Kartal","doi":"10.1007/s13760-025-02913-w","DOIUrl":"https://doi.org/10.1007/s13760-025-02913-w","url":null,"abstract":"","PeriodicalId":7042,"journal":{"name":"Acta neurologica Belgica","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145273359","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}
William Chapman, Kevin Tay, Roshan Dhanapalaratnam, Harry Leung, Alessandro S Zagami, William Huynh
{"title":"Delayed rebound intracranial hypertension following treatment for a spontaneous CSF leak in a patient with Marfan syndrome.","authors":"William Chapman, Kevin Tay, Roshan Dhanapalaratnam, Harry Leung, Alessandro S Zagami, William Huynh","doi":"10.1007/s13760-025-02911-y","DOIUrl":"https://doi.org/10.1007/s13760-025-02911-y","url":null,"abstract":"","PeriodicalId":7042,"journal":{"name":"Acta neurologica Belgica","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145249272","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}
Benjamin Hebant, Romain Lefaucheur, Gilles Gargala
{"title":"Atypical presentation of spinal schistosomiasis with involvement of the cervicothoracic spine.","authors":"Benjamin Hebant, Romain Lefaucheur, Gilles Gargala","doi":"10.1007/s13760-025-02914-9","DOIUrl":"https://doi.org/10.1007/s13760-025-02914-9","url":null,"abstract":"<p><p>A 25-year-old patient, born in Eritrea who had lived for 7 years in Nigeria before he arrived in France 1 year ago, was referred for subacute and progressive tetraparesis evolving over 2 months. Examination revealed tetraparesis, impairment of sensory function below the C6 level and tetrapyramidal syndrome. Spine MRI showed increased T2 intensity at the C6 to T11 spinal cord levels consistent with a longitudinally extensive transverse myelitis. After gadolinium administration, a diffuse, nodular, and heterogeneous pattern of contrast enhancement was seen. Cerebrospinal fluid disclosed pleocytosis with 14% eosinophils, associated with an elevated protein level. Exhaustive analysis ruled out bacterial, viral, mycobacterial, or fungal infection. The diagnosis of spinal schistosomiasis was confirmed by detection of S. mansoni DNA in blood and cerebrospinal fluid by polymerase chain reaction (PCR). Treatment with praziquantel was initiated. The clinical course was favourable and follow-up spine MRI at 6 months disclosed a dramatic reduction in the T2 signal abnormality without contrast enhancement. Our case is notable because of the cervicothoracic involvement and because a post-therapeutic MRI was available, confirming the patient's favourable evolution.</p>","PeriodicalId":7042,"journal":{"name":"Acta neurologica Belgica","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145249296","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}
{"title":"ParkEnNET: a majority voting-based ensemble transfer learning framework for early Parkinson's disease detection.","authors":"Arshia Gupta, Deepti Malhotra","doi":"10.1007/s13760-025-02902-z","DOIUrl":"https://doi.org/10.1007/s13760-025-02902-z","url":null,"abstract":"<p><p>Parkinson's Disease (PD) is a rapidly progressing neurodegenerative disorder that often presents neuropsychiatric symptoms, affecting millions globally, particularly within aging populations. Addressing the urgent need for early and accurate diagnosis, this study introduces ParkEnNET, a Majority Voting-Based Ensemble Transfer Learning Framework for early PD detection. Traditional deep learning models, although powerful, require large labeled datasets, extensive computational resources, and are prone to overfitting when applied to small, noisy medical datasets. To overcome these limitations, ParkEnNET leverages transfer learning, utilizing pretrained deep learning models to efficiently extract relevant features from limited MRI data. By integrating the strengths of multiple models through a majority voting ensemble strategy, ParkEnNET effectively handles challenges such as data variability, class imbalance, and imaging noise. The framework was validated both through internal testing and on an independent clinical dataset collected from Superspeciality Hospital Jammu, ensuring real-world generalizability. Experimental results demonstrated that ParkEnNET achieved a diagnostic accuracy of 98.23%, with a precision of 100.0%, recall of 95.24%, and an F1-score of 97.44%, outperforming all individual models including VGGNet, ResNet-50, and EfficientNet. These outcomes establish ParkEnNET as a promising diagnostic framework with strong performance on limited datasets, offering significant potential to enhance early clinical detection and timely intervention for Parkinson's Disease.</p>","PeriodicalId":7042,"journal":{"name":"Acta neurologica Belgica","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145230921","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}
Sowmya Srinivas, S Arjun, Veena More, M S Aparna, K Ramesh, Vidya G Doddawad
{"title":"Predicting cognitive decline using tongue pressure: a novel, non-invasive screening strategy for dementia in geriatric dentistry.","authors":"Sowmya Srinivas, S Arjun, Veena More, M S Aparna, K Ramesh, Vidya G Doddawad","doi":"10.1007/s13760-025-02904-x","DOIUrl":"https://doi.org/10.1007/s13760-025-02904-x","url":null,"abstract":"<p><strong>Background: </strong>Cognitive decline and dementia pose significant public health challenges, especially in aging populations. Oral frailty-characterized by reduced tongue pressure, chewing difficulties, and swallowing impairment-has been linked to cognitive deterioration. However, the potential of tongue pressure as a biomarker for early cognitive decline remains underexplored.</p><p><strong>Purpose: </strong>This study investigates the relationship between tongue pressure, cognitive function, educational background, and dentition status to assess its feasibility as a non-invasive screening tool for early dementia detection.</p><p><strong>Materials and methods: </strong>A novel, low-cost tongue pressure measurement device was developed to evaluate oral function in older adults. Cognitive status was assessed using the Montreal Cognitive Assessment (MoCA), while machine learning models were employed to predict cognitive decline based on tongue pressure, dentition, and education level. Among the models tested, the Decision Tree classifier was recommended due to its high interpretability and performance, achieving 94% accuracy, 0.94 recall, 0.94 precision, and an AUC of 0.95.</p><p><strong>Results: </strong>Lower tongue pressure was significantly associated with cognitive decline. Dentition status and education level also showed strong correlations. The Decision Tree model effectively predicted cognitive impairment using these variables.</p><p><strong>Conclusion: </strong>Tongue pressure measurement, supported by machine learning, presents a promising, non-invasive, and accessible method for early cognitive decline screening. The developed tool has strong potential for clinical and community-based application, especially in resource-limited settings.</p>","PeriodicalId":7042,"journal":{"name":"Acta neurologica Belgica","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145231091","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}
{"title":"Atypical presentation of a severe form of spontaneous intracranial hypotension due to multiple CSF leaks in the brain and spinal cord: therapeutic challenge.","authors":"Brice Fotsing, Alionka Bostan, Bernard Dachy","doi":"10.1007/s13760-025-02896-8","DOIUrl":"https://doi.org/10.1007/s13760-025-02896-8","url":null,"abstract":"","PeriodicalId":7042,"journal":{"name":"Acta neurologica Belgica","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145224651","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}
Sadullah Şimşek, Mehmet Salih Karaca, Ali Oğuz, Tarık Sağlam
{"title":"Acute ischemic stroke triggered by minor trauma in a child with mineralizing vasculopathy: a case report : Pediatric stroke and mineralizing vasculopathy.","authors":"Sadullah Şimşek, Mehmet Salih Karaca, Ali Oğuz, Tarık Sağlam","doi":"10.1007/s13760-025-02903-y","DOIUrl":"https://doi.org/10.1007/s13760-025-02903-y","url":null,"abstract":"","PeriodicalId":7042,"journal":{"name":"Acta neurologica Belgica","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145211304","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}