US neurologyPub Date : 2019-01-01DOI: 10.17925/USN.2019.15.1.18
Nora Vanegas
{"title":"Imaging, Technology, and Parkinson’s Disease","authors":"Nora Vanegas","doi":"10.17925/USN.2019.15.1.18","DOIUrl":"https://doi.org/10.17925/USN.2019.15.1.18","url":null,"abstract":"Nora Vanegas Dr Vanegas is a neurologist who specializes in deep brain stimulation (DBS) and the treatment of movement disorders including Parkinson’s disease, dystonia, and essential tremor. Dr Vanegas completed her combined clinical-research fellowship at the National Institutes of Health (NIH) under the mentorship of Dr Mark Hallett. Her training had a special focus on neuroimaging and neuromodulation. She transitioned to being an Assistant Professor of Neurology in Columbia University in 2016, and is now an established local expert in neuromodulation for movement disorders. Dr Vanegas is also a clinical investigator whose research involves clinical and translational areas of movement disorders, specifically the use of brain imaging for the understanding of DBS and the physiology of the basal ganglia. As part of multi-disciplinary research activities, Dr Vanegas has developed strong collaborations for various projects with the departments of Biomedical Engineering, Speech Pathology, Neurosurgery and Psychiatry at Columbia University. Such collaborative research activities include the use of instrumented assessments to measure gait characteristics in patients with Parkinson’s disease, the benefits of various airway protection interventions in patients with Parkinson’s disease who aspirate with food and the activity of brain neurons during decision making tasks.","PeriodicalId":90076,"journal":{"name":"US neurology","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67612542","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
US neurologyPub Date : 2019-01-01DOI: 10.17925/USN.2019.15.1.22
N. Ayub, D. Goldenholz, S. Uliel-Sibony, M. Sajatovic, H. Thomas, S. Arnold, P. Voinescu, Zhibin Chen, Neurological Psychiatry-Adult Psychiatry
{"title":"Hot Topics in Epilepsy—Highlights of the American Epilepsy Society Annual Meeting 2018","authors":"N. Ayub, D. Goldenholz, S. Uliel-Sibony, M. Sajatovic, H. Thomas, S. Arnold, P. Voinescu, Zhibin Chen, Neurological Psychiatry-Adult Psychiatry","doi":"10.17925/USN.2019.15.1.22","DOIUrl":"https://doi.org/10.17925/USN.2019.15.1.22","url":null,"abstract":"The American Epilepsy Society Annual Meeting is the largest gathering on epilepsy in the world. The 2018 meeting, which was held in New Orleans, Louisiana, from November 30–December 4, 2018, featured symposia, workshops, and lectures aimed at healthcare practitioners involved in all aspects of the care of patients with epilepsy. In a number of expert interviews conducted at the meeting, authors of key presentations shared their expertise and provided insights into some of the hottest topics in the field.","PeriodicalId":90076,"journal":{"name":"US neurology","volume":"75 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67612568","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
US neurologyPub Date : 2019-01-01DOI: 10.17925/usn.2019.15.2.63
R. Gilbert
{"title":"American Parkinson Disease Association Explores the Current Research in Diverse Parkinson’s Disease Populations","authors":"R. Gilbert","doi":"10.17925/usn.2019.15.2.63","DOIUrl":"https://doi.org/10.17925/usn.2019.15.2.63","url":null,"abstract":"<p />","PeriodicalId":90076,"journal":{"name":"US neurology","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67612182","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
US neurologyPub Date : 2019-01-01DOI: 10.17925/USN.2019.15.1.40
F. Schnell, D. Frank, S. Fletcher, R. Johnsen, S. Wilton
{"title":"Challenges of Interpreting Dystrophin Content by Western Blot","authors":"F. Schnell, D. Frank, S. Fletcher, R. Johnsen, S. Wilton","doi":"10.17925/USN.2019.15.1.40","DOIUrl":"https://doi.org/10.17925/USN.2019.15.1.40","url":null,"abstract":"The Duchenne muscular dystrophy community has recently seen the first approved therapy for the restoration of dystrophin, based on its ability to increase levels of dystrophin protein, as determined by western blot. The approval, along with the initiation of clinical trials evaluating other dystrophin-restoring therapies, highlights the importance of accurate dystrophin quantitation. Nonoptimized western blot methods can reflect inaccurate results, especially in the quantitation of low dystrophin levels. A few key changes to standards and data analysis parameters can result in a low level of dystrophin (<0.5% of a healthy biopsy) being inaccurately interpreted as >20% of the levels reported in healthy human muscle. A review of the dystrophin western blot data on Duchenne and Becker muscular dystrophy biopsies is conducted, along with a thorough investigation of methodologies to quantify dystrophin.","PeriodicalId":90076,"journal":{"name":"US neurology","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67612616","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
US neurologyPub Date : 2019-01-01DOI: 10.17925/USN.2019.15.1.27
R. Kalb, K. Costello, L. Guiod
{"title":"Case Management Services to Meet the Complex Needs of Patients with Multiple Sclerosis in the Community—The Successes and Challenges of a Unique Program from the National Multiple Sclerosis Society","authors":"R. Kalb, K. Costello, L. Guiod","doi":"10.17925/USN.2019.15.1.27","DOIUrl":"https://doi.org/10.17925/USN.2019.15.1.27","url":null,"abstract":"In spite of the therapies currently available to treat people with multiple sclerosis (MS), some individuals continue to experience physical, cognitive, and/or emotional changes over the course of the disease that severely compromise function, independence, safety, and quality of life. In addition, co-morbidities are common in people with MS, further impacting health and well-being, as well as the ability to manage their healthcare needs and cope with everyday life. The National MS Society’s Edward M Dowd Personal Advocate Program (which is one component of the National MS Society’s MS Navigator® Service) is designed to pick up where traditional neurologic care and Society MS Navigators cannot go—into patients’ home environments. This centrally administered program contracts with local professional case managers (most often nurses and social workers) to help stabilize individuals with multiple urgent care needs (for example, in cases of abuse or neglect, or inadequate food, housing or medical care, among others) while identifying and implementing longer-term, sustainable solutions leading to greater independence and quality of life. This article outlines the rationale and goals of the Society’s case management services, considers successful and unsuccessful outcomes that have occurred since the program’s inception, examines the factors that contribute to success or failure for any given patient, and describes future goals.","PeriodicalId":90076,"journal":{"name":"US neurology","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67612574","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
US neurologyPub Date : 2019-01-01DOI: 10.17925/USN.2019.15.1.33
H BrannaganIiiThomas, K. Farhad, I. Kleyman, M. Leitch, Rebecca E. Traub, C. Ulane
{"title":"Existing and Emerging Approaches to Treating Chronic Inflammatory Demyelinating Polyneuropathy","authors":"H BrannaganIiiThomas, K. Farhad, I. Kleyman, M. Leitch, Rebecca E. Traub, C. Ulane","doi":"10.17925/USN.2019.15.1.33","DOIUrl":"https://doi.org/10.17925/USN.2019.15.1.33","url":null,"abstract":"Chronic inflammatory demyelinating polyneuropathy (CIDP) is a rare disabling disease with an incompletely understood autoimmune etiology. Differentiating the condition from other neurological diseases can be challenging and appropriate treatment is often delayed. Intravenous immunoglobulin (IVIg), plasmapheresis, corticosteroids and subcutaneous immunoglobulin (SCIg) have all been demonstrated to be beneficial in placebo-controlled, randomized clinical trials. Corticosteroids, including methylprednisolone and dexamethasone are effective and frequently used in CIDP but their long-term use is limited by side effects. One of the most commonly prescribed treatments for CIDP is IVIg which diminishes inflammatory processes and prevents disease progression. Treatment with IVIg has proven effective in randomized, double blind, placebo controlled, clinical trials and the results support its use in CIDP. For some patients, the benefit of IVIg, is limited by the frequency of infusions and systemic side effects such as flu-like symptoms, headache, and nausea. Other effective treatments for CIDP include corticosteroids that are associated with serious side effects in long-term use and plasmapheresis which requires specialized facilities. More recently, SCIg has been demonstrated in double blind, placebo-controlled studies to be effective for maintenance use in CIDP in patients whose disease has been controlled by IVIg. In a large clinical trial, 0.2 g/kg and 0.4 g/kg body weight doses of 20% SCIg equivalent to 1 mL/kg or 2 mL/kg, respectively, administered weekly, demonstrated efficacy in CIDP and were well tolerated. Immunomodulating treatments such as cyclophosphamide, mycophenolate mofetil and rituximab have also shown efficacy in select populations with CIDP.","PeriodicalId":90076,"journal":{"name":"US neurology","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67612584","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
US neurologyPub Date : 2019-01-01DOI: 10.17925/usn.2019.15.2.91
A. Son, S. Agarwal, A. Cucca, Kush Sharma, M. Biagioni
{"title":"Non-motor Symptoms of Parkinson’s Disease—Considerations for Subclinical and Atypical Seizures","authors":"A. Son, S. Agarwal, A. Cucca, Kush Sharma, M. Biagioni","doi":"10.17925/usn.2019.15.2.91","DOIUrl":"https://doi.org/10.17925/usn.2019.15.2.91","url":null,"abstract":"<p />","PeriodicalId":90076,"journal":{"name":"US neurology","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67612315","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}