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November 2023, Vol 80, No. 11, Pages 1130-1253

Viewpoint

Changing Health Care Markets Have the Potential to Undermine Stroke Systems of Care

Abstract Full Text
JAMA Neurol. 2023;80(11):1131-1132. doi:10.1001/jamaneurol.2023.3103

This Viewpoint discusses the importance of prioritizing quality of care for patients with stroke in a changing health care environment.

On the Brain

All You Can Do Is Try Your Best

Abstract Full Text
JAMA Neurol. 2023;80(11):1133-1134. doi:10.1001/jamaneurol.2023.3248

This essay describes the author’s experience of losing her father while in medical school.

Editorial

JAMA Neurology Editorial Fellow

Abstract Full Text
JAMA Neurol. 2023;80(11):1135. doi:10.1001/jamaneurol.2023.3552

Synaptic Oligomers and Glial Cells in Alzheimer Disease

Abstract Full Text
JAMA Neurol. 2023;80(11):1136-1137. doi:10.1001/jamaneurol.2023.3539
Original Investigation

Loneliness and Risk of Parkinson Disease

Abstract Full Text
open access
JAMA Neurol. 2023;80(11):1138-1144. doi:10.1001/jamaneurol.2023.3382

This cohort study uses data from the UK Biobank to assess the association of loneliness with the risk of incident Parkinson disease.

Efficacy and Safety of XEN1101, a Novel Potassium Channel Opener, in Adults With Focal Epilepsy: A Phase 2b Randomized Clinical Trial

Abstract Full Text
open access
JAMA Neurol. 2023;80(11):1145-1154. doi:10.1001/jamaneurol.2023.3542

This randomized clinical trial evaluates the efficacy and safety of XEN1101, a potassium channel opener, in the treatment of adults with intractable focal-onset seizures.

Outcomes in Patients With Poststroke Seizures: A Systematic Review and Meta-Analysis

Abstract Full Text
JAMA Neurol. 2023;80(11):1155-1165. doi:10.1001/jamaneurol.2023.3240

This systematic review and meta-analysis investigates the association of mortality, poor functional outcomes, recurrent stroke, and dementia in patients with poststroke seizures compared with patients without poststroke seizures.

Amyloid Positron Emission Tomography and Subsequent Health Care Use Among Medicare Beneficiaries With Mild Cognitive Impairment or Dementia

Abstract Full Text
JAMA Neurol. 2023;80(11):1166-1173. doi:10.1001/jamaneurol.2023.3490

This nonrandomized controlled trial compares rates of inpatient hospitalizations and emergency department visits between Medicare beneficiaries with cognitive decline who participated in the Imaging Dementia–Evidence for Amyloid Scanning study vs Medicare beneficiaries who had not undergone amyloid positron emission tomography.

Levetiracetam vs Lamotrigine as First-Line Antiseizure Medication in Female Patients With Idiopathic Generalized Epilepsy

Abstract Full Text
JAMA Neurol. 2023;80(11):1174-1181. doi:10.1001/jamaneurol.2023.3400

This comparative effectiveness study investigates the comparative effectiveness of levetiracetam and lamotrigine as initial antiseizure medication in female patients of childbearing age with idiopathic generalized epilepsy.

Automated Large Vessel Occlusion Detection Software and Thrombectomy Treatment Times: A Cluster Randomized Clinical Trial

Abstract Full Text
open access
JAMA Neurol. 2023;80(11):1182-1190. doi:10.1001/jamaneurol.2023.3206

This study attempts to determine whether automated computed tomography angiogram interpretation coupled with secure group messaging can improve in-hospital endovascular stroke therapy workflows.

Racial Differences in Clinical Presentation in Individuals Diagnosed With Frontotemporal Dementia

Abstract Full Text
JAMA Neurol. 2023;80(11):1191-1198. doi:10.1001/jamaneurol.2023.3093

This cross-sectional study explores racial disparities in dementia severity, functional impairment, and neuropsychiatric symptoms in individuals with a diagnosis of frontotemporal dementia.

Underlying Causes of TIA and Minor Ischemic Stroke and Risk of Major Vascular Events

Abstract Full Text
JAMA Neurol. 2023;80(11):1199-1208. doi:10.1001/jamaneurol.2023.3344

This cohort study assesses the extent of coexistence between underlying pathology in patients with transient ischemic attack and minor ischemic stroke, their 5-year risk of major vascular events, and factors associated with risk with the benefit of the more recently adopted ASCOD classification system.

Tau Oligomer–Containing Synapse Elimination by Microglia and Astrocytes in Alzheimer Disease

Abstract Full Text
JAMA Neurol. 2023;80(11):1209-1221. doi:10.1001/jamaneurol.2023.3530

This cross-sectional study assesses whether synapses containing tau oligomers are excessively eliminated by microglia and astrocytes in brains of individuals with vs without dementia but similar neuropathologic changes at autopsy suggestive of early clinical stages of Alzheimer disease.

White Matter Tract Density Index Prediction Model of Overall Survival in Glioblastoma

Abstract Full Text
JAMA Neurol. 2023;80(11):1222-1231. doi:10.1001/jamaneurol.2023.3284

This prognostic study examines the use of a white matter tract density index in the prediction of overall survival in patients with glioblastoma.

Review

Harmonizing Definitions for Progression Independent of Relapse Activity in Multiple Sclerosis: A Systematic Review

Abstract Full Text
has active quiz
JAMA Neurol. 2023;80(11):1232-1245. doi:10.1001/jamaneurol.2023.3331

This systematic review summarizes the current evidence about progression independent of relapse activity (PIRA) based on a systematic review, discusses the various terminologies used in the context of PIRA, and proposes a harmonized definition for PIRA for use in clinical practice and future trials.

Images in Neurology

Spontaneous AICA Dissection Presenting With Isolated Audiovestibular Loss

Abstract Full Text
has active quiz has multimedia
JAMA Neurol. 2023;80(11):1246-1247. doi:10.1001/jamaneurol.2023.3427

This case report describes a man in his 40s with spontaneous anterior inferior cerebellar artery (AICA) dissection after presenting with right-sided sensorineural hearing loss.

Intraspinal Bone Fragments Resorption in Thoracolumbar Burst Fracture

Abstract Full Text
has active quiz
JAMA Neurol. 2023;80(11):1248-1249. doi:10.1001/jamaneurol.2023.3510

This case report describes a man in his 30s transported to a surgical ward with a 7-hour history of unintentional fall from over 20 m.

Research Letter

Declines in Wealth Among US Older Adults at Risk of Dementia

Abstract Full Text
JAMA Neurol. 2023;80(11):1250-1252. doi:10.1001/jamaneurol.2023.3216

This case-control study uses Health and Retirement Study data to examine the trajectories of wealth among US older adults at risk of dementia.

Comment & Response

The SeLECT 2.0 Score—Significance of Treatment With Antiseizure Medication

Abstract Full Text
JAMA Neurol. 2023;80(11):1252. doi:10.1001/jamaneurol.2023.3371

The SeLECT 2.0 Score—Significance of Treatment With Antiseizure Medication—Reply

Abstract Full Text
JAMA Neurol. 2023;80(11):1252-1253. doi:10.1001/jamaneurol.2023.3374
Correction

Error in Figure 1

Abstract Full Text
free access
JAMA Neurol. 2023;80(11):1253. doi:10.1001/jamaneurol.2023.3650
JAMA Neurology Masthead

JAMA Neurology

Abstract Full Text
free access
JAMA Neurol. 2023;80(11):1130. doi:10.1001/jamaneurol.2022.4105
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