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November 27, 2023
Viewpoint

When Pregnancy Becomes an Inclusion Criterion in Neuroscience Research

Abstract Full Text
JAMA Neurol. Published online November 27, 2023. doi:10.1001/jamaneurol.2023.4506

This Viewpoint discusses the inclusion of pregnant patients in clinical trials for antiseizure medication.

Original Investigation

Alberta Stroke Program Early Computed Tomography Score, Infarct Core Volume, and Endovascular Therapy Outcomes in Patients With Large Infarct: A Secondary Analysis of the ANGEL-ASPECT Trial

Abstract Full Text
has audio
JAMA Neurol. Published online November 27, 2023. doi:10.1001/jamaneurol.2023.4430

This secondary analysis of the ANGEL-ASPECT randomized clinical trial examines outcomes of endovascular therapy vs medical management across varying Alberta Stroke Program Early Computed Tomography Score (ASPECTS) and infarct core volume strata in patients with large infarct.

Multiple Sclerosis Progression and Relapse Activity in Children

Abstract Full Text
JAMA Neurol. Published online November 27, 2023. doi:10.1001/jamaneurol.2023.4455

This cohort study assesses the occurrence of progression independent of relapse activity and relapse-associated worsening in pediatric and adult patients with multiple sclerosis.

JAMA Neurology Clinical Challenge

A Young Woman With Hypertonia, Severe Scoliosis, and Encephalopathy

Abstract Full Text
has active quiz has multimedia
JAMA Neurol. Published online November 27, 2023. doi:10.1001/jamaneurol.2023.4245

A 31-year-old woman was seen with contractures in her fingers and toes, carpal inversion, dysarthria, dysphagia, hypertonia, decreased tendon reflexes, absence of Babinski sign, and no psychiatric problems and significant global atrophy. What is your diagnosis?

Research Letter

Potential Medicare and Medicaid Savings on Anti-CD20 Therapy for Multiple Sclerosis

Abstract Full Text
JAMA Neurol. Published online November 27, 2023. doi:10.1001/jamaneurol.2023.4514

This cross-sectional study compares price data for ocrelizumab and rituximab to estimate the savings to Medicare and Medicaid if rituximab were used in the treatment of multiple sclerosis instead of the higher-priced ocrelizumab.

November 20, 2023
Viewpoint

Streamlining Prior Authorization to Improve Care

Abstract Full Text
JAMA Neurol. Published online November 20, 2023. doi:10.1001/jamaneurol.2023.4324

This Viewpoint addresses the challenges of prior authorization: decreased access, delayed care, decreased patient satisfaction and outcomes, and increased clinician burnout.

On the Brain

Holding Onto Our Hats—A Hmong Medical Student’s Reflection

Abstract Full Text
JAMA Neurol. Published online November 20, 2023. doi:10.1001/jamaneurol.2023.4359

This On the Brain describes a Hmong student’s experience in medical school.

Original Investigation

Behavioral Outcomes and Neurodevelopmental Disorders Among Children of Women With Epilepsy

Abstract Full Text
JAMA Neurol. Published online November 20, 2023. doi:10.1001/jamaneurol.2023.4315

This cohort study examines the association of fetal exposure to antiseizure medications with subsequent adaptive, behavioral or emotional, and neurodevelopmental disorder outcomes at 2, 3, and 4.5 years of age.

Images in Neurology

Reversible Cortical and Basal Ganglia Lesions in Late-Onset Methylmalonic Aciduria

Abstract Full Text
JAMA Neurol. Published online November 20, 2023. doi:10.1001/jamaneurol.2023.4387

This case report describes reversible cortical and basal ganglia lesions in late-onset methylmalonic aciduria in a man in his mid-40s.

Comment & Response

Comparative Efficacy of Disease-Modifying Treatments for Relapsing Multiple Sclerosis—Variations in Real-World Experience

Abstract Full Text
JAMA Neurol. Published online November 20, 2023. doi:10.1001/jamaneurol.2023.4395

Comparative Efficacy of Disease-Modifying Treatments for Relapsing Multiple Sclerosis—Variations in Real-World Experience—Reply

Abstract Full Text
JAMA Neurol. Published online November 20, 2023. doi:10.1001/jamaneurol.2023.4392
November 13, 2023
Original Investigation

Risk of Suicidal Ideation and Behavior in Individuals With Parkinson Disease: A Systematic Review and Meta-Analysis

Abstract Full Text
JAMA Neurol. Published online November 13, 2023. doi:10.1001/jamaneurol.2023.4207

This study addresses inconsistent results from studies of suicidal ideation and behavior in patients with Parkinson PD.

Patient and Family Outcomes of Community Neurologist Palliative Education and Telehealth Support in Parkinson Disease

Abstract Full Text
JAMA Neurol. Published online November 13, 2023. doi:10.1001/jamaneurol.2023.4260

This pragmatic trial evaluates whether palliative care training for neurologists and remote access to a palliative care team can improve outcomes in patients with Parkinson disease and related disorders in community settings.

Images in Neurology

Multimodal Neuroimaging Reveals and Guides Treatment of a Middle Cerebral Artery Web

Abstract Full Text
has active quiz
JAMA Neurol. Published online November 13, 2023. doi:10.1001/jamaneurol.2023.4216

This case report describes how neuroimaging was used to determine treatment for episodic sudden-onset weakness and numbness in the left limbs.

Correction

Error in Figure 2B

Abstract Full Text
free access
JAMA Neurol. Published online November 13, 2023. doi:10.1001/jamaneurol.2023.4587
November 6, 2023
Editorial

APOE Genotype in the Era of Disease-Modifying Treatment With Monoclonal Antibodies Against Amyloid-β

Abstract Full Text
JAMA Neurol. Published online November 6, 2023. doi:10.1001/jamaneurol.2023.4046

Brexpiprazole for the Treatment of Agitation and Aggression in Alzheimer Disease

Abstract Full Text
JAMA Neurol. Published online November 6, 2023. doi:10.1001/jamaneurol.2023.3967
Original Investigation

Brexpiprazole for the Treatment of Agitation in Alzheimer Dementia: A Randomized Clinical Trial

Abstract Full Text
open access
JAMA Neurol. Published online November 6, 2023. doi:10.1001/jamaneurol.2023.3810

This randomized clinical trial examines data for patients with Alzheimer dementia to determine whether brexpiprazole is an efficacious, safe, and well-tolerated treatment for agitation.

APOE Genotype and Alzheimer Disease Risk Across Age, Sex, and Population Ancestry

Abstract Full Text
open access
JAMA Neurol. Published online November 6, 2023. doi:10.1001/jamaneurol.2023.3599

This genetic association study assesses associations between apolipoprotein E and Alzheimer disease risk across age, sex, race and ethnicity, and global population ancestry.

ApoE4 and Connectivity-Mediated Spreading of Tau Pathology at Lower Amyloid Levels

Abstract Full Text
JAMA Neurol. Published online November 6, 2023. doi:10.1001/jamaneurol.2023.4038

This cohort study evaluates amyloid-related tau spreading in apolipoprotein E ε4 carriers and amyloid positron emission tomography thresholds at which tau spreading may accelerate.

Neurofilament Light Chain Elevation and Disability Progression in Multiple Sclerosis

Abstract Full Text
has audio
JAMA Neurol. Published online November 6, 2023. doi:10.1001/jamaneurol.2023.3997

This cohort study investigates the timing of neuroaxonal pathology in individuals with multiple sclerosis who experience disability worsening.

Correction

Error in Figure 1

Abstract Full Text
free access
JAMA Neurol. Published online November 6, 2023. doi:10.1001/jamaneurol.2023.4287
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