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ORIGINAL RESEARCH
Cntn6 deficiency impairs allocentric navigation in mice
- First Published: 20 April 2018
The effect of a single dose of escitalopram on sensorimotor networks
- First Published: 20 April 2018

We report here the effect of a single dose of escitalopram on motor task performance in normal volunteers. Principal component analysis of a well-studied tactile manipulation task investigated using fMRI established the reproducibility of the two networks of sensorimotor activity proposed in our previous study as well as an effect of escitalopram on the expression of the patterns.
Correlation between cortical lesions and cognitive impairment in multiple sclerosis
- First Published: 21 April 2018

Gray matter disease is a fundamental aspect of multiple sclerosis (MS), and cognitive impairment (CI) is an important component of MS-related disability, even though both of them, often, are not properly investigated in clinical practice.
In this study, conducted in a clinical practice setting in a cohort of relapsing–remitting and progressive patients with MS investigated with the Rao Brief Repeatable Battery of Neuropsychological Tests (BRB), Version A and with high-field (3.0) MRI and double inversion recovery (3D-DIR) sequences, we found a significant correlation between the cognitive domains most affected in MS and cortical lesions number, a parameter easily achievable also outside research setting and useful for the clinical management of MS-related CI.
Sleep disturbances and depression severity in patients with Parkinson's disease
- First Published: 23 April 2018
Rehabilitation use in multiple sclerosis: Do illness representations matter?
- First Published: 24 April 2018

The aim of our study was to analyse whether illness representations predict the intention to use (in the future) and the use (in the past) of rehabilitation in multiple sclerosis (MS) beyond sociodemographic and illness-related factors. Our data from N = 590 patients with MS suggest that addressing patients’ illness representations may facilitate the intention to use and the use of multimodal rehabilitation, contributing to better illness outcomes.
Genetic influences on prefrontal activation during a verbal fluency task in children: A twin study using near-infrared spectroscopy
- First Published: 24 April 2018

Using a two-channel near-infrared spectroscopy (NIRS) arrangement, we measured changes in bilateral prefrontal blood oxygenation during a category version of the verbal fluency task (VFT) in 27 monozygotic twin pairs and 12 same-sex dizygotic twin pairs ages 5–17 years. Classical structured equation modeling indicated that the heritability of VFT-related brain activation was estimated to be 44% and 37% in the right and left prefrontal regions, respectively.
Altered somatosensory neurovascular response in patients with Becker muscular dystrophy
- First Published: 24 April 2018
Enhanced switching and familial susceptibility for psychosis
- First Published: 25 April 2018

Given the strong heritability of psychosis, it is possible that unaffected relatives may express traits that are related to their protection against development of illness. We found that individuals who report being healthy but having a family member with psychosis showed better task switching performance than those who did not report having an ill family member.
Paradoxical effect of baclofen on social behavior in the fragile X syndrome mouse model
- First Published: 26 April 2018

This paper describes the results of chronic baclofen treatment in FXS mouse model. In contrast to earlier promising reports on acute baclofen treatment, our results show that chronic treatment leads to an adverse effect on social behavior. This might explain the recent failure of clinical trials with patients with FXS using arbaclofen.
Nest-building activity as a reproducible and long-term stroke deficit test in a mouse model of stroke
- First Published: 27 April 2018

This article reports that the nest-building activity may be a novel, objective, easy to use, highly sensitive, and long-lasting test that may reflect the multifaceted sensorimotor and cognitive deficits after stroke in humans. Our findings may provide a novel multifaceted test for bridging the gap between animal stroke studies and clinical trials.
miRNA-regulated transcription associated with mouse strains predisposed to hypnotic effects of ethanol
- First Published: 30 April 2018

Using a meta-analysis, we identified miRNA–mRNA pairs associated with ethanol's hypnotic effects including CamKIIn1 and mmu-miR-06b-5p. Our results suggest a novel role of miRNA-mediated regulation of an inhibitor of CAMK2, and its downstream targets including the GABAA and NMDA receptors, which have been previously implicated to have a role in ethanol-induced sedation and sensitivity.
The behavioral study on the interactive aggravation between pruritus and depression
- First Published: 01 May 2018
D-cycloserine-augmented one-session treatment of specific phobias in children and adolescents
- First Published: 01 May 2018

d-Cycloserine (DCS), an antituberculosis antibiotic, has been found to enhance exposure therapy outcomes for children and adults with various anxiety disorders; however, results of trials to date have been mixed. The efficacy of DCS in augmenting a single-session exposure treatment for children and adolescents with specific phobia was evaluated in a preliminary double-blind randomised controlled trial. DCS was not found to be superior to placebo for the overall sample; however, secondary analyses found that DCS was associated with positive augmenting effects for younger children, but not older, and moreover, within-session fear reduction may moderate outcomes of DCS, with greater reduction in fear during the single session associated with a trend toward superior functioning one month later for younger children, but not older children.
What is the actual prevalence of migraine?
- First Published: 02 May 2018

Migraine population prevalence is reported as between 2.6% and 21.7%, with an average of ~12%, but prevalence in neurologists is reported to be higher compared to the general population. In this study, we aim to examine migraine prevalence among neurologists, neurology trainees, and non-neurologists/trainees at a national neurology meeting. We found that migraine prevalence is significantly higher in neurologists compared to non-neurologists and at least 2–3 times higher than reported in population prevalence studies, and this may be due to significant under-recognition of migraine in non-neurologists.
Liver injury after pulsed methylprednisolone therapy in multiple sclerosis patients
- First Published: 04 May 2018

This a prospective observational single-center study on patients with multiple sclerosis, in relapsing phase of the disease, treated with i.v. methylprednisolone 1,000 mg/day for 5 days. We tested liver function tests before treatment and after 2 weeks. During 12-month observation period, we collected 251 cycles of i.v. high-dose steroid treatment from 175 patients (65.1% females). Serum aminotransferase elevation (any grade) was observed on twenty-one cycles 2 weeks after methylprednisolone therapy (prevalence 8.6%). Six of them (prevalence 2.5%) presented a severe liver injury according to Hy's law. Liver injury should be considered a possible adverse event in patients with multiple sclerosis treated with pulsed methylprednisolone therapy for clinical relapse. Aminotransferase monitoring after pulsed methylprednisolone treatment is useful for clinical management.
Electrical stimulation-based nerve location prediction for cranial nerve VII localization in acoustic neuroma surgery
- First Published: 04 May 2018
Sensor-based gait analysis in atypical parkinsonian disorders
- First Published: 07 May 2018

Our study is the first cross-sectional study performing an embedded sensor-based gait analysis in patients with atypical parkinsonian disorders and comparing them to patients with idiopathic Parkinson's disease, matched for global disability, sex and age and to healthy controls. Our results show that sensor-based gait analysis correlates to clinical rating scores and is able to differentiate patients from controls.
Ceruloplasmin in Parkinson's disease and the nonmotor symptoms
- First Published: 07 May 2018
Similarities between the responses to ANT-DBS and prior VNS in refractory epilepsy
- First Published: 08 May 2018

A first of its kind, this study is a detailed evaluation on the effects of both VNS and ANT-DBS in refractory epilepsy patients. Altogether, 10 of the 11 patients presented similarities in responses between the VNS and DBS therapies. There is a putative association between the VNS and DBS responses, thus further suggesting the necessity for further studies.
Aquaporin-4 knockout mice exhibit increased hypnotic susceptibility to ketamine
- First Published: 09 May 2018
Prediction of vascular abnormalities on CT angiography in patients with acute headache
- First Published: 09 May 2018

Patients with acute headache increasingly undergo CT-angiography (CTA) to evaluate underlying vascular causes. The aim of this study is to determine clinical and non-contrast CT (NCCT) criteria to select patients who might benefit from CTA. We find that in patients with acute headache an abnormal NCCT is the strongest predictor of a subsequent vascular abnormality on CTA. If NCCT is normal no other predictors increase the probability of finding an abnormality on CTA and diagnostic yield is low.
Altered resting-state hippocampal and caudate functional networks in patients with obstructive sleep apnea
- First Published: 10 May 2018

In obstructive sleep apnea (OSA) subjects, the hippocampus showed disrupted functional connectivity (FC) with the thalamus, para-hippocampal gyrus, medial and superior temporal gyrus, insula, and posterior cingulate cortex. Left and right caudate nuclei showed impaired FC with the bilateral inferior frontal gyrus and right angular gyrus. These altered limbic-striatal-cortical FC in OSA showed linear relationships with sleep and neuropsychological variables.
Prehospital identification of factors associated with death during one-year follow-up after acute stroke
- First Published: 16 May 2018
Acute blood pressure levels and long-term outcome in ischemic stroke
- First Published: 18 May 2018

In this elderly population, higher blood pressure on arrival to the emergency room and decrease in blood pressure after the patients’ arrival to the ward were associated with improved functional outcome and reduced mortality, respectively. These results may reflect a regulatory situation in which elevated initial blood pressure indicates adequate response to cerebral tissue ischemia, while subsequent blood pressure decrease instead may be a consequence of partial, successful reperfusion.
Altered white matter connectivity associated with visual hallucinations following occipital stroke
- First Published: 21 May 2018

White matter changes are observed in a patient with visual hallucinations following occipital stroke. Diffusion tensor imaging showed regeneration of the ipsilesional geniculocalcarine tract, compromised white matter connecting the visual cortex with frontal and temporal gyri, and disrupted interhemispheric connectivity between visual cortices. Specific white matter tracts are implicated in chronic visual hallucinations associated with occipital stroke.
Oral phase dysphagia in facial onset sensory and motor neuronopathy
- First Published: 21 May 2018
Hippocampal lipidome and transcriptome profile alterations triggered by acute exposure of mice to GSM 1800 MHz mobile phone radiation: An exploratory study
- First Published: 22 May 2018
Antidiuretic hormone release associated with increased intracranial pressure independent of plasma osmolality
- First Published: 23 May 2018

This study evaluates a new model to explain the release of brain antidiuretic hormone (ADH), independent of plasma osmolality. Systematic review of the professional literature offers support of the proposed model. Data have implications for better understanding the fundemental physiology responsbile for ADH release and essential fluid management of the clinical patient.
Alterations of brain network hubs in reflex syncope: Evidence from a graph theoretical analysis based on DTI
- First Published: 23 May 2018