JNS.jpgThe January issue of the Journal of the Neurological Sciences Vol 384 is now available online.

 

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Issue highlights

Resumption of antiplatelet therapy in patients with primary intracranial haemorrhage: Balancing benefits and risks

Intracranial or intracerebral haemorrhage (ICH) can be primary ICH (in the absence of a single clear underlying lesion) and secondary ICH (as a complication of a pre-existing lesion, such as vascular malformation or tumour; or antithrombotic therapy). Primary ICH is the most common type of ICH, and overall, is the second most common subtype of stroke accounting for approximately 10 to 20% of all strokes.

 


Neuropathic pain and SCI: Identification and treatment strategies in the 21st century

  • This review includes discussion about current classifications and tools for identification of neuropathic pain in individuals with SCI.
  • Discussion of current pharmacological and non-pharmacological treatment for NP in SCI are provided.
  • Recommendations on what tools to use for NP identification in SCI patients, and a “decision tree” for NP treatment is included.
  • This is the first review to pair identification with treatment recommendations.
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Resumption of antiplatelet therapy in patients with primary intracranial hemorrhage-benefits and risks: A meta-analysis of cohort studies

Clinical disagreement over antiplatelet (AP) resumption in patients with primary intracranial hemorrhage (ICH) has long existed. This meta-analysis aimed to evaluate the benefits of AP resumption on preventing ischemic or thromboembolic events against its risks of promoting ICH recurrence or hematoma expansion.

  • Antiplatelet resumption reduced ischemic or thromboembolic risk in ICH.
  • Antiplatelet resumption did not increase the risk of ICH recurrence.
  • Antiplatelet resumption in ICH patients may be rational.
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Resting state fMRI studies in SPG4-linked hereditary spastic paraplegia

The study aimed to investigate the functional alterations of spontaneous brain activity in patients with spastic paraplegia type 4 (SPG4), and the relationship with the severity of spasticity.

  • The first BOLD-fMRI study for Spastic Paraplegia Type 4 (SPG4) patients
  • Baseline activity in many brain regions is altered in patients with SPG4.
  • Disturbances in SPG4-related neural networks when patients at rest is observed.

 

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