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| June 2015 Volume 11 Number 6 | |||||||||||||||||||||||||||||||||||||
In this issue
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| NEWS AND VIEWS | Top | ||||||||||||||||||||||||||||||||||||
| Epilepsy: Neonatal seizures still lack safe and effective treatment Marianne Thoresen & Hemmen Sabir Published online: 28 April 2015 p311 | doi:10.1038/nrneurol.2015.74 Seizures after neonatal hypoxia are difficult to treat. A recent antiepileptic safety and dose-finding study examined phenobarbital plus bumetanide, but was stopped owing to apparent futility and increased risk of hearing loss. However, this decision could have been overcautious: 0.2 mg/kg bumetanide reduced seizure burden, and might not have increased hearing loss. Full Text | PDF | |||||||||||||||||||||||||||||||||||||
| Multiple sclerosis: Genetic variability affects CNS IgG production in MS Jose C. Álvarez-Cermeño & Luisa M. Villar Published online: 14 April 2015 p313 | doi:10.1038/nrneurol.2015.55 Local synthesis of IgG in the CNS is present in >90% of patients with multiple sclerosis (MS), and is considered a hallmark of the disease. A recent study has discovered genetic factors associated with intrathecal production of these antibodies, and suggests excessive IgG synthesis as an indicator of an aggressive disease. Full Text | PDF | |||||||||||||||||||||||||||||||||||||
| Neuro-oncology: Primary CNS lymphoma treatment—the devil is in the details Lisa M. DeAngelis Published online: 05 May 2015 p314 | doi:10.1038/nrneurol.2015.64 Primary CNS lymphoma (PCNSL) is uniquely responsive to initial radiotherapy or chemotherapy, but the best therapeutic approach remains uncertain. Recently updated results from a phase III trial do not support the use of radiotherapy in PCNSL, although the analyses had several disappointing limitations. Full Text | PDF | |||||||||||||||||||||||||||||||||||||
| Multiple sclerosis: Switching sides—fingolimod versus injectable MS therapies Ian T. Rossman & Jeffrey A. Cohen Published online: 21 April 2015 p316 | doi:10.1038/nrneurol.2015.59 A new study shows that in patients with multiple sclerosis who exhibit active disease despite disease-modifying therapy, a switch to fingolimod is more effective than continuation of IFN-β or glatiramer acetate for preventing relapses and worsening of disability. These data support the utility of treatment escalation to improve disease control. Full Text | PDF | |||||||||||||||||||||||||||||||||||||
| REVIEWS | Top | ||||||||||||||||||||||||||||||||||||
| Vascular parkinsonism—characteristics, pathogenesis and treatment Amos D. Korczyn Published online: 28 April 2015 p319 | doi:10.1038/nrneurol.2015.61 Vascular parkinsonism can result from a variety of vascular disorders, and most frequently manifests as an impairment of gait known as lower body parkinsonism. In this Review, Amos Korczyn summarizes the current understanding of clinical and pathogenetic aspects of vascular parkinsonism, including knowledge gained from neuroimaging, and considers current and future therapy for this condition. He also considers whether similarities between vascular parkinsonism and Binswanger disease mean that they should be considered as manifestations of the same pathology. Abstract | Full Text | PDF | |||||||||||||||||||||||||||||||||||||
| Spinal cord MRI in multiple sclerosis—diagnostic, prognostic and clinical value Hugh Kearney, David H. Miller & Olga Ciccarelli Published online: 26 May 2015 p327 | doi:10.1038/nrneurol.2015.80 MRI studies in multiple sclerosis (MS) have mainly focused on brain lesions because of the technical challenges in spinal cord imaging. However, spinal cord abnormalities correlate with disability in MS, and have important diagnostic and prognostic implications. This Review provides an update on technical advances in spinal cord MRI, and discusses the clinical relevance of recent insights into spinal cord pathology in MS. Abstract | Full Text | PDF | Supplementary information | |||||||||||||||||||||||||||||||||||||
| Toward stem cell-based phenotypic screens for neurodegenerative diseases Vikram Khurana, Daniel F. Tardiff, Chee Yeun Chung & Susan Lindquist Published online: 19 May 2015 p339 | doi:10.1038/nrneurol.2015.79 Despite the increasing prevalence of neurodegenerative diseases in our ageing population, disease-modifying therapies remain elusive. As the mechanisms underlying neurodegeneration are poorly understood, these diseases are not especially amenable to target-based drug screening strategies. Here, Khurana et al. present phenotypic screening as an alternative drug discovery approach, and discuss how insights from a simple eukaryote, baker's yeast, are driving research in patient-derived neurons. Abstract | Full Text | PDF | |||||||||||||||||||||||||||||||||||||
| Spinal muscular atrophy—recent therapeutic advances for an old challenge Irene Faravelli, Monica Nizzardo, Giacomo P. Comi & Stefania Corti Published online: 19 May 2015 p351 | doi:10.1038/nrneurol.2015.77 Spinal muscular atrophy (SMA) is the most common genetic cause of infant death. No disease-modifying treatments are available for SMA, but the increasingly precise understanding of SMA aetiopathogenesis has led to the development of promising therapeutic strategies. Here, Farevelli et al. provide an overview of established data and novel insights into SMA pathogenesis, and discuss preclinical evidence and recent advances from ongoing clinical trials. Abstract | Full Text | PDF | |||||||||||||||||||||||||||||||||||||
| PERSPECTIVES | Top | ||||||||||||||||||||||||||||||||||||
| OPINION FTD and ALS—translating mouse studies into clinical trials Lars M. Ittner, Glenda M. Halliday, Jillian J. Kril, Jürgen Götz, John R. Hodges & Matthew C. Kiernan Published online: 05 May 2015 p360 | doi:10.1038/nrneurol.2015.65 The symptoms and neuropathology of frontotemporal dementia (FTD) and amyotrophic lateral sclerosis (ALS) can show a high degree of overlap, and few effective treatments exist for these conditions. In this Perspectives article, Ittner and colleagues describe recent failures in the translation of data from mouse models into clinical trials for patients with FTD and/or ALS. The authors summarize the strengths and weaknesses of several available mouse models, and make recommendations for improving future research practice. Abstract | Full Text | PDF | |||||||||||||||||||||||||||||||||||||
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| *Journal Citation Reports, Thomson, 2013. Nature Reviews Neurology was previously published as Nature Clinical Practice Neurology. |
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