Impact Factor 15.358* | In this issue Research Highlights News and Views Reviews Consensus Statement
Also this month Featured article: MAGNIMS consensus guidelines on the use of MRI in multiple sclerosis-establishing disease prognosis and monitoring patients Mike P. Wattjes, Àlex Rovira, David Miller, Tarek A. Yousry, Maria P. Sormani, Nicola de Stefano, Mar Tintoré, Cristina Auger, Carmen Tur, Massimo Filippi, Maria A. Rocca, Franz Fazekas, Ludwig Kappos, Chris Polman, Frederik Barkhof & Xavier Montalban; on behalf of the MAGNIMS study group |
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| | | | | | NEWS AND VIEWS | Top | Dementia: Cerebrospinal fluid biomarkers in dementias Peter Paul De Deyn Published online: 15 September 2015 p549 | doi:10.1038/nrneurol.2015.175 A new study describes a biomarker profile based on cerebrospinal fluid (CSF) tau and amyloid-β1-42 in a uniquely large population with a variety of dementia diagnoses. This study confirms the differential diagnostic value of CSF biomarkers and further highlights the important neuropathological overlap between dementia aetiologies. Full Text | PDF
| Epilepsy: Intriguing new data on epilepsy and risks at delivery Lina Nashef & Torbjörn Tomson Published online: 15 September 2015 p550 | doi:10.1038/nrneurol.2015.176 A large study from the USA suggests that epilepsy in pregnant women elevates the risk of adverse events both to the mother and the fetus, including an 11-fold increase in the risk of death of the mother at delivery. Although the data are intriguing, the study has caveats that call for cautious interpretation. Full Text | PDF
| Stroke: Stroke prevention—time to say goodbye to the ABCD2 score? Hans-Christoph Diener & Benedikt Frank Published online: 01 September 2015 p552 | doi:10.1038/nrneurol.2015.156 The ABCD2 score was developed to triage patients with transient ischaemic attack according to the risk of experiencing a stroke in the next few hours or days. However, a new systematic review and meta-analysis on the ABCD2 score gives us considerable cause to rethink its value for clinical situations. Full Text | PDF
| Parkinson disease: Laying the foundations for disease-modifying therapies in PD Patrik Brundin & Richard Wyse Published online: 25 August 2015 p553 | doi:10.1038/nrneurol.2015.150 The results of a futility trial, which used the PPAR-γ receptor agonist pioglitazone in an attempt to modify disease progression in Parkinson disease, do not support initiation of further trials. However, although this trial was well designed and conducted, we question whether it is time to fully shut the door on pioglitazone. Full Text | PDF
| | | REVIEWS | Top | Circulating biomarkers for gliomas Manfred Westphal & Katrin Lamszus Published online: 15 September 2015 p556 | doi:10.1038/nrneurol.2015.171 Blood-derived biomarkers for gliomas would facilitate diagnostic and prognostic evaluation and assessment of treatment response. Extracellular vesicles, in particular, could be valuable, because they contain a variety of microRNAs, tumour DNA and metabolic markers that reflect the heterogeneous composition of the tumour. Here, Westphal and Lamszus provide an overview of the state of the art, prospects and challenges in development of circulating biomarkers for gliomas. Abstract | Full Text | PDF
| Monoamine neurotransmitter disorders—clinical advances and future perspectives Joanne Ng, Apostolos Papandreou, Simon J. Heales & Manju A. Kurian Published online: 22 September 2015 p567 | doi:10.1038/nrneurol.2015.172 Monoamine neurotransmitters are involved in many neurological functions, and defects in their synthesis, metabolism and transport leads to a variety of disorders with subtly different clinical manifestations that make them difficult to diagnose. The authors of this Review outline the clinical features, diagnosis and management of monoamine neurotransmitter disorders, and consider recent and future advances in knowledge and therapeutic options. Abstract | Full Text | PDF
| Body fluid biomarkers for multiple sclerosis—the long road to clinical application Charlotte E. Teunissen, Arjan Malekzadeh, Cyra Leurs, Claire Bridel & Joep Killestein Published online: 22 September 2015 p585 | doi:10.1038/nrneurol.2015.173 The diagnosis and monitoring of multiple sclerosis (MS) still relies largely on clinical manifestations and imaging. Blood-based or cerebrospinal fluid biomarkers to facilitate prognostic evaluation, staging and subtyping of MS, as well as to predict treatment response and adverse effects, are sorely needed. This comprehensive Review by Charlotte Teunissen and colleagues provides an update on advances in biomarker development and validation in MS, focusing on the clinical applications of MS biomarkers. Abstract | Full Text | PDF | Supplementary information
| | | CONSENSUS STATEMENT | Top | Evidence-based guidelines: MAGNIMS consensus guidelines on the use of MRI in multiple sclerosis—establishing disease prognosis and monitoring patients Mike P. Wattjes, Àlex Rovira, David Miller, Tarek A. Yousry, Maria P. Sormani, Nicola de Stefano, Mar Tintoré, Cristina Auger, Carmen Tur, Massimo Filippi, Maria A. Rocca, Franz Fazekas, Ludwig Kappos, Chris Polman, Frederik Barkhof, Xavier Montalban & on behalf of the MAGNIMS study group Published online: 15 September 2015 p597 | doi:10.1038/nrneurol.2015.157 In the second part of the MAGNIMS network's evidence-based guidelines, Wattjes and colleagues discuss the use of MRI in prognostication and follow-up in patients with multiple sclerosis. The group recommend several techniques that are useful for monitoring disease activity and treatment efficacy, and identify those techniques that require further study. Abstract | Full Text | PDF
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