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MedXY News/Neurology

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Neurology

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Clinical Updates

Beyond the Threshold: Continuous Creatinine Change and Outcomes After Endovascular Thrombectomy for Acute Ischemic Stroke

Early continuous creatinine changes within 48 hours after EVT correlate with graded risks of poor 90-day functional outcome and in-hospital mortality, revealing prognostic nuances beyond traditional dichotomous CA-AKI definitions.

Oct 5, 2026
Cardiology

Evaluating Left Atrial Appendage Closure Versus Oral Anticoagulation for Stroke Prevention in Atrial Fibrillation: An Updated Meta-Analysis

This meta-analysis consolidates data from six RCTs comparing left atrial appendage closure (LAAC) to oral anticoagulation for stroke prevention in atrial fibrillation, highlighting reduced bleeding with LAAC but increased ischemic stroke ri

Oct 5, 2026
Critical Care

Evolving Patterns in Withdrawal of Life-Sustaining Treatment Among Traumatic Brain Injury Patients: Insights From a Decade of ACS Trauma Data

A decade-long analysis reveals a modest decline and delayed timing in withdrawal of life-sustaining treatment among patients with traumatic brain injury, highlighting evolving prognostic attitudes and clinical decision-making.

Oct 5, 2026Sign in to read
Neurology

Skin Denervation as a Biomarker Linked to Cognitive Decline and Brain Atrophy in Parkinson Disease

Peripheral skin nerve fiber loss correlates with cognitive impairment and brain atrophy in Parkinson disease, suggesting a peripheral-central neurodegenerative axis with potential diagnostic value.

Oct 5, 2026Sign in to read
Hematology-Oncology

Midterm Cognitive Outcomes After CAR T-Cell Therapy in CNS Lymphoma Patients: Encouraging Evidence Beyond Acute Neurotoxicity

This study assesses medium-term cognitive changes in CNS lymphoma patients treated with CAR T-cell therapy, revealing cognitive stability or improvement up to 12 months post-treatment, despite initial neurotoxicity risks.

Oct 5, 2026
Neurology

Evaluating SAR443820, a RIPK1 Inhibitor, in Amyotrophic Lateral Sclerosis: Insights from the Phase 2 HIMALAYA Trial

This phase 2 trial assessed SAR443820, a RIPK1 inhibitor, in ALS patients; it showed no clinical efficacy and increased hepatic side effects, indicating limited therapeutic potential in ALS.

Oct 5, 2026
Neurology

Racial and Ethnic Disparities in Facial Paralysis: Diagnosis, Comorbidities, and Treatment Inequities

This article explores racial and ethnic disparities in the diagnosis, associated comorbidities, and treatment, particularly chemodenervation, among patients with facial paralysis, highlighting significant differences and healthcare gaps.

Oct 5, 2026
Neurology

SleepCARE Trial: CBT-I, Not Bright Light Therapy, Improves Insomnia During Breast Cancer Chemotherapy

In the four-arm SleepCARE trial of 219 women receiving breast cancer chemotherapy, brief CBT-I significantly improved insomnia while bright light therapy did not beat sleep hygiene education. Neither helped fatigue, and combining the two added burden without benefit.

Oct 4, 2026Sign in to read
Neurology

Unraveling Iatrogenic Cerebral Amyloid Angiopathy: Long-Term Disease Progression and Clinical Implications

Iatrogenic cerebral amyloid angiopathy (iCAA) exhibits high symptomatic intracerebral hemorrhage rates decades after exposure. This analysis of 82 European cases highlights recurrence risks and cognitive outcomes, informing prognosis and pa

Oct 4, 2026
Neurology

Evaluating Hearing Aid Intervention in Older Adults with Mild Cognitive Impairment: Insights from the CHOICE Randomized Clinical Trial

The CHOICE trial investigated whether hearing aid intervention reduces dementia progression in older adults with mild cognitive impairment and hearing loss, finding no significant reduction in dementia incidence but increased cognitive impr

Oct 4, 2026Sign in to read
Cardiology

Hospital Stroke Center Designation Influences Reported Stroke Rates After TAVR: Implications for Quality Assessment

National data show that Comprehensive Stroke Center status and trial participation independently predict reported stroke rates after TAVR, highlighting potential ascertainment bias affecting hospital performance metrics.

Oct 4, 2026
Neurology

Microvascular Dysfunction After Reperfusion Predicts Stroke Infarct Expansion and Poor Outcomes

In acute ischemic stroke patients with excellent reperfusion, elevated peri-infarct microvascular heterogeneity measured by MRI predicts infarct growth and poor functional recovery, reflecting the no-reflow phenomenon despite restored macro

Oct 4, 2026Sign in to read
Neurology

Earlier Intervention with Migraine Trigger-Site Surgery Linked to Improved Postoperative Headache Outcomes: Insights from a Taiwanese Cohort Study

A retrospective cohort study reveals that shorter duration from migraine onset to trigger-site surgery predicts better postoperative headache frequency reduction, underscoring the benefit of early surgical intervention in medically refracto

Oct 2, 2026
Critical Care

Hospital Variation in Early Tracheostomy and Life-Sustaining Treatment Withdrawal in Severe TBI: Insights from a Nationwide Study

This nationwide study reveals that hospitals with higher tendencies for early tracheostomy in severe TBI patients also show increased rates of withdrawal of life-sustaining treatment, highlighting significant practice variability and its po

Oct 1, 2026
General Surgery

Optimizing Ventriculoperitoneal Shunt Management During Emergency Abdominal Surgery: Evidence from a 25-Year Retrospective Cohort

This study evaluates shunt preservation strategies in adults with ventriculoperitoneal shunts undergoing emergency abdominal surgery, finding low infection rates and favorable outcomes with shunt retention.

Oct 1, 2026Sign in to read
Critical Care

Quantitative Pupillometry in Post-Cardiac Arrest Neuroprognostication: Insights from a Bicentric Study

This bicentric study evaluates quantitative pupillary light reflex (qPLR) alongside EEG, SSEPs, and NSE for neuroprognostication in comatose post-cardiac arrest patients, revealing strong correlations but limitations in sensitivity and pred

Sep 30, 2026Sign in to read
Neurology

Bridging Perspectives: Comparing Patient-Reported and Physician-Assessed Modified Rankin Scale Scores in Chronic Neurologic Disorders in Zambia

This study evaluates concordance between physician-assessed and patient-reported modified Rankin Scale scores in adults with chronic neurologic disorders in Zambia, revealing substantial agreement but highlighting cultural and symptomatic f

Sep 30, 2026
Clinical Updates

Sustained Benefits of a Multidomain Lifestyle Intervention in Multiple Sclerosis: Insights from the 24-Month LIMS Study Follow-Up

The LIMS study demonstrates sustained, modest improvements in MS-related functioning and dietary behavior up to 24 months following a digital multimodal lifestyle intervention, supporting lifestyle interventions as complementary to MS manag

Sep 29, 2026Sign in to read
Neurology

Advancing Treatment Evaluation in Progressive Multiple Sclerosis: Interim Patient-Reported Outcomes for MAMS Clinical Trials

This article reviews the development and validation of patient-reported outcome measures as interim endpoints in multi-arm multistage trials for progressive multiple sclerosis, highlighting their potential to accelerate therapeutic developm

Sep 29, 2026
Neurology

Dynamic Plasma Biomarkers Reveal Multifaceted Effects of Lecanemab in Early Alzheimer’s Disease

This longitudinal study investigates plasma biomarker dynamics in Alzheimer’s patients treated with lecanemab, revealing distinct biomarker trajectories that reflect amyloid clearance, tau modulation, and immune responses, offering in

Sep 29, 2026
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