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Neurology International, Volume 17, Issue 9

2025 September - 20 articles

Cover Story: GFAP (glial fibrillary acid protein) is an intermediate filaments upregulated during astrogliosis in the brains of Alzheimer’s disease (AD) patients. Once GFAP is produced within the astrocytes, it navigates through peri-arterial and peri-venous pathways for emigrating into the systemic circulation.   Fluctuations in GFAP in the blood can be used as an early indicator to forecast clinical severity and the prognosis of traumatic brain injury (TBI) and AD. Unfortunately, due to TBI- and AD-induced encumbrances blocking its emigration, the smooth sailing of GFAP from brain circulation into systemic circulation never transpires. Future research is needed to ascertain these impediments in the disease context before we can safely rely on GFAP for predicting disease-related changes in TBI and AD. View this paper
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Articles (20)

  • Article
  • Open Access
1 Citations
754 Views
26 Pages

22 September 2025

Background/Objectives: Multiple sclerosis (MS) is a chronic demyelinating disease where early identification of patients at risk of conversion from clinically isolated syndrome (CIS) to clinically definite MS remains a critical unmet clinical need. E...

  • Article
  • Open Access
2,083 Views
10 Pages

18 September 2025

Background: Hypothyroidism has been implicated as a risk factor for carpal tunnel syndrome (CTS). However, the effect of hypothyroidism on the risk of CTS has not been studied in large, non-selective clinic populations, and the impact of hypothyroidi...

  • Review
  • Open Access
2 Citations
2,064 Views
17 Pages

Neurovascular Pathophysiology and Emerging Biomarkers in Cerebral Malaria: An Integrative Perspective

  • Damian Pikor,
  • Mikołaj Hurła,
  • Natalia Banaszek-Hurła,
  • Alicja Drelichowska and
  • Małgorzata Paul

15 September 2025

Cerebral malaria is a life-threatening neurological complication of Plasmodium falciparum infection and a leading cause of pediatric mortality in endemic regions of sub-Saharan Africa. It is defined clinically by coma accompanied by peripheral parasi...

  • Article
  • Open Access
1,539 Views
12 Pages

Association Between Carotid Artery Small Plaque on Computed Tomography Angiography and Embolic Stroke of Undetermined Source

  • Junpei Nagasawa,
  • Tatsuhiro Yokoyama,
  • Makiko Ogawa,
  • Ryuichi Okamoto,
  • Mari Shibukawa,
  • Junya Ebina,
  • Takehisa Hirayama and
  • Osamu Kano

14 September 2025

Objectives: While traditionally, carotid plaques with significant stenosis have been considered major embolic sources, recent evidence suggests that even non-stenotic small plaques with a <50% stenosis rate may contribute to cerebral infarction. H...

  • Article
  • Open Access
4,598 Views
15 Pages

A Pilot Study: The Effect of CPAP Intervention on Sleep Architecture and Cognition in Alzheimer’s Disease Patients with Obstructive Sleep Apnea

  • Carmen L. Frias,
  • Marta Almeria,
  • Judith Castejon,
  • Cristina Artero,
  • Giovanni Caruana,
  • Andrea Elias-Mas,
  • Karol Uscamaita,
  • Virginia Hawkins,
  • Nicola J. Ray and
  • Jerzy Krupinski
  • + 2 authors

11 September 2025

Background: Obstructive sleep apnea (OSA) is highly prevalent in the early stages of Alzheimer’s disease (AD), and its hallmark, sleep fragmentation, may accelerate cognitive decline. Continuous positive airway pressure (CPAP) improves OSA-rela...

  • Article
  • Open Access
1,699 Views
13 Pages

10 September 2025

Background/Objectives: Dizziness is a frequent medical complaint with neurological, otolaryngological, and psychological origins. Imaging studies such as CT (Computer Tomography), cervical X-rays, and ultrasound aid diagnosis, while MRI (Magnetic Res...

  • Article
  • Open Access
1,253 Views
14 Pages

Biological Plausibility of Using Plasma Amino Acid Profile Determination as a Potential Biomarker for Pediatric Patients with Mild Traumatic Brain Injuries

  • Adán Pérez-Arredondo,
  • Eduardo Cázares-Ramírez,
  • Luis Tristán-López,
  • Carlos Jiménez-Gutiérrez,
  • Diana L. Pérez-Lozano,
  • Ivette A. Martínez-Hernández,
  • Valentina Vega-Rangel,
  • Hugo F. Narváez-González,
  • Camilo Rios and
  • Liliana Carmona-Aparicio
  • + 2 authors

9 September 2025

Background: Amino acid biomarkers have a crucial influence on our understanding of brain injury mechanisms, and their plasma concentrations may indicate neurological damage and recovery patterns. Pediatric mild traumatic brain injury (mTBI) assessmen...

  • Article
  • Open Access
1,483 Views
13 Pages

Plasma Neurofilament Light Chain Is Associated with Cognitive Functions but Not Patient-Reported Outcomes in Multiple Sclerosis

  • Valerio Nicolella,
  • Federica Novarella,
  • Fabrizia Falco,
  • Carmela Polito,
  • Rosa Sirica,
  • Evelina La Civita,
  • Vincenzo Criscuolo,
  • Giuseppe Corsini,
  • Antonio Luca Spiezia and
  • Marcello Moccia
  • + 7 authors

9 September 2025

Objective: We aimed to explore associations between plasma neurofilament light chain (pNfL) and cognition through patient-reported outcomes (PROs) in multiple sclerosis (MS). Methods: In this cross-sectional study, we included 211 people with MS (PwM...

  • Review
  • Open Access
1,321 Views
15 Pages

Pericapsular Nerve Group Block Versus Lumbar Epidural Block for Pain Management After Hip Surgeries with a Focus on Pediatric Patients: A Narrative Review

  • Shahab Ahmadzadeh,
  • Hunter M. Schwab,
  • Mary O’Dell Duplechin,
  • Kalob M. Broocks,
  • Jon D. Hirsch,
  • Joseph Drinkard and
  • Sahar Shekoohi

8 September 2025

Pediatric hip surgeries are associated with moderate to high levels of pain, which, in severe cases can lead to opioid prescription and use. There is a growing focus on reducing post-operative pain in these patients to decrease the need for opioids,...

  • Case Report
  • Open Access
1,090 Views
13 Pages

Hyperkinetic Movement Disorder in KARS1-Related Disease: An Illustrative Video-Recorded Case and Narrative Literature Review

  • Veronica Ferasin,
  • Arianna Raicich,
  • Caterina Ancora,
  • Ilaria Bonemazzi,
  • Alessandro Di Paola,
  • Ignazio D’Errico,
  • Margherita Nosadini,
  • Claudio Ancona,
  • Maria Federica Pelizza and
  • Irene Toldo
  • + 1 author

7 September 2025

Background: Aminoacyl-tRNA synthetases (ARSs) are a group of enzymes responsible for the first step of protein translation. Among them, the KARS1 gene encodes lysyl-tRNA synthetase 1, an enzyme essential for charging tRNA-Lys with lysine in both the...

  • Review
  • Open Access
5 Citations
9,047 Views
21 Pages

Cannabinoids in Chronic Pain: Clinical Outcomes, Adverse Effects and Legal Challenges

  • Aleksandar Sic,
  • Conor George,
  • Daniela Ferrer Gonzalez,
  • Vasilis-Spyridon Tseriotis and
  • Nebojsa Nick Knezevic

5 September 2025

Cannabinoids have gained increasing attention as potential therapeutic agents in chronic pain management. Their mechanisms of action, mediated through CB1 and CB2 receptors, provide a pharmacological alternative to conventional analgesics. The eviden...

  • Article
  • Open Access
1,311 Views
23 Pages

Epidemiological and Clinical Characteristics of Acute Stroke in a Multi-Ethnic South Asian Population

  • Kim H. Tran,
  • Naveed Akhtar,
  • Yahia Imam,
  • Md Giass Uddin,
  • Sujatha Joseph,
  • Deborah Morgan,
  • Blessy Babu,
  • Ryan Ty Uy and
  • Ashfaq Shuaib

5 September 2025

Objective: Stroke is one of the leading causes of death and disability worldwide. Compared to developed countries, the prognosis of stroke is less favourable in developing countries. The objective of this study is to identify inter-ethnic variation i...

  • Article
  • Open Access
2 Citations
1,666 Views
12 Pages

Relationship Between Each of the Four Major Motor Symptoms and At-Home Physical Activity in Individuals with Parkinson’s Disease: A Cross-Sectional Study

  • Yuichi Hirakawa,
  • Hiroaki Sakurai,
  • Kazuya Takeda,
  • Soichiro Koyama,
  • Masanobu Iwai,
  • Ikuo Motoya,
  • Yoshikiyo Kanada,
  • Nobutoshi Kawamura,
  • Mami Kawamura and
  • Shigeo Tanabe

3 September 2025

Background/Objectives: Individuals with Parkinson’s disease (PD) often experience four major motor symptoms—tremor, rigidity, bradykinesia, and postural instability/gait disorder. Although these symptoms have been shown to affect activiti...

  • Article
  • Open Access
4,732 Views
12 Pages

1 September 2025

Background/Objectives: Co-culture models of neurons and Schwann cells have been used to explore the mechanisms of myelination during development, axonal regeneration after injury, and the pathogenesis of various demyelinating neuropathies. A spontane...

  • Article
  • Open Access
2 Citations
1,831 Views
16 Pages

Carpal Tunnel Syndrome in the Very Elderly: Clinical, Electrodiagnostic, and Ultrasound Features in a Cohort of 187 Patients

  • Lisa B. E. Shields,
  • Vasudeva G. Iyer,
  • Theresa Kluthe,
  • Yi Ping Zhang and
  • Christopher B. Shields

Background/Objectives: Elderly patients with carpal tunnel syndrome (CTS) have more severe clinical, ultrasonic, and electrodiagnostic (EDX) findings compared to younger patients. Thenar weakness and atrophy are more common at initial presentation in...

  • Article
  • Open Access
2,058 Views
20 Pages

Novel Computed Tomography Perfusion and Laboratory Indices as Predictors of Long-Term Outcome and Survival in Acute Ischemic Stroke

  • Eray Halil,
  • Kostadin Kostadinov,
  • Nikoleta Traykova,
  • Neli Atanasova,
  • Kiril Atliev,
  • Elizabet Dzhambazova and
  • Penka Atanassova

Background/Objectives: Acute ischemic stroke is a leading cause of mortality and long-term disability globally, with limited reliable early predictors of functional outcomes and survival. This study aimed to assess the prognostic value of two novel p...

  • Article
  • Open Access
1 Citations
1,710 Views
19 Pages

Sulbactam: A β–Lactam Compound with Neuroprotective Effects in Epilepsy

  • Fang-Chia Chang,
  • Chiung-Hui Liu,
  • Wen-Chieh Liao,
  • Yu-Shiuan Tzeng,
  • Ru-Yin Tsai,
  • Li-Ho Tseng,
  • Ching-Sui Hung,
  • Shey-Lin Wu and
  • Ying-Jui Ho

Background: The pathophysiology of epilepsy is characterized by increased neuronal activity due to an excess of the excitatory neurotransmitter glutamate and a deficiency in the inhibitory neurotransmitter gamma–aminobutyric acid (GABA). Epilep...

  • Review
  • Open Access
3,840 Views
30 Pages

In Alzheimer’s disease, accumulation of Aβ and tau aggregates in the limbic and cortical regions of the brain forms the pathological basis for the onset of memory loss and cognitive abnormalities. The neuronal desecration inflicted by thes...

  • Article
  • Open Access
1 Citations
1,845 Views
20 Pages

High-Accuracy Classification of Parkinson’s Disease Using Ensemble Machine Learning and Stabilometric Biomarkers

  • Ana Carolina Brisola Brizzi,
  • Osmar Pinto Neto,
  • Rodrigo Cunha de Mello Pedreiro and
  • Lívia Helena Moreira

Background: Accurate differentiation of Parkinson’s disease (PD) from healthy aging is crucial for timely intervention and effective management. Postural sway abnormalities are prominent motor features of PD. Quantitative stabilometry and machi...

  • Article
  • Open Access
1,888 Views
22 Pages

The Role of Pre-Operative Biopsy in Malignant Peripheral Nerve Sheath Tumours: A Review and Retrospective Series with a Management Algorithm from a Single-Center Experience

  • Francesca Vincitorio,
  • Leonardo Bradaschia,
  • Enrico Lo Bue,
  • Alice Antico,
  • Paolo Titolo,
  • Bruno Battiston,
  • Diego Garbossa and
  • Fabio Cofano

Background/Objectives: Peripheral nerve tumours are commonly encountered in clinical practice. Although most are benign, a subset can exhibit aggressive and invasive behaviour, evolving into malignant peripheral nerve sheath tumours (MPNSTs). Due to...

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Neurol. Int. - ISSN 2035-8377