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Brain Sciences, Volume 15, Issue 7

2025 July - 111 articles

Cover Story: In this study, we focus on indicators of psychosocial adjustment (PSA) in patients with Multiple Sclerosis (MS), examining how fatigue and disease progression negatively impact quality of life (QoL) and depressiveness. Using patient-reported outcomes, we identified depressiveness and physical, mental, and subjective QoL as key indicators of PSA in MS. Fatigue, both cognitive and motor, emerges as a central predictor of PSA in MS. To unravel the impact of disease trajectory on PSA, a comparison with patients with Amyotrophic Lateral Sclerosis (ALS) was performed, revealing both similarities and differences in mental well-being as one indicator of PSA, i.e., slower disease progression in MS may facilitate more favorable PSA. These findings emphasize the need for tailored psychotherapeutic interventions to facilitate psychosocial adjustment even in the face of severe physical challenges. View this paper
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Articles (111)

  • Article
  • Open Access
966 Views
11 Pages

The Effects of Carotid Pathologies on Short-Term Functional Outcomes After First-Ever Small Vessel Occlusion Stroke

  • Minwook Bae,
  • Yong-Suk Jeong,
  • Sopheak Phoung,
  • Phoeuk Borei,
  • Dahyeon Koo and
  • Dougho Park

Background: While carotid pathologies are well-established risk factors for stroke, their specific effects on outcomes following stroke that cannot be classified as atherosclerotic remain unclear. In this study, we aimed to determine whether carotid...

  • Article
  • Open Access
2 Citations
1,262 Views
23 Pages

Background: The brain is never truly at rest. Even in the absence of external tasks, it remains active, continuously organizing itself into large-scale resting-state networks involved in shaping our internal thoughts and experiences. Understanding th...

  • Article
  • Open Access
1,124 Views
12 Pages

Introduction: The important factor in applying substances for inner ear therapy is the atraumatic execution, as well as effective concentration uniformly distributed in all regions of the cochlea within a reasonable time frame. This study investigate...

  • Article
  • Open Access
2 Citations
1,015 Views
17 Pages

Background/Objectives: The prognostic uncertainty of Mild Cognitive Impairment (MCI) imposes comprehensive neuropsychological evaluations beyond mere memory assessment. However, previous investigations into other cognitive domains, such as attention,...

  • Article
  • Open Access
1 Citations
1,456 Views
23 Pages

Elucidating White Matter Contributions to the Cognitive Architecture of Affective Prosody Recognition: Evidence from Right Hemisphere Stroke

  • Meyra S. Jackson,
  • Yuto Uchida,
  • Shannon M. Sheppard,
  • Kenichi Oishi,
  • Ciprian Crainiceanu,
  • Argye E. Hillis and
  • Alexandra Z. Durfee

Background/Objectives: Successful discourse relies not only on linguistic but also on prosodic information. Difficulty recognizing emotion conveyed through prosody (receptive affective aprosodia) following right hemisphere stroke (RHS) significantly...

  • Systematic Review
  • Open Access
4 Citations
4,555 Views
23 Pages

Intraoperative Neurophysiological Monitoring in Contemporary Spinal Surgery: A Systematic Review of Clinical Outcomes and Cost-Effectiveness

  • Luca Zanin,
  • Laura Broglio,
  • Pier Paolo Panciani,
  • Riccardo Bergomi,
  • Giorgia De Rosa,
  • Luca Ricciardi,
  • Giusy Guzzi,
  • Alessandro Fiorindi,
  • Carlo Brembilla and
  • Marco Maria Fontanella
  • + 3 authors

Background: Intraoperative neurophysiological monitoring (IONM) is increasingly used during spinal surgery to reduce the risk of neurological complications. This systematic review evaluates both the clinical outcomes and cost-effectiveness of IONM in...

  • Review
  • Open Access
1,819 Views
22 Pages

Neurobiology of Dystonia: Review of Genetics, Animal Models, and Neuroimaging

  • Jamir Pitton Rissardo,
  • Andrew McGarry,
  • Yiwen Shi,
  • Ana Leticia Fornari Caprara and
  • Ian M. Walker

Over the past decade, substantial progress has been made in understanding the pathophysiology of dystonia. The number of identified genes has surged—exceeding 400 by 2024—with approximately 76.6% linked to neurodevelopmental disorders. De...

  • Review
  • Open Access
1 Citations
2,286 Views
13 Pages

Sleep and Risk of Multiple Sclerosis: Bridging the Gap Between Inflammation and Neurodegeneration via Glymphatic Failure

  • Mariateresa Buongiorno,
  • Carmen Tur,
  • Darly Milena Giraldo,
  • Natalia Cullell,
  • Jerzy Krupinski,
  • Roberta Lanzillo and
  • Gonzalo Sánchez-Benavides

Epidemiological studies identified insufficient and poor-quality sleep as independent risk factors for multiple sclerosis (MS). The glymphatic system, active during slow-wave sleep, clears brain waste through perivascular astrocytic aquaporin-4 (AQP4...

  • Article
  • Open Access
1,600 Views
19 Pages

Objectives: To investigate whether a Multimodal Rehabilitation Program (MRP) affects the change in visual–spatial abilities, especially attention, information-processing speed, visual–spatial learning, the severity of depression, and stra...

  • Article
  • Open Access
1,010 Views
15 Pages

Background: Biomechanical and neuromuscular differences between falls and recoveries have been well-studied; however, the cortical correlations remain unclear. Using mobile brain imaging via electroencephalography (EEG), we examined differences in se...

  • Systematic Review
  • Open Access
2 Citations
2,015 Views
18 Pages

Mental Health and Quality of Life in Patients with Untreated Unruptured Intracranial Aneurysms: A Systematic Review and Meta-Analysis of 417,152 Patients with Trial Sequential Analysis

  • Plamen Penchev,
  • Kiril Ivanov,
  • Daniela Milanova-Ilieva,
  • Lyubomir Gaydarski,
  • Kiril Kostov,
  • Nikola Boyadzhiev,
  • Petar-Preslav Petrov,
  • Patrice Mehandzhiev,
  • Remzi Hyusein and
  • Nikolai Ramadanov
  • + 12 authors

Introduction: Unruptured intracranial aneurysms (UIAs) can induce psychological stress, leading to anxiety, depression, and impaired quality of life (QoL). Most studies on this topic are limited by small sample sizes, cross-sectional designs, and a f...

  • Article
  • Open Access
3 Citations
9,711 Views
18 Pages

Background: More than merely determining our sleep pattern, our body’s internal clock also improves the quality of our sleep, alleviates the symptoms of depression, and maintains the balance of our gut flora. Methods: We carried out a 12-week r...

  • Perspective
  • Open Access
1 Citations
5,166 Views
16 Pages

The human voice is an invaluable tool for communication, carrying information about a speaker’s emotional state and cognitive health. Recent research highlights the potential of acoustic biomarkers to detect early signs of mental health and neu...

  • Perspective
  • Open Access
2 Citations
3,594 Views
18 Pages

This article aims to offer a broad perspective on the use of non-invasive brain stimulation (NIBS) techniques in the context of chronic musculoskeletal pain (CMP) conditions. While NIBS has demonstrated promising efficacy in certain chronic pain popu...

  • Review
  • Open Access
1,891 Views
25 Pages

Ischemic stroke ranks among the top global causes of disability and mortality, with a highly dynamic pathological process. Post-stroke neuroinflammation, mediated by microglia, demonstrates a dual role in both injury and repair. The CX3CR1/CX3CL1 sig...

  • Article
  • Open Access
1 Citations
1,755 Views
10 Pages

Symptom-Triggered Alcohol Detoxification Compared to Fixed-Dose Regimen of Benzodiazepines: A Retrospective Case–Control Study

  • Laurent Becciolini,
  • Fabienne Wehrli,
  • Jens Kronschnabel,
  • Carolina Wiesendanger,
  • Norbert Scherbaum and
  • Patrik Roser

Background: Alcohol withdrawal syndrome is a common clinical challenge that may lead to significant complications if not properly managed. Symptom-triggered therapy (STT) represents a promising alternative to fixed-dose regimens (FDRs) providing benz...

  • Article
  • Open Access
2 Citations
3,927 Views
14 Pages

Delving into the Perception, Use, and Context of Duloxetine in Clinical Practice: An Analysis Based on the Experience of Healthcare Professionals

  • Oscar Fraile-Martinez,
  • Cielo Garcia-Montero,
  • Miguel Angel Alvarez-Mon,
  • Miguel A. Ortega,
  • Melchor Alvarez-Mon and
  • Javier Quintero

Background and objectives: Duloxetine is widely used for the treatment of major depressive disorder (MDD), generalized anxiety disorder (GAD), and various types of neuropathic pain. While its efficacy is well documented in clinical trials, less is kn...

  • Review
  • Open Access
2 Citations
1,630 Views
21 Pages

Translating Exosomal microRNAs from Bench to Bedside in Parkinson’s Disease

  • Oscar Arias-Carrión,
  • María Paulina Reyes-Mata,
  • Joaquín Zúñiga and
  • Daniel Ortuño-Sahagún

Parkinson’s disease (PD) is a progressive neurodegenerative disorder marked by dopaminergic neuronal loss, α-synuclein aggregation, and chronic neuroinflammation. Recent evidence suggests that exosomal microRNAs (miRNAs)—small, non-...

  • Review
  • Open Access
2 Citations
4,190 Views
17 Pages

Post-Concussion Syndrome and Functional Neurological Disorder: Diagnostic Interfaces, Risk Mechanisms, and the Functional Overlay Model

  • Ioannis Mavroudis,
  • Foivos Petridis,
  • Eleni Karantali,
  • Alin Ciobica,
  • Sotirios Papagiannopoulos and
  • Dimitrios Kazis

Background: Post-concussion syndrome (PCS) and Functional Neurological Disorder (FND), including Functional Cognitive Disorder (FCD), are two frequently encountered but diagnostically complex conditions. While PCS is conceptualized as a sequela of mi...

  • Review
  • Open Access
1 Citations
2,148 Views
26 Pages

Alzheimer’s disease (AD) is a leading cause of dementia, characterized by progressive cognitive and language impairments that significantly impact communication and quality of life. Neuromodulation techniques, including repetitive transcranial...

  • Review
  • Open Access
2 Citations
1,987 Views
30 Pages

Communication Abilities, Assessment Procedures, and Intervention Approaches in Rett Syndrome: A Narrative Review

  • Louiza Voniati,
  • Angelos Papadopoulos,
  • Nafsika Ziavra and
  • Dionysios Tafiadis

Background/Objectives: Rett syndrome (RTT) is a rare neurodevelopmental disorder that affects movement and communication skills primarily in females. This study aimed to synthesize the research from the last two decades regarding the verbal and nonve...

  • Article
  • Open Access
1 Citations
1,191 Views
19 Pages

Background: The ability of Graph Neural Networks (GNNs) to analyse brain structural patterns in various kinds of neurodegenerative diseases, including Parkinson’s disease (PD), has drawn a lot of interest recently. One emerging technique in thi...

  • Article
  • Open Access
1 Citations
1,526 Views
13 Pages

Subtyping Early Parkinson’s Disease by Mapping Cognitive Profiles to Brain Atrophy with Visual MRI Ratings

  • Tania Álvarez-Avellón,
  • Carmen Solares,
  • Juan Álvarez-Carriles and
  • Manuel Menéndez-González

Background: Cognitive heterogeneity in Parkinson’s disease (PD) remains a diagnostic and prognostic challenge, particularly in early stages. In this cross-sectional study, we aimed to identify clinically relevant cognitive subtypes in early PD...

  • Article
  • Open Access
831 Views
14 Pages

Background/Objectives: Accurately predicting the arrival position of a moving target is essential in sports and daily life. While predictive saccades are known to enhance performance, the neural mechanisms underlying the timing of these strategies re...

  • Article
  • Open Access
1 Citations
1,823 Views
16 Pages

Background/Objectives: Epilepsy and sleep disturbances frequently co-occur, yet the causal nature of this relationship remains uncertain, particularly in relation to epilepsy subtypes and status epilepticus. We investigated potential bidirectional ca...

  • Correction
  • Open Access
464 Views
2 Pages

Correction: MACCHINI et al. Intra-Arrest Therapeutic Hypothermia and Neurologic Outcome in Patients Admitted After Out-of-Hospital Cardiac Arrest: A Post Hoc Analysis of the Princess Trial. Brain Sci. 2022, 12, 1374

  • Elisabetta MACCHINI,
  • Emelie DILLENBECK,
  • Martin JONSSON,
  • Filippo ANNONI,
  • Sune FORSBERG,
  • Jacob HOLLENBERG,
  • Anatolij TRUHLAR,
  • Leif SVENSSON,
  • Per NORDBERG and
  • Fabio Silvio TACCONE

In the original publication [...]

  • Comment
  • Open Access
1,332 Views
3 Pages

The article “Multiple Chemical Sensitivity: A Clinical Perspective”, published in Brain Sciences, suggests that multiple chemical sensitivity (MCS) is primarily a psychogenic disorder, rooted in unresolved emotional trauma and stress resp...

  • Review
  • Open Access
1,464 Views
16 Pages

GABAergic Influences on Medulloblastoma

  • Viviane Aline Buffon,
  • Jurandir M. Ribas Filho,
  • Osvaldo Malafaia,
  • Isadora D. Tassinari,
  • Rafael Roesler and
  • Gustavo R. Isolan

Medulloblastoma (MB) is the most common malignant brain tumor in children and typically arises in the cerebellum, likely due to disruptions in neuronal precursor development. The primary inhibitory neurotransmitter in the central nervous system (CNS)...

  • Article
  • Open Access
1,536 Views
12 Pages

Quality of Life in Multiple Sclerosis Compared to Amyotrophic Lateral Sclerosis: Fatigue and Fast Disease Progression Interferes with the Ability to Psychosocially Adjust

  • Luisa T. Balz,
  • Ingo Uttner,
  • Jochen Weishaupt,
  • Albert C. Ludolph,
  • Daniela Taranu,
  • Ioannis Vardakas,
  • Stefanie Jung,
  • Tanja Fangerau,
  • Deborah K. Erhart and
  • Dorothée E. Lulé
  • + 2 authors

Background/Objectives: Multiple sclerosis (MS) is a complex neurological disease that is associated with a broad spectrum of physical and psychological symptoms. Psychosocial adjustment (PSA) refers to the ability to cope with these challenges, which...

  • Article
  • Open Access
1,380 Views
18 Pages

Single-Stage Endovascular Management of Concurrent Intracranial Aneurysms and Arterial Stenoses: Clinical Outcomes, Procedural Strategies, and Predictive Factors

  • Marat Sarshayev,
  • Shayakhmet Makhanbetkhan,
  • Aiman Maidan,
  • Roger Barranco Pons,
  • Dimash Davletov,
  • Abzal Zhumabekov and
  • Mynzhylky Berdikhojayev

Background: The coexistence of extracranial arterial stenoses and intracranial aneurysms presents a unique clinical dilemma. While staged interventions are traditionally preferred to reduce procedural risks, recent advances have enabled single-stage...

  • Review
  • Open Access
1 Citations
1,555 Views
9 Pages

Glial cells, once considered mere support for neurons, have emerged as key players in brain function across vertebrates. The historical study of glia dates to the 19th century with the identification of ependymal cells and astrocytes, followed by the...

  • Case Report
  • Open Access
1 Citations
1,539 Views
18 Pages

Feasibility of Home-Based Transcranial Direct Current Stimulation with Telerehabilitation in Primary Progressive Aphasia—A Case Series

  • Anna Uta Rysop,
  • Tanja Grewe,
  • Caterina Breitenstein,
  • Ferdinand Binkofski,
  • Mandy Roheger,
  • Nina Unger,
  • Agnes Flöel and
  • Marcus Meinzer

Background: Primary progressive aphasia (PPA) is a neurodegenerative disease characterised by progressive impairment of speech and language abilities. Intensive speech and language teletherapy combined with remotely supervised, self-administered tran...

  • Article
  • Open Access
2,059 Views
27 Pages

Biopsychosocial Profile of Chronic Alcohol Users: Insights from a Cross-Sectional Study

  • Luciana Angela Ignat,
  • Raluca Oana Tipa,
  • Alina Roxana Cehan and
  • Vladimir Constantin Bacârea

Introduction: Chronic alcohol use is a complex condition influenced by psychological, behavioral, and socio-demographic factors. This study aimed to develop a comprehensive psychosocial profile of individuals with alcohol use disorder (AUD) by examin...

  • Case Report
  • Open Access
1,503 Views
12 Pages

Acute Medical Events in Adults with Profound Autism: A Review and Illustrative Case Series

  • Heli Patel,
  • Anamika L. Shrimali,
  • Christopher J. McDougle and
  • Hannah M. Carroll

Background: Autism spectrum disorder (ASD) is associated with social-communication challenges that can hinder timely diagnosis and treatment during acute medical events (AMEs). The purpose of this report is to review the literature on medical comorbi...

  • Article
  • Open Access
2 Citations
2,082 Views
19 Pages

Prediction of Parkinson Disease Using Long-Term, Short-Term Acoustic Features Based on Machine Learning

  • Mehdi Rashidi,
  • Serena Arima,
  • Andrea Claudio Stetco,
  • Chiara Coppola,
  • Debora Musarò,
  • Marco Greco,
  • Marina Damato,
  • Filomena My,
  • Angela Lupo and
  • Michele Maffia
  • + 6 authors

Background: Parkinson’s disease (PD) is the second most common neurodegenerative disorder after Alzheimer’s disease, affecting countless individuals worldwide. PD is characterized by the onset of a marked motor symptomatology in associati...

  • Article
  • Open Access
1,071 Views
6 Pages

Vagal nerve stimulators (VNSs) improve seizure control in up to half of the patients who have them implanted. In non-responding patients, VNS removal may be necessary. Removal is traditionally accomplished through two incisions. We present our experi...

  • Article
  • Open Access
842 Views
15 Pages

Validity Evidence of the TRIACOG-Online Administered In-Person to Adults Post Stroke

  • Luana Comito Muner,
  • Guilherme Domingos Martins,
  • Ana Beatriz Santos Honda,
  • Natália Becker and
  • Jaqueline de Carvalho Rodrigues

Background/Objectives: Neuropsychological assessment tools adapted for digital formats are crucial to expanding access and improving cognitive evaluation in post-stroke patients. This study aimed to examine the reliability, convergent validity, and c...

  • Article
  • Open Access
1,277 Views
14 Pages

Factors Influencing Virtual Art Therapy in Patients with Stroke

  • Marco Iosa,
  • Roberto De Giorgi,
  • Federico Gentili,
  • Alberto Ciotti,
  • Cristiano Rubeca,
  • Silvia Casolani,
  • Claudia Salera and
  • Gaetano Tieri

Background: Art therapy was recently administered to stroke patients using immersive virtual reality technology, chosen to provide the illusion of being able to replicate an artistic masterpiece. This approach was effective in improving rehabilitativ...

  • Article
  • Open Access
2,485 Views
21 Pages

Acute Stroke Severity Assessment: The Impact of Lesion Size and Functional Connectivity

  • Karolin Weigel,
  • Christian Gaser,
  • Stefan Brodoehl,
  • Franziska Wagner,
  • Elisabeth Jochmann,
  • Daniel Güllmar,
  • Thomas E. Mayer and
  • Carsten M. Klingner

Background/Objectives: Early and accurate prediction of stroke severity is crucial for optimizing guided therapeutic decisions and improving outcomes. This study investigates the predictive value of lesion size and functional connectivity for neurolo...

  • Review
  • Open Access
2 Citations
6,981 Views
45 Pages

Consciousness remains one of the most critical yet least understood functions of the brain, not only in humans but also in certain highly organized animal species. In this review, we propose treating consciousness as an emergent, goal-directed inform...

  • Review
  • Open Access
2 Citations
2,216 Views
16 Pages

The Brain in the Age of Smartphones and the Internet: The Possible Protective Role of Sport

  • Laura Coco,
  • Jonida Balla,
  • Leonardo Noto,
  • Valentina Perciavalle,
  • Andrea Buscemi,
  • Donatella Di Corrado and
  • Marinella Coco

Background: The widespread use of smartphones and the internet has transformed communication, but excessive use has raised concerns about smartphone and internet addiction, which can lead to psychological, physical, and social issues. The objective o...

  • Article
  • Open Access
1,082 Views
15 Pages

Exploring Fixation Times During Emotional Decoding in Intimate Partner Violence Perpetrators: An Eye-Tracking Pilot Study

  • Carolina Sarrate-Costa,
  • Marisol Lila,
  • Luis Moya-Albiol and
  • Ángel Romero-Martínez

Background/Objectives: Deficits in emotion recognition abilities have been described as risk factors for intimate partner violence (IPV) perpetration. However, much of this research is based on self-reports or instruments that present limited psychom...

  • Review
  • Open Access
1 Citations
4,167 Views
17 Pages

Transcranial magnetic stimulation combined with electroencephalography (TMS-EEG) has emerged as a transformative tool for probing cortical dynamics with millisecond precision. This review examines the state-dependent nature of TMS-EEG, a critical yet...

  • Review
  • Open Access
3 Citations
2,682 Views
28 Pages

Diagnostic, Therapeutic, and Prognostic Applications of Artificial Intelligence (AI) in the Clinical Management of Brain Metastases (BMs)

  • Kyriacos Evangelou,
  • Panagiotis Zemperligkos,
  • Anastasios Politis,
  • Evgenia Lani,
  • Enrique Gutierrez-Valencia,
  • Ioannis Kotsantis,
  • Georgios Velonakis,
  • Efstathios Boviatsis,
  • Lampis C. Stavrinou and
  • Aristotelis Kalyvas

Brain metastases (BMs) are the most common intracranial tumors in adults. Their heterogeneity, potential multifocality, and complex biomolecular behavior pose significant diagnostic and therapeutic challenges. Artificial intelligence (AI) has the pot...

  • Review
  • Open Access
2,189 Views
20 Pages

Neurological Disorders and Clinical Progression in Boxers from the 20th Century: A Narrative Review

  • Rudolph J. Castellani,
  • Nicolas Kostelecky,
  • Jared T. Ahrendsen,
  • Malik Nassan,
  • Pouya Jamshidi and
  • Grant L. Iverson

Introduction: There are no validated clinical diagnostic criteria for chronic traumatic encephalopathy or traumatic encephalopathy syndrome (TES). To understand the historical clinical condition, its applicability to modern day athletes, and the path...

  • Article
  • Open Access
1 Citations
1,800 Views
18 Pages

Response to Training in Emotion Recognition Function for Mild TBI/PTSD Survivors: Pilot Study

  • J. Kay Waid-Ebbs,
  • Kristen Lewandowski,
  • Yi Zhang,
  • Samantha Graham and
  • Janis J. Daly

Background/Objectives: For those with comorbid mild traumatic brain injury/post-traumatic stress disorder (mTBI/PTSD), deficits are common with regard to recognition of emotion expression in others. These deficits can cause isolation and suicidal ide...

  • Review
  • Open Access
1 Citations
2,223 Views
12 Pages

Trauma exposure has severe consequences for the exposed individuals as well as their children. The current paper is a conceptual narrative review that uses the intergenerational transmission of trauma (ITT) framework to synthesize the literature on t...

  • Review
  • Open Access
2 Citations
3,423 Views
18 Pages

The Challenge of Diagnosing Labyrinthine Stroke—A Critical Review

  • Alexander A. Tarnutzer,
  • Sun-Uk Lee,
  • Ji-Soo Kim and
  • Diego Kaski

Acute vertigo or dizziness that is accompanied by a sudden sensorineural hearing loss (SSNHL) often poses a diagnostic challenge. While a combined audiovestibular deficit makes an inner ear pathology most likely, this does not necessarily exclude a v...

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Brain Sci. - ISSN 2076-3425