Neurology Journal
@GreenJournal
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Neurology is the most widely read and highly cited peer-reviewed neurology journal. It is the medical journal for the American Academy of Neurology.
Minneapolis, MN
Joined July 2009
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Temporal artery inflammation may cause facial nerve irritation and hemifacial spasm. Learn more:
#NeurologyRF
#NeuroTwitter
5
169
901
Small-fiber
#neuropathy
beginning within a month of
#COVID
-19 onset may be common in long-COVID, though larger investigations are needed. Learn more:
#NeuroTwitter
32
207
600
Novakovic-White et al provide a literature review of clinical, radiographic and anatomical features of posterior circulation ischemia and systematic review of the literature on the management of basilar artery occlusion and associated outcomes.
#Neurology
1
133
396
This study found that loneliness increases the 10-year risk of developing
#dementia
. Learn more:
#Neurology
#NeuroTwitter
8
121
377
#NeuroImage
: Spinal Cord Injury, Vertebral Artery Dissection, and Cerebellar Strokes After Chiropractic Manipulation
#NeuroTwitter
#Neurology
10
503
350
Acute pathologic crying may be a presentation of stroke. Learn more:
#Neurology
#NeurologyRF
4
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348
This study provides Class II evidence that sustained increase in overall regular physical activity levels in patients with early
#Parkinson
disease was associated with slower decline of several clinical parameters.
#Neurology
#NeuroTwitter
1
97
345
Teaching NeuroImages: SARS-CoV-2–Related Encephalitis: MRI Pattern of Olfactory Tract Involvement
#Neurology
#NeurologyRF
#COVID
4
115
312
In this study, long-term regular physical activity levels and exercise habits were
strongly associated with a better clinical course of
#Parkinson
disease, with each
type of physical activity having different effects. Learn more:
#NeuroTwitter
3
131
277
In patients with nonvalvular atrial fibrillation who develop ischemic
#stroke
despite taking direct oral anticoagulants (DOACs), switching to warfarin or an alternate DOAC may increase the risk of recurrence. Learn more:
#NeuroTwitter
1
105
270
Novakovic-White et al provide a literature review of clinical, radiographic and anatomical features of posterior circulation ischemia and systematic review of the literature on the management of basilar artery occlusion and associated outcomes.
#Neurology
0
84
264
Teaching NeuroImage: Primary CNS Vasculitis Mimicking Intracranial Tumor
#NeurologyRF
#NeuroTwitter
4
74
263
Extensive brainstem and striatal involvement are rare manifestations of neuropsychiatric systemic lupus erythematosus (NPSLE). Learn more in this
#NeurologyRF
Teaching
#NeuroImage
article:
0
92
254
Tuberculous Meningitis or
#Neurosarcoidosis
—a Diagnostic Quandary: From the National Multiple Sclerosis Society Case Conference Proceedings:
Illustration by Jill K. Gregory, CMI, licensed under CC BY-NC-ND.
#NeuroTwitter
0
79
248
Teaching Video
#NeuroImage
: Bilateral Hemifacial Spasm in Giant Cell Arteritis
#NeurologyRF
#NeuroTwitter
1
58
247
Autoimmune Encephalitis After SARS-CoV-2 Infection: Case Frequency, Findings, and Outcomes
#COVID
#Neurology
1
101
246
A 78-year-old healthy woman presented with abulia, aphasia, and echopraxia for 1 week. Learn more in this Teaching NeuroImage article:
#NeurologyRF
#NeuroTwitter
2
47
244
This study demonstrates that T2-lesions in MOGAD usually resolve within 1 year and follow-up MRI at 6–12 months showing resolution of all or most T2-lesions can help support a
#MOGAD
diagnosis over competing etiologies.
#NeuroTwitter
1
69
234
Antibodies in Autoimmune Neuropathies: What to Test, How to Test, Why to Test
#NeuroTwitter
0
85
231
Clinical Reasoning: Progressive Hemiparesis and White Matter Abnormalities in an HIV-Negative Patient.
#NeurologyRF
#NeuroTwitter
8
55
229
A woman is started on haloperidol for schizophrenia. Ten days later, she develops rhythmic vertical movements of the mandible (video). Haloperidol is replaced with olanzapine and the movements improve within days.
3
65
220
According to this study, dexamethasone doses exceeding 4 mg with 10 mg metoclopramide IV are unlikely to provide extra benefits in patients with migraine in the emergency department. Read the article:
#NeuroTwitter
2
75
208
#NeuroTwitter
: Test your clinical reasoning—A 45-Year-Old Man With Vertical Diplopia
#NeurologyRF
4
80
218
Tuberculous Meningitis or
#Neurosarcoidosis
—a Diagnostic Quandary: From the National Multiple Sclerosis Society Case Conference Proceedings:
Illustration by Jill K. Gregory, CMI, licensed under CC BY-NC-ND.
#NeuroTwitter
1
54
211
Disorders of Consciousness Associated With
#COVID
-19: A Prospective, Multimodal Study of Recovery and Brain Connectivity
#Neurology
5
64
197
Ictal asystole is a rare condition associated primarily with temporal lobe epilepsy that can cause syncope, falls, and head trauma. Read about a severe case in this Pearls & Oy-sters article:
#NeurologyRF
2
79
204
Teaching NeuroImage: Primary CNS Vasculitis Mimicking Intracranial Tumor
#NeurologyRF
#NeuroTwitter
2
43
196
Atypical Presentation of
#Lyme
Neuroborreliosis: Reversible Extrapyramidal Syndrome and Cognitive Impairment
#NeuroTwitter
2
52
195
Temporal artery inflammation may cause facial nerve irritation and hemifacial spasm. Learn more:
#NeurologyRF
#NeuroTwitter
0
36
189
Pearls & Oy-sters: Primary Cerebral Buerger Disease—A Rare Differential Diagnosis of
#Stroke
in Young Adults
#NeurologyRF
2
73
193
Clinical Reasoning: A 47-Year-Old Man With an Upper Respiratory Infection, Acute Confusion, Dysarthria, and Ataxia
#NeurologyRF
#NeuroTwitter
11
37
189
A 22-year-old woman presented with bilateral arm shaking and altered mental status. Neurologic examination found decreased level of consciousness and upper extremity spasticity. Learn the diagnosis:
#NeurologyRF
0
53
183
This study sought to investigate the association between white matter lesions and CSF biomarkers of neuroinflammation and their effects on cognition in a population without
#dementia
. Read to learn more:
#NeuroTwitter
1
57
180
According to this study, DAT imaging is a useful diagnostic tool in the differential diagnosis of parkinsonism, although clinicians should be aware of its diagnostic properties and limitations. Learn more:
#Neurology
#NeuroTwitter
2
68
184
A 38-year-old woman with uncontrolled type 1 diabetes was admitted for diabetic ketoacidosis (DKA). Serum sodium was 139. Upon correction of DKA, she developed acute quadriparesis.
#NeurologyRF
9
54
179
Teaching Video NeuroImage: Bilateral Horizontal Gaze Palsies With Vertical Ocular Dysmetria From a Demyelinating Lesion of the Pontine Tegmentum
#NeurologyRF
0
44
181
Though rapid correction of serum sodium is the most common cause of central pontine myelinolysis, rapid changes in serum glucose and urea levels can be covert culprits. Learn more:
#NeuroTwitter
#NeurologyRF
2
69
179
Genetic Influences on Hippocampal Subfields: An Emerging Area of Neuroscience Research
#Neurology
#Genetics
0
47
178
Extensive brainstem and striatal involvement are rare manifestations of neuropsychiatric systemic lupus erythematosus (NPSLE). Learn more in this
#NeurologyRF
Teaching
#NeuroImage
article:
1
50
177
The “shrimp sign” is a reliable indicator of infratentorial progressive multifocal leukoencephalopathy in patients with cerebellar ataxia. Learn more in this Teaching NeuroImage article:
#NeurologyRF
#NeuroTwitter
1
53
180
Validation of the 2023 International Diagnostic Criteria for MOGAD in a Selected Cohort of Adults and Children:
#Neurology
#NeuroTwitter
0
60
175
CADMUS: A Novel MRI-Based Classification of Spontaneous Intracerebral Hemorrhage Associated With Cerebral Small Vessel Disease
#NeuroTwitter
#CADMUS
0
57
176
Validation of the 2023 International Diagnostic Criteria for MOGAD in a Selected Cohort of Adults and Children:
#Neurology
#NeuroTwitter
1
57
175
This Clinical/Scientific Note reports a case of fatal super-refractory status epilepticus associated with amyloid-related imaging abnormalities (
#ARIA
):
#NeuroTwitter
0
61
174
According to this study, an algorithm using clinical and imaging features can differentiate stroke-like episodes due to MELAS from acute ischemic strokes. This article is free to read:
#NeuroTwitter
#NeuroGenetics
1
73
172
This review summarizes the current understanding of poststroke epileptogenesis, its risks, prognostic models, prophylaxis, and strategies for secondary prevention of seizures and suggests strategies to advance research:
#Neurology
#NeuroTwitter
0
58
172
Delayed Cerebral Infarction After Aneurysmal Subarachnoid Hemorrhage: Location, Distribution Patterns, Infarct Load, and Effect on Outcome
#NeuroTwitter
0
66
173
A 12-year-old otherwise normal girl presented with progressive dystonia and spasticity in bilateral lower limbs. Brain MRI revealed mineral deposition.
#NeuroTwitter
#NeurologyRF
8
35
170
This study provides Class II evidence that among those aged 65 years or older, statin initiation was associated with a reduced risk of
#Alzheimer
disease, especially in the presence of an APOE-e4 allele:
1
64
171
Delayed Cerebral Infarction After Aneurysmal Subarachnoid Hemorrhage: Location, Distribution Patterns, Infarct Load, and Effect on Outcome
#NeuroTwitter
0
58
169
Teaching NeuroImage: Selenium Toxicity Causing Cerebellar Lesions With Sparing of Dentate Nucleus
#NeurologyRF
1
44
166
Unilateral primary angiitis of the CNS is a rare unihemispheric disease characterized by an indolent course and seizures, recognition of which is critical to accurate diagnosis. Learn more in this
#NeurologyRF
Teaching
#NeuroImage
article:
0
47
167
Clinical Reasoning: A Young Woman With Rapidly Progressive Weakness and Paresthesia
#NeurologyRF
#NeuroTwitter
4
49
161
Class I evidence that a biomarker panel distinguishes ischemic
#stroke
from intracerebral
#hemorrhage
with moderate accuracy:
#NeuroTwitter
1
51
163
Autoimmune Encephalitis Post-SARS-CoV-2 Infection: Case Frequency, Findings, and Outcomes
#COVID
#NeuroTwitter
0
65
160
#NeuroImage
: Posterior Reversible Encephalopathy Syndrome With Spinal Cord Involvement 2 Months After a Burn Injury:
#Neurology
#NeuroTwitter
1
37
159
Teaching Video NeuroImages: Wilson Disease Presenting With Catatonia
#Neurology
#NeurologyRF
2
35
159
This case highlights an unusual presentation of severe MOGAD, emphasizes the potential benefit of plasma exchanges in severe MOGAD cases refractory to steroid treatment, and demonstrates how assessment of CSF IL-6 may help guide treatment decisions:
3
39
160
A study by Ikeguchi et al suggests that ovarian teratoma may trigger the development of AQP4-IgG–seropositive neuromyelitis optica spectrum disorder (
#NMOSD
).
#NeuroTwitter
#Neurology
2
42
160
A 72-year-old woman with hypertension and hyperlipidemia develops altered mental status, left hemiparesis, and right gaze preference after a percutaneous coronary angioplasty. Her head CT without contrast is shown. She recovers spontaneously after 2 days. What is your diagnosis?
13
64
160
Continuous Unilateral Eye Blinking Related to Cerebellar
#Epilepsy
in a Neonate:
#NeuroTwitter
#Neurology
5
39
158
This study provides Class II evidence that the Boston criteria v2.0 accurately distinguishes people with cerebral amyloid angiopathy (CAA) from those without CAA:
#NeuroTwitter
0
61
155
Clinical Reasoning: A 50-Year-Old Man With Progressive Limb Weakness and Slurred Speech
#NeuroTwitter
#NeurologyRF
4
52
155
#NeuroTwitter
: Test your clinical reasoning—A 45-Year-Old Man With Vertical Diplopia
#NeurologyRF
5
32
154
CLIPPERS can induce vasogenic edema by damaging vascular endothelial cells through T-cell activation, representing a rare cause of obstructive hydrocephalus. Learn more:
#NeuroTwitter
#NeuroImage
3
47
154
Pearls & Oy-sters: Vibration-Induced Downbeat Nystagmus: A New Cerebellar Sign Observed in Paraneoplastic Syndrome
#NeuroTwitter
#NeurologyRF
1
42
151
This case illustrates an atypical presentation of NMOSD and the importance of looking for syndromes, such as the syndrome of inappropriate antidiuretic hormone secretion (SIADH):
#NeurologyRF
#NeuroTwitter
2
54
152
#NeuroTwitter
: Test your clinical reasoning—A 45-Year-Old Man With Vertical Diplopia
#NeurologyRF
2
42
149
CADASIL and CAA-RI share similarities in clinical presentation, vascular pathology, and imaging findings. This Teaching NeuroImage article highlights the challenge of distinguishing between the two:
#NeurologyRF
#NeuroTwitter
1
41
150
This study's findings suggest that the cerebellum is the central hub of a network commonly connected to structural and metabolic abnormalities in essential tremor:
#NeuroTwitter
2
37
149
This study sought to investigate the association between white matter lesions and CSF biomarkers of neuroinflammation and their effects on cognition in a population without
#dementia
. Read to learn more:
#NeuroTwitter
1
35
148
1
67
151
Multifocal Intracranial Rosai-Dorfman Disease Mimicking Immunoglobulin G4–Related Pachymeningitis
#NeuroTwitter
#NeuroImage
0
41
148
Recent advances in the diagnosis and treatment of
#neurosarcoidosis
include updated diagnostic criteria and mounting evidence supporting a role of TNF-alpha inhibition for aggressive and/or refractory cases. Learn more:
#NeuroTwitter
1
47
145
Take the latest
#NeurologRF
🧠 quiz!
A 32-year-old male without vascular risk factors presented with acute onset vertigo, swallowing dysfunction, and right-sided weakness. Figure: Brain MRI DWI
(Associated article: )
5
29
146
CADMUS: A Novel MRI-Based Classification of Spontaneous Intracerebral Hemorrhage Associated With Cerebral Small Vessel Disease
#NeuroTwitter
#CADMUS
2
55
146
A 44‐yo man with alcohol use disorder presented with unresponsiveness. Toxicology was positive for cocaine and fentanyl. Imaging findings suggested CHANTER syndrome, a rare radiographic pattern observed in acute intoxication. Learn more:
#NeurologRF
0
41
144
This study's results suggest that Lewy body disease may underlie cognitive decline observed in minimal atrophy cases. Learn more:
#NeuroTwitter
0
46
144
This Clinical/Scientific Note reports a case of fatal super-refractory status epilepticus associated with amyloid-related imaging abnormalities (
#ARIA
):
#NeuroTwitter
3
39
145
Clinical Reasoning: A 37-Year-Old Man With Involuntary Movements, Gait Disturbance, and Hyperesthesia
#NeuroTwitter
#NeurologyRF
3
54
145
Teaching NeuroImages: The Motor Band Sign in Amyotrophic Lateral Sclerosis
#Neurology
#NeurologyRF
1
43
145
Medial medullary lamina-sparing mineral deposition is a characteristic feature of mitochondrial membrane protein-associated neurodegeneration (MPAN). Learn more in this Teaching NeuroImage article:
#NeurologyRF
#NeuroTwitter
1
41
145
Dramatic Response to Anti-IL-6 Receptor Therapy in Children With Life-Threatening Myelin Oligodendrocyte Glycoprotein-Associated Disease:
#NeuroTwitter
1
38
144
LGI1 Encephalitis and IgG4-Related Disease: Rare Conditions Collide
#NeuroTwitter
#Neurology
1
47
143
NeuroImage: MR Spectroscopy in a Patient With Isolated Brainstem Posterior Reversible Encephalopathy Syndrome
#NeuroTwitter
#Neurology
2
42
141
Occipital lobe
#seizures
are a rare but characteristic manifestation of hyperglycemia. Glycemic control generally results in their resolution, emphasizing the importance of prompt diagnosis. Learn more in this Teaching NeuroImage article:
#NeurologyRF
0
48
143
This case highlights an unusual presentation of severe MOGAD, emphasizes the potential benefit of plasma exchanges in severe MOGAD cases refractory to steroid treatment, and demonstrates how assessment of CSF IL-6 may help guide treatment decisions:
1
44
143
A 22-year-old woman presents with altered mental status. Brain MRI shows diffuse bilateral T2-FLAIR hyperintensities of the brainstem, thalami, and striatum without enhancement. Bloodwork reveals ANA of 1:5120, positive anti-dsDNA and low C3/C4.
#NeurologyRF
🧵👇
2
46
141
This MRI shows abnormal hyperintensity in the midbrain tegmentum with sparing of the red nucleus and substantia nigra, giving a “face of giant panda” appearance. Learn more about neuroimaging features of Wilson disease in this
#NeurologyRF
article:
2
44
140