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Neurology International, Volume 17, Issue 10

2025 October - 22 articles

Cover Story: This study investigates fractional anisotropy (FA) alterations within major white matter pathways across cognitive performance groups defined by the Montreal Cognitive Assessment. Interestingly, participants with moderate cognitive impairment demonstrated higher FA values in several association tracts compared to those with low performance. This paradoxical increase may reflect compensatory microstructural reorganization, selective axonal loss, or reactive gliosis, preceding overt degeneration. The findings highlight a nonlinear trajectory of white matter integrity in cognitive decline and underscore the potential of diffusion MRI as a sensitive biomarker of early neurodegenerative processes. View this paper
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Articles (22)

  • Review
  • Open Access
2 Citations
3,545 Views
50 Pages

14 October 2025

Autism spectrum disorder (ASD) is a complex, heterogenous, and prevalent neurodevelopmental disorder characterized by core symptoms, including social communication deficits, restrictive interests, and repetitive behaviors. Although environmental fact...

  • Article
  • Open Access
1,267 Views
14 Pages

Latent Profiles Based on Combined Risk Factors for Cognitive Decline in European Older Adults: A Retrospective Study Based on the SHARE HCAP Project

  • Johnnatas Mikael Lopes,
  • Paola Bertuccio,
  • Riccardo Vecchio,
  • Giacomo Pietro Vigezzi,
  • Lorenzo Blandi and
  • Anna Odone

14 October 2025

Background/Objectives: Cognitive decline is common in ageing, ranging from mild to severe manifestations. Although several modifiable risk factors have been identified, they are typically examined individually. This study aimed to identify latent pro...

  • Article
  • Open Access
1 Citations
1,269 Views
17 Pages

Preliminary Findings from a Mindfulness-Based Intervention in Patients with Psychogenic Non-Epileptic Seizures

  • Rebecca Ciacchini,
  • Ciro Conversano,
  • Graziella Orrù,
  • Chiara Pizzanelli,
  • Claudia Scarpitta,
  • Francesco Turco,
  • Enrica Bonanni,
  • Annachiara Bressan,
  • Thomas Reali and
  • Angelo Gemignani

14 October 2025

Background/Objectives: Psychogenic non-epileptic seizures (PNES) are seizure-like episodes not caused by abnormal brain activity, often linked to emotional dysregulation, dissociation, and altered interoceptive awareness. Standardized treatments are...

  • Article
  • Open Access
2,634 Views
13 Pages

Clinical and Radiological Predictors for Early Hematoma Expansion After Spontaneous Intracerebral Hemorrhage: A Retrospective Study

  • EJun Kim,
  • Jee Hye Wee,
  • Yi Hwa Choi,
  • Hyuntaek Rim,
  • In Bok Chang,
  • Joon Ho Song,
  • Yong Gil Hong and
  • Ji Hee Kim

12 October 2025

Background: Early hematoma expansion is a major determinant of poor outcomes after spontaneous intracerebral hemorrhage (ICH). Identifying reliable predictors of hematoma expansion may facilitate risk stratification and timely interventions. This stu...

  • Case Report
  • Open Access
2,545 Views
8 Pages

The Diagnostic Pitfalls in the Pronator Teres Syndrome—A Case Report

  • Wiktoria Rałowska-Gmoch,
  • Marcin Hajzyk,
  • Tomasz Matyskieła,
  • Beata Łabuz-Roszak and
  • Edyta Dziadkowiak

12 October 2025

Background: Pronator teres syndrome is a rare proximal median neuropathy caused by compression of the median nerve at various points. It is a rare condition, and many times it is mistaken for carpal tunnel syndrome. Methods: There are many authors wh...

  • Article
  • Open Access
1,473 Views
23 Pages

12 October 2025

Objectives: Pulmonary embolism (PE) is an uncommon but potentially fatal complication of acute ischaemic stroke (AIS). Its global burden and prevention remain incompletely defined. We performed a systematic review and meta-analysis (PEARL-AIS) to est...

  • Case Report
  • Open Access
845 Views
10 Pages

11 October 2025

Background: Hereditary spastic paraplegia (HSP) is a clinically and genetically heterogeneous group of neurodegenerative disorders characterized by progressive lower-limb spasticity and weakness. SPAST mutations are the most common cause of autosomal...

  • Review
  • Open Access
3 Citations
3,180 Views
20 Pages

Background: Alzheimer’s disease (AD) is a multifactorial neurodegenerative disorder characterized by amyloid-β (Aβ) plaques, neurofibrillary tangles, and progressive cognitive decline. Recent evidence has highlighted the role of blood...

  • Brief Report
  • Open Access
992 Views
8 Pages

Background/Objectives: The approval of disease-modifying therapies has significantly improved outcomes for patients with spinal muscular atrophy (SMA), yet their long-term safety profiles remain under continuous evaluation. This study aimed to assess...

  • Article
  • Open Access
1,277 Views
26 Pages

Cognitive, Functional, and Emotional Recovery in Patients with Stroke: A Multidimensional Prospective Analysis

  • Emilio Rubén Pego Pérez,
  • Lourdes Bermello López,
  • Eva Gómez Fernández,
  • María del Rosario Marín Arnés,
  • Mercedes Fernández Vázquez,
  • Carlota Touza González and
  • María Irene Núñez Hernández

Background: Stroke is a major cerebrovascular disease characterized by disrupted cerebral blood flow, leading to neuronal damage and significant physical, cognitive, and emotional sequelae. While advancements in acute stroke management have improved...

  • Review
  • Open Access
1 Citations
3,858 Views
19 Pages

Myasthenia gravis (MG) is a chronic autoimmune disorder characterized by fluctuating skeletal muscle weakness. Myasthenic crisis (MCr), a severe and potentially life-threatening complication, presents with respiratory failure and requires intensive c...

  • Article
  • Open Access
784 Views
12 Pages

Genetics of Frontotemporal Dementia in the Serbian Population: Findings from a Hospital-Based Cohort

  • Vuk Milošević,
  • Jelena Bašić,
  • Marija Semnic,
  • Eva Antić,
  • Marina Malobabić and
  • Milan Stoiljković

Background and objectives: Frontotemporal dementia (FTD) is a heterogeneous neurodegenerative disorder with autosomal dominant forms most often linked to MAPT, GRN, and C9orf72. We aimed to evaluate the prevalence of pathogenic variants in these gene...

  • Article
  • Open Access
840 Views
11 Pages

Risk of Cognitive Decline in Women with Parkinson’s Disease Is Reduced by Early Age at Menarche

  • Giuseppe Schirò,
  • Carlo Fazio,
  • Paolo Aridon,
  • Cesare Gagliardo,
  • Chiara Davì,
  • Valentina Picciolo,
  • Tiziana Colletti,
  • Chiara Tumminia,
  • Salvatore Iacono and
  • Marco D’Amelio
  • + 1 author

Background: Parkinson’s disease (PD) is a neurodegenerative disorder affecting men more frequently than women, a difference that might be due to many factors, including sexual hormones. Estrogens seem to confer a protective effect on the nigros...

  • Systematic Review
  • Open Access
1,712 Views
21 Pages

Background: Monitoring brain activity through electroencephalography (EEG) has led to significant advancements in the study of brain microstates and their relationship with cognitive processes, such as memory. Objective: A systematic literature revie...

  • Review
  • Open Access
1,485 Views
16 Pages

Clinical Methods Supporting Initial Recognition of Early Post-Stroke Seizures: A Systematic Scoping Review

  • Clare Gordon,
  • Hedley C. A. Emsley,
  • Catherine Elizabeth Lightbody,
  • Andrew Clegg,
  • Catherine Harris,
  • Joanna Harrison,
  • Jasmine Wall,
  • Catherine E. Davidson and
  • Caroline L. Watkins

Background: Stroke is a leading cause of seizures and epilepsy, both of which are linked to increased mortality, disability, and hospital readmissions. Early recognition and management of seizures in acute stroke are crucial for improving outcomes. E...

  • Review
  • Open Access
1,884 Views
16 Pages

Deep brain stimulation (DBS) is an evolving neurosurgical treatment, originally developed for movement disorders such as Parkinson’s disease, essential tremor, and dystonia. In recent years, it has been increasingly applied to psychiatric and c...

  • Review
  • Open Access
2,213 Views
14 Pages

Is Vitamin B6 a Precision Therapy for Neonatal Seizures?

  • Raffaele Falsaperla,
  • Vincenzo Sortino,
  • Bruna Scalia and
  • Marco Andrea Nicola Saporito

Background: Neonatal seizures are critical neurological events with long-term implications for brain development. Standard antiseizure medications, such as phenobarbital, often yield suboptimal seizure control and may be associated with neurotoxicity...

  • Systematic Review
  • Open Access
1,335 Views
15 Pages

30 September 2025

Background: Urinary continence relies on a complex interplay between urine storage and voiding involving both spinal reflex circuits and supraspinal brain areas to coordinate volun-tary control over emptying. Despite a vast number of studies on the p...

  • Systematic Review
  • Open Access
2 Citations
2,899 Views
14 Pages

Gut Microbiota, Mild Cognitive Impairment and Dementia: A Systematic Review

  • Claudio Tana,
  • Samanta Moffa,
  • Marco Tana,
  • Claudio Ucciferri and
  • Livia Moffa

28 September 2025

Background: Alterations of the gut microbiota have been increasingly implicated in the pathogenesis of dementia through mechanisms involving systemic inflammation, immune dysregulation, and gut–brain axis disruption. Clinical evidence, however,...

  • Article
  • Open Access
991 Views
18 Pages

Fractional Anisotropy Alterations in Key White Matter Pathways Associated with Cognitive Performance Assessed by MoCA

  • Nauris Zdanovskis,
  • Kalvis Kaļva,
  • Ardis Platkājis,
  • Andrejs Kostiks,
  • Kristīne Šneidere,
  • Guntis Karelis and
  • Ainārs Stepens

25 September 2025

Objectives: This study investigated fractional anisotropy (FA) differences within key white matter tracts across patient groups stratified by Montreal Cognitive Assessment (MoCA) scores, aiming to evaluate FA’s potential as a biomarker for cogn...

  • Review
  • Open Access
1 Citations
4,103 Views
23 Pages

24 September 2025

This review explores links between the gut–brain axis, probiotics, and Alzheimer’s disease (AD). Using PRISMA-aligned methods, we examined literature from PubMed, ClinicalTrials.gov, and Google Scholar. Studies show that probiotics may re...

  • Article
  • Open Access
1,295 Views
15 Pages

The Concomitant Effect of the Antiepileptic Drug Lacosamide and rTMS on an SH-SY5Y Model of Neuronal Excitability

  • Ioannis Dardalas,
  • Efstratios K. Kosmidis,
  • Vasilios K. Kimiskidis,
  • Roza Lagoudaki,
  • Theodoros Samaras,
  • Theodoros Moysiadis,
  • Dimitrios Kouvelas and
  • Chryssa Pourzitaki

24 September 2025

Background/Objectives: Epilepsy is identified by irregular neuronal hyperexcitability, generating recurrent seizures. Despite many available pharmacological treatments, certain patients with drug-resistant epilepsy may require novel therapeutic appro...

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Neurol. Int. - ISSN 2035-8377