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Neurology International, Volume 18, Issue 1

2026 January - 20 articles

Cover Story: Anti-calcitonin gene-related peptide monoclonal antibodies (CGRP-mAbs) have dramatically improved migraine treatment, with guidelines recommending continued treatment for 12 to 18 months. However, CGRP-mAb treatment is expensive and requires monthly injections, placing a financial and physical burden on patients. This study was conducted under real-world clinical conditions in which patients are free to choose their own treatment. The continuation rate of CGRP-mAb treatment at 12 months after initiation was 59%, and more than half of patients remained on treatment at 24 months. Among patients who discontinued CGRP-mAb treatment due to its effectiveness, the resumption rate was 77%, and 78% of those patients resumed treatment within 3 months of discontinuation. The withdrawal rate was 21%. View this paper
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Articles (20)

  • Article
  • Open Access
239 Views
12 Pages

Pre-Hospital Rate-Pressure Product Is Not Positively Associated with Hematoma Expansion or Initial Hematoma Volume in Spontaneous Intracranial Hemorrhage

  • Stephanie Q. Liang,
  • Daniel M. Oh,
  • Fawaz Philip Tarzi,
  • Nerses Sanossian,
  • David S. Liebeskind,
  • Jeffery L. Saver,
  • Melissa Wilson and
  • Roy A. Poblete

Background: The management of spontaneous intracerebral hemorrhage (ICH) has centered around controlling blood pressure in order to prevent hematoma expansion (HE). Rate-pressure product (RPP) has emerged as a hemodynamic marker that accounts for hea...

  • Systematic Review
  • Open Access
299 Views
24 Pages

Background: Sleep-disordered breathing (SDB) and intracerebral hemorrhage (ICH) share a bidirectional relationship: SDB may increase ICH risk, while ICH can induce or exacerbate SDB. However, the prevalence and characteristics of post-ICH SDB remain...

  • Review
  • Open Access
808 Views
28 Pages

Background/Objectives: Dementia represents a growing public health challenge. The WHO Global Action Plan on the Public Health Response to Dementia emphasizes early detection, risk reduction, and innovation as key priorities. Mild Behavioral Impairmen...

  • Review
  • Open Access
346 Views
16 Pages

Late-onset sporadic Alzheimer’s disease (LOAD) is the most common form of dementia. The disease is characterized by progressive loss of memory and behavioral changes followed by neurodegeneration of all cortical areas. While the contribution of...

  • Article
  • Open Access
311 Views
14 Pages

Simulator Training on Neurointerventional Skill Acquisition in Novices: A Pilot Study

  • Alexander von Hessling,
  • Tim von Wyl,
  • Dirk Lehnick,
  • Chloé Sieber,
  • Justus E. Roos and
  • Grzegorz M. Karwacki

Background: Simulation-based training may offer a useful approach to support skill acquisition in neurointerventional stroke treatment without exposing patients to procedural risks. As the global demand for thrombectomy rises, training strategies tha...

  • Systematic Review
  • Open Access
504 Views
15 Pages

Background: Irisin, an exercise-induced myokine, has emerged as a potent neuroprotective factor, though a systematic synthesis of its role across neurological disorders is lacking. This review systematically evaluates clinical and preclinical evidenc...

  • Case Report
  • Open Access
555 Views
19 Pages

Rehabilitation After Severe Traumatic Brain Injury with Acute Symptomatic Seizure: Neurofeedback and Motor Therapy in a 6-Month Follow-Up Case Study

  • Annamaria Leone,
  • Luna Digioia,
  • Rosita Paulangelo,
  • Nicole Brugnera,
  • Luciana Lorenzon,
  • Fabiana Montenegro,
  • Pietro Fiore,
  • Petronilla Battista,
  • Stefania De Trane and
  • Gianvito Lagravinese

Background/Objectives: Post-traumatic epileptogenesis is a frequent and clinically relevant consequence of traumatic brain injury (TBI), often contributing to worsened neurological and functional outcomes. In patients experiencing early post-injury s...

  • Case Report
  • Open Access
540 Views
10 Pages

Targeted and Sequential Cryoneurolysis Improves Gait After Botulinum-Toxin Unresponsiveness in Post-Stroke Spasticity: A Laboratory-Verified Case

  • Frédéric Chantraine,
  • José Alexandre Pereira,
  • Céline Schreiber,
  • Tanja Classen,
  • Gilles Areno and
  • Frédéric Dierick

Background: Chronic post-stroke spasticity often limits gait despite best-practice botulinum-toxin intramuscular injections (BTIs), whose benefit is constrained by short duration, dose ceilings, and tachyphylaxis. Cryoneurolysis (CNL) induces a rever...

  • Article
  • Open Access
372 Views
14 Pages

The Impact of Successful Transurethral Indwelling Catheter Removal on Health-Related Quality of Life in Patients Undergoing Neurological Rehabilitation

  • Anke K. Jaekel,
  • Manuel Pickermann,
  • Ann Katrin Walter,
  • Anna-Lena Butscher,
  • John Bitter,
  • Franziska I. Winterhagen,
  • Ruth Kirschner-Hermanns and
  • Stephanie C. Knüpfer

Background/Objectives: Patients with acute severe neurological disorders often receive a transurethral indwelling catheter (TUIC) during their initial treatment. These TUICs often remain in place until the transfer to a rehabilitation or a long-term...

  • Review
  • Open Access
589 Views
12 Pages

Patent foramen ovale (PFO) is present in roughly one quarter of adults and is over-represented among younger patients with cryptogenic ischemic stroke. The past decade has produced compelling evidence from randomized trials showing that PFO closure i...

  • Review
  • Open Access
1 Citations
780 Views
17 Pages

Neuromarkers of Adaptive Neuroplasticity and Cognitive Resilience Across Aging: A Multimodal Integrative Review

  • Jordana Mariane Neyra Chauca,
  • Manuel de Jesús Ornelas Sánchez,
  • Nancy García Quintana,
  • Karen Lizeth Martín del Campo Márquez,
  • Brenda Areli Carvajal Juarez,
  • Nancy Rojas Mendoza and
  • Martha Ayline Aguilar Díaz

Background: Aging is traditionally characterized by progressive structural and cognitive decline; however, increasing evidence shows that the aging brain retains a remarkable capacity for reorganization. This adaptive neuroplasticity supports cogniti...

  • Systematic Review
  • Open Access
498 Views
10 Pages

Background: Standard ketogenic diets (KD) and fish oil have established efficacy for drug-resistant epilepsy (DRE), but adherence and variability remain challenging. Objective: The objective of this study is to provide the first systematic evaluation...

  • Case Report
  • Open Access
368 Views
7 Pages

Adult Botulism of Unknown Source with Post-Toxin Anti-GQ1b Antibodies: Implications for Molecular Mimicry—A Case Report

  • Regev Cohen,
  • Adi Hersalis Eldar,
  • Yaron River,
  • Ofir Schuster,
  • Zina Baider,
  • Shelly Lipman-Arens,
  • Yael Galnoor Tene,
  • Linor Ishay,
  • Lamis Mahamid and
  • Shlomo E. Blum
  • + 9 authors

Background: Botulism is a rare but potentially fatal neuroparalytic illness caused by Clostridium botulinum neurotoxins (BoNTs). While adult cases usually result from foodborne exposure or wound infection, intestinal colonization is exceedingly uncom...

  • Review
  • Open Access
982 Views
24 Pages

Tourette syndrome (TS), or Tourette’s, is a tic disorder (TD) belonging to a group of neuropsychiatric conditions marked by recurrent motor movements or vocalizations known as tics. TD, including TS, typically begins in childhood between 4 and...

  • Article
  • Open Access
1,388 Views
13 Pages

Long-Term Health Consequences of SARS-CoV-2: Reaction Time and Brain Fog

  • Ana Lesac Brizić,
  • Branislava Popović,
  • Tina Zavidić,
  • Nevena Todorović,
  • Verica Petrović,
  • Nataša Pilipović-Broćeta,
  • Ana R. Miljković,
  • Aleksandar Ljubotina and
  • Ema Dejhalla

Background/Objectives: Beyond respiratory problems, COVID-19 can cause a variety of symptoms, such as neurological disorders caused by biological and psychological factors. Brain fog (BF), a post-illness cognitive impairment that many patients report...

  • Article
  • Open Access
1,187 Views
19 Pages

Background/Objectives: The circadian regulator, circadian locomotor output cycles kaput (CLOCK), is well-established in maintaining sleep–wake rhythms, yet its cell-type-specific functions in sleep regulation remain largely unexplored. While ve...

  • Review
  • Open Access
431 Views
14 Pages

Primary Brain Calcification (PBC) is a neurodegenerative disorder of unknown etiology that results in bilateral calcifications within the brain. PBC symptoms vary, including Parkinsonian symptoms and psychiatric symptoms. Abnormalities in phosphate m...

  • Article
  • Open Access
677 Views
15 Pages

Continuation, Resumption, and Withdrawal Rates of CGRP-mAb Treatment for Migraine Under Real-World Clinical Conditions in Which Patients Are Free to Choose Own Treatment

  • Takafumi Tanei,
  • Satoshi Yamashita,
  • Satoshi Maesawa,
  • Yusuke Nishimura,
  • Tomotaka Ishizaki,
  • Yoshitaka Nagashima,
  • Takahiro Suzuki,
  • Hajime Hamasaki,
  • Shun Yamamoto and
  • Ryuta Saito
  • + 1 author

Background/Objectives: Anti-calcitonin gene-related peptide monoclonal antibodies (CGRP-mAbs) are effective injectable medications for the treatment of migraine. This study aimed to evaluate continuation, resumption, and withdrawal rates of CGRP-mAb...

  • Opinion
  • Open Access
1 Citations
834 Views
18 Pages

Multiple sclerosis (MS) affects approximately 2.9 million people in the world, exerting a significant economic and societal burden. The disease is increasingly identified among populations considered as uncommonly affected. MS is reported in all regi...

  • Review
  • Open Access
1 Citations
845 Views
31 Pages

The blood–brain barrier (BBB) is essential for maintaining cerebral homeostasis, and its dysfunction is increasingly recognized as an active driver of epilepsy. This review explores the mechanisms by which BBB disruption contributes to seizures...

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Neurol. Int. - ISSN 2035-8377