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Neurology International

Neurology International is an international, peer-reviewed, open access journal which provides an advanced forum for studies related to all aspects of neurology and neuroscience, published monthly online by MDPI (since Volume 12, Issue 3 - 2020). The Panhellenic Federation of Alzheimer's Disease and Related Disorders (PFADRD) is affiliated with Neurology International and its members receive discounts on the article processing charges.

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All Articles (1,018)

Objectives: Developing sensitive imaging biomarkers is critical for capturing early brain alterations in Alzheimer’s disease. This exploratory study aimed to evaluate how multiparametric magnetic resonance imaging (MRI) measures, including chemical exchange saturation transfer (CEST) imaging, can detect early cognitive impairment and to compare their diagnostic performance across multiple brain regions. Methods: 18 cognitively normal participants and 18 patients with mild cognitive impairment or mild dementia were recruited to undergo CEST and other MRI sequences. Imaging metrics included CEST measures (amide proton transfer-weighted or APTw, APT#, nuclear Overhauser enhancement or NOE#), alongside conventional measures (T1, T2) and advanced measures (magnetization transfer ratio or MTR, quantitative susceptibility mapping or QSM, apparent diffusion coefficient or ADC). Quantitative analyses were performed in the hippocampus, caudate, putamen, posterior cingulate cortex, and amygdala. Associations between MRI measures and cognition were evaluated using Pearson correlation analysis, and the diagnostic performance of single-parameter and multiparameter models were assessed using logistic regression and receiver operating characteristic analysis. Results: Among all evaluated MRI measures, APTw, APT#, NOE#, MTR, T1, and QSM demonstrated statistically significant group differences (cognitively normal vs. mild cognitive impairment or mild dementia), with medium to very large effect sizes in at least one region. Across all evaluated regions, APT# and NOE# signals were consistently and positively associated with clinical dementia severity (based on the Clinical Dementia Rating), whereas MTR showed consistently negative associations. In contrast, APTw, T1, T2, QSM, and ADC exhibited weaker or more region-dependent associations. Correlations with the Mini-Mental State Examination were generally weaker across MRI measures and regions. Among these, APT# showed the strongest and most consistent associations with clinical severity, and was the best single-parameter classifier in most regions. Conclusions: Multiparametric MRI with CEST imaging shows potential for detecting microstructural and molecular alterations associated with cognitive dysfunction in individuals at risk for early cognitive decline.

Neurol. Int.

18 September 2026

Representative T1w image showing the locations of the five ROIs: hippocampus, caudate, putamen, PCC, and amygdala.

Impact of Corn Oil on Biochemical and Neurochemical Markers in an Animal Model of Alzheimer’s Disease

  • Jadyellen Rondon Silva,
  • Maria Elisa Fonseca Oliveira and
  • Anderson Oliveira Souza
  • + 2 authors

Background: The ingestion of polyunsaturated fatty acids is vital for brain health, supporting cognitive development and helping to prevent chronic diseases, including neurodegenerative processes. Objective: This study aimed to investigate the effects of corn oil on the biochemical and neurochemical parameters of Drosophila melanogaster expressing human amyloid precursor protein β42 (APP-β42). Methods: The flies were fed a diet supplemented with 37.8 mg/mL of corn oil from the larval stage until adulthood. Results: A diet supplemented with corn oil induced significant changes in biochemical markers, such as a decrease in head cholesterol levels (p < 0.001); decreased catalase activity and hydrogen peroxide levels in the heads (p < 0.0001) and thoracic muscles (p < 0.0001); reduced glutathione levels in the heads (p < 0.0001) and muscles (p < 0.01); and reduced formazan production (p < 0.01) and citrate synthase (CS) activity (p < 0.0001) in the head. However, in thoracic muscle, ingestion of corn oil led to an increase in formazan production (p < 0.01) and no significant change in CS activity. Lactate levels decreased in the heads (p < 0.0001) and thoraces (p < 0.001) after flies were fed corn oil. Finally, ingestion of corn oil resulted in a significant rise in acetylcholinesterase activity in the heads (p < 0.001) and thoracic muscles (p < 0.01). Conclusions: These results suggest that consuming corn oil reduces the oxidative stress typical of an Alzheimer’s disease model by enhancing antioxidant defenses.

Neurol. Int.

17 September 2026

Cholesterol levels in D. melanogaster, showing (A) head and (B) thorax from female APP-β42-expressing flies fed either a standard diet or a corn oil-supplemented diet. Data represent three independent biological replicates (n = 3), each consisting of pooled tissues from 100 females. The values represent the mean ± SEM (unpaired t-test) of three experiments. Differences were statistically significant at **** p &lt; 0.0001, and ‘ns’ indicating p &gt; 0.05.
  • Case Report
  • Open Access

Prenatally Detected Neonatal Neuroblastoma Associated with Achondroplasia and an SDHA Variant

  • Penka Petleshkova,
  • Nevena Anesteva-Ivanova and
  • Anna Mihaylova
  • + 4 authors

Background: Neuroblastoma is the most common extracranial solid tumor in infancy and demonstrates marked clinical heterogeneity. To our knowledge, this is one of the very few reported cases of neonatal neuroblastoma associated with genetically confirmed achondroplasia and an additional SDHA variant. Case Presentation: We describe a male neonate with a prenatally detected right-sided suprarenal mass and skeletal abnormalities suggestive of achondroplasia. Postnatal evaluation was consistent with localized neuroblastoma, which was classified as low risk according to the available clinical documentation. Despite the initially favorable clinical risk profile, the tumor showed unexpected progression after initial chemotherapy, requiring treatment intensification and subsequent surgical resection. Next-generation sequencing identified a pathogenic FGFR3 c.1138G>A (p.Gly380Arg) variant confirming achondroplasia and an SDHA c.704T>C (p.Ile235Thr) variant of uncertain significance. At follow-up, the patient remained free of disease recurrence. Conclusions: This case expands the limited evidence on the coexistence of neonatal neuroblastoma and achondroplasia and highlights the potential value of comprehensive genomic testing in patients with atypical clinical behavior. It also demonstrates that an initially favorable clinical risk profile does not invariably predict subsequent disease behavior, emphasizing the importance of integrating clinical, radiological, and molecular findings in individualized patient management.

Neurol. Int.

16 September 2026

Postnatal abdominal ultrasonography demonstrating a right-sided suprarenal mass (approximately 17.7 × 14.9 mm) associated with ipsilateral hydronephrosis. The lesion is indicated by the arrow.

Introduction: The routine insertion of a postoperative intracranial drain following surgical evacuation of brain abscesses or subdural empyemas is practiced by some surgeons to facilitate pus evacuation and to enable cavity lavage, but robust evidence for clinical benefit is lacking. This study evaluates whether postoperative drain placement affects reoperation rates, length of hospital stay, and duration of antibiotic therapy. Methods: We performed a retrospective review of consecutive adult patients who underwent surgical drainage or excision of a primary intracranial abscess or empyema at our tertiary center between January 2020 and January 2026. Patients were grouped by whether a postoperative intracranial drain was placed. The primary endpoint was recurrence requiring reoperation. Secondary endpoints included hospital length of stay, total duration of antibiotic therapy, and operative time. Continuous variables were compared with t-tests and categorical variables with Fisher’s exact test; p < 0.05 was considered statistically significant. Results: Eighty procedures were identified, and 36 patients met inclusion criteria for final analysis; eight (22.2%) received a postoperative intracranial drain, and 28 (77.8%) did not. Overall, 13 patients (36.1%) required reoperation for radiological or clinical progression. Reoperation occurred in 50% of patients with a drain and 32.1% without a drain (p = 0.422). Median hospital stay and duration of antibiotic therapy did not differ significantly between groups (median hospital stay 27.1 vs. 23.0 days, p = 0.50; median antibiotic duration 67.3 vs. 51.7 days, p = 0.445). Operative time and infection volume rates were also similar between cohorts. Conclusions: In this single-center retrospective cohort, placement of a postoperative intracranial drain after surgical management of brain abscesses or empyemas was not associated with reduced reoperation rates, shorter hospitalization, or shorter antibiotic treatment. Given the absence of demonstrable clinical benefit and the potential risks related to drain placement, routine insertion of postoperative drains cannot be recommended.

Neurol. Int.

15 September 2026

Flow chart illustrating cohort acquisition.

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Neurol. Int. - ISSN 2035-8377