Exploring the role of in-patient magnetic resonance imaging use among admitted ischemic stroke patients in improving patient outcomes and reducing healthcare resource utilization
ConclusionA substantial proportion of admitted IS patients underwent MRI, and MRI use was associated with improved patient outcomes and reduced healthcare resource utilization. Considering the multifactorial nature of IS patient outcomes, further randomized controlled trials are suggested to investigate the role of increased MRI utilization in optimizing in-patient IS management. (Source: Frontiers in Neurology)
Source: Frontiers in Neurology - March 18, 2024 Category: Neurology Source Type: research

Effectiveness of biomedical interventions on the chronic stage of traumatic brain injury: a systematic review of randomized controlled trials
Traumatic brain injury (TBI), in any form and severity, can pose risks for developing chronic symptoms that can profoundly hinder patients’ work/academic, social, and personal lives. In the past 3 decades, a multitude of pharmacological, stimulation, and exercise-based interventions have been proposed to ameliorate symptoms, memory impairment, mental fatigue, and/or sleep disturbances. However, most research is preliminary, thus limited influence on clinical practice. This review aims to systematically appraise the evidence derived from randomized controlled trials (RCT) regarding the effectiveness of pharmacological, st...
Source: Frontiers in Neurology - March 18, 2024 Category: Neurology Source Type: research

Combining various acupuncture therapies with multimodal analgesia to enhance postoperative pain management following total knee arthroplasty: a network meta-analysis of randomized controlled trials
ConclusionFor the clinical treatment of post-TKA pain, acupuncture-related therapies can be selected as a complementary and alternative therapy. EA + MA and TEAS+MA demonstrate superior efficacy in alleviating postoperative pain among TKA patients. ACU + MA is the optimal choice for promoting postoperative knee joint function recovery in TKA patients. AAT + MA is recommended for preventing postoperative adverse reactions.Systematic review registrationhttps://www.crd.york.ac.uk/, identifier (CRD42023492859). (Source: Frontiers in Neurology)
Source: Frontiers in Neurology - March 18, 2024 Category: Neurology Source Type: research

Short-term reduction of ankle spasticity after surgical lengthening of the triceps surae in chronic post-stroke patients: a retrospective cohort study
DiscussionTS lengthening led to a short-term reduction of spasticity in 41% and 63% of chronic post-stroke patients in the gastro-soleus complex and soleus, respectively, with complete relief observed in 21% and 30% of the sample. Surgical lengthening can be considered an effective treatment that not only restores joint range of motion but also may reduce spasticity, even in chronic patients. (Source: Frontiers in Neurology)
Source: Frontiers in Neurology - March 18, 2024 Category: Neurology Source Type: research

Relationship between sodium level and in-hospital mortality in traumatic brain injury patients of MIMIC IV database
ConclusionThe study reveals an L-shaped relationship between sodium levels and in-hospital deaths, with a pivotal point at 144.1 mmol/L. TBI patients displaying hypernatremia were independently linked to higher in-hospital mortality, underlining the need for further studies into targeted management of sodium levels in these patients. (Source: Frontiers in Neurology)
Source: Frontiers in Neurology - March 18, 2024 Category: Neurology Source Type: research

Hemimasticatory spasm: a series of 17 cases and a comprehensive review of the literature
In conclusion, highly effective modalities are currently available, and it is necessary to raise awareness of HMS to ensure that it can be diagnosed and treated accurately by both medical and dental professionals. (Source: Frontiers in Neurology)
Source: Frontiers in Neurology - March 18, 2024 Category: Neurology Source Type: research

Editorial: Personalized precision medicine in autism spectrum related disorders, volume II
(Source: Frontiers in Neurology)
Source: Frontiers in Neurology - March 18, 2024 Category: Neurology Source Type: research

Spectral exponent assessment and neurofilament light chain: a comprehensive approach to describe recovery patterns in stroke
ConclusionWe present proof of concept of a promising approach for the characterization of different recovery patterns in stroke patients. (Source: Frontiers in Neurology)
Source: Frontiers in Neurology - March 18, 2024 Category: Neurology Source Type: research

Associations of anxiety and depression with restless leg syndrome: a systematic review and meta-analysis
ConclusionThis meta-analysis found that the levels of depression and anxiety symptoms were significantly higher in individuals with RLS than in their healthy counterparts.Systematic review registration:https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42023410364, (identifier CRD42023410364). (Source: Frontiers in Neurology)
Source: Frontiers in Neurology - March 18, 2024 Category: Neurology Source Type: research

Safety and efficacy of acupuncture for mild cognitive impairment: a study protocol for clinical study
DiscussionThe findings of this protocol will provide information regarding the effects of acupuncture on MCI.Clinical trial registrationhttps://cris.nih.go.kr/cris/search/detailSearch.do?search_lang=E&focus=reset_12&search_page=M&pageSize=10&page=undefined&seq=25579&status=5&seq_group=25579, KCT0008861. (Source: Frontiers in Neurology)
Source: Frontiers in Neurology - March 15, 2024 Category: Neurology Source Type: research

Efficacy of botulinum toxin A combined with extracorporeal shockwave therapy in post-stroke spasticity: a systematic review
ConclusionCumulative evidence from clinical randomized controlled trial studies suggests that the combination therapy is effective in reducing lower limb spasticity and improving mobility after stroke. However, more clinical trials are still needed to corroborate the evidence regarding the efficacy of BTX-A combined with shockwave therapy.Systematic Review RegistrationThe system review can be searched in the PROSPERO database (CRD42023476654). (Source: Frontiers in Neurology)
Source: Frontiers in Neurology - March 15, 2024 Category: Neurology Source Type: research

Navigating the vestibular maze: text-mining analysis of publication trends over five decades
ConclusionOur study presents a unique opportunity and point of view, exploring the evolving landscape of vestibular science publications over the past five decades. The analysis underscored the dynamic nature of the field, highlighting shifts in focus and emerging publication trends in diagnosis and treatment over time. (Source: Frontiers in Neurology)
Source: Frontiers in Neurology - March 15, 2024 Category: Neurology Source Type: research

Clinical course of five patients definitively diagnosed with idiopathic perilymphatic fistula treated with transcanal endoscopic ear surgery
ConclusionA positive CTP test confirms PLF in patients without obvious intraoperative findings. The CTP test is considered more sensitive than endoscopic fistula confirmation. We consider that CTP test results are important indicators to decide the surgical indication for idiopathic PLF repair surgery. In our experience with the five cases, two of them showed improvements in both hearing and vestibular symptoms. (Source: Frontiers in Neurology)
Source: Frontiers in Neurology - March 15, 2024 Category: Neurology Source Type: research

Association between systemic immune-inflammation index and post-stroke depression: a cross-sectional study of the national health and nutrition examination survey 2005 –2020
ConclusionThe results of our research support the existence of a significant positive correlation between SII levels and PSD. Further prospective trials are required to comprehend SII, which is for the PSD thoroughly. (Source: Frontiers in Neurology)
Source: Frontiers in Neurology - March 15, 2024 Category: Neurology Source Type: research

Risk of intracranial hemorrhage in patients using anticoagulant therapy for atrial fibrillation after cerebral microbleeds combined with acute ischemic stroke: a meta-analysis
ConclusionAnticoagulant therapy for ischemic stroke patients with non-valvular AF and CMBs increases future ICH risk. Discontinuing anticoagulation due to ICH risk should be avoided. NOACs are safe and effective for patients with CMBs and IS. (Source: Frontiers in Neurology)
Source: Frontiers in Neurology - March 15, 2024 Category: Neurology Source Type: research