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β-hydroxybutyrate regulates microglia M1/M2 polarization and phagocytosis through the JAK1/STAT1 pathway to reduce neuroinflammation and exert anti-epileptic effects -
Neuroinflammation and microglia M1/M2 polarization imbalance are among the core pathological mechanisms of epilepsy (EP), with the JAK1/STAT1 pathway being vital in neuroinflammation. β-hydroxybutyrate (BHB), a ketone body metabolite, has anti-inflammatory and neuroprotective potential, but whether it can ameliorate EP-related neurological damage by modulating this pathway remains unclear. To i...
Neurological, Neurodevelopmental and Treatment Outcomes in Patients With Pyruvate Dehydrogenase Complex Deficiency -
OBJECTIVE: The aim of this study was to characterize intellectual and motor function, neurological features including epilepsy, treatment response, and adaptive behavior in patients with pyruvate dehydrogenase complex deficiency (PDCD) in Sweden.
Associations of Cortical and Subcortical White Matter Morphometric Abnormalities With Clinical and Genetic Findings in STXBP1 Encephalopathy -
BACKGROUND AND OBJECTIVES: Disease-causing variants in the syntaxin-binding protein 1 (STXBP1) gene are among the most common genetic causes of developmental and epileptic encephalopathies and are associated with a wide phenotypic spectrum. Qualitative neuroimaging studies are usually unrevealing or uncover variable MRI findings, including cortical atrophy, thin/dysmorphic corpus callosum (CC),...
Twenty years of frontal lobe surgery: Clinical outcomes and lessons from the frontier -
CONCLUSION: Despite several limitations, this research suggests that establishing routine FLE services in countries with limited resources is feasible. To maintain a simple but reliable service, a streamlined surgery pathway should be introduced, together with strengthening national capacity and adopting cost-efficient technology.
Solitary neurocysticercosis mimicking tuberculoma and glioblastoma: A diagnostic challenge in a low-resource setting -
CONCLUSION: NCC should be considered in the differential diagnosis of solitary ring-enhancing brain lesions even in patients with prior tuberculosis. When imaging is inconclusive, surgical excision provides definitive diagnosis and effective treatment with excellent neurological and seizure outcomes.
A Case of Lamotrigine-Induced Drug Reaction With Eosinophilia and Systemic Symptoms (DRESS) With Coagulopathy and Altered Consciousness -
CONCLUSION: Lamotrigine-induced DRESS may present with severe coagulation abnormalities early in the course of the disease. In severe cases of coagulopathy, steroid pulse therapy and plasma exchange may be considered viable treatment options.
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