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October 2024 - July 1959

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Issue

February 2021, Vol 78, No. 2, Pages 139-253

Viewpoint

Possible Consequences of the Approval of a Disease-Modifying Therapy for Alzheimer Disease

Abstract Full Text
JAMA Neurol. 2021;78(2):141-142. doi:10.1001/jamaneurol.2020.4478

This Viewpoint discusses considerations of a disease-modifying therapy for Alzheimer disease and significant challenges for Alzheimer disease clinical practice and research.

Editorial

Rapid Progress Toward Reliable Blood Tests for Alzheimer Disease

Abstract Full Text
JAMA Neurol. 2021;78(2):143-145. doi:10.1001/jamaneurol.2020.4200

Self-driven Prehospital Triage Decisions for Suspected Stroke—Another Step Closer

Abstract Full Text
JAMA Neurol. 2021;78(2):146-148. doi:10.1001/jamaneurol.2020.4425
Original Investigation

Associations of Plasma Phospho-Tau217 Levels With Tau Positron Emission Tomography in Early Alzheimer Disease

Abstract Full Text
open access
JAMA Neurol. 2021;78(2):149-156. doi:10.1001/jamaneurol.2020.4201

This cohort study compares plasma levels of phosphorylated tau at threonine 217 with established cerebrospinal fluid and positron emission tomography (PET) tau biomarkers in early Alzheimer disease.

Comparison of Prehospital Scales for Predicting Large Anterior Vessel Occlusion in the Ambulance Setting

Abstract Full Text
free access has audio
JAMA Neurol. 2021;78(2):157-164. doi:10.1001/jamaneurol.2020.4418

This cohort study performs external validations, head-to-head comparisons, and feasibility ratings of 7 scales used by emergency medical services in the field to predict symptomatic large anterior vessel occlusion among patients suspected of acute stroke.

Burden of Neurological Disorders Across the US From 1990-2017: A Global Burden of Disease Study

Abstract Full Text
open access
JAMA Neurol. 2021;78(2):165-176. doi:10.1001/jamaneurol.2020.4152

This analysis of the Global Burden of Disease 2017 study presents burden estimates of major neurological disorders in the US states by age and sex from 1990 to 2017.

Ticagrelor Added to Aspirin in Acute Ischemic Stroke or Transient Ischemic Attack in Prevention of Disabling Stroke: A Randomized Clinical Trial

Abstract Full Text
open access
JAMA Neurol. 2021;78(2):177-185. doi:10.1001/jamaneurol.2020.4396

This randomized clinical trial evaluates the superiority of ticagrelor added to aspirin in preventing disabling stroke and identifies factors associated with recurrent disabling stroke.

Effect of Ezogabine on Cortical and Spinal Motor Neuron Excitability in Amyotrophic Lateral Sclerosis: A Randomized Clinical Trial

Abstract Full Text
free access
JAMA Neurol. 2021;78(2):186-196. doi:10.1001/jamaneurol.2020.4300

This randomized clinical trial examines the use of clinical neurophysiological metrics of excitability as pharmacodynamic biomarkers in individuals with amyotrophic lateral sclerosis.

Association Between Ambient Air Pollution and Amyloid Positron Emission Tomography Positivity in Older Adults With Cognitive Impairment

Abstract Full Text
free access
JAMA Neurol. 2021;78(2):197-207. doi:10.1001/jamaneurol.2020.3962

This cross-sectional study examines how environmental risk factors, such as air quality, affect Alzheimer disease or dementia pathology.

Surgical Decompression for Space-Occupying Hemispheric Infarction: A Systematic Review and Individual Patient Meta-analysis of Randomized Clinical Trials

Abstract Full Text
free access
JAMA Neurol. 2021;78(2):208-216. doi:10.1001/jamaneurol.2020.3745

This systematic review and individual patient meta-analysis of randomized clinical trials compares surgical decompression with medical care for space-occupying hemispheric infarction and whether patient characteristics are associated with treatment outcomes.

Association of Initial β-Amyloid Levels With Subsequent Flortaucipir Positron Emission Tomography Changes in Persons Without Cognitive Impairment

Abstract Full Text
free access
JAMA Neurol. 2021;78(2):217-228. doi:10.1001/jamaneurol.2020.3921

This cohort study investigates the association between β-amyloid in positron emission tomography and subsequent tau accumulation in persons who were cognitively unimpaired, to gain insight into the temporal associations between β-amyloid and tau accumulation.

Association Between Apolipoprotein E ε2 vs ε4, Age, and β-Amyloid in Adults Without Cognitive Impairment

Abstract Full Text
free access
JAMA Neurol. 2021;78(2):229-235. doi:10.1001/jamaneurol.2020.3780

This cross-sectional study used screening data from the Anti-Amyloid Treatment in Asymptomatic Alzheimer Disease Study (A4 Study) to assess whether the presence of the apolipoprotein E ε2 allele is protective against β-amyloid accumulation in the presence of ε4 in individuals without cognitive impairment.

Brief Report

Association of Reperfusion After Thrombolysis With Clinical Outcome Across the 4.5- to 9-Hours and Wake-up Stroke Time Window: A Meta-Analysis of the EXTEND and EPITHET Randomized Clinical Trials

Abstract Full Text
JAMA Neurol. 2021;78(2):236-240. doi:10.1001/jamaneurol.2020.4123

This meta-analysis of 2 randomized clinical trials examines the association of reperfusion and reduced disability, including by onset-to-randomization time strata.

Special Communication

Autologous Hematopoietic Stem Cell Transplant in Multiple Sclerosis: Recommendations of the National Multiple Sclerosis Society

Abstract Full Text
JAMA Neurol. 2021;78(2):241-246. doi:10.1001/jamaneurol.2020.4025

This narrative review describes autologous hematopoietic stem cell transplant for multiple sclerosis, including recent developments, emerging guidelines for usage, and pending investigations.

Images in Neurology

Combined Cranial Intraosseous and Cerebral Cavernous Malformations With Pathogenic CCM1 Germline Sequence Variations

Abstract Full Text
JAMA Neurol. 2021;78(2):247-248. doi:10.1001/jamaneurol.2020.4134

This case report describes cerebral cavernous malformations detected by susceptibility-weighted imaging and associated with a CCM1 sequence variation.

Creutzfeldt-Jakob Disease as a Novel Cause of Wing-Beating Tremor

Abstract Full Text
has multimedia
JAMA Neurol. 2021;78(2):249-250. doi:10.1001/jamaneurol.2020.3899

This case report describes a man with Creutzfeldt-Jakob disease that involved a rare type of tremor.

JAMA Neurology Clinical Challenge

A Middle-aged Woman With Severe Scoliosis and Encephalopathy

Abstract Full Text
has multimedia
JAMA Neurol. 2021;78(2):251-252. doi:10.1001/jamaneurol.2020.4270

A 42-year-old woman presented with clinical features of microcephaly, short stature, intellectual disability, severe degree of scoliosis, gait abnormality, and encephalopathy. What is your diagnosis?

Correction

Error in Figure

Abstract Full Text
free access
JAMA Neurol. 2021;78(2):253. doi:10.1001/jamaneurol.2020.4906
JAMA Neurology Masthead

JAMA Neurology

Abstract Full Text
free access
JAMA Neurol. 2021;78(2):139. doi:10.1001/jamaneurol.2020.3643
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