Lemmon, Monica E.; Ubel, Peter A.; Janvier, Annie
doi: 10.1001/jamaneurol.2019.1157pmid: 31081869
This Viewpoint describes the challenges and opportunities in estimating neurologic prognoses to inform families and encourages engaging families in outcomes development.
doi: 10.1001/jamaneurol.2019.1599pmid: 31206149
This essay discusses lessons learned by being a caretaker for a grandparent with Alzheimer disease.
Redelmeier, Donald A.; Manzoor, Fizza; Thiruchelvam, Deva
doi: 10.1001/jamaneurol.2019.1148pmid: 31107515
Key PointsQuestionIs statin use associated with an increased or decreased risk of subsequent dementia after a concussion? FindingsIn this large extended population-based double cohort study following 28 815 patients after a concussion, the 5-year incidence of dementia was substantial and statin use was associated with a significantly reduced risk of subsequent dementia. MeaningConcussions are associated with an increased long-term risk of dementia, which is modestly reduced for patients receiving a statin.
Neligan, Aidan; Noyce, Alastair John; Gosavi, Tushar Divakar; Shorvon, Simon D.; Köhler, Sebastian; Walker, Matthew C.
doi: 10.1001/jamaneurol.2019.1268pmid: 31135807
Key PointsQuestionHas the mortality associated with convulsive status epilepticus (SE) changed over time? FindingsThis systematic review and meta-analysis of 61 SE studies conducted between 1990 and 2017 did not demonstrate definitive evidence of improved SE prognosis over time. MeaningChanges in definition and treatment approaches in high-income countries have not been significantly associated with the mortality of convulsive status epilepticus.
Huang, Wen-Yi; Saver, Jeffrey L.; Wu, Yi-Ling; Lin, Chun-Jen; Lee, Meng; Ovbiagele, Bruce
doi: 10.1001/jamaneurol.2019.1120pmid: 31081871
Key PointsQuestionDoes preventive, low-dose aspirin increase the frequency of intracranial hemorrhage in the general population? FindingsIn this systematic review and meta-analysis that included 13 randomized clinical trials, low-dose aspirin was associated with an increased risk of any intracranial bleeding. MeaningUse of low-dose aspirin was associated with an overall increased risk of intracranial hemorrhage among people without symptomatic cardiovascular disease.
Hanseeuw, Bernard J.; Betensky, Rebecca A.; Jacobs, Heidi I. L.; Schultz, Aaron P.; Sepulcre, Jorge; Becker, J. Alex; Cosio, Danielle M. Orozco; Farrell, Michelle; Quiroz, Yakeel T.; Mormino, Elizabeth C.; Buckley, Rachel F.; Papp, Kathryn V.; Amariglio, Rebecca A.; Dewachter, Ilse;
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doi: 10.1001/jamaneurol.2019.1424pmid: 31157827
Key PointsQuestionIs cognitive decline associated with amyloid-β or tau tangles accumulation? FindingsIn this cohort study that included 60 normal older adults with repeated positron emission tomography measures, the rate of tau accumulation in the inferior temporal neocortex was associated with the rate of cognitive decline. Amyloid accumulation was associated with subsequent tau accumulation, and this sequence of successive amyloid and tau changes in neocortex was found to mediate the association of initial amyloid with final cognition, measured 7 years later. MeaningAmyloid positron emission tomography is useful to detect early Alzheimer pathology; repeated tau positron emission tomography is useful to track disease progression.