92 e-Letters

published between 2013 and 2016

  • The strange case of bilirubin in Parkinson's disease
    Paolo Barone

    Hatano and colleagues recently published a paper of considerable interest, investigating possible metabolic pathways associated with Parkinson's disease (PD) by using metabolomic technologies [1]. Their results on redox homeostasis deserve to be further discussed, since oxidative stress is possibly involved in PD risk and progression. In particular, authors found bilirubin, a strong natural antioxidant, to be significan...

    Show More
  • Role of advanced MR techniques such as Diffusion Tensor Imaging in Leber's hereditary optic neuropathy and Multiple Sclerosis
    Deepa Anand

    As a research intern aspiring to be a neurologist, I found Dr. Mathew et al. article highly interesting and thought provoking [1]. Multiple sclerosis is a complex neurological condition to manage, given its numerous phenotypes.

    It was very interesting to note that the authors found similar imaging features on conventional MR brain scan in patients with multiple sclerosis (MS)-like disease in association with LH...

    Show More
  • Re:New Insights on AD: Comment on The identification of cognitive subtypes in Alzheimer's disease dementia using latent class analysis
    Nienke M.E. Scheltens

    Thank you for your enthusiasm for our study, and for your questions.

    In our opinion, an extensive neuropsychological test battery is mandatory for diagnosis of probable AD dementia. An MMSE score alone is not sufficient for the assessment of cognitive impairment.

    We used MMSE as indicator for disease severity, within our sample of already diagnosed probable AD patients. It is an interesting suggestion t...

    Show More
  • Pathogenesis of anti-contactin-1 associated paranodopathy
    Kathrin Doppler

    We thank Drs. Yuki and Wong for their interest in our paper. We agree that the finding that anti-CNTN1 autoantibodies in patients are mostly of the IgG4 subtype is important for our understanding of the pathophysiology of anti-CNTN1-associated neuropathy. However, in the study by Miura as well as in our study, IgG2 and IgG3 autoantibodies were detected in some patients (1, 2). The two patients from our study with predomina...

    Show More
  • A radiological curiosity of hyperammonaemia!
    Michael Kinney

    We would like to draw attention to one important point in regard to hyperammonaemic encephalopathy which was not mentioned in the recent excellent article by Sutter and Kaplan discussing the imaging features of encephalopathy.

    The cases of hyperammonaemic encephalopathy with neuroimaging features number less than 10 in the reported literature. As the authors stated they can develop cortical signal abnormalitie...

    Show More
  • New Insights on AD: Comment on The identification of cognitive subtypes in Alzheimer's disease dementia using latent class analysis
    Ashima Nehra

    We read with interest the recent article published by Scheltens et. al. [1] The article helped us in understanding greater insights about AD dementia. As rightly stated by the authors that one magic bullet will never be found, but different therapeutic agents may benefit different subgroups of patients. The identification and importance of cognitive AD subtypes for making differentiated diagnoses will also help in the fu...

    Show More
  • IgG subclass in combined central and peripheral demyelination associated with anti-neurofascin 155 antibodies
    Nobuhiro Yuki

    At paranodes of both central and peripheral nerves, neurofascin-155 (NF155) is expressed by the terminal loops of myelin and associates with the axonal cell adhesion molecules contactin-1 and contactin-associated protein-1. They are important in maintaining the integrity of axo-glial junction and forming barrier against lateral diffusion of nodal channels. Human IgG antibodies consist of four subclasses (IgG1-4) with dif...

    Show More
  • Sensory Ataxia and Anti-contactin-1 IgG4-Associated Paranodopathy
    Nobuhiro Yuki

    With interest, we read an excellent paper written by a German group, in which four patients with chronic inflammatory demyelinating polyneuropathy (CIDP) carried IgG autoantibodies against contactin-1 (CNTN1) expressed at the paranodes in the peripheral nerves.[1] Human IgG antibodies consist of four subclasses (IgG1-4) with different structural and functional characteristics. IgG4 are generally believed to be non- infla...

    Show More
  • Nodopathy or paranodopathy: that is the question
    Nobuhiro Yuki

    In peripheral nerves, the domain organization of myelinated axons depends on specific axoglial contacts between the axonal membrane and Schwann cells at nodes, paranodes and juxtaparanodes. The term nodo- paranodopathy was originally proposed to characterize neuropathies with anti-ganglioside antibodies by a common pathological continuum starting with dysfunction/disruption at the nodes of Ranvier, a transitory nerve fai...

    Show More
  • CNS involvement in V30M transthyretin amyloidosis: clinical, neuropathological and biochemical data from another center.
    Isabel S. Conceicao

    We read with great interest the recent study by Maia et al., which reports retrospectively central nervous system (CNS) involvement in patients with familial amyloid polyneuropathy associated with Val30Met mutation (ATTR Val30Met FAP)1. This complication was observed in 31% of ATTR Val30Met FAP patients with long survival due to liver transplantation (LT). CNS disorders occurred on average 14.6 years after the onset of TT...

    Show More