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Diseases & Diagnoses
April 2024
Diagnosis and Treatment of Vasculitic Neuropathy
Anne Møller Witt, MD; Louise Sloth Kodal, MD; and Tina Dysgaard, MedScD
Neuromuscular Sarcoidosis: Peripheral Nervous System Manifestations
Bénédicte Dansereau, MD, and Leo H. Wang, MD, PhD
Diagnosis of Chronic Inflammatory Demyelinating Polyneuropathy
Natalia Gonzalez Caldito, MD, and Ali A. Habib, MD
Diagnosis and Treatment of Lambert-Eaton Myasthenic Syndrome
Matthew C. Varon, MD, and Mazen M. Dimachkie, MD
Myasthenia Gravis: Making Progress for More Accurate Diagnoses and Targeted Treatments
Nicholas J. Silvestri, MD
Adult Inflammatory Myopathies: Updates on Classification and Management
Candie Jammal, MD; Iago Pinal-Fernandez, MD, PhD; and Andrew L. Mammen, MD, PhD
Guest Medical Editor’s Letter
Autoimmune Neuromuscular Diseases
B. Jane Distad, MD
Cover Focus
Despite its heterogeneous clinical presentation, vasculitic neuropathy requires rapid identification and treatment to prevent diagnostic delay or lack of diagnosis.
A small percentage of individuals with sarcoidosis have peripheral nervous system involvement, manifesting as large-fiber neuropathy, small-fiber neuropathy, or myopathy.
Due to the heterogeneous presentation of this complex disease, diagnosis is not always straightforward, and proper interpretation of clinical and diagnostic data is crucial to avoid misdiagnosis.
Recognition of this rare immune-mediated disorder of the neuromuscular junction is critical for treatment, including of potential associated malignancy.
Advances in testing and treatments for myasthenia gravis are leading to more accurate diagnoses and improvements in symptom control for individuals with this rare chronic autoimmune disease.
The inflammatory myopathies are classified into homogeneous subtypes on the basis of specific autoantibodies, and management strategies continue to evolve rapidly.
Case Reports
Neuromyelitis Optica Spectrum Disorder With Atypical Imaging Features
We present an unusual, diagnostically challenging case of neuromyelitis optica spectrum disorder with a trident sign and nerve root enhancement on imaging.
Julia Greenberg, MD; Kaiulani Houston, MD, PhD; Kevin Spiegler, MD, PhD; Sujata Thawani, MD, MPH; Harold Weinberg, MD, PhD; and Ilya Kister, MD
Rapidly Progressive Dementia Caused by Neoplastic Meningitis Attributable to Melanoma
We present a case of neoplastic meningitis, manifesting as rapidly progressive dementia, resulting from recurrent metastatic melanoma.
Abdalmalik Bin Khunayfir, MD, and Brian Appleby, MD
Columns
The Whole Physician: Addressing Imposter Phenomenon in the Physician Population
Physicians and medical institutions need to take steps to recognize and combat imposter phenomenon, also known as imposter syndrome.
Jill R. Baron, MD, and Jennifer Villwock, MD
Headache Horizons: Headache Pharmacology and Novel Therapeutics Update
Understanding the pharmacokinetics of recently introduced preventive treatments for headache can help the practitioner optimize migraine treatment.
Shivang Joshi, MD, MPH, BPharm
MS Minute: Menopause and Multiple Sclerosis
Multiple sclerosis and menopause have overlapping symptoms, complicating evaluation of disease progression and care of this population.
Denisse Morales-Rodriguez, BS, and Riley Bove, MD, MMSc
Movement Disorders Moment: Environmental and Biologic Risk and Protective Factors Associated with Parkinson Disease
This review provides a concise summary of the evidence for environmental and biologic risk and protective factors for Parkinson disease.
Swati Pradeep, DO, and Jaime M. Hatcher-Martin, MD, PhD
Neuro-Oncology Outlook: Advancements in Targeted Molecular Therapy for Low-Grade Gliomas—Challenging the Treatment Paradigm
Treatment with the IDH inhibitor vorasidenib increased median progression-free survival and time to next intervention in individuals with grade 2 gliomas under surveillance after surgical resection.
Samantha Kropp, MD, and Joe Mendez, MD
About The Cover Artist
About the Cover Artist: Rock Island by Rodrigo Duran
Despite challenges associated with congenital muscular dystrophy and epilepsy, Rodrigo is still pursuing his goal of working in the art industry.
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Clinical Trials Guides
View guides to a clinical trials by disease, such as stroke, epilepsy, and more.
Paola Andrea Ortiz-Salas, MD, MSc; Monica Ortiz-Pereira, MD; Jorge Molinares, MD; Neiry Zapa-Perez, MD; and Jorge Aníbal Daza-Buitrago, MD
Andrew Anastos, BS; Misha Pless, MD; Rabih Tawk, MD; and Eric Eggenberger, DO
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