Synaptic Transmissions Central Latency Reduction

Transmission #8: Reversible Leukoencephalopathy and Parkinsonism in Cryoglobulinemia.

This case demonstrates that cryoglobulinemic vasculitis can cause reversible parkinsonism and leukoencephalopathy that mimics neurodegenerative disease, responding dramatically to immunosuppression. The patient had type III mixed cryoglobulinemia without typical triggers (hepatitis C or monoclonal gammopathy), presenting with tremor, rigidity, cognitive decline, and extensive white matter changes. Read more

Transmission #7: Mucormycosis.

This comprehensive review covers mucormycosis, a rapidly progressive invasive fungal infection with high neurological morbidity, particularly in the rhinocerebral form that can invade brain parenchyma. Early recognition and aggressive treatment with liposomal amphotericin B combined with surgical debridement are critical for survival, as delays in treatment result in devastating neurological outcomes. Read more

Transmission #6: Dynamic remodelling of myelin sheaths.

This study reveals that myelin damage begins with swelling that can be reversible rather than immediate destruction, challenging the traditional view of demyelination as purely degenerative. Using live imaging in animal models and human MS tissue, researchers found that increased neuronal activity worsens myelin swelling while reduced activity is protective. Read more

Diensttag #1: General anesthesia versus conscious sedation for thrombectomy.

Updated meta-analysis of 10 RCTs shows general anesthesia during thrombectomy significantly improves revascularization rates compared to conscious sedation. When limited to trials using established stroke selection criteria, general anesthesia also improved functional independence at 90 days without increased mortality or hemorrhagic complications. Read more

Transmission #5: Deep brain stimulation for epilepsy.

This systematic review of 124 studies (1210 patients) demonstrates that precise anatomical targeting in DBS for epilepsy significantly impacts outcomes, with ANT-DBS success correlating with proximity to the mammillothalamic tract junction. The analysis reveals substantial variability in current targeting approaches and provides quantitative evidence that electrode placement precision matters for seizure reduction. Read more