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A case of a middle-aged woman with well-controlled epilepsy who presented with persistent anxiety, depression, and irritability despite adequate psychiatric medication (escitalopram, olanzapine). Investigation revealed temporal lobe epilepsy auras as the underlying cause, and adjustment of anti-seizure therapy with lacosamide resulted in complete symptom resolution and significant functional improvement.
This prospective study of 476 traumatic spinal cord injury patients found that 47% also had concomitant traumatic brain injury, with 85% being mild cases. Risk factors for co-occurring injuries included history of substance abuse, motor vehicle accidents, high-energy mechanisms, and tetraplegia rather than paraplegia.
This umbrella systematic review synthesized 20 systematic reviews to assess the prevalence and correlates of mental illness in traumatic spinal cord injury patients, finding depression (up to 43%), PTSD (up to 62%), anxiety (27%), and hazardous alcohol use (≥50%) as major concerns. Common risk factors included pain, injury severity, low social support, and maladaptive coping, though evidence for effective interventions was limited.
This review examines whether Alzheimer's disease and major depressive disorder share common pathophysiological mechanisms, particularly through reduced TGF-β1 cytokine levels and amyloid-beta accumulation. The authors discuss emerging evidence that certain antidepressants (SSRIs, SNRIs, ketamine) may have neuroprotective effects, though they note the evidence remains inconsistent and potentially adverse effects require further investigation.
This research focuses on developing language and speech-based biomarkers for early detection of neurocognitive and affective disorders using automated analysis. The LANGaware project aims to improve diagnostic accuracy and early intervention through objective linguistic and acoustic markers.