Publications by authors named "Adriana Roca-Fernandez"

Background: Comorbidities occur in aquaporin-4 antibody-positive neuromyelitis optica spectrum disorder (AQP4-NMOSD), myelin oligodendrocyte glycoprotein antibody-associated disease (MOGAD), and double seronegative NMOSD (DN-NMOSD), potentially contributing to a less favorable disease course.

Objectives: To characterize comorbidities in AQP4-NMOSD, MOGAD, and DN-NMOSD and assess their association with optic neuritis (ON) outcomes by optical coherence tomography (OCT) in AQP4-NMOSD.

Methods: Four hundred and forty-two participants from the CROCTINO cohort were evaluated for comorbidities.

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Transplantation of human fetal ventral mesencephalic tissue in individuals with Parkinson's disease has yielded clinical benefits but also side effects, such as graft-induced dyskinesias. The open-label TransEuro trial ( NCT01898390 ) was designed to determine whether this approach could be further developed into a clinically useful treatment. Owing to poor availability of human fetal ventral mesencephalic tissue, only 11 individuals were grafted at two centers using the same tissue preparation protocol but different implantation devices.

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Article Synopsis
  • The study aimed to describe the clinical features of double-antibody seronegative neuromyelitis optica spectrum disorders (DN-NMOSD), focusing on how these disorders affect the retina.
  • Researchers analyzed data from 25 individuals with DN-NMOSD and compared it to those with aquaporin-4 antibody positive neuromyelitis optica (AQP4-NMOSD) and healthy controls, using optical coherence tomography (OCT) to assess retinal damage.
  • The findings revealed significant thinning of the retinal nerve fiber layer and ganglion cell layers in DN-NMOSD patients, even after just one optic neuritis episode, indicating severe retinal damage and neurodegeneration regardless of an ON history.
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Article Synopsis
  • * The research involved over 228,000 UK adults and demonstrated that using simple, routine predictors can generate accurate risk estimates for several diseases, achieving a discrimination rate of 70% or higher (AUROC).
  • * The findings suggest that existing health check data can effectively evaluate 10-year risks for various diseases without needing complex technology or invasive tests, potentially enhancing patient care and management.
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Article Synopsis
  • The NHS Health Check is a UK program aimed at preventing cardiovascular disease and assessing risks, but its long-term effectiveness is uncertain.
  • A study compared 48,602 participants who underwent the NHS Health Check to 48,602 matched individuals who did not, tracking diagnoses over an average of 9 years.
  • Results showed that while the NHS Health Check led to higher diagnosis rates in the first two years, it ultimately resulted in lower risks for various diseases and reduced mortality rates in the longer term.
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Background & Aims: Chronic liver disease (CLD) is associated with increased cardiovascular disease (CVD) risk. We investigated whether early signs of liver disease (measured by iron-corrected T1-mapping [cT1]) were associated with an increased risk of major CVD events.

Methods: Liver disease activity (cT1) and fat (proton density fat fraction [PDFF]) were measured using LiverMultiScan® between January 2016 and February 2020 in the UK Biobank imaging sub-study.

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Background: Long COVID is associated with multiple symptoms and impairment in multiple organs. Cross-sectional studies have reported cardiac impairment to varying degrees by varying methodologies. Using cardiac MR (CMR), we investigated a 12-month trajectory of abnormalities in Long COVID.

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Article Synopsis
  • The study investigates the effectiveness of intereye differences (IED) in optical coherence tomography (OCT) parameters to diagnose optic neuritis (ON) in patients with aquaporin-4 antibody seropositive neuromyelitis optica spectrum disorders (AQP4+NMOSD).
  • It compares OCT data from AQP4+NMOSD patients who had unilateral ON more than six months prior with healthy controls and other AQP4+NMOSD patients without ON, measuring both absolute and percentage differences in retinal thickness.
  • The findings show high accuracy for using IED metrics in diagnosing ON in AQP4+NMOSD, indicating that these OCT parameters could improve diagnostic criteria for this condition.
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Objectives: To determine the prevalence of organ impairment in long COVID patients at 6 and 12 months after initial symptoms and to explore links to clinical presentation.

Design: Prospective cohort study.

Participants: Individuals.

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Article Synopsis
  • The study investigates the link between alcohol consumption and brain iron levels, particularly focusing on whether moderate drinking contributes to iron accumulation in the brain, which may lead to cognitive deficits.
  • Utilizing data from 20,729 UK Biobank participants, researchers compared self-reported alcohol intake with genetic predictions and assessed brain iron content through advanced imaging techniques, focusing on specific brain regions and liver tissues.
  • Findings indicate that higher alcohol consumption is associated with increased brain iron markers, suggesting that alcohol-related cognitive impairments could potentially be mediated by this iron accumulation.
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Article Synopsis
  • Patients with AQP4-IgG+ neuromyelitis optica spectrum disorders (NMOSDs) often experience optic neuritis, leading to retinal nerve damage, but the link between this damage and primary astrocytopathy is unclear.
  • This study compared retinal layer changes among 197 AQP4-IgG+ patients, 32 MOG-IgG+ patients, and 75 healthy controls using optical coherence tomography (OCT) and found no significant thinning in the outer retinal layers of AQP4-IgG+ patients.
  • The research indicates that outer retinal damage may not be a consistent outcome of retinal astrocytic injury in AQP4-IgG+ NMOSD, suggesting the need
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A central debate in the systems neuroscience of memory concerns whether different medial temporal lobe (MTL) structures support different processes in recognition memory. Using two recognition memory paradigms, we tested a rare patient (MH) with a perirhinal lesion that appeared to spare the hippocampus. Consistent with a similar previous case, MH showed impaired familiarity and preserved recollection.

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Background And Objectives: To determine optic nerve and retinal damage in aquaporin-4 antibody (AQP4-IgG)-seropositive neuromyelitis optica spectrum disorders (NMOSD) in a large international cohort after previous studies have been limited by small and heterogeneous cohorts.

Methods: The cross-sectional Collaborative Retrospective Study on retinal optical coherence tomography (OCT) in neuromyelitis optica collected retrospective data from 22 centers. Of 653 screened participants, we included 283 AQP4-IgG-seropositive patients with NMOSD and 72 healthy controls (HCs).

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Background: Identifying magnetic resonance imaging (MRI) markers in myelin-oligodendrocytes-glycoprotein antibody-associated disease (MOGAD), neuromyelitis optica spectrum disorder-aquaporin-4 positive (NMOSD-AQP4) and multiple sclerosis (MS) is essential for establishing objective outcome measures.

Objectives: To quantify imaging patterns of central nervous system (CNS) damage in MOGAD during the remission stage, and to compare it with NMOSD-AQP4 and MS.

Methods: 20 MOGAD, 19 NMOSD-AQP4, 18 MS in remission with brain or spinal cord involvement and 18 healthy controls (HC) were recruited.

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Obesity is a risk factor for SARS-COV2 infection and is often associated with hepatic steatosis. The aim of this study was to determine if pre-existing hepatic steatosis affects the risk of infection and severity for COVID-19. Prospective cohort study (UK Biobank).

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Background And Purpose: Foveal changes were reported in aquaporin-4 antibody (AQP4-Ab) seropositive neuromyelitis optica spectrum disorder (NMOSD) patients; however, it is unclear whether they are independent of optic neuritis (ON), stem from subclinical ON or crossover from ON in fellow eyes. Fovea morphometry and a statistical classification approach were used to investigate if foveal changes in NMOSD are independent of ON and progressive.

Methods: This was a retrospective longitudinal study of 27 AQP4-IgG + NMOSD patients (49 eyes; 15 ON eyes and 34 eyes without a history of ON [NON eyes]), follow-up median (first and third quartile) 2.

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Spinal cord involvement is a hallmark feature of multiple sclerosis, neuromyelitis optica with AQP4 antibodies and MOG-antibody disease. In this cross-sectional study we use quantitative spinal cord MRI to better understand these conditions, differentiate them and associate with relevant clinical outcomes. Eighty participants (20 in each disease group and 20 matched healthy volunteers) underwent spinal cord MRI (cervical cord: 3D T1, 3D T2, diffusion tensor imaging and magnetization transfer ratio; thoracic cord: 3D T2), together with disability, pain and fatigue scoring.

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Purpose: Optical coherence tomography (OCT) captures retinal damage in neuromyelitis optica spectrum disorders (NMOSD). Previous studies investigating OCT in NMOSD have been limited by the rareness and heterogeneity of the disease. The goal of this study was to establish an image repository platform, which will facilitate neuroimaging studies in NMOSD.

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The SynGAP protein is a major regulator of synapse biology and neural circuit function. Genetic variants linked to epilepsy and intellectual disability disrupt synaptic function and neural excitability. SynGAP has been involved in multiple signaling pathways and can regulate small GTPases with very different roles.

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Objective: We investigated the nature and neural foundations of pathologic tearfulness in a uniquely large cohort of patients who had presented with autoimmune limbic encephalitis (aLE).

Methods: We recruited 38 patients (26 men, 12 women; median age 63.06 years; interquartile range [IQR] 16.

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Patients with hippocampal amnesia play a central role in memory neuroscience but the neural underpinnings of amnesia are hotly debated. We hypothesized that focal hippocampal damage is associated with changes across the extended hippocampal system and that these, rather than hippocampal atrophy per se, would explain variability in memory between patients. We assessed this hypothesis in a uniquely large cohort of patients (n = 38) after autoimmune limbic encephalitis, a syndrome associated with focal structural hippocampal pathology.

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Objective: Limbic encephalitis associated with antibodies to components of the voltage-gated potassium channel complex (VGKCC-Ab-LE) often leads to hippocampal atrophy and persistent memory impairment. Its long-term impact on regions beyond the hippocampus, and the relationship between brain damage and cognitive outcome, are poorly understood. We investigated the nature of structural and functional brain abnormalities following VGKCC-Ab-LE and its role in residual memory impairment.

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Objectives: Neuromyelitis optica spectrum disorders (NMOSD) are inflammatory conditions of the central nervous system and an important differential diagnosis of multiple sclerosis (MS). Unlike MS, the course is usually relapsing, and it is unclear, if progressive neurodegeneration contributes to disability. Therefore, we aimed to investigate if progressive retinal neuroaxonal damage occurs in aquaporin4-antibody-seropositive NMOSD.

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See de Seze (doi:10.1093/brain/awx292) for a scientific commentary on this article. A condition associated with an autoantibody against MOG has been recently recognized as a new inflammatory disease of the central nervous system, but the disease course and disability outcomes are largely unknown.

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Change detection is essential for visual perception and performance in our environment. However, observers often miss changes that should be easily noticed. A failure in any of the processes involved in conscious detection (encoding the pre-change display, maintenance of that information within working memory, and comparison of the pre and post change displays) can lead to change blindness.

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