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Increased cardiovascular risk in Parkinson’s disease

…oke in PD patients (Huang et al. PLoS One 2013;8:e68314; free full text at www.ncbi.nlm.nih.gov/pmc/articles/pmid/24023710/). The study compared 2,204 PD patients and the same number of propensity score-matched subjects. At three-year follow-up, there were 328 ischemic strokes in the PD group compared to 156 strokes in the non-PD group (HR 2.37). It is unclear why PD patients have an increased risk of MI and stroke and further study is needed to e…

High-efficacy MAbs in MS: an update

…ab, treatment was ineffective in slowing disability unrelated to relapses (www.businesswire.com/news/home/20151021005273/en/Biogen-Reports-Top-Line-Results-Phase-3-Study). For the Canadian cohort of TOP (n=339), ARR declined from 1.68 at baseline to 0.19 after a mean of 2.4 years (Bhan et al. ECTRIMS 2015; abstract EP1333). EDSS scores remained stable from baseline (3.5) to year 3 (3.1). The incidence of serious adverse events was 8.3%, most commo…

Depression in PD often untreated despite improved detection

…kely to be treated or that current therapies are only partially effective. Comment Dr. Susan Fox: This large multicentre study shows that depression is common in PD. The importance of this report is that the evidence was gathered from patients and caregivers, not physicians, and shows a disconnect between the two. Physicians need to ask about depression at every visit. Treating PD depression can be challenging due to concerns about side effects of…

Late-breaking news at ECTRIMS 2015: ocrelizumab, minocycline and biotin

…Freedman et al. Mult Scler Relat Disord 2014;3:147-155; free full text at www.msard-journal.com/article/S2211-0348(13)00085-0/pdf). A pilot study of minocycline in MS (Zhang et al. Can J Neurol Sci 2008;35:185-191), and as add-on therapy to glatiramer acetate (Metz et al. Mult Scler 2009;15:1183-1194) have previously reported some benefits with the antibiotic, most notably in reducing inflammatory activity on MRI. Biotin is part of the B complex…

Quality of life in schizophrenia: the QUALIFY trial

…erioration in patients’ daily functioning and quality of life. Back to top Comment Dr. Ofer Agid: Studies measuring treatment outcome in patients with schizophrenia usually focus on the positive and negative symptom domains. Moreover, the definitions of ‘remission’ and ‘response’ in schizophrenia are usually based on the patients’ scores on these domains. While the main goal of psychopharmacological treatment in schizophrenia is achieving symptoma…