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Embodiment of structural racism and multiple sclerosis risk and outcomes in the USA Nat. Rev. Neurol. (IF 28.2) Pub Date : 2025-05-27
Annette M. Langer-Gould, Tara J. Cepon-Robins, Jada Benn Torres, E. Ann Yeh, Theresa E. Gildner -
Advancing neurogenetics in Africa: past achievements, current developments and shaping the future Nat. Rev. Neurol. (IF 28.2) Pub Date : 2025-05-23
Guida Landouré, Abdoulaye Yalcouyé, Salimata Diarra, Alassane dit Baneye Maiga, Mohamed E. Dembélé, Cheick A. K. Cissé, Abdoulaye Bocoum, Lassana Cissé, Salia Bamba, Oumar Samassékou, Kenneth H. Fischbeck, Barrington G. Burnett -
Synapse vulnerability and resilience across the clinical spectrum of dementias Nat. Rev. Neurol. (IF 28.2) Pub Date : 2025-05-22
Raquel N. Taddei, Karen E. Duff -
AI aces diagnosis of chronic ataxias Nat. Rev. Neurol. (IF 28.2) Pub Date : 2025-05-15
Ian FyfeA bespoke virtual assistant based on artificial intelligence has outperformed neurologists in the diagnosis of chronic ataxias in a recent study.
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Stem cells show promise in Parkinson disease Nat. Rev. Neurol. (IF 28.2) Pub Date : 2025-05-15
Ian FyfeNew work shows that transplantation of dopaminergic progenitor cells derived from human induced pluripotent stem cells is safe and could be effective in Parkinson disease.
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Glymphatic flow reduced in Huntington disease Nat. Rev. Neurol. (IF 28.2) Pub Date : 2025-05-15
Ian FyfeMeasures of glymphatic function could serve as markers of Huntington disease and its progression, new research has shown.
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Antibodies target different amyloid-β species Nat. Rev. Neurol. (IF 28.2) Pub Date : 2025-05-15
Ian FyfeSingle-molecule analysis of amyloid-β antibody binding has shown that lecanemab preferentially binds to small aggregates that form early in Alzheimer disease.
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SEQUINS — a new initiative to address disparities in neurology Nat. Rev. Neurol. (IF 28.2) Pub Date : 2025-05-14
Heather WoodThe Society for Equity Neuroscience (SEQUINS) was founded in 2024 to identify and address global inequities in brain health. Ahead of the inaugural SEQUINS conference in May 2025, we asked Founding President Bruce Ovbiagele about his expectations and aspirations for the conference and for the future of SEQUINS.
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Genetic susceptibility determines Epstein–Barr-virus-associated risk of multiple sclerosis Nat. Rev. Neurol. (IF 28.2) Pub Date : 2025-05-12
Lisa KianiA population cohort study has shown that Epstein–Barr virus interacts with genetics to increase the risk of multiple sclerosis.
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Menopause, memory and molecular pathways: growing insights into Alzheimer disease risk in women Nat. Rev. Neurol. (IF 28.2) Pub Date : 2025-05-12
Erin E. SundermannGrowing evidence links menopause to the risk of Alzheimer disease (AD) in women, but the effect of menopause hormone therapy (MHT) on this risk remain unclear. Two new studies illuminate how menopause and MHT influence synaptic health and tau pathology, offering new insights into sex-specific mechanisms and MHT timing considerations in AD risk.
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Dementia with Lewy bodies and Parkinson disease dementia — the same or different and is it important? Nat. Rev. Neurol. (IF 28.2) Pub Date : 2025-05-12
YuHong Fu, Glenda M. Halliday -
Nir Giladi (1955–2024) Nat. Rev. Neurol. (IF 28.2) Pub Date : 2025-05-07
Bastiaan R. BloemNir Giladi was truly a man on a mission. His rich career was dedicated to fulfilling a beautiful dream: finding a treatment that would slow or stop the progression of Parkinson disease (PD) and ultimately finding a cure. That he was not given enough time to realize these breakthroughs is incredibly sad, yet his legacy is enormous. Nir was also among the first to understand that walking and standing
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Mind over microplastics — what we still don’t know Nat. Rev. Neurol. (IF 28.2) Pub Date : 2025-05-07
Michael AschnerMicroplastics have been observed in human brain tissue for the first time, and higher levels were associated with dementia. However, important questions remain about the mechanisms of microplastic accumulation and clearance, the influence of environmental factors such as geographical location, and whether the association with dementia reflects cause or effect.
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Autoimmune encephalitis-associated epilepsy Nat. Rev. Neurol. (IF 28.2) Pub Date : 2025-05-02
Claude Steriade, Jan Bauer, Christian G. Bien -
Implications of AD plasma and PET biomarker discordance Nat. Rev. Neurol. (IF 28.2) Pub Date : 2025-05-01
Charlotte E. Teunissen, Lisa VermuntPlasma biomarker tests for Alzheimer disease are becoming increasingly reliable, which enables implementation in clinical settings in which cerebrospinal fluid analysis and PET scans are unavailable. However, a new study shows that some patients have discordant plasma and PET biomarker results. Clinicians need clear guidance to identify and manage patients who do not fit into standard clinical or biological
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Women’s neurology: a growing subspeciality to tackle sex and gender disparities Nat. Rev. Neurol. (IF 28.2) Pub Date : 2025-04-14
Lisa KianiNature Reviews Neurology is interviewing individuals who are driving efforts to address disparities in neurology through a broad spectrum of diversity, equity and inclusion initiatives. We spoke with neurologist Esther Bui from Canada about her work to improve neurological health for women. We spoke with neurologist Esther Bui from Canada about her work to improve neurological health for women.
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Alzheimer disease seen through the lens of sex and gender Nat. Rev. Neurol. (IF 28.2) Pub Date : 2025-04-14
Laura Castro-Aldrete, Melanie Einsiedler, Julie Novakova Martinkova, Herman Depypere, Ting Fang Alvin Ang, Michelle M. Mielke, Shireen Sindi, Harris A. Eyre, Rhoda Au, Anne Marie Schumacher Dimech, Anna Dé, Cassandra Szoeke, Maria Carmela Tartaglia, Antonella Santuccione Chadha -
Multi-ancestry GWAS identifies 16 novel Alzheimer disease risk loci Nat. Rev. Neurol. (IF 28.2) Pub Date : 2025-04-10
Lisa KianiA genome-wide association study (GWAS) of people with Alzheimer disease (AD) from diverse ancestral backgrounds has identified 16 genetic loci previously unknown to be associated with the disease. The study included individuals from the All of Us cohort, 78% of whom are from non-white groups that are underrepresented in biomedical research, alongside the National Institute on Aging Genetics of Alzheimer’s
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Microglia underlie amyloid-β clearance in immunized people with Alzheimer disease Nat. Rev. Neurol. (IF 28.2) Pub Date : 2025-04-10
Lisa KianiA study published in Nature Medicine has found that microglia are responsible for amyloid-β (Aβ) clearance in people with Alzheimer disease (AD) treated with Aβ immunotherapies. Transcriptomic analysis of frontal cortex sections revealed brain region-specific differential expression of genes involved in microglial function in people with AD treated with active Aβ immunotherapy AN1792, as compared with
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Pharmacological rehabilitation for stroke Nat. Rev. Neurol. (IF 28.2) Pub Date : 2025-04-10
Lisa KianiSynapse formation in parvalbumin-expressing interneurons underlies motor improvements following post-stroke rehabilitation and offers a drug target for stroke recovery, new research suggests. Task-based rehabilitation training in a mouse model of stroke selectively enhanced the synaptic input from parvalbumin interneurons to neurons that projected to the site of stroke induction, which resulted in
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Neurofilament light chain induces neuroinflammation Nat. Rev. Neurol. (IF 28.2) Pub Date : 2025-04-10
Lisa KianiNeurofilament light chain (NfL) released from damaged neurons induces neuroinflammation, according to new research. NfL is used as a biomarker for many neurodegenerative diseases, but was not previously known to contribute to disease processes. Glutamate-induced stress in primary neuronal cultures resulted in a twofold increase in NfL release from baseline, which was dependent on calpain proteolysis
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Walking the Talk for Dementia — an experience to break down barriers Nat. Rev. Neurol. (IF 28.2) Pub Date : 2025-04-10
Ian FyfeWalking the Talk for Dementia is no ordinary conference, but an experience that is designed to bring together people with diverse perspectives on dementia, including people with lived experience, and to foster new ways of thinking and collaborating. We asked founder Fernando Aguzzoli-Peres to tell us more about his unique initiative.
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Multiple sclerosis: an immune attack on astrocyte-mediated ion and water homeostasis Nat. Rev. Neurol. (IF 28.2) Pub Date : 2025-04-04
Marjo S. van der Knaap, Rogier Min -
Epigenetic reprogramming of glioblastoma to overcome chemotherapy resistance Nat. Rev. Neurol. (IF 28.2) Pub Date : 2025-04-04
Heather WoodResearchers have developed a CRISPR–Cas9-based epigenetic editing approach that sensitizes glioblastoma cells to standard chemotherapy drugs and could improve the treatment of tumours that have developed resistance to these drugs.
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Extracellular vesicles: translational research and applications in neurology Nat. Rev. Neurol. (IF 28.2) Pub Date : 2025-04-03
Apostolos Manolopoulos, Pamela J. Yao, Dimitrios Kapogiannis -
Management of freezing of gait — mechanism-based practical recommendations Nat. Rev. Neurol. (IF 28.2) Pub Date : 2025-04-01
Anouk Tosserams, Alfonso Fasano, Moran Gilat, Stewart A. Factor, Nir Giladi, Simon J. G. Lewis, Caroline Moreau, Bastiaan R. Bloem, Alice Nieuwboer, Jorik Nonnekes -
A neuroscientific model of near-death experiences Nat. Rev. Neurol. (IF 28.2) Pub Date : 2025-03-31
Charlotte Martial, Pauline Fritz, Olivia Gosseries, Vincent Bonhomme, Daniel Kondziella, Kevin Nelson, Nicolas Lejeune -
Knowing the enemy: strategic targeting of complement to treat Alzheimer disease Nat. Rev. Neurol. (IF 28.2) Pub Date : 2025-03-24
Andrea J. Tenner, Tiffany J. Petrisko -
Bioengineering to address progression in multiple sclerosis Nat. Rev. Neurol. (IF 28.2) Pub Date : 2025-03-17
Ian FyfeThe use of bioengineered implants has provided insight into the immunological processes that underlie progression in multiple sclerosis.
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Psychosis-causing lesions mapped to a hippocampal circuit Nat. Rev. Neurol. (IF 28.2) Pub Date : 2025-03-10
Heather WoodA case–control study has found that lesions in a specific hippocampal circuit cause psychosis. This circuit could represent a novel therapeutic target for conditions such as schizophrenia.
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Exploring factors that confer cognitive resilience Nat. Rev. Neurol. (IF 28.2) Pub Date : 2025-03-10
Heather WoodA new paper presents insights from an individual who survived to an advanced age without developing dementia, despite the presence of genetic risk factors for Alzheimer disease and substantial amyloid pathology in the brain.
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Prognostic plasma biomarkers for spinal cord injury Nat. Rev. Neurol. (IF 28.2) Pub Date : 2025-03-10
Heather WoodMeasurements of neurofilament light chain, glial fibrillary acidic protein and contactin 1 in plasma can provide useful prognostic information following traumatic spinal cord injury, according to new research.
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Spinal muscular atrophy treatment in utero Nat. Rev. Neurol. (IF 28.2) Pub Date : 2025-03-10
Heather WoodA recent article reports the successful prenatal treatment of a child with spinal muscular atrophy type 1.
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Mechanistic insights into the interaction between epilepsy and sleep Nat. Rev. Neurol. (IF 28.2) Pub Date : 2025-03-10
Laurent Sheybani, Birgit Frauscher, Christophe Bernard, Matthew C. Walker -
A global perspective on research advances and future challenges in Friedreich ataxia Nat. Rev. Neurol. (IF 28.2) Pub Date : 2025-03-03
Elisabetta Indelicato, Martin B. Delatycki, Jennifer Farmer, Marcondes C. França, Susan Perlman, Myriam Rai, Sylvia Boesch -
CNS drug delivery improves chemotherapy Nat. Rev. Neurol. (IF 28.2) Pub Date : 2025-02-17
Ian FyfeGlioblastoma-associated macrophages (GAMs) have been effectively targeted with chemotherapy drugs that were modified to cross the blood–brain barrier in new research. The drugs camptothecin and resiquimod were conjugated to a tandem peptide that binds to low-density lipoprotein receptor-related protein 1, thereby facilitating their transport into the brain. Once inside the CNS, the drugs switched the
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Neurogenesis altered by disease and stimulation Nat. Rev. Neurol. (IF 28.2) Pub Date : 2025-02-17
Ian FyfeNeurogenesis in the subventricular zone (SVZ) is altered in neurodegenerative diseases and activated by deep brain stimulation, new research suggests. Analysis of postmortem brain tissue showed that the SVZ was thinner in people with Parkinson disease (PD) than in people without neurodegenerative disease. By contrast, the SVZ was thicker in people with Huntington disease and in people with PD who had
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Parkinson disease pathology can originate in the kidney Nat. Rev. Neurol. (IF 28.2) Pub Date : 2025-02-17
Lisa KianiNew research suggests that pathological α-synuclein in Parkinson disease can propagate from kidney to brain.
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Degeneration decades before disease onset Nat. Rev. Neurol. (IF 28.2) Pub Date : 2025-02-17
Ian FyfeSomatic CAG repeat expansion is associated with neurodegeneration decades before clinical onset of Huntington disease (HD), a new study has shown. The work involved 57 people with expansions in the HD gene whose clinical onset was predicted to be around 23 years away. Even though there was no clinical impairment at baseline, cerebrospinal fluid and imaging markers indicated early neurodegeneration
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Identification of neurons involved in schizophrenia Nat. Rev. Neurol. (IF 28.2) Pub Date : 2025-02-17
Ian FyfeBrain cell types associated with schizophrenia have been identified in a new analysis. The researchers combined data from the largest genome-wide association study of schizophrenia with single-nucleus RNA sequencing data for the human brain, which enabled them to map the genetic risk to specific cell types. The analysis identified 109 cell types, encompassing a variety of cortical and subcortical neurons
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Nothing about us, without us — establishing a patient and public involvement and engagement group Nat. Rev. Neurol. (IF 28.2) Pub Date : 2025-02-10
Rachel Horne, Rosemary Phillips, Mohammed A. Rauf -
Moving towards meaningful patient and public engagement Nat. Rev. Neurol. (IF 28.2) Pub Date : 2025-02-10
Ruth Dobson, Charlotte Kenten, Joanna Brown, Clarissa Giebel, Sube Banerjee, Claudia CooperPatient and public involvement and engagement is increasingly mandated in funding applications, yet often remain tokenistic and transitory. Working with patient and public contributors requires investment, thought, care and time. We discuss approaches that aim to increase agency for coresearchers, with the goal of strengthening public confidence and trust in research.
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The impact of rare genetic variants on Alzheimer disease Nat. Rev. Neurol. (IF 28.2) Pub Date : 2025-02-04
Lara De Deyn, Kristel Sleegers -
Imperatives and co-benefits of research into climate change and neurological disease Nat. Rev. Neurol. (IF 28.2) Pub Date : 2025-01-20
Medine I. Gulcebi, Sara Leddy, Katherine Behl, Derk-Jan Dijk, Eve Marder, Mark Maslin, Anna Mavrogianni, Michael Tipton, David J. Werring, Sanjay M. Sisodiya -
Markers help to predict dementia with Lewy bodies Nat. Rev. Neurol. (IF 28.2) Pub Date : 2025-01-17
Ian FyfeBiomarkers of Alzheimer disease (AD) pathology can predict the development of dementia with Lewy bodies (DLB) in people with idiopathic REM sleep behaviour disorder (iRBD), new research has shown. Levels of amyloid-β40 (Aβ40), Aβ42 and phosphorylated tau-181 (pTau181) were measured in blood from 142 people with iRBD. Among people who went on to develop DLB, the ratio of Aβ40 to Aβ42 was lower and the
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MS drug beneficial in an underrepresented group Nat. Rev. Neurol. (IF 28.2) Pub Date : 2025-01-17
Ian FyfeReal-world data indicate that ocrelizumab is safe and effective in Latino people with multiple sclerosis (MS), according to a recent report. In a prospective observational study, a total of 305 people with relapsing–remitting MS, primary progressive MS or secondary progressive MS received ocrelizumab during a median follow-up period of 29.5 months. Only one person experienced a relapse, and disability
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Exploring the long-term neurological consequences of COVID-19 Nat. Rev. Neurol. (IF 28.2) Pub Date : 2025-01-17
Heather WoodTwo recently published studies have provided new insights into the long-term effects of COVID-19 on the nervous system.
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Neuron–tumour networks targeted Nat. Rev. Neurol. (IF 28.2) Pub Date : 2025-01-17
Ian FyfeCharacterization of the networks formed between neurons and glioblastoma cells enables targeting of these networks with the potential to improve treatment, according to new research. Researchers used retrograde tracing with modified rabies virus to visualize neuron–tumour networks in patient-derived glioblastoma spheroid cultures, which revealed widespread connections. Surprisingly, the connections
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Brain stimulation aids walking after spinal injury Nat. Rev. Neurol. (IF 28.2) Pub Date : 2025-01-17
Ian FyfeIn a new study, deep brain stimulation (DBS) of the lateral hypothalamus facilitated recovery after spinal cord injury (SCI) in rodents and humans. The researchers identified glutamatergic neurons in the lateral hypothalamus as a therapeutic target from a brain atlas of neurons involved in recovery of walking. Stimulation of these neurons in mice and rats with SCI improved walking and led to a durable
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Autologous haematopoietic stem cell transplantation for treatment of multiple sclerosis and neuromyelitis optica spectrum disorder — recommendations from ECTRIMS and the EBMT Nat. Rev. Neurol. (IF 28.2) Pub Date : 2025-01-15
Paolo A. Muraro, Alice Mariottini, Raffaella Greco, Joachim Burman, Ellen Iacobaeus, Matilde Inglese, John A. Snowden, Tobias Alexander, Maria Pia Amato, Lars Bø, Giacomo Boffa, Olga Ciccarelli, Jeffrey A. Cohen, Tobias Derfuss, Dominique Farge, Mark S. Freedman, Maria Gaughan, Christoph Heesen, Majid Kazmi, Kirill Kirzigov, Per Ljungman, Gianluigi Mancardi, Roland Martin, Varun Mehra, Lucia Moiola -
Dementia is a neglected noncommunicable disease and leading cause of death Nat. Rev. Neurol. (IF 28.2) Pub Date : 2025-01-13
Lewis Arthurton, Paola Barbarino, Robert Anderson, Ben Schlaepfer, Nazak Salehi, Martin KnappDementia is largely excluded from discussion of noncommunicable diseases, which limits its inclusion in health policies and allocation of resources — yet it is already a leading cause of mortality and its effects are set to increase. Alzheimer’s Disease International calls for changes in policies to address the effects of dementia now and in the future.
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Amyloid-related imaging abnormalities: manifestations, metrics and mechanisms Nat. Rev. Neurol. (IF 28.2) Pub Date : 2025-01-10
Steven M. Greenberg, Francesco Bax, Susanne J. van Veluw -
Sleep and circadian disturbances in children with neurodevelopmental disorders Nat. Rev. Neurol. (IF 28.2) Pub Date : 2025-01-08
Oliviero Bruni, Maria Breda, Valeria Mammarella, Maria Paola Mogavero, Raffaele Ferri -
Inclusion in neurological research: empowering people living with neurological diseases Nat. Rev. Neurol. (IF 28.2) Pub Date : 2025-01-07
Maria Teresa Ferretti, Maria Bonaria Uccheddu, Richelle Flanagan, Iracema Leroi, Elena Moro -
Alternating hemiplegia of childhood: challenges in a changing climate Nat. Rev. Neurol. (IF 28.2) Pub Date : 2025-01-07
Katherine BehlKatherine Behl is a physician and the mother of a child with alternating hemiplegia of childhood (AHC) — an ultra-rare neurological disease that is exacerbated by temperature changes. Here, she highlights the day-to-day challenges of living with AHC and considers what stakeholders in climate action can learn from people with lived experience of disease.
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Targeting common disease pathomechanisms to treat amyotrophic lateral sclerosis Nat. Rev. Neurol. (IF 28.2) Pub Date : 2025-01-02
Kiterie M. E. Faller, Helena Chaytow, Thomas H. Gillingwater -
Immune mechanisms and shared immune targets in neurodegenerative diseases Nat. Rev. Neurol. (IF 28.2) Pub Date : 2024-12-16
Howard L. Weiner -
Addressing disparities in neurology by enhancing inclusive practice Nat. Rev. Neurol. (IF 28.2) Pub Date : 2024-12-11
Lisa KianiNature Reviews Neurology is interviewing individuals who are driving efforts to address disparities in neurology through a broad spectrum of diversity, equity and inclusion initiatives. We spoke with neuroimmunologist William L. Conte from the USA about his work to promote inclusive care for LGBTQ+ people with multiple sclerosis.
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Exploring the role of sex hormones and gender diversity in multiple sclerosis Nat. Rev. Neurol. (IF 28.2) Pub Date : 2024-12-11
Cassie Nesbitt, Anneke Van Der Walt, Helmut Butzkueven, Ada S. Cheung, Vilija G. Jokubaitis -
The global and regional burden of diabetic peripheral neuropathy Nat. Rev. Neurol. (IF 28.2) Pub Date : 2024-12-05
Masha G. Savelieff, Melissa A. Elafros, Vijay Viswanathan, Troels S. Jensen, David L. Bennett, Eva L. Feldman