Klarissa Hanja Stürner
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View article: A new screening tool for early recognition of ATTRv polyneuropathy in clinical practice: AmyloScan®
A new screening tool for early recognition of ATTRv polyneuropathy in clinical practice: AmyloScan® Open
Hereditary transthyretin (ATTRv) amyloidosis is a progressive multisystem disorder, mainly characterized by cardiac dysfunction and polyneuropathy. Due to its rarity and heterogeneous presentation, diagnosis is often delayed, which has a d…
View article: AI-based assessment of longitudinal multiple sclerosis MRI: Strengths and weaknesses in clinical practice
AI-based assessment of longitudinal multiple sclerosis MRI: Strengths and weaknesses in clinical practice Open
For the evaluation of follow up MR images of MS patients, an AI-based imaging analysis can be beneficial in clinical routine, especially due to a very high negative predictive value.
View article: Autoantigen-specific CD4+ T cells acquire an exhausted phenotype and persist in human antigen-specific autoimmune diseases
Autoantigen-specific CD4+ T cells acquire an exhausted phenotype and persist in human antigen-specific autoimmune diseases Open
Pro-inflammatory autoantigen-specific CD4+ T helper (auto-Th) cells are central orchestrators of autoimmune diseases (AIDs). We aimed to characterize these cells in human AIDs with defined autoantigens by combining human leukocy…
View article: AI supported detection of cerebral multiple sclerosis lesions decreases radiologic reporting times
AI supported detection of cerebral multiple sclerosis lesions decreases radiologic reporting times Open
For the evaluation of MR images of MS patients, an AI-based support for image-interpretation can significantly decreases reporting times.
View article: Automatic lesion detection at Multiple Sclerosis patients – Comparison of 2D- and 3D-FLAIR-datasets
Automatic lesion detection at Multiple Sclerosis patients – Comparison of 2D- and 3D-FLAIR-datasets Open
Automatic lesion counting and volumetry is feasible with both 2D- and 3D-weightend FLAIR images. Still, it leads to partly significant differences even between two sequences that both are conform to the 2021 MAGNIMS-CMSCNAIMS consensus rec…
View article: Investigating the metabolite signature of an altered oral microbiota as a discriminant factor for multiple sclerosis: a pilot study
Investigating the metabolite signature of an altered oral microbiota as a discriminant factor for multiple sclerosis: a pilot study Open
In multiple sclerosis (MS), alterations of the gut microbiota lead to inflammation. However, the role of other microbiomes in the body in MS has not been fully elucidated. In a pilot case-controlled study, we carried out simultaneous chara…
View article: Objectively assessed sleep quality parameters in Multiple Sclerosis at home: Association to disease, disease severity and physical activity
Objectively assessed sleep quality parameters in Multiple Sclerosis at home: Association to disease, disease severity and physical activity Open
This is one of the few studies with a wrist-worn accelerometer that shows a difference in sleep efficiency between MS patients and controls and, in MS, an association of sleep quality variables with PA variables.
View article: Detection of Spinal Cord Multiple Sclerosis Lesions Using a 3D-PSIR Sequence at 1.5 T
Detection of Spinal Cord Multiple Sclerosis Lesions Using a 3D-PSIR Sequence at 1.5 T Open
Purpose Multiple sclerosis (MS) is a prevalent autoimmune inflammatory disease. Besides cerebral manifestations, an affection of the spinal cord is typical; however, imaging of the spinal cord is difficult due to its anatomy. The aim of th…
View article: Chronic Enterovirus Meningoencephalitis in Prolonged B-Cell Depletion After Rituximab Therapy
Chronic Enterovirus Meningoencephalitis in Prolonged B-Cell Depletion After Rituximab Therapy Open
This case report should emphasize the importance of assessing humoral immunity even years after B-cell depletion therapy, especially in case of opportunistic infections.
View article: Clinical associations and characteristics of the polyspecific intrathecal immune response in elderly patients with non-multiple sclerosis chronic autoimmune-inflammatory neurological diseases – a retrospective cross-sectional study
Clinical associations and characteristics of the polyspecific intrathecal immune response in elderly patients with non-multiple sclerosis chronic autoimmune-inflammatory neurological diseases – a retrospective cross-sectional study Open
Introduction The polyspecific intrathecal immune response (PSIIR), aka MRZ reaction ( M = measles, R = rubella, Z = zoster, optionally Herpes simplex virus, HSV) is defined as intrathecal immunoglobulin synthesis (IIS) for two or more unre…
View article: Turning When Using Smartphone in Persons With and Those Without Neurologic Conditions: Observational Study
Turning When Using Smartphone in Persons With and Those Without Neurologic Conditions: Observational Study Open
Background Turning during walking is a relevant and common everyday movement and it depends on a correct top-down intersegmental coordination. This could be reduced in several conditions (en bloc turning), and an altered turning kinematics…
View article: Autologous haematopoietic stem cell transplantation for multiple sclerosis: a position paper and registry outline
Autologous haematopoietic stem cell transplantation for multiple sclerosis: a position paper and registry outline Open
Background: While substantial progress has been made in the development of disease-modifying medications for multiple sclerosis (MS), a high percentage of treated patients still show progression and persistent inflammatory activity. Autolo…
View article: Comprehensive Implementation of Shared Decision Making in a Neuromedical Center Using the SHARE TO CARE Program
Comprehensive Implementation of Shared Decision Making in a Neuromedical Center Using the SHARE TO CARE Program Open
The S2C program has been successfully implemented within the entire Neuromedical Center. Patients reported a medium to small increase of perceived involvement in decision making demonstrating the effectiveness of the implementation. For fu…
View article: Turning when using a smartphone in persons with and without neurologic conditions: an observational study (Preprint)
Turning when using a smartphone in persons with and without neurologic conditions: an observational study (Preprint) Open
BACKGROUND Turning during walking is a relevant and common everyday movement and it depends on a correct top-down intersegmental coordination. This could be reduced in several conditions (en-bloc turning), and an altered turning kinematic…
View article: Postural Sway in Parkinson's Disease and Multiple Sclerosis Patients During Tasks With Different Complexity
Postural Sway in Parkinson's Disease and Multiple Sclerosis Patients During Tasks With Different Complexity Open
Neurological diseases are associated with static postural instability. Differences in postural sway between neurological diseases could include “conceptual” information about how certain symptoms affect static postural stability. This info…
View article: B-cell-depletion reverses dysbiosis of the microbiome in multiple sclerosis patients
B-cell-depletion reverses dysbiosis of the microbiome in multiple sclerosis patients Open
To elucidate cross-sectional patterns and longitudinal changes of oral and stool microbiota in multiple sclerosis (MS) patients and the effect of B-cell depletion. We conducted an observational, longitudinal clinical cohort study analysing…
View article: Treating sarcoidosis-associated progressive multifocal leukoencephalopathy with infliximab
Treating sarcoidosis-associated progressive multifocal leukoencephalopathy with infliximab Open
Although most of the progressive multifocal leukoencephalopathy cases in sarcoidosis patients are explained by the treatment with immunosuppressive drugs, it is also reported in treatment-naive sarcoidosis patients, which implies a general…
View article: B-Cell-Depletion Reverses Dysbiosis of the Microbiome in Multiple Sclerosis Patients
B-Cell-Depletion Reverses Dysbiosis of the Microbiome in Multiple Sclerosis Patients Open
Objective: To elucidate cross-sectional patterns and longitudinal changes of oral and stool microbiota in multiple sclerosis (MS) patients and the effect of B-cell depletion.Methods: We conducted an observational, longitudinal clinical coh…
View article: Heterogeneity of multiple sclerosis lesions in fast diffusional kurtosis imaging
Heterogeneity of multiple sclerosis lesions in fast diffusional kurtosis imaging Open
Background Mean kurtosis (MK), one of the parameters derived from diffusion kurtosis imaging (DKI), has shown increased sensitivity to tissue microstructure damage in several neurological disorders. Methods Thirty-seven patients with relap…
View article: Lipid Mediator Profiles Predict Response to Therapy with an Oral Frankincense Extract in Relapsing-Remitting Multiple Sclerosis
Lipid Mediator Profiles Predict Response to Therapy with an Oral Frankincense Extract in Relapsing-Remitting Multiple Sclerosis Open
Lipid mediators (LMs) are a unique class of immunoregulatory signalling molecules and known to be affected by frankincense extracts. We performed LM profiling by metabololipidomics in plasma samples from 28 relapsing-remitting multiple scl…
View article: Is multiple sclerosis progression associated with the HLA-DR15 haplotype?
Is multiple sclerosis progression associated with the HLA-DR15 haplotype? Open
Background The prevalence of multiple sclerosis is associated with the major histocompatibility complex class II DR15 haplotype HLA-DRB1*15:01∼HLA-DRB5*01:01. Objective To assess whether multiple sclerosis progression is associated with th…
View article: Development of Cortical Lesion Volumes on Double Inversion Recovery MRI in Patients With Relapse-Onset Multiple Sclerosis
Development of Cortical Lesion Volumes on Double Inversion Recovery MRI in Patients With Relapse-Onset Multiple Sclerosis Open
Background and Objective: In multiple sclerosis (MS) patients, Double Inversion Recovery (DIR) magnetic resonance imaging (MRI) can be used to detect cortical lesions (CL). While the quantity and distribution of CLs seems to be asso…
View article: A case of CLIPPERS syndrome responsive to tocilizumab
A case of CLIPPERS syndrome responsive to tocilizumab Open
Chronic lymphocytic inflammation with pontine perivascular enhancement responsive to steroids (CLIPPERS) is an inflammatory disorder consisting of (1) subacute clinical brainstem signs and symptoms, (2) characteristic punctate and curvilin…
View article: Metabolomic Profiles for Primary Progressive Multiple Sclerosis Stratification and Disease Course Monitoring
Metabolomic Profiles for Primary Progressive Multiple Sclerosis Stratification and Disease Course Monitoring Open
Primary progressive multiple sclerosis (PPMS) shows a highly variable disease progression with poor prognosis and a characteristic accumulation of disabilities in patients. These hallmarks of PPMS make it difficult to diagnose and currentl…
View article: A standardised frankincense extract reduces disease activity in relapsing-remitting multiple sclerosis (the SABA phase IIa trial)
A standardised frankincense extract reduces disease activity in relapsing-remitting multiple sclerosis (the SABA phase IIa trial) Open
Objective To investigate whether oral administration of a standardised frankincense extract (SFE) is safe and reduces disease activity in patients with relapsing-remitting multiple sclerosis (RRMS). Methods We performed an investigator-ini…
View article: Reliability of cortical lesion detection on double inversion recovery MRI applying the MAGNIMS-Criteria in multiple sclerosis patients within a 16-months period
Reliability of cortical lesion detection on double inversion recovery MRI applying the MAGNIMS-Criteria in multiple sclerosis patients within a 16-months period Open
After a first assessment, slightly less than a half of the CL were considered as reliably detectable on longitudinal DIR images. A retrospective re-evaluation notably increased the consensus agreement. However, this finding is narrowed, co…
View article: Maraviroc as possible treatment for PML-IRIS in natalizumab-treated patients with MS
Maraviroc as possible treatment for PML-IRIS in natalizumab-treated patients with MS Open
Progressive multifocal leukoencephalopathy (PML) is a serious complication of natalizumab treatment in patients with relapsing-remitting MS (RRMS)1 with 638 confirmed cases as of March 2016. Therapeutic re-establishment of cerebral immune …
View article: T1 Recovery Is Predominantly Found in Black Holes and Is Associated with Clinical Improvement in Patients with Multiple Sclerosis
T1 Recovery Is Predominantly Found in Black Holes and Is Associated with Clinical Improvement in Patients with Multiple Sclerosis Open
BACKGROUND AND PURPOSE: Quantitative MR imaging parameters help to evaluate disease progression in multiple sclerosis and increase correlation with clinical disability. We therefore hypothesized that T1 values might be a marker for ongoing…
View article: Novel multiple sclerosis susceptibility loci implicated in epigenetic regulation
Novel multiple sclerosis susceptibility loci implicated in epigenetic regulation Open
Genome-wide study in Germans identifies four novel multiple sclerosis risk genes and confirms already known gene loci.
View article: Correction: Increased Perfusion in Normal Appearing White Matter in High Inflammatory Multiple Sclerosis Patients
Correction: Increased Perfusion in Normal Appearing White Matter in High Inflammatory Multiple Sclerosis Patients Open
Purpose
Although cerebral perfusion alterations have long been acknowledged in multiple sclerosis (MS), the relationship between measurable perfusion changes and the status of highly active MS has not been examined. We hypothesized that …