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21-Jan-2022 5:15 PM EST
People with Parkinson’s Who Eat a Diet Rich in Flavonoids May Live Longer
American Academy of Neurology (AAN)

A new study shows that people with Parkinson’s disease who eat a diet that includes three or more servings per week of foods high in flavonoids, like tea, apples, berries and red wine, may have a lower chance of dying during the study period than people who do not eat as many flavonoids. The research is published in the January 26, 2022, online issue of Neurology®, the medical journal of the American Academy of Neurology. The study looked at several types of flavonoids and found that higher consumption of flavan-3-ols and anthocyanins, both before and after a Parkinson’s diagnosis, was associated with lower risk of death during the study period.

7-Jan-2022 1:05 PM EST
Study: Get Moving to Put the Brakes on Early Parkinson’s
American Academy of Neurology (AAN)

A new study suggests that people with early-stage Parkinson’s disease who regularly got one to two hours of moderate exercise twice a week, like walking or gardening, may have less trouble balancing, walking and doing daily activities later. The research is published in the January 12, 2022, online issue of Neurology®, the medical journal of the American Academy of Neurology. Researchers found that those who exercised regularly over five years did better on cognitive tests and had slower progression of the disease in several aspects.

7-Jan-2022 1:05 PM EST
Who Gives Consent for Treatment when a Person with Stroke Cannot?
American Academy of Neurology (AAN)

Who gives consent for treatment when a person with stroke cannot? The American Academy of Neurology (AAN) is issuing a position statement for neurologists on how to navigate consent issues for people who have experienced acute ischemic stroke. The statement is published in the January 10, 2022, online issue of Neurology®, the medical journal of the American Academy of Neurology, and was developed by the Ethics, Law, and Humanities Committee, a joint committee of the AAN, American Neurological Association and Child Neurology Society. This position statement replaces the American Academy of Neurology’s 1999 position paper as well as a 2011 policy statement on this topic.

30-Dec-2021 10:00 AM EST
Cardiovascular Risks May Be Worse for Women’s Cognition in Middle Age
American Academy of Neurology (AAN)

A new study suggests that even though men may be more likely to have cardiovascular conditions like heart disease and stroke and risk factors like diabetes, high blood pressure and smoking in middle age than women, the negative impact of most of these conditions on thinking and memory skills may be stronger for women. The research is published in the January 5, 2022, online issue of Neurology®, the medical journal of the American Academy of Neurology.

26-Dec-2021 10:05 PM EST
AAN Issues Guideline for Treatment of Painful Diabetic Neuropathy
American Academy of Neurology (AAN)

Diabetic neuropathy refers to nerve damage due to diabetes and it may lead to pain and numbness, most often in the hands and feet. To help neurologists and other doctors determine the best treatment for people with diabetic neuropathy, the American Academy of Neurology (AAN) has issued a guideline on oral and topical treatments for painful diabetic neuropathy. The guideline is published in the December 27, 2021, online issue of Neurology®, the medical journal of the AAN, and is endorsed by the American Association of Neuromuscular & Electrodiagnostic Medicine. This guideline updates the 2011 AAN guideline on the treatment of painful diabetic neuropathy.

17-Dec-2021 5:15 PM EST
Exposure to Formaldehyde at Work Linked to Cognitive Problems Later
American Academy of Neurology (AAN)

A variety of jobs expose people to formaldehyde, a strong-smelling gas used in manufacturing wood and chemical products, plastics and in other applications. A new study suggests that long-term exposure to formaldehyde during work may be associated with cognitive impairment later on. The research is published in the December 22, 2021, online issue of Neurology®, the medical journal of the American Academy of Neurology.

9-Dec-2021 5:00 PM EST
Worldwide Stroke Rates Dip Slightly over Time, but Overall Numbers Still High
American Academy of Neurology (AAN)

The worldwide incidence and mortality rates for stroke decreased slightly from 1990 to 2019, but the overall numbers are still high, especially in high- and middle-income countries, according to a study published in the December 15, 2021, online issue of Neurology®, the medical journal of the American Academy of Neurology. The study focused on ischemic stroke, which is caused by blood clots and makes up 85% of stroke cases.

3-Dec-2021 1:25 PM EST
New Study Sheds Light on Link Between Sun Exposure and MS
American Academy of Neurology (AAN)

A new study suggests that children, teens and young adults who spend more time outdoors during the summer months and live in areas of the country that expose them to greater amounts of ultraviolet light have a lower risk of developing multiple sclerosis (MS) as children. While rare, MS can develop in children, although most people start to get symptoms of the disease between the ages of 20 and 50. The research is published in the December 8, 2021, online issue of Neurology®, the medical journal of the American Academy of Neurology.

3-Dec-2021 1:05 PM EST
Does Air Pollution Reduce the Benefits of Physical Activity on the Brain?
American Academy of Neurology (AAN)

A new study shows that people who do vigorous physical activities, like jogging or playing competitive sports, in areas with higher air pollution may show less benefit from that exercise when it comes to certain markers of brain disease. The markers examined in the study included white matter hyperintensities, which indicate injury to the brain’s white matter, and gray matter volume. Larger gray matter volumes and smaller white matter hyperintensity volumes are markers of overall better brain health. The research is published in the December 8, 2021, online issue of Neurology®, the medical journal of the American Academy of Neurology.

19-Nov-2021 11:25 AM EST
Study Finds Brain Lesions on MRI Linked to Years of Playing Football
American Academy of Neurology (AAN)

Certain markers of injury to the brain’s white matter, called white matter hyperintensities, can be seen on brain scans. A new study finds that brain scans taken during the lifetimes of athletes in contact sports, compared to changes in their brains at autopsy, showed that white matter hyperintensities were associated with neuropathological changes. The research is published in the November 24, 2021, online issue of Neurology®, the medical journal of the American Academy of Neurology. The study also found that white matter hyperintensities were more common in athletes who played contact sports longer or had more head impacts during their careers.

15-Nov-2021 2:35 PM EST
AAN Issues Guideline for Treatment of Early Parkinson’s Disease
American Academy of Neurology (AAN)

The American Academy of Neurology (AAN) has issued a guideline providing recommendations for treating movement symptoms, called motor symptoms, in people with early Parkinson’s disease. The guideline is published in the November 15, 2021, online issue of Neurology®, the medical journal of the AAN, and is endorsed by the Parkinson’s Foundation. This guideline updates recommendations on dopaminergic medications that were published in the 2002 AAN guideline on the initiation of treatment for Parkinson’s disease.

8-Nov-2021 2:00 PM EST
An Anti-Inflammatory Diet May Be Your Best Bet for Cognitive Health
American Academy of Neurology (AAN)

As people age, inflammation within their immune system increases, damaging cells. A new study shows that people who consumed an anti-inflammatory diet that includes more fruits, vegetables, beans, and tea or coffee, had a lower risk of developing dementia later in life. The research is published in the November 10, 2021, online issue of Neurology®, the medical journal of the American Academy of Neurology.

Released: 8-Nov-2021 2:40 PM EST
Does Estrogen Protect Against the Risk of Brain Shrinkage?
American Academy of Neurology (AAN)

A new study found that people with higher cumulative estrogen exposure over their lifetime had greater brain volumes and fewer indicators of brain disease on their brain scans in midlife . The research is published in the November 3, 2021, online issue of Neurology®, the medical journal of the American Academy of Neurology.

Released: 8-Nov-2021 2:35 PM EST
Study: Two or More Servings of Fish Per Week May Protect Healthy Brains
American Academy of Neurology (AAN)

A new study suggests that healthy older people who eat two or more servings of fish a week, including salmon, tuna and sardines, may have a lower risk later in life of developing vascular brain disease, a group of conditions that affect blood flow and blood vessels in the brain. The research is published in the November 3, 2021, online issue of Neurology®, the medical journal of the American Academy of Neurology. The study found that eating a diet rich in fish had the greatest protective effect on people younger than 75 years old.

22-Oct-2021 3:40 PM EDT
Burning and Tingling in Your Feet? You May Have Small Fiber Neuropathy
American Academy of Neurology (AAN)

The number of people experiencing numbness, tingling and pain in their feet with no known cause has been increasing over the last two decades, according at a new study published in the October 27, 2021, online issue of Neurology®, the medical journal of the American Academy of Neurology. Called small fiber neuropathy, the condition has different symptoms than large fiber neuropathy, which can cause weakness and balance issues. But in many cases people have both types of neuropathy.

22-Oct-2021 3:35 PM EDT
Study: Death Rate from Parkinson’s Rising in U.S.
American Academy of Neurology (AAN)

A new study shows that in the last two decades the death rate from Parkinson’s disease has risen about 63% in the United States. The research is published in the October 27, 2021, online issue of Neurology®, the medical journal of the American Academy of Neurology. The study also found that the death rate was twice as high in men as in women, and there was a higher death rate in white people than other racial/ethnic groups.

14-Oct-2021 4:05 PM EDT
Does A Lifetime of Vigorous Exercise Increase the Risk of Developing ALS?
American Academy of Neurology (AAN)

There is debate over whether vigorous physical activity is a risk factor for amyotrophic lateral sclerosis (ALS). A new study suggests it depends on whether that vigorous activity you get over your lifetime happens on the job or during leisure time. The research is published in the October 20, 2021, online issue of Neurology®, the medical journal of the American Academy of Neurology.

7-Oct-2021 3:40 PM EDT
Study: Women Are Underrepresented in Stroke Clinical Trials
American Academy of Neurology (AAN)

A new study shows that women are underrepresented in stroke clinical trials relative to the number who have strokes in the general population. The research is published in the October 13, 2021, online issue of Neurology®, the medical journal of the American Academy of Neurology.

1-Oct-2021 4:30 PM EDT
Clot-Busting Drug May Be Safe for People with Stroke and Unruptured Aneurysms
American Academy of Neurology (AAN)

Clot-busting drugs are the main treatment for stroke, but they have often not been recommended for people who have an aneurysm in their brains that has not ruptured. An aneurysm is a bulge in the wall of a blood vessel in the brain. A new study finds that these aneurysms rarely burst after treatment with clot-busting drugs, so the drugs may be safe for use. The study is published in the October 6, 2021, online issue of Neurology®, the medical journal of the American Academy of Neurology.

Released: 4-Oct-2021 4:25 PM EDT
AAN Issues Ethics Position Statement on Costly Drugs and Health Care
American Academy of Neurology (AAN)

The American Academy of Neurology (AAN), the world’s largest association of neurologists with more than 36,000 members, is issuing a position statement which considers the ethical implications related to high drug costs. The statement is published in the October 4, 2021, online issue of Neurology®, the medical journal of the American Academy of Neurology, and was developed by the Ethics, Law, and Humanities Committee, a joint committee of the AAN, American Neurological Association and Child Neurology Society.

23-Sep-2021 4:00 PM EDT
What Are Ideal Blood Sugar Levels for Preventing Repeat Strokes, Heart Attacks?
American Academy of Neurology (AAN)

Blood sugar control has always been important for people with diabetes when it comes to preventing a stroke. But a new study finds for people with diabetes who have a stroke, there may be an ideal target blood sugar range to lower the risk of different types of vascular diseases like a stroke or heart attack later on. The research is published in the September 29, 2021, online issue of Neurology®, the medical journal of the American Academy of Neurology.

17-Sep-2021 3:25 PM EDT
Adults with Neurologic Conditions More Likely to Have Experienced Childhood Trauma
American Academy of Neurology (AAN)

Adults with neurologic conditions are more likely than the general population to have had adverse childhood experiences such as abuse, neglect or household dysfunction, according to a study published in the September 22, 2021, online issue of Neurology® Clinical Practice, an official journal of the American Academy of Neurology.

17-Sep-2021 3:25 PM EDT
How Do Migraines Affect the Sleep Cycle?
American Academy of Neurology (AAN)

Adults and children with migraines may get less quality, REM sleep time than people who don’t have migraines. That’s according to a meta-analysis published in the September 22, 2021, online issue of Neurology®, the medical journal of the American Academy of Neurology. Children with migraines were also found to get less total sleep time than their healthy peers but took less time to fall asleep.

10-Sep-2021 12:20 PM EDT
Does MS Affect Survival Rate After Colorectal Cancer Diagnosis?
American Academy of Neurology (AAN)

People with multiple sclerosis (MS) who are diagnosed with colorectal cancer may be at a higher risk of dying from cancer or other causes over the next six months to one year than people with colorectal cancer who do not have MS, according to a study published in the September 15, 2021, online issue of Neurology®, the medical journal of the American Academy of Neurology.

2-Sep-2021 1:35 PM EDT
People with Parkinson’s May Benefit from 7 Walking Strategies
American Academy of Neurology (AAN)

Various strategies can help people with Parkinson’s who have difficulty walking, but a new study finds that many people have never heard of or tried these strategies. The research is published in the September 8, 2021, online issue of Neurology®, the medical journal of the American Academy of Neurology. The study also found that how well different compensation strategies worked depended on the context in which they were used, such as indoors versus outdoors, under time pressure or not.

26-Aug-2021 11:00 AM EDT
Having MS Plus Depression May Be Tied to Increased Risk of Death
American Academy of Neurology (AAN)

Depression is common in people with multiple sclerosis (MS), and a new study shows that people with both conditions may be more likely to die over the next decade than people with just one or neither condition. The study is published in the September 1, 2021, online issue of Neurology®, the medical journal of the American Academy of Neurology. The study also found that people with MS and depression have an increased risk of developing vascular disease such as heart attack and stroke.

20-Aug-2021 11:15 AM EDT
Add It Up: Could This Test Equal a Way to Determine Dementia Risk?
American Academy of Neurology (AAN)

People whose scores on a dementia risk test indicated a less brain-healthy lifestyle, including smoking, high blood pressure and a poor diet, may also have the following: lower scores on thinking skills tests, more changes on brain scans and a higher risk of cognitive impairment. That’s according to a new study published in the August 25, 2021, online issue of Neurology®, the medical journal of the American Academy of Neurology. The study also found that in men, the test scores were associated with poor memory function and markers of brain shrinkage.

20-Aug-2021 11:10 AM EDT
Young Athletes with History of Concussions May Have More Changes to Their Brains
American Academy of Neurology (AAN)

A new study suggests athletes with a history of concussion may show more brain injury from a later concussion, particularly in middle regions of the brain that are more susceptible to damage, when compared to athletes with no history of concussion. The research is published in the August 25, 2021, online issue of Neurology®, the medical journal of the American Academy of Neurology. The athletes participated in sports like football, volleyball and soccer.

13-Aug-2021 4:55 PM EDT
Immigrants to Canada May Have Lower Rate of Stroke than Long-Term Residents
American Academy of Neurology (AAN)

Immigrants to Canada have a 33% lower rate of stroke than long-term residents, according to a study published in the August 18, 2021, online issue of Neurology®, the medical journal of the American Academy of Neurology.

Released: 11-Aug-2021 4:15 PM EDT
People With Stroke Who Walk 30 Minutes Per Day May Have 54% Lower Risk of Death
American Academy of Neurology (AAN)

MINNEAPOLIS - A new study shows that people who walk or garden at least three to four hours per week, or bike at least two to three hours per week, or the equivalent after having a stroke may have a 54% lower risk of death from any cause. The research is published in the August 11, 2021, online issue of Neurology®, the medical journal of the American Academy of Neurology. The study found the most benefit for younger stroke survivors. When people under the age of 75 exercised at least that amount, their risk of death was reduced by 80%.

Released: 11-Aug-2021 4:10 PM EDT
Do Some Diabetes Drugs Reduce the Risk of Alzheimer’s?
American Academy of Neurology (AAN)

MINNEAPOLIS – People taking certain drugs to lower blood sugar for type 2 diabetes had less amyloid in the brain, a biomarker of Alzheimer’s disease, when compared to both people with type 2 diabetes not taking the drugs and people without diabetes. The new study, published in the August 11, 2021, online issue of Neurology®, the medical journal of the American Academy of Neurology, also found people taking these drugs, called dipeptidyl peptidase-4 inhibitors, showed slower cognitive decline than people in the other two groups.

23-Jul-2021 3:30 PM EDT
Metabolic Syndrome Linked to Increased Risk of Second Stroke, Death
American Academy of Neurology (AAN)

People with larger waistlines, high blood pressure and other risk factors that make up metabolic syndrome may be at higher risk for having a second stroke and even dying than people who do not have metabolic syndrome, according to a meta-analysis published in the July 28, 2021, online issue of Neurology®, the medical journal of the American Academy of Neurology.

23-Jul-2021 3:30 PM EDT
Study: Adding Color to Your Plate May Lower Risk of Cognitive Decline
American Academy of Neurology (AAN)

A new study shows that people who eat a diet that includes at least half a serving per day of foods high in flavonoids like strawberries, oranges, peppers and apples may have a 20% lower risk of cognitive decline. The research is published in the July 28, 2021, online issue of Neurology®, the medical journal of the American Academy of Neurology. The study looked at several types of flavonoids, and found that flavones and anthocyanins may have the most protective effect.

22-Jul-2021 3:50 PM EDT
What’s Riskier for Young Soccer Players, Practice or Game Time?
American Academy of Neurology (AAN)

For young soccer players, participating in repetitive technical training activities involving heading during practice may result in more total head impacts but playing in scrimmages or actual soccer games may result in greater magnitude head impacts. That’s according to a small, preliminary study released today that will be presented at the American Academy of Neurology’s Sports Concussion Conference, July 30-31, 2021.

15-Jul-2021 3:15 PM EDT
What Does a Virtual Roller Coaster Ride Tell Us About Migraine?
American Academy of Neurology (AAN)

When experiencing the ups and downs of a virtual roller coaster ride, people who get migraine headaches reported more dizziness and motion sickness than people who do not get migraines, according to a new study published in the July 7, 2021, online issue of Neurology®, the medical journal of the American Academy of Neurology.

9-Jul-2021 5:15 PM EDT
Think About This: Keeping Your Brain Active May Delay Alzheimer’s Dementia 5 Years
American Academy of Neurology (AAN)

Keeping your brain active in old age has always been a smart idea, but a new study suggests that reading, writing letters and playing card games or puzzles in later life may delay the onset of Alzheimer’s dementia by up to five years. The research is published in the July 14, 2021, online issue of Neurology®, the medical journal of the American Academy of Neurology.

9-Jul-2021 5:30 PM EDT
AAN Issues Ethical Guidance for Dementia Diagnosis and Care
American Academy of Neurology (AAN)

The American Academy of Neurology (AAN), the world’s largest association of neurologists with more than 36,000 members, is issuing ethical guidance for neurologists and neuroscience professionals who care for people with Alzheimer’s disease and other dementias. The new position statement is published in the July 12, 2021 online issue of Neurology®, the medical journal of the American Academy of Neurology. This update to the 1996 AAN position statement was developed by the Ethics, Law, and Humanities Committee, a joint committee of the American Academy of Neurology, American Neurological Association and Child Neurology Society.

1-Jul-2021 6:05 PM EDT
Could Ketogenic Diet Be Helpful with Brain Cancer?
American Academy of Neurology (AAN)

A modified ketogenic diet may be worth exploring for people with brain tumors, according to a new study published in the July 7, 2021, online issue of Neurology®, the medical journal of the American Academy of Neurology. The diet is high in fat and low in carbohydrates.

28-Jun-2021 4:00 PM EDT
Are Multiple Sclerosis Drugs Used Early on in the Disease Also Effective Later?
American Academy of Neurology (AAN)

Finding treatments for advanced multiple sclerosis (MS) has been difficult. But new research may help neurologists identify which drugs are best for people with the advanced form of MS called secondary progressive MS. The new study, published in the June 30, 2021, online issue of Neurology®, the medical journal of the American Academy of Neurology, found that the more potent disease-modifying drugs are more effective in reducing flare-ups in secondary progressive MS than the less potent drugs that tend to be safer to take. However, the researchers found no difference in how fast the disease progressed between these two types of drugs.

28-Jun-2021 4:00 PM EDT
Does Socioeconomic Status Explain Why Black People with MS Have More Disability?
American Academy of Neurology (AAN)

A new study suggests that even when differences in socioeconomic status are taken into consideration, Black people with multiple sclerosis (MS) may be more negatively impacted by the disease than white people with MS. The research is published in the June 30, 2021, online issue of Neurology®, the medical journal of the American Academy of Neurology. The study found that Black people with MS had lower scores on certain measures of neurological health, like dexterity and walking tests and showed more evidence of disease progression on brain scans.

17-Jun-2021 12:35 PM EDT
After Stroke, More than One Try to Remove Blood Clots May Be Tied to Worse Outcome
American Academy of Neurology (AAN)

After a stroke, doctors can try to remove clots in blood vessels to keep blood flowing freely to the brain. But even though most of these procedures are successful, less than half of people have a successful recovery from the stroke. A new study published in the June 23, 2021, online issue of Neurology®, the medical journal of the American Academy of Neurology, sheds light on why that may be.

11-Jun-2021 12:50 PM EDT
Researchers Identify New Gene that May Increase Risk of ALS
American Academy of Neurology (AAN)

Researchers have identified a new gene that may increase a person’s risk of developing ALS, according to a new study published in the June 16, 2021, online issue of Neurology®, the medical journal of the American Academy of Neurology. The gene, called TP73, produces a protein to help regulate the life cycle of a cell. Researchers found that some people with ALS have mutations in this gene and that the mutations may interfere with nerve cell health.

5-Jun-2021 9:45 AM EDT
Disparities in Treatment Persist for People with Headache
American Academy of Neurology (AAN)

Disparities exist in the treatment of people with headache disorders because of race and ethnicity, socioeconomic status and geography, according to a review article published in the June 9, 2021, online issue of Neurology®, the medical journal of the American Academy of Neurology.

1-Jun-2021 8:05 PM EDT
Blood Sugar Highs and Lows Linked to Greater Dementia Risk in Type 1 Diabetes
American Academy of Neurology (AAN)

Older people with type 1 diabetes who have been to the hospital at some point for both low and high blood sugar levels may be at six times greater risk for developing dementia years later. The research is published in the June 2, 2021, online issue of Neurology®, the medical journal of the American Academy of Neurology. The study also found that people with type 1 diabetes who visit the hospital for just one of the blood sugar extremes may also be at greater risk for developing dementia.

1-Jun-2021 8:00 PM EDT
After 15 Years, Deep Brain Stimulation Still Effective in People with Parkinson’s
American Academy of Neurology (AAN)

Deep brain stimulation continues to be effective in people with Parkinson’s disease 15 years after the device is implanted, according to a study published in the June 2, 2021, online issue of Neurology®, the medical journal of the American Academy of Neurology. Researchers found that compared to before deep brain stimulation, study participants continued to experience significant improvement in motor symptoms, which are symptoms that affect movement, as well as a reduction in medications 15 years later.

20-May-2021 3:00 PM EDT
Concussion with Loss of Consciousness May Be Linked to Life with Some Disability
American Academy of Neurology (AAN)

People who have had a concussion where they lost consciousness may be more likely to have some disability or limitations later in life—such as difficulty walking or limitations in the amount or type of work they can do—than people who have never had a concussion, according to a study published in the May 26, 2021, online issue of Neurology®, the medical journal of the American Academy of Neurology.

6-May-2021 3:00 PM EDT
Who Is Affected By Brain Pressure Disorder the Most?
American Academy of Neurology (AAN)

Black and Hispanic women may be more likely than white women to have a brain pressure disorder called idiopathic intracranial hypertension, according to a study published in the May 12, 2021, online issue of Neurology®, the medical journal of the American Academy of Neurology. The disorder may also be more common in women who live in low-income areas or in areas with more fast-food restaurants and convenience stores than grocery stores, also known as “food swamps.”

29-Apr-2021 1:15 PM EDT
Does Eating A Mediterranean Diet Protect Against Memory Loss and Dementia?
American Academy of Neurology (AAN)

Eating a Mediterranean diet that is rich in fish, vegetables and olive oil may protect your brain from protein build up and shrinkage that can lead to Alzheimer’s disease, according to a new study. The research is published in the May 5, 2021, online issue of Neurology®, the medical journal of the American Academy of Neurology.

29-Apr-2021 1:05 PM EDT
Reduced Kidney Function Linked to Increased Risk of Dementia
American Academy of Neurology (AAN)

Chronic kidney disease is when a person’s kidneys progressively lose their ability to filter waste from the blood and eliminate fluids. Now a new study has found that people with reduced kidney function may have an increased risk of developing dementia. The study is published in the May 5, 2021, online issue of Neurology®, the medical journal of the American Academy of Neurology.

26-Apr-2021 3:10 PM EDT
Does Your Neighborhood Affect Your Stroke Recovery?
American Academy of Neurology (AAN)

Stroke survivors who live in neighborhoods with lower socioeconomic status—areas with lower household income, education levels and occupational status—may have worse recovery three months after a stroke than people who live in neighborhoods with higher socioeconomic status, according to a study published in the April 28, 2021, online issue of Neurology®, the medical journal of the American Academy of Neurology. The findings applied to people with moderate to severe strokes, not people with mild strokes.



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