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Updated: Feb 26, 2026

Perspectives on Neuroscience
Published on: July 31, 2007
[Neurology]
Francesco Maulucci1, David Benninger1, Jean-François Démonet1
1Service de neurologie, Département des neurosciences cliniques, CHUV, 1011 Lausanne.
Insights
This research reviews treatments for neurological disorders. It highlights advancements in Alzheimer's disease, stroke, migraine, and essential tremor, while noting risks with certain medications.
Area of Science:
- Neurology
- Neuroscience
- Pharmacology
Background:
- Alzheimer's disease (AD) is characterized by amyloid plaques.
- Acute stroke with anterior circulation occlusion requires timely intervention.
- Migraine, Guillain-Barré syndrome (GBS), amyotrophic lateral sclerosis (ALS), multiple sclerosis (MS), and essential tremor (ET) are debilitating neurological conditions.
Purpose of the Study:
- To summarize recent therapeutic advancements and findings across various neurological disorders.
- To provide an overview of effective treatments and associated risks.
Main Methods:
- Review of clinical studies and therapeutic approvals.
- Analysis of treatment efficacy for specific neurological conditions.
- Assessment of drug-associated risks during pregnancy.
Main Results:
- Aducanumab shows efficacy in reducing amyloid plaques in Alzheimer's disease.
- Endovascular thrombectomy is recommended for acute stroke.
- CGRP antagonists and botulinum toxin are effective for migraine.
- Zika virus infection is linked to Guillain-Barré syndrome.
- Edaravone is approved for ALS.
- Ocrelizumab, daclizumab, and siponimod show promise in multiple sclerosis.
- Thalamotomy is effective for drug-resistant essential tremor.
- Valproate and topiramate exhibit dose-dependent risks of fetal malformations.
Conclusions:
- Significant therapeutic progress has been made in managing diverse neurological conditions.
- Targeted treatments offer improved outcomes for AD, stroke, migraine, ALS, MS, and ET.
- Awareness of medication risks, particularly during pregnancy, is crucial.
Abstract:
Aducanumab reduces the burden of amyloid plaques in Alzheimer's disease, with significant improvement of clinical scores. Endovascular thrombectomy is recommended in patients with acute stroke with proximal occlusion of the anterior circulation. CGRP antagonists and botulinum toxin are effective in migraine. ZIKA virus infection has been linked to the Guillain-Barré syndrome. Edaravone has been approved for amyotrophic lateral sclerosis. Two monoclonal antibodies (ocrelizumab and daclizumab) and siponimod show positive results in multiple sclerosis. Thalamotomy of ventral intermediate nucleus (by gamma-knife or by magnetic resonance-guided focused ultrasound) is effective in drug-resistant essential tremor. The dose-dependent risk of foetal malformations associated with valproate and topiramate is confirmed.
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