Letters to the Editor

Letters to the Editor: Sexual Behavior During the COVID-19 Pandemic: It’s Telecounseling Time!
Dear Editor: COVID-19 is having a tremendous impact on the healthcare and economic systems worldwide, as well as on human behavior, negatively affecting both personal and social relationships. COVID-19 is an acute respiratory illness caused by the SARS-COV2, with transmission that occurs via droplets or direct contact with contaminated objects (i.e., fomites).1 As such, first-line […]

Letters to the Editor: What About Biomarkers for Parkinson’s Disease?
Dear Editor: Parkinson’s disease (PD) affects over 600,000 patients in the United States; these numbers might double by 2040, as the population of older people increases.1 Diagnostic clues include the signs of resting tremor, bradykinesia, muscle rigidity, and postural imbalance. However, these clinical indicators might be inaccurate much of the time. A low rate of […]

Letters to the Editor: Nonresponsive myasthenia is suspicious for congenital myasthenic syndrome or myopathy
Dear Editor: We read the excellent article by Diaz-Abad et al1 about a 54-year-old male patient with double seronegative myasthenia gravis. In the article, Diaz et al1 explained the patient did not tolerate pyridostigmine or steroids and did not respond sufficiently to immunoglobulins or plasmapheresis. However, respiratory failure (due to involvement of the respiratory muscles), […]

Frontiers in Detecting Consciousness: The Growing Use of EEG Analysis
Dear Editors: There is growing scientific interest regarding the use of electroencephalogram (EEG) and multivariate analysis as a means to classify states of consciousness. A recent work assessed the validity of 28 potential EEG markers of consciousness, using the Disorders of Consciousness (DoC)-Forest (the name of the algorithm) tool, to establish states of awareness in […]

Role of Norepinephrine in Schizophrenia: An Old-fashioned but New Story from Emergency Medicine
Dear Editor: A number of hypotheses have been put forth regarding the etiology of schizophrenia, including dopamine hypothesis and glutamate hypothesis.1 However, a lesser known theory is that elevated norepinephrinergic signaling plays a causative role in schizophrenia.2 We treated a patient with septic shock schizophrenia who developed delusions and hallucinations following continuous norepinephrine infusion. This […]

Letter to the Editor: Is Dropped Head Syndrome in Sporadic Late-onset Nemaline Myopathy Always Untreatable?
Dear Editor: Dropped head syndrome (DHS) is a rare condition characterized by cervical paraspinal muscles weakness that causes a recognizable deformity with various degrees of “chin on chest” posture.1–3 Though the etiology of DHS is still unclear, some authors have suggested aging-related postural changes to be a mechanical cause of the disease.2,3 Moreover, DHS might […]

Letter to the Editor: Role of Horse-assisted Therapy in the Rehabilitation Field: Past, Present, and Future Perspectives
Dear Editor: Central and peripheral nervous system lesions might induce paralysis, weakness, and/or loss of dexterity, which are the main target of rehabilitative interventions.1 In fact, a specific training with intensive practice on actions in an appropriate context is mandatory to regain specific skills. Further, to reduce disability and improve quality of life in patients […]

Letter to the Editor: The Click-through Rate as a Measure of Dementia Health Promotion on YouTube
Dear Editor: Social media platforms are increasingly used to disseminate health promotion and patient education.1–5 Impressions click-through rate (CTR) is the number of clicks on a health promotion and/or patient education ad, divided by the times the ad was shown on a social media platform. A recent study explored the practicality of Facebook advertising to […]

Letter to the Editor: Rethinking the robotic rehabilitation pathway for people with amyotrophic lateral sclerosis: a need for clinical trials
By Rocco Salvatore Calabrò, MD, PhD; Simona Portaro, MD, PhD; Alfredo Manuli, MSc; Antonino Leo, MSc; Antonino Naro, MD, PhD; and Alessia Bramanti, PhD IRCCS Centro Neurolesi “Bonino Pulejo”, Messina, Italy Funding/financial disclosures. The author has no conflict of interest relevant to the content of this letter. No funding was received for the preparation of […]

Letter to the Editor: When “Cure” becomes “Care” in Robotic Neurorehabilitation: The Critical Role of Nurses in a Novel Sicilian Multidisciplinary Approach
By Alfredo Manuli, MSc, and Rocco Salvatore Calabrò, MD, PhD Funding/financial disclosures. The authors have no conflicts of interest relevant to the content of this letter. No funding was received for the preparation of this letter. Innov Clin Neurosci. 2018;15(11–12):11–12 Dear Editor: The goal of rehabilitation is to assist individuals with disability and/or chronic illness in […]