Mitra Afshari

ORCID: 0000-0003-4803-953X
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About
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Research Areas
  • Parkinson's Disease Mechanisms and Treatments
  • Neurological disorders and treatments
  • Genetic Neurodegenerative Diseases
  • Cerebral Palsy and Movement Disorders
  • Autoimmune Neurological Disorders and Treatments
  • Stroke Rehabilitation and Recovery
  • Autism Spectrum Disorder Research
  • Neurological and metabolic disorders
  • Telemedicine and Telehealth Implementation
  • Biomedical Ethics and Regulation
  • Genetics and Neurodevelopmental Disorders
  • Botulinum Toxin and Related Neurological Disorders
  • Health Systems, Economic Evaluations, Quality of Life
  • Lysosomal Storage Disorders Research
  • Vascular Malformations Diagnosis and Treatment
  • Ethics in Clinical Research
  • Neurosurgical Procedures and Complications
  • Neuroscience and Neural Engineering
  • Healthcare Systems and Technology
  • Intracerebral and Subarachnoid Hemorrhage Research
  • Radiology practices and education
  • Neuroscience and Neuropharmacology Research
  • Balance, Gait, and Falls Prevention
  • Metal-Organic Frameworks: Synthesis and Applications
  • Amyotrophic Lateral Sclerosis Research

University of Illinois Chicago
2025

Rush University Medical Center
2020-2024

American Physical Therapy Association
2024

Rush University
2019-2023

International Neuromodulation Society
2019

University of California, San Francisco
2017-2018

Northwestern University
2007-2017

Glenbrook Hospital
2012

Objective This study was undertaken to compare the rate of change in cognition between glucocerebrosidase ( GBA ) mutation carriers and noncarriers with without subthalamic nucleus deep brain stimulation (STN‐DBS) Parkinson disease. Methods Clinical genetic data from 12 datasets were examined. Global assessed using Mattis Dementia Rating Scale (MDRS). Subjects examined for mutations categorized as or DBS +DBS+, +DBS‐), ‐DBS+, ‐DBS‐). subcategorized according severity (risk variant, mild,...

10.1002/ana.26302 article EN Annals of Neurology 2022-01-05
Alberto J. Espay Fabrizio Stocchi Rajesh Pahwa Alberto Albanese Aaron Ellenbogen and 84 more Joaquim J. Ferreira Nir Giladi Tanya Gurevich Sharon Hassin‐Baer Jorge Hernández‐Vara Stuart Isaacson Karl Kieburtz Peter A. LeWitt Lydia López Manzanares C. Warren Olanow Werner Poewe Harini Sarva Tami Yardeni Liat Adar Laurence Salin Nelson Lopes Noah J. Sasson Ryan Case Olivier Rascol Mitra Afshari А. В. Амелин David Arkadir Samih Badarny Ernest Balaguer Martinez Andrzej Bogucki James T. Boyd Laura Buyan Dent Camille Carroll К. Ray Chaudhuri Jeffrey W. Cooney Anne-Gaëlle Corbillé Téodor Danaila Maria Francesca De Pandis Sophie Dethy Rohit Dhall Ruth Djaldetti Franck Durif Stephen Flitman Eric Freire Alvarez John L. Goudreau Francisco Grandas Perez Tanya Gurevich Arnaldo Isa Jorge L. Juncos Sulada Kanchana Gabriela Kłodowska-Duda Dariusz Koziorowski J. Kulisevsky Bojarski Juan Lopez Lozano Lan Luo N. V. Lytvynenko Roberto Marconi Ana Marqués Juan Carlos Martínez‐Castrillo Irene Martínez‐Torres Aashoo Mentreddi Pablo Mir Rivera Sergii Moskovko Y. N. Neryanova Marco Onofrj Jill L. Ostrem Claudio Pacchetti Nicola Pavese Clelia Pellicano Gonzalo J. Revuelta Margarida Rodrigues Ramon L. Rodriguez Monika Rudzińska Nighat Sarwar Julie Schwartzbard Laura Scorr John T. Slevin Tatyana Slobodin Gianfranco Spalletta Michele Tagliati Yen Tai Alessandro Tessitore Peter Valkovič Leo Verhagen Е. А. Вострикова Gilad Yahalom Zuleykha Zalyalova Kateřina Zárubová Irina Zhukova

10.1016/s1474-4422(24)00052-8 article EN The Lancet Neurology 2024-03-15
Ana Westenberger Volha Skrahina Tatiana Usnich Christian Beetz Eva-Juliane Vollstedt and 95 more Björn‐Hergen Laabs Jefri J. Paul Filipa Curado Snezana Skobalj Hanaa Gaber Maria Olmedillas Xenia Bogdanovic Najim Ameziane Nathalie Schell Jan Aasly Mitra Afshari Pinky Agarwal Jason Aldred Fernando Alonso‐Frech Roderick Anderson Rui Araújo David Arkadir Micol Avenali Mehmet Balal Sandra Benizri Sagari Betté Perminder Bhatia Michael Bonello Pedro Braga‐Neto Sarah Brauneis Francisco Cardoso Francesco Cavallieri Joseph Claßen Lisa J. Cohen Della Coletta David Crosiers Paskal Cullufi Khashayar Dashtipour Meltem Demirkıran Patrícia de Carvalho Aguiar Anna De Rosa Ruth Djaldetti Okan Doğu Maria Gabriela dos Santos Ghilardi Carsten Eggers Bülent Elibol Aaron Ellenbogen Sibel Ertan G Fabiani Björn H. Falkenburger S. Farrow Tsviya Fay-Karmon Gerald J Ferencz Erich Talamoni Fonoff Yára Dadalti Fragoso Gençer Genç A Gorospe Francisco Grandas Doreen Gruber Mark Gudesblatt Tanya Gurevich Johann Hagenah Haşmet Hanağası Sharon Hassin-Baer Robert A. Hauser Jorge Hernández‐Vara Birgit Herting Vanessa K. Hinson Elliot Hogg Joshua Shulman Eduardo Hummelgen Kelly Hussey Jon Infante Stuart Isaacson Serge Jaumà Natalia Koleva‐Alazeh Gregor Kuhlenbäumer Andrea A. Kühn Irene Litvan Lydia López Manzanares McKenzie Luxmore Sujeena Manandhar V. Marcaud Katerina Markopoulou Connie Marras Mark McKenzie Michele Matarazzo Marcelo Merello Brit Mollenhauer John C. Morgan Stephen Mullin Thomas Musacchio Bennett Myers Anna Negrotti Anette Nieves Zeev Nitsan Nader Oskooilar Özgür Öztop Çakmak Gian Pal Nicola Pavese

Estimates of the spectrum and frequency pathogenic variants in Parkinson's disease (PD) different populations are currently limited biased. Furthermore, although therapeutic modification several genetic targets has reached clinical trial stage, a major obstacle conducting these trials is that PD patients largely unaware their status and, therefore, cannot be recruited. Expanding number investigated PD-related genes including related to disorders with overlapping features large,...

10.1093/brain/awae188 article EN cc-by Brain 2024-08-01

Despite evidence for the benefits of exercise in Parkinson's disease (PD), many patients remain sedentary undefined reasons.To compare habits, perceptions about exercise, and barriers to 'low' (<3 h/week) 'high' (≥3 exercisers with PD.A 48-item survey was administered PD at an outpatient academic center. Chi-squared tests were used percentage differences between low- high-exercisers two-sided a significant level 0.05.243 surveys collected over three months; 28 excluded due incomplete data,...

10.3233/jpd-171173 article EN Journal of Parkinson s Disease 2017-08-04

Telemedicine is rapidly becoming a major vehicle of delivering neurologic care to patients who have limited access subspecialists and exaggerated travel hardship. However, neurology residents receive little no training in telemedicine outpatient clinics.We piloted, our knowledge, the first formalized, experiential teleneurology curriculum. Neurology their third fourth postgraduate years (PGY3 PGY4) at University California San Francisco completed an interactive lecture 4 weeks clinics...

10.1212/wnl.0000000000007848 article EN Neurology 2019-07-23

Advanced diffusion imaging which accounts for complex tissue properties, such as crossing fibers and extracellular fluid, may detect longitudinal changes in widespread pathology atypical Parkinsonian syndromes. We implemented fixel-based analysis, Neurite Orientation Density Imaging (NODDI), free-water Parkinson's disease (PD), multiple system atrophy (MSAp), progressive supranuclear palsy (PSP), controls longitudinally over one year. Further, we used these three advanced techniques to...

10.1016/j.nicl.2022.103022 article EN cc-by-nc-nd NeuroImage Clinical 2022-01-01
Charity G. Patterson Elizabeth Joslin Alexandra B. Gil Wendy A. Spigle Todd Nemet and 90 more Lana M. Chahine Cory L. Christiansen Ed Melanson Wendy M. Kohrt Martina Mancini Deborah A. Josbeno Katherine Balfany Garett Griffith Mac Kenzie Dunlap Guillaume Lamotte Erin Suttman Danielle Larson Chantale Branson Kathleen McKee Li Goelz Cynthia Poon Barbara C. Tilley Un Jung Kang Malú G. Tansey Nijee Luthra Caroline M. Tanner Jacob M. Haus Giamila Fantuzzi Nikolaus R. McFarland Paulina González-Latapí Tatiana Foroud Robert W. Motl Michael A. Schwarzschild Tanya Simuni Kenneth Marek Anna Naito Codrin Lungu Daniel M. Corcos Terry D. Ellis Ludy C. Shih Timothy Nordahl Michael Stevenson Jay L. Alberts Ashwini K. Rao Corey Landis Joe Nocera Madeleine E. Hackney Elizabeth L. Stegemöller Angela L. Ridgel Jan M. Hondzinski Neil M. Johannsen Patrick S. Drummond Heather Milton David A. Hinkle Fay B. Horak Mitra Afshari Christopher P. Hurt Ariel Kidwell-Chandler Corinna Conroy Neil Panchal Brooke Schultz Jes Marchbank Aaron Bloemer Demetra D. Christou David E. Vaillancourt Stephanie Lapierre Colum D. MacKinnon Sommer L. Amundsen Huffmaster Kristin K. Garland Blake B. Rasmussen Summer Chapman Jessica Spahn Laura Wu Leland E. Dibble Geneviève N. Olivier Arthur Weltman W. Alex Dalrymple David A. Edwards Corey A. Rynders Lauren E. Miller Gammon M. Earhart Kerri S. Rawson Kelvin E. Jones Krista Nelles Quincy J. Almeida Marie Saint‐Hilaire Stewart A. Factor Camilla Kilbane Brian Copeland Marian L. Dale Alberto J. Espay Adolfo Ramirez‐Zamora Amanda Fessenden Andres Deik Richard Camicioli

Abstract Background To date, no medication has slowed the progression of Parkinson’s disease (PD). Preclinical, epidemiological, and experimental data on humans all support many benefits endurance exercise among persons with PD. The key question is whether there a definitive additional benefit exercising at high intensity, in terms slowing progression, beyond well-documented training treadmill for fitness, gait, functional mobility. This study will determine efficacy high-intensity as...

10.1186/s13063-022-06703-0 article EN cc-by Trials 2022-10-06

Abstract The formation of coordination polymers by the reaction [bis(catechol)salen]Mn III with several di‐ and trivalent metal ions is reported. These are insoluble in a wide range organic solvents water but can be dissolved upon addition excess pyrocatechol. They function as enantioselective heterogeneous epoxidation catalysts exhibit catalytic activity comparable to that homogeneous[bis(catechol)salen]Mn building block alone when used for 2,2‐dimethyl‐2 H ‐chromene. After catalysis,...

10.1002/ejic.200700302 article EN European Journal of Inorganic Chemistry 2007-09-26

Falls in a person with Parkinson disease (PwP) are frequent, consequential, and only partially prevented by current therapeutic options. Notably, most falls PwPs occur the home or its immediate surroundings; however, our strategies for fall prevention clinic-centered. The primary objective of this nonrandomized pilot trial was to investigate feasibility preliminary efficacy novel implementation home-based PD telerehabilitation (tele-physical/occupational therapy) focusing on risk reduction...

10.1212/cpj.0000000000200246 article EN Neurology Clinical Practice 2024-01-08

Abstract Objective Mutations in the glucocerebrosidase ( GBA1 ) gene and subthalamic nucleus deep brain stimulation (STN‐DBS) are independently associated with cognitive dysfunction persons Parkinson's disease (PwP). We hypothesized that PwP both mutations STN‐DBS at greater risk of than only or STN‐DBS, neither. In this study, we determined pattern based on mutation status treatment. Methods who carriers without DBS +DBS+, +DBS−), noncarriers −DBS+, −DBS−) were included. Using NIH Toolbox,...

10.1002/acn3.52005 article EN cc-by-nc-nd Annals of Clinical and Translational Neurology 2024-02-09

A 30-year-old previously healthy, right-handed woman was admitted to an outside hospital for new-onset seizures preceded by a flu-like prodrome week. After admission, she noted have frequent events consisting of sudden blank stare with associated hand fumbling, lip smacking, and

10.1212/wnl.0b013e3182582fd4 article EN Neurology 2012-05-28

Despite data supporting the rapid adoption of telehealth in delivery clinical care North America, implementation visits research studies has faced critical barriers. These challenges include: (1) variations state licensure requirements for telehealth; (2) disparities access to among disadvantaged populations; (3) lack consistency individual Investigational Review Boards (IRBs). Each barrier prevents systematic conversion protocols include visits. The Parkinson's Foundation and members...

10.1038/s41531-021-00177-8 article EN cc-by npj Parkinson s Disease 2021-04-12

Falls are inherent to Parkinson's disease (PD) progression, and risk assessment is mandatory for optimal long term management. To determine if the telehealth application of two observer-based, objective measures fall-risk in PD-Five-Times-Sit-To-Stand (FTSTS) 360° Rapid-Turns-Test (RTT)-is feasible safe. Following in-clinic training, 15 people with Hoehn Yahr Stage 2 (n = 8) 3 7) PD, median MoCA score 25 (range 14-29), subjective freezing-of-gait 13), participated four televisits care...

10.1002/mdc3.13494 article EN Movement Disorders Clinical Practice 2022-06-03

Deep brain stimulation (DBS) is an effective and standard-of-care therapy for Parkinson's Disease other movement disorders when symptoms are inadequately controlled with conventional medications. It requires expert care patient selection, surgical targeting, titration. Despite the known benefits, racial/ethnic disparities in access have been reported. Technological advancements smartphone-enabled devices may influence racial disparities. Real-world evidence investigations can shed further...

10.3389/fneur.2023.1233684 article EN cc-by Frontiers in Neurology 2023-08-01

Introduction: Up to 27% of individuals undergoing subthalamic nucleus deep brain stimulation (STN-DBS) have a genetic form Parkinson's disease (PD). G lucocerebrosidase ( GBA ) mutation carriers, compared sporadic PD, present with more aggressive disease, less asymmetry, and fare worse on cognitive outcomes STN-DBS. Evaluating STN intra-operative local field potentials provide the opportunity assess compare symmetry between non- carriers PD; thus, providing insight into genotype physiology,...

10.3389/fneur.2021.723476 article EN cc-by Frontiers in Neurology 2021-09-30

In the correct context, GAD65 antibody-associated neurologic disease should be included in differential diagnosis for parkinsonism, even hemiparkinsonism, especially setting of an acute-to-subacute presentation and emergence more prototypic features such as appendicular truncal muscle stiffness cerebellar ataxia. Prompt recognition condition is critical because early immunotherapy may confer a better prognosis.

10.1212/cpj.0000000000000996 article EN Neurology Clinical Practice 2020-10-20

Members of vulnerable populations are underrepresented in Parkinson's disease (PD) research. A complex web research barriers perpetuates this gap. Community-based methods one approach to addressing issue. The present PD study was designed examine the effectiveness community-based interventions overcome and increase participation among groups (URGs).

10.1016/j.cct.2024.107619 article EN cc-by-nc-nd Contemporary Clinical Trials 2024-07-05
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