QJM : Monthly Journal of the Association of Physicians

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BACKGROUND: Previous studies have reported inconsistent results on the association between circulating lipids and lipid-lowering drugs with the risk of epilepsy. OBJECTIVE: To assess whether genetically predicted circulating lipids and lipid-lowering drugs are causally associated with the risk of epilepsy outcome. METHODS: We performed a two-sample Mendelian Randomization (MR) analysis model to genetically predict the causal effects of circulating lipids (Apolipoprotein A [APOA] Apolipoprotein B [APOB], Cholesterol, High density lipoprotein cholesterol [HDL-C], Low density lipoprotein cholesterol [LDL-C], Lipoprotein A, Triglycerides) and lipid-lowering drugs (HMG-CoA reductase [HMGCR] and Proprotein Convertase Subtilisin/Kexin Type 9 [PCSK9] inhibitors) on epilepsy...

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Orthostatic tremor is rare and is defined as tremor that occurs when standing and affects the lower limbs and trunk, with a frequency of 14-16 Hz. It disappears when leaning on objects and walking. Patients with orthostatic tremor usually have a subjective feeling of unsteadiness. Although orthostatic tremor occurs predominantly in isolation, it has been reported in association with Parkinson's disease, although rarely. We described a patient who presented initially with history and clinical examination which are strongly suggestive of primary orthostatic tremors, but developed parkinsonism features 10 months after the onset of tremor and responded well to levodopa therapy...

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Sudden sensorineural hearing loss (SSNHL) and tinnitus are prevalent among COVID-19 patients and post-COVID-19 individuals, yet not all of these patients exhibit favorable responses to steroid therapy. Acupuncture may offer potential therapeutic benefits for SSNHL and tinnitus associated with COVID-19.

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At present, only five mutations of ANKZF1 have been identified in patients with inflammatory bowel disease (IBD). This study identified a novel variant of ANKZF1 (NM_018089.2: c.1243T>G; p.Leu415Val) in a young patient with IBD. Our findings demonstrate the first case of IBD attributed to ANKZF1 heterozygous mutation in Asia, which broadens the variant spectrum of ANKZF1 and contributes to a more quickly genetic counseling.

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