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<title>Edwiser-Journal-of-Neurology-Neurosurgery-Psychiatry-Research-ISSUE VOLUME Volume 6 ISSUE Issue 1</title>
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Edwiser-Journal-of-Neurology-Neurosurgery-Psychiatry-Research: VOLUME Volume 6 ISSUE Issue 1, Jan-June 2025
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<title>Edwiser-Journal-of-Neurology-Neurosurgery-Psychiatry-Research-ISSUE VOLUME Volume 6 ISSUE Issue 1</title>
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		<title>A-Novel-XPR1-Variant-Cause-of-Idiopathic-Basal-Ganglia-Calcification-Presented-with-Parkinsonism-Case-Report-</title>
		<pubDate>08-Mar-2025</pubDate>
<link>http://JNNPR.edwiserinternational.com/admin/uploads/sQVFYy.pdf</link>
		<author>Sanjiv-Chamraj-and-Sharan-Srinivasan</author>
		<comments>{http://www.edwiserinternational.com/contact-us.php}</comments>
		<category>Medical Science,Clinical Science</category>
		<description>{<![CDATA[Primary familial brain calcification (PFBC) also known as Fahrs disease, is a rare inherited disorder characterized by bilateral calcification in the basal ganglia according to neuroimaging. We reported a case of novel XPR1 variant cause of idiopathic basal ganglia calcification presented with left predominant parkinsonism clinical conditions. A 54-year-old male presented with a history of early onset of Parkinsons disease with symptoms of left predominant diminished arm movements, mild rigidity, and bradykinesia. His serum parathyroid hormone levels are normal. CT brain shows diffused symmetric calcifications in bilateral basal ganglia, thalamus, dentate nucleus, pons, and cerebral and cerebellar hemispheres. Ultrasound of the Kidneys, Ureters, and Bladder (USG KUB) revealed right renal calculus. He has been taking medications for Type-2 Diabetes mellitus. Other routine blood test results were normal. Patient has no definitive history of familial genetic inheritance of bilateral calcification of the basal ganglia. Patient was referred for whole exome sequencing. The whole exome sequencing test identified the homozygous missense variant c.1233A>T p.(Glu411Asp) detected in the XPR1 gene on chromosomal position Chr1:180834972:A>T. This variant has been located in exon 10 of the transcript NM_004736 and it leads to change in amino acid from Glutamic acid to Aspartic acid at codon 411. The detected XPR1 gene variant c.1233A>T p.(Glu411Asp) in our case of 54-year old male has not been reported in the previously published literature. In conclusion, detected novel XPR1 gene variant c.1233A>T p.(Glu411Asp) in the chromosomal position Chr1:180834972:A>T led to change in amino acid from Glutamic acid to Aspartic acid at codon 411, and caused to idiopathic basal ganglia calcification in a 54-year old male presented with left predominant parkinsonism clinical conditions.Supplementary video Link: https://shorturl.at/y0o2D]]>}</description>
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		<title>A-Novel-De-Novo-STUB1-Variant-Associated-Spinocerebellar-Ataxia-48-from-Southern-India-Case-Report</title>
		<pubDate>04-Nov-2025</pubDate>
<link>http://JNNPR.edwiserinternational.com/admin/uploads/maV8XP.pdf</link>
		<author>Sanjiv-Chamraj-and-Sharan-Srinivasan</author>
		<comments>{http://www.edwiserinternational.com/contact-us.php}</comments>
		<category>Medical Science,Clinical Science</category>
		<description>{<![CDATA[Autosomal dominant spinocerebellar ataxia type 48 (SCA48) is a newly identified subtype of SCA, marked by early onset of ataxia and cognitive impairment, and is associated with mutations in the STIP1 homology and U-box-containing protein 1 (STUB1) gene. We reported a case of novel de novo STUB1 variant cause of SCA48 presented with subacute ataxia with broad-based gait, mild incoordination of limbs, and mild dysarthria in 50-year-old female patient. Patient has no familial history of similar illness or other neurologic disorders. She did not have other abnormal movements such as parkinsonism, dystonia, chorea, or myoclonus. She had normal cognitive function. Patients Scale for the Assessment and Rating of Ataxia (SARA) score was 7. Tendon reflexes were normal. Serum autoimmune encephalitis and paraneoplastic neuronal antibodies tests were negative. Sensory and plantar flexors were normal. Serum autoimmune encephalitis and paraneoplastic neuronal antibodies work-ups were negative. Brain magnetic resonance imaging (MRI) indicated mild cerebellar atrophy, small vessel ischemic changes, and calcified granuloma in left frontal region with no surrounding perilesional oedema. A nerve conduction study indicated no evidence of peripheral neuropathy or other abnormalities. The whole exome sequencing test identified the heterozygous missense variant c.206G>C; p.Cys69Ser, detected in the STUB1 gene on chromosomal position chr16:681198:G>C. This variant is noted to have a total depth of 74X. It is located in exon 2 of the transcript NM_005861.4 and it leads to a change in amino acid from Cysteine to Serine at codon 69. The detected STUB1 gene c.206G>C; p.Cys69Ser, variant in our case of 50-year-old female has not been previously reported among Indian population. In conclusion, we reported the unusual, uncommon case of SCA48 caused due to a novel de novo STUB1 gene variant c.206G>C; p.Cys69Ser, in the chromosomal position chr16:681198:G>C led to a change in amino acid from Cysteine to Serine at codon 69 in 50-year-old female patient from southern India presented with clinical conditions such as subacute ataxia with broad-based gait, mild incoordination of limbs, and mild dysarthria.]]>}</description>
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