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July 06, 2018Global Perspectives

Neurology outreach clinic for Huntington disease in Peru

Lessons for neurodegenerative diseases

Anastasia Vishnevetsky, Maryenela Illanes-Manrique, Miguel Inca-Martinez, Karina Milla-Neyra, Elison Sarapura-Castro, Pilar Mazzetti, Mario Cornejo-Olivas
First published July 6, 2018, DOI: https://doi.org/10.1212/WNL.0000000000005940
Anastasia Vishnevetsky
From the Neurogenetics Research Center (A.V., M. Illanes-Manrique, M. Inca-Martinez, K.M.-N., E.S.-C., P.M., M.C.-O.), Instituto Nacional de Ciencias Neurológicas, Lima, Peru; NIH Northern Pacific Fogarty Global Health Fellow (A.V., M. Illanes-Manrique, E.S.-C.), Bethesda, MD; Partners Neurology Residency (A.V.), Boston, MA; and School of Medicine (P.M.), Universidad Nacional Mayor de San Marcos, Lima, Peru.
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Maryenela Illanes-Manrique
From the Neurogenetics Research Center (A.V., M. Illanes-Manrique, M. Inca-Martinez, K.M.-N., E.S.-C., P.M., M.C.-O.), Instituto Nacional de Ciencias Neurológicas, Lima, Peru; NIH Northern Pacific Fogarty Global Health Fellow (A.V., M. Illanes-Manrique, E.S.-C.), Bethesda, MD; Partners Neurology Residency (A.V.), Boston, MA; and School of Medicine (P.M.), Universidad Nacional Mayor de San Marcos, Lima, Peru.
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Miguel Inca-Martinez
From the Neurogenetics Research Center (A.V., M. Illanes-Manrique, M. Inca-Martinez, K.M.-N., E.S.-C., P.M., M.C.-O.), Instituto Nacional de Ciencias Neurológicas, Lima, Peru; NIH Northern Pacific Fogarty Global Health Fellow (A.V., M. Illanes-Manrique, E.S.-C.), Bethesda, MD; Partners Neurology Residency (A.V.), Boston, MA; and School of Medicine (P.M.), Universidad Nacional Mayor de San Marcos, Lima, Peru.
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Karina Milla-Neyra
From the Neurogenetics Research Center (A.V., M. Illanes-Manrique, M. Inca-Martinez, K.M.-N., E.S.-C., P.M., M.C.-O.), Instituto Nacional de Ciencias Neurológicas, Lima, Peru; NIH Northern Pacific Fogarty Global Health Fellow (A.V., M. Illanes-Manrique, E.S.-C.), Bethesda, MD; Partners Neurology Residency (A.V.), Boston, MA; and School of Medicine (P.M.), Universidad Nacional Mayor de San Marcos, Lima, Peru.
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Elison Sarapura-Castro
From the Neurogenetics Research Center (A.V., M. Illanes-Manrique, M. Inca-Martinez, K.M.-N., E.S.-C., P.M., M.C.-O.), Instituto Nacional de Ciencias Neurológicas, Lima, Peru; NIH Northern Pacific Fogarty Global Health Fellow (A.V., M. Illanes-Manrique, E.S.-C.), Bethesda, MD; Partners Neurology Residency (A.V.), Boston, MA; and School of Medicine (P.M.), Universidad Nacional Mayor de San Marcos, Lima, Peru.
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Pilar Mazzetti
From the Neurogenetics Research Center (A.V., M. Illanes-Manrique, M. Inca-Martinez, K.M.-N., E.S.-C., P.M., M.C.-O.), Instituto Nacional de Ciencias Neurológicas, Lima, Peru; NIH Northern Pacific Fogarty Global Health Fellow (A.V., M. Illanes-Manrique, E.S.-C.), Bethesda, MD; Partners Neurology Residency (A.V.), Boston, MA; and School of Medicine (P.M.), Universidad Nacional Mayor de San Marcos, Lima, Peru.
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Mario Cornejo-Olivas
From the Neurogenetics Research Center (A.V., M. Illanes-Manrique, M. Inca-Martinez, K.M.-N., E.S.-C., P.M., M.C.-O.), Instituto Nacional de Ciencias Neurológicas, Lima, Peru; NIH Northern Pacific Fogarty Global Health Fellow (A.V., M. Illanes-Manrique, E.S.-C.), Bethesda, MD; Partners Neurology Residency (A.V.), Boston, MA; and School of Medicine (P.M.), Universidad Nacional Mayor de San Marcos, Lima, Peru.
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Citation
Neurology outreach clinic for Huntington disease in Peru
Lessons for neurodegenerative diseases
Anastasia Vishnevetsky, Maryenela Illanes-Manrique, Miguel Inca-Martinez, Karina Milla-Neyra, Elison Sarapura-Castro, Pilar Mazzetti, Mario Cornejo-Olivas
Neurology Jul 2018, 10.1212/WNL.0000000000005940; DOI: 10.1212/WNL.0000000000005940

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With increasing life expectancies worldwide, providing longitudinal care for patients with neurodegenerative diseases in low-resource settings is a growing challenge.1 According to the 2015 Global Burden of Disease Study, Alzheimer disease, other dementias, and Parkinson disease together affect more than 50 million people globally.2 Furthermore, the WHO estimates that at least 60% of these cases occur in low and middle-income countries.1 Although currently available treatments for neurodegenerative diseases are largely supportive rather than curative, they can reduce morbidity and burden of disease.1 As more effective medications become available and the prevalence of neurodegenerative disease increases, the need for skilled care providers will also increase.

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