Author response: ALS-specific cognitive and behavior changes associated with advancing disease stage in ALS
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We thank Raaphorst et al. for the comment on our article.1 We acknowledged the possible role of respiratory functioning in both the discussion and analysis of data without stage 4 patients; however, 27.78% (n = 15) of stage 4 patients in this study were on noninvasive ventilation (NIV) at the time of testing for at least 2 weeks. No substantial differences were found in any cognitive or behavioral domain between NIV and non-NIV stage 4 patients.
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Author disclosures are available upon request (journal{at}neurology.org).
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