“…Moreover, cognitive impairment tends to worsen progressively over time in adult-onset and late-onset forms, suggesting that there may be a positive correlation between cognitive decline and disease duration ( Maresca et al, 2020 ; De Serres-Bérard et al, 2021 ). It provides evidence that brain changes in DM1 are more likely to be neurodegenerative ( Labayru et al, 2019 ; Díaz-Leiva et al, 2020 ; Fujino et al, 2023 ).…”