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Lavano A. Sacral neuromodulation in sphincteric disorders. BMC Geriatr 2010. [PMCID: PMC3290208 DOI: 10.1186/1471-2318-10-s1-a63] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/03/2022] Open
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Lavano A. Functional neurosurgery in Parkinson's disease therapy. BMC Geriatr 2010. [PMCID: PMC3290251 DOI: 10.1186/1471-2318-10-s1-l12] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
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De Rose M, Luzi M, Trignani R, Passamonti C, Zamponi N, Lavano A, Rychlicki F. Cingulate epilepsy in a child with a low-grade glioma. Childs Nerv Syst 2009; 25:1507-11. [PMID: 19506888 DOI: 10.1007/s00381-009-0919-2] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/20/2009] [Revised: 05/13/2009] [Indexed: 10/20/2022]
Abstract
INTRODUCTION Anterior cingulate epilepsy is a peculiar epileptic syndrome with a broad range of clinical manifestations, depending on the numerous projections of anterior cingulate into motor systems. Its diagnosis is often delayed, as seizures mostly occur during sleep and are typically misdiagnosed as parasomnias. Moreover, most focal anterior cingulate epilepsies are believed to be cryptogenic or idiopathic, even if there are some reports of anterior cingulate cortical dysplasia, while anterior cingulate neoplasms underlying epilepsy are rare. CASE REPORT Here, we report a 30-month-old boy who developed, at the age of 20 months, cingulate epilepsy associated with a low-grade oligodendroglial tumor. It must outlined that the clinical presentation was characterized by very frequent and disabling seizures as the only symptom of the disease, while the results of several neuropsychological tests suggested intact intellectual and behavioral abilities. DISCUSSION AND CONCLUSION Seizures disappeared completely after surgical removal of the lesion and neuropsychological child's performances remained completely normal. Long-term follow-up and observation are essential for evaluating the future clinical course.
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Affiliation(s)
- M De Rose
- Fondazione T Campanella, Policlinico Universitario di Germaneto, Catanzaro, Italy.
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Donato G, Ferraro G, Signorelli F, Iofrida G, Lavano A, Amorosi A, Maltese L, Perrotta I, Tripepi S, Pardatscher K, Signorelli CD. Chordoid Meningioma: Case Report and Literature Review. Ultrastruct Pathol 2009; 30:309-14. [PMID: 16971356 DOI: 10.1080/01913120600820591] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Affiliation(s)
- G Donato
- Department of Ecology, University of Calabria, Cosenza, Italy.
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Bono F, Cristiano D, Mastrandrea C, Latorre V, D'Asero S, Salvino D, Fera F, Lavano A, Quattrone A. The upper limit of normal CSF opening pressure is related to bilateral transverse sinus stenosis in headache sufferers. Cephalalgia 2009; 30:145-51. [DOI: 10.1111/j.1468-2982.2009.01896.x] [Citation(s) in RCA: 26] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
There are limited data on the relationship between normal cerebrospinal fluid (CSF) opening pressure and bilateral transverse sinus stenosis (BTSS); there are also several conflicting reports about the upper limit of normal CSF opening pressure. To evaluate the influence of BTSS on the upper limit of normal CSF opening pressure, we prospectively recorded lumbar CSF opening pressures in 217 adult patients with neurological symptoms who underwent cerebral magnetic resonance venography (MRV). The CSF opening pressures ranged between 65 and 286 mmH2O (mean = 149.3, s.d. = 47.5). The upper limit of opening pressure in patients with both normal appearance of transverse sinuses and unilateral transverse sinus stenosis on MRV ( n = 167) was 195 mmH2O with a range of 65–195 mmH2O. All patients with BTSS were headache sufferers, and the upper limit of opening pressure in patients with BTSS ( n = 50) was 286 mmH2O with a range of 91–286 mmH2O. All patients with opening pressures > 200 mmH2O displayed BTSS, whereas only 13% of patients with a pressure < 200 mmH2O displayed BTSS. Our findings demonstrate that the upper limit of normal CSF opening pressure is related to BTSS, and they also highlight that headache sufferers with opening pressures > 200 mmH2O should be tested for BTSS by MRV.
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Affiliation(s)
- F Bono
- Institute of Neurology, University Magna Græcia, Catanzaro, Italy
| | - D Cristiano
- Institute of Neurology, University Magna Græcia, Catanzaro, Italy
| | - C Mastrandrea
- Institute of Neurology, University Magna Græcia, Catanzaro, Italy
| | - V Latorre
- Institute of Neurological Sciences, National Research Council, Piano Lago di Mangone, Cosenza, Italy
| | - S D'Asero
- Institute of Neurology, University Magna Græcia, Catanzaro, Italy
| | - D Salvino
- Institute of Neurology, University Magna Græcia, Catanzaro, Italy
| | - F Fera
- Institute of Neuroradiology, University Magna Græcia, Catanzaro, Italy
| | - A Lavano
- Institute of Neurosurgery, University Magna Græcia, Catanzaro, Italy
| | - A Quattrone
- Institute of Neurology, University Magna Græcia, Catanzaro, Italy
- Institute of Neurological Sciences, National Research Council, Piano Lago di Mangone, Cosenza, Italy
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Pagni CA, Albanese A, Bentivoglio A, Broggi G, Canavero S, Cioni B, Rose MD, Simone CD, Franzini A, Lavano A, Landi A, Meglio M, Modugno M, Romanelli L, Romito LM, Sturiale C, Valzania F, Zeme S, Zenga F. Results by motor cortex stimulation in treatment of focal dystonia, Parkinson’s disease and post-ictal spasticity. The experience of the Italian Study Group of the Italian Neurosurgical Society. Reconstructive Neurosurgery 2009; 101:13-21. [DOI: 10.1007/978-3-211-78205-7_3] [Citation(s) in RCA: 30] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/03/2022]
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Bosco D, Belfiore A, Fava A, De Rose M, Plastino M, Ceccotti C, Mungari P, Iannacchero R, Lavano A. Relationship between high prolactin levels and migraine attacks in patients with microprolactinoma. J Headache Pain 2008; 9:103-7. [PMID: 18256782 PMCID: PMC3476184 DOI: 10.1007/s10194-008-0016-z] [Citation(s) in RCA: 32] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/17/2007] [Revised: 12/30/2007] [Accepted: 01/16/2008] [Indexed: 11/29/2022] Open
Abstract
The pathophysiology of pituitary-associated headache is unknown, although structural and functional features of the tumour are proposed mechanisms. The objective of this study was to evaluate whether headache in a population with pituitary micro-adenomas was related to hyperprolactinemia. We recruited 29 patients with microprolactinoma and headache: 16 with migraine (group A) and 13 with tension-type-headache (group B). The prolactin (PRL) levels measured during attacks of headache were significantly higher in nine patients (56%) of group A and in one patient (8%) of group B. In four of the nine patients of group A, PRL increased after thyrotropin-releasing-hormone (TRH) test and induced severe attacks. After dopamine-agonist (DA) treatment, the headache improved in seven (44%) patients of the group A and in two (15%) patients of the group B. Three of the four patients in whom the TRH-test induced headache attacks, improved after DA treatment. We suggest that hyperprolactinemia may contribute to development of pain in migraine subgroups and further TRH-test could be used to predict which patients could benefit by DA therapy.
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Affiliation(s)
- D Bosco
- Operative Unit of Neurology, S Giovanni di Dio Hospital, Via Largo Bologna, 88900 Crotone, Italy.
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Egidi M, Franzini A, Marras C, Cavallo M, Mondani M, Lavano A, Romanelli P, Castana L, Lanotte M. A survey of Italian cases of dystonia treated by deep brain stimulation. J Neurosurg Sci 2007; 51:153-158. [PMID: 18176524] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/25/2023]
Abstract
AIM The aim of this study was to report on Italian cases of dystonia treated by deep brain stimulation up to the end of 2005. METHODS Retrospective survey. Presentation of data collection among all Italian neurosurgical institutions. RESULTS Seven out of 123 Italian neurosurgical centres were enrolled. Sixty-nine patients were operated. According to different classification criteria, cases were grouped as follows: 37 primary and 32 secondary dystonia; 61 generalized and 8 focal dystonia; 16 patients aged at onset <2 years, 22 aged 3-12 years, 14 aged 13-20 years, 17 aged >20 years. Primary dystonia (DYT) mutation 1 was identified in 21% of primary generalized dystonia. Age at surgery was <15 years in 21.7% of cases (N.=15). Mean time between clinical onset and surgery was 17 years. Globus pallidus internus (GPi) was chosen for implantation in all cases. Type of anesthesia, method of target localization, lead and implanted pulse generator (IPG) model differed among centres. Surgical complications occurred in 19% of patients, but at a higher rate (33%) in the pediatric subgroup. Stimulation parameters varied among centres, but the main scheme was 90-120 micros and 130 Hz. Follow-up duration ranged from 3 to 84 months (longer than 24 months in 50% of patients). Mean Burke-Fahn-Marsden scale (BFM) improvement was 42% for both severity and disability score, ranging from 0% to 92%. Improvement of at least 50% in BFM severity score has been reached by 45% of primary and 37% of secondary dystonia. Clinical results were better in the DYT1 subgroup, with 60% of cases improving more than 50%. Among secondary dystonia, the drug-induced group had very good results too. On the contrary delayed surgery and presence of comorbidity were negatively correlated to the outcome. CONCLUSION In this series, primary generalized dystonia has a better outcome, especially if associated to DYT1 mutation. Among secondary dystonia, the drug-induced group has very good RESULTS Correlation analysis of time to surgery and associated comorbidity suggests that earlier surgery is advisable.
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Affiliation(s)
- M Egidi
- IRCC Foundation Mangiagalli e Regina Elena Policlinico Hospital, Milan, Italy
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Signorelli F, Ruggeri F, Iofrida G, Isnard J, Chirchiglia D, Lavano A, Volpentesta G, Signorelli CD, Guyotat J. Indications and limits of intraoperative cortico-subcortical mapping in brain tumor surgery: an analysis of 101 consecutive cases. J Neurosurg Sci 2007; 51:113-27. [PMID: 17641576] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/16/2023]
Abstract
AIM Here we report our recent experience in supratentorial cortico-subcortical stimulation mapping during surgery for cerebral lesions closely related to sensorimotor and language areas. METHODS We retrospectively analyzed clinical data of 101 consecutive patients operated on with the aid of electrical stimulation mapping (ESM). Patients harbored a mass lesion situated in or near language (Group A, 30 patients) and sensorimotor (Group B, 71 patients) areas. RESULTS A macroscopically complete removal of the tumor was carried out in 22 cases out of 28 of group A and in 57 out of 73 of group B. In the first group there was one postoperative death due to a pulmonary embolism. At a mean follow-up of 24.3 months, 15 patients are still alive, 12 out of them are recurrence free and hold a useful language function, while the other 12 patients had a mean survival time of 19.3 months, with a mean high quality survival period (KPS?70) of 17.8 months. In the second group there was no postoperative death. At a mean follow-up of 24.8 months, 55 patients are alive and 47 maintain a useful motor function. Eighteen patients died for tumor progression, with a mean survival time of 18.7 months. Their median high-quality survival period (KPS ? 70), with preservation of a useful motor function, was 16.5 months. CONCLUSION When properly indicated and correctly carried out, ESM for language and motor functions allows to enhance resection of lesions in eloquent areas with a surgical permanent morbidity comparable to that for lesion in non eloquent areas.
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Affiliation(s)
- F Signorelli
- Department of Neurosurgery, Magna Graecia University, Catanzaro, Italy.
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Bono F, Messina D, Giliberto C, Cristiano D, Broussard G, Fera F, Condino F, Lavano A, Quattrone A. Bilateral transverse sinus stenosis predicts IIH without papilledema in patients with migraine. Neurology 2006; 67:419-23. [PMID: 16894101 DOI: 10.1212/01.wnl.0000227892.67354.85] [Citation(s) in RCA: 66] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
BACKGROUND The headache profile of patients with idiopathic intracranial hypertension without papilledema (IIHWOP) may be indistinguishable from that of migraine. Bilateral transverse sinus stenosis (BTSS) has been found in the majority of patients with IIHWOP. The frequency of BTSS associated with IIHWOP in patients with migraine is unknown. OBJECTIVE To detect the frequency of BTSS in adult patients with migraine and to investigate whether the presence of BTSS identifies patients with IIHWOP. METHODS In a prospective study from December 2000 to November 2005, 724 consecutive patients with recurrent headaches who fulfilled International Headache Society diagnostic criteria for migraine underwent cerebral MR venography (MRV). A portion of these patients underwent a lumbar puncture (LP) to measure CSF pressure. MRV and LP were also performed in 70 age-matched control subjects. RESULTS Six hundred seventy-five of the 724 patients with migraines had normal MRV. Seventy of these 675 patients underwent LP, and all of them had normal CSF pressure. Forty-nine (6.7%) of the 724 patients with migraine had BTSS. Twenty-eight of these 49 patients with BTSS underwent LP, and 19 (67.8%) had IIHWOP. The headache profiles of patients with BTSS and IIHWOP did not differ from those of patients with normal MRVs and CSF pressures within normal limits. CSF pressure was normal in both patients and controls with normal MRV. CONCLUSIONS Of patients with migraine, 6.7% had bilateral transverse sinus stenosis; 67.8% of these patients had idiopathic intracranial hypertension without papilledema (IIHWOP). These results suggest that patients with migraine who present bilateral transverse sinus stenosis on cerebral MR venography should undergo lumbar puncture to exclude IIHWOP.
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Affiliation(s)
- F Bono
- Institute of Neurology, University Magna Graecia, Catanzaro, Italy
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Bono F, Giliberto C, Mastrandrea C, Cristiano D, Lavano A, Fera F, Quattrone A. Transverse sinus stenoses persist after normalization of the CSF pressure in IIH. Neurology 2005; 65:1090-3. [PMID: 16217064 DOI: 10.1212/01.wnl.0000178889.63571.e5] [Citation(s) in RCA: 99] [Impact Index Per Article: 5.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
BACKGROUND Bilateral transverse sinus (TS) stenosis has been found in more than 90% of patients with idiopathic intracranial hypertension (IIH). OBJECTIVE To evaluate whether TS stenosis changed after normalization of CSF pressure in patients with IIH during medical treatment. METHODS Fourteen consecutive patients with IIH with bilateral TS stenosis on cerebral MR venography (MRV) during the medical treatment were studied. Patients were followed for over a 6-year period. During the follow-up, patients underwent repeated lumbar punctures (LPs) and cerebral MRV. MRV was always performed before each LP. RESULTS TS stenosis persisted in all the patients during the follow-up. In 9 of 14 (64%) patients with IIH, CSF pressure normalized during medical treatment. CONCLUSIONS Transverse sinus (TS) stenoses, as revealed by MR venography, persist in patients with idiopathic intracranial hypertension after normalization of CSF pressure, suggesting the lack of a direct relationship between the caliber of TS and CSF pressure.
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Affiliation(s)
- F Bono
- Institutes of Neurology, University Magna Graecia, Catanzaro, Italy
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Pagni CA, Altibrandi MG, Bentivoglio A, Caruso G, Cioni B, Fiorella C, Insola A, Lavano A, Maina R, Mazzone P, Signorelli CD, Sturiale C, Valzania F, Zeme S, Zenga F. Extradural Motor Cortex Stimulation (EMCS) for Parkinson’s disease. History and first results by the study group of the Italian neurosurgical society. Re-Engineering of the Damaged Brain and Spinal Cord 2005; 93:113-9. [PMID: 15986739 DOI: 10.1007/3-211-27577-0_19] [Citation(s) in RCA: 60] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
Abstract
The preliminary results obtained by the Study Group for Treatment of Involuntary Movements by Extradural Motor Cortex Stimulation (EMCS) of the Italian Neurosurgical Society, are reported. The series includes 16 cases of very advanced Parkinson's Disease (PD), aged 46-81; 15 of them were not eligible for Deep Brain Stimulation. Ten cases have been evaluated at 3-30 months after implantation. Unilateral, sub-threshold extradural motor cortex stimulation (2 8 Volt, 100-400 microsec., 20-120 Hz) by chronically implanted electrodes, relieves, at least partially, but sometime dramatically, the whole spectrum of symptoms of advanced PD. Tremor and rigor bilaterally in all limbs and akinesia are reduced. Standing, gait, motor performance, speech and swallowing are improved. Benefit is marked as far as axial symptoms is concerned. Also the symptoms of Long Term Dopa Syndrome -dyskinesias, motor fluctuations - and other secondary effect of levodopa administration psychiatric symptoms - are improved. Levodopa dosage may be reduced by 50%. The effect seems persistent and does not fade away with time. Improvement ranged, on the basis of the UPDRS scale, from <25% to 75%. There was only one case of complete failure. Quality of life is markedly improved in patients who were absolutely incapable of walking and unable arise out of chair. After stimulation they could walk, even if assistance was necessary. Improvement was observed also in those with disabling motor fluctuation and dyskinesias which could be abolished.
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Affiliation(s)
- C A Pagni
- Neurosurgical Department, University of Torino, Torino, Italy.
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Lavano A, Volpentesta G, Aloisi M, Veltri C, Piragine G, Signorelli CD. Use of chronic sacral nerve stimulation in neurological voiding disorders. J Neurosurg Sci 2004; 48:157-9. [PMID: 15876984] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/02/2023]
Abstract
AIM Neurogenic low urinary tract dysfunctions unresponsive to medical and conservative therapy are difficult to manage. Nowadays they can be treated with Sacral Nerve Stimulation (SNS), even if clinical experiences reported in literature are still limited. METHODS We performed SNS in 6 patients with neurogenic bladder: 3 patients had incontinence-urgency (1 myelitis, 1 multiple sclerosis, 1 autonomic polineuropathy) and 3 patients had urinary retention (1 incomplete spinal cord lesion, 1 operation for discal hernia T5-T6, 1 hysterectomy). RESULTS Among cases with incontinence-urgency we achieved complete control of the bladder in 2 patients while in 1 patient the number of urinary losses was reduced of the 80%. In 2 patients with urinary retention we obtained complete recovery of the bladder function, while in 1 patient the number of cateterisms/die reduced of 50%, the urinary volume for micturion increased and residual urinary volume decreased. Results were unchanged during the follow-up (maximum 26 months), except for 1 patient in which a partial loss of effectiveness occurred. CONCLUSIONS Chronic electric stimulation of S3 sacral roots via an implanted neuroprotesis is therefore an effectiveness, save and promising therapeutic option in treatment of neurogenic bladder dysfunctions.
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Affiliation(s)
- A Lavano
- Division of Neurosurgery, Department of Experimental and Clinical Medicine, G. Salvatore, Faculty of Medicine, Magna Graecia, University of Catanzaro, Italy.
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Bono F, Lupo MR, Lavano A, Mangone L, Fera F, Pardatscher K, Quattrone A. Cerebral MR venography of transverse sinuses in subjects with normal CSF pressure. Neurology 2003; 61:1267-70. [PMID: 14610135 DOI: 10.1212/01.wnl.0000092021.88299.b4] [Citation(s) in RCA: 37] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
Flow artifacts or anatomic variants of venous sinuses often make MR venography (MRV) interpretation difficult. The authors investigated cerebral MRV in 111 subjects with normal CSF pressure to identify the most common flow abnormalities of transverse sinuses (TS). Disturbance of venous outflow in one transverse sinus was commonly observed in 30% of subjects whereas flow abnormalities of both TS occurred in 2 of 111 individuals. Subjects with flow gaps in both TS should undergo lumbar puncture to exclude increased CSF pressure.
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Affiliation(s)
- F Bono
- Institute of Neurology, University Magna Graecia, Catanzaro, Italy
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Donato G, Volpentesta G, Lavano A, Ferraro G, Signorelli F, Amorosi A, Maltese L, De Sarro GB, Signorelli CD. Effects of Ginko Biloba and caspase inhibitors on brain ischemia in the Mongolian Gerbil. J Neurosurg Sci 2003; 47:149-55. [PMID: 14618128] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/27/2023]
Abstract
AIM Data reported in previous studies and our own previous experience have led us to explore the mechanism of and the degree of protection afforded by Ginko Biloba in a model of cerebral ischemia in the Mongolian Gerbil evaluating histological and neurological effects in this rodent. METHODS Mongolian Gerbils were divided into experimental groups: Group A consisted of animals subjected only to experimental ischemia; 5 minutes occlusion of the carotid arteries. Group B consisted of animals subjected to experimental ischemia and to a dose of Ginko Biloba, given intraperitoneally immediately before the surgical procedure. Group C consisted of animals subjected to experimental ischemia and to a dose of Ginko Biloba, given intraperitoneally immediately after the surgical procedure. Group D consisted of animals subjected to experimental ischemia and to a dose of the caspase inhibitors z-VAD.FMK and z-DEVD.FMK injected intracerebroventricularly through the right hemisphere before the surgical procedure. Group E consisted of animals subjected to experimental ischemia and to a dose of caspase inhibitors injected after the surgical procedure. Group F consisted of Sham-operated animals. Histological controls were done by H and E and the TUNEL method in the frontal cortex and caudate-putamen. RESULTS The percentage of normal cells was not statistically significant at analysis with H and E, whereas the TUNEL method showed good protection with Ginko Biloba and caspase inhibitors, when the latter is given in the reperfusion phase. These data were in agreement with data obtained at neurological examination. CONCLUSION We could say that cellular morphology is in itself an untrustworthy tool for judging the effects of ischemia and protective drugs; the TUNEL method may add important information about the different components of cellular death; the reperfusion phase may be critical for apoptotic phenomena; Ginko Biloba might protect neurons of the frontal cortex from both necrotic and apoptotic death in this model of ischemia.
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Affiliation(s)
- G Donato
- Section of Pathology, Department of Experimental and Clinical Medicine, G. Salvatore, Faculty of Medicine, Magna Graecia University, Catanzaro, Italy
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Lavano A, Volpentesta G, Chirchiglia D, Signorelli F, Ferraro G, Veltri C, Aloisi M, Piragine G, Iorio LE. New Treatments for Severe Intractable Dystonia: Intrathecal Baclofen Therapy (IBT) and Deep Brain Stimulation (DBS) of GPi. Neuromodulation 2003. [DOI: 10.1046/j.1525-1403.2003.03027_28.x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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Signorelli CD, Lavano A, Volpentesta G, Chirchiglia D, Signorelli F, Sibille M, Ferraro G, Veltri C, Aloisi M, Piragine G, Zappia M, Arabia G, Pardatcher S, Pardatcher K, Santangelo E. [Deep brain stimulation in the treatment of Parkinson's disease. Our experience]. J Neurosurg Sci 2003; 47:19-23. [PMID: 14631669] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/27/2023]
Affiliation(s)
- C D Signorelli
- Cattedra di Neurochirurgia, Facoltà di Medicina e Chirurgia Università degli Studi Magna Graecia di Catanzaro, Catanzaro, Italy
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Signorelli CD, Lavano A, Volpentesta G, Chirchiglia D, Signorelli F, Bono F, Ferraro G, Sibille M, Veltri C, Aloisi M, Piragine G, Serra S, Scola P, Pardatcher S, Pardatcher K, Santangelo E. [Intrathecal baclofen in the treatment of spasticity. Our experience]. J Neurosurg Sci 2003; 47:65-7. [PMID: 14631678] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/27/2023]
Affiliation(s)
- C D Signorelli
- Cattedra di Neurochirurgia, Facoltà di Medicina e Chirurgia Università degli Studi Magna Graecia di Catanzaro, Via T. Campanella 115, 88100 Catanzaro, Italy
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Signorelli CD, Lavano A, Volpentesta G, Chirchiglia D, Signorelli F, Sibille M, Ferraro G, Veltri C, Aloisi M, Piragine G, Santangelo E, Pardatcher S, Pardatcher K. [Spinal cord stimulation in chronic lumbar pain]. J Neurosurg Sci 2003; 47:41-5. [PMID: 14631673] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/27/2023]
Affiliation(s)
- C D Signorelli
- Cattedra di Neurochirurgia, Facoltà di Medicina e Chirurgia Università degli Studi Magna Graecia di Catanzaro, Via T. Campanella 115, 88100 Catanzaro, Italy
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Bono F, Lupo MR, Serra P, Cantafio C, Lucisano A, Lavano A, Fera F, Pardatscher K, Quattrone A. Obesity does not induce abnormal CSF pressure in subjects with normal cerebral MR venography. Neurology 2002; 59:1641-3. [PMID: 12451215 DOI: 10.1212/01.wnl.0000035628.81384.5f] [Citation(s) in RCA: 40] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
Obesity has been shown to increase lumbar CSF pressure in healthy subjects. The authors studied lumbar CSF opening pressure in 18 obese, 33 overweight, and 49 nonoverweight subjects with normal MRI and MR venography (MRV) of the brain. No subject had a CSF pressure above 200 mm H2O. Obesity does not cause abnormal CSF pressure in subjects with normal MRV. Individuals with a CSF pressure higher than 200 mm H2O should undergo MRV to exclude cerebral venous thrombosis.
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Affiliation(s)
- F Bono
- Institute of Neurology, University Magna Graecia, Catanzaro, Italy
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22
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Quattrone A, Bono F, Oliveri RL, Gambardella A, Pirritano D, Labate A, Lucisano A, Valentino P, Zappia M, Aguglia U, Lavano A, Fera F, Pardatscher K. Cerebral venous thrombosis and isolated intracranial hypertension without papilledema in CDH. Neurology 2001; 57:31-6. [PMID: 11445624 DOI: 10.1212/wnl.57.1.31] [Citation(s) in RCA: 43] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
BACKGROUND There is evidence that patients with chronic daily headache (CDH) may have isolated intracranial hypertension without papilledema (IHWOP). Recent studies have emphasized that isolated IH may be due to cerebral venous thrombosis (CVT). OBJECTIVE To detect the occurrence of CVT in patients with CDH. METHODS The authors investigated the occurrence of CVT in 114 consecutive patients with CDH by using MR venography (MRV). A portion of these patients underwent a lumbar puncture (LP) to measure CSF pressure. MRV and LP were also performed in 28 age-matched control subjects. RESULTS In all the control subjects, both MRV and CSF pressure were normal. One hundred three of the 114 patients with CDH had normal MRV. Twenty-seven (Group 1) of these 103 patients underwent LP, and all of them had normal CSF pressure. Eleven (9.6%) of the 114 patients with CDH had CVT of one or both transverse sinuses. Six of these 11 patients had flowing abnormalities of one transverse sinus (Group 2), whereas the remaining five patients showed involvement of both transverse sinuses (Group 3). The CSF pressure of Group 2 was higher than that of either Group 1 or the control subjects, and one of the six patients showed isolated IHWOP. Patients of Group 3 displayed the highest CSF pressure, and four of five had isolated IHWOP. The headache profiles of patients with CDH and CVT did not differ from those of patients with CDH but normal MRV. CONCLUSIONS CVT, as detected by MRV, occurred in 9.6% of patients who presented with CDH. Almost half of the patients with CVT had isolated IHWOP. These results suggest that MRV may be a useful tool for selecting patients with CDH who should have LP to exclude isolated IHWOP.
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Affiliation(s)
- A Quattrone
- Institutes of Neurology, University Magna Graecia, Catanzaro, Italy.
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23
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Donato G, Amorosi A, Lavano A, Volpentesta G, Chirchiglia D, Iannello AN, Ferraro G, Aloisi M, Maltese L, Pittelli M, Pardatscher K, Signorelli CD. [Histopathologic examination of the intervertebral lumbar disk. Evaluation of its usefulness and limitations]. Pathologica 2000; 92:327-30. [PMID: 11198467] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/19/2023] Open
Abstract
A retrospective clinical-pathological review of 192 lumbar intervertebral discs removed via an interlaminar approach or percutaneous nucleotomy from patients suffering from sciatic pain was carried out in order to assess if routine examination is useful. Only for a case of our series, which showed ill defined features at preoperative neuroradiologic imaging, an intraoperative pathologic examination was necessary. Immunohistochemical study was never required. A routine examination with a hematoxilin-eosin stain was sufficient also to recognize postoperative scar in patients reoperated. In conclusion we think that routine examination of the intervertebral disc is a procedure which is not expensive and useful to assess the nature of the lesion in reoperated patients and in rare cases showing unclear radiologic pattern.
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Affiliation(s)
- G Donato
- Cattedra di Neurochirurgia, Università di Catanzaro.
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24
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Donato G, Valentino P, Santucci M, Amorosi A, Pittelli M, Maltese L, Volpentesta G, Lavano A, Chirchiglia D, Iannello AN, Ferraro G, Signorelli CD. Calf pseudohypertrophy in a patient with double neurogenic pathology. Clin Neuropathol 2000; 19:142-4. [PMID: 14606588] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/27/2023] Open
Abstract
A pseudohypertrophy of the calf can be rarely associated with neurogenic pathologies as S-1 radiculopathy, poliomyelitis, spinal muscular atrophy, traumatic lesions of peripheral nerves, intraspinal neurinoma. The causes of this particular phenomenon are unknown. The authors present the case of a 52-year-old man with an enlargement of the left calf suffering from a mild form of spinal paralytic poliomyelitis in the early childhood and episodes of severe left sciatica in the last four years. Electromyography demonstrated a pattern of denervation in both legs and an H-reflex absent when the left tibial nerve was stimulated. An open muscle biopsy of the left calf was performed. Light microscopic and ultrastructural examination of the muscle confirmed the presence of a pattern of "neurogenic type" pseudohypertrophy. Our results could be interesting for the understanding of the mechanism of neurogenic pseudohypertrophy. This case suggests that timing of stimulus or "dose" of denervation may be important factors in such a phenomenon.
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Affiliation(s)
- G Donato
- Department of Neurosurgery, University of Catanzaro, School of Medicine, Catanzaro, Italy
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25
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Quattrone A, Gambardella A, Carbone AM, Oliveri RL, Lavano A, De Marco EV, Civitelli D, Bono F, Zappia M, Pardatscher K, DiMinno G. A hypofibrinolytic state in overweight patients with cerebral venous thrombosis and isolated intracranial hypertension. J Neurol 1999; 246:1086-9. [PMID: 10631643 DOI: 10.1007/s004150050517] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Abstract
Evidence suggests that isolated intracranial hypertension (iIH) is often associated with cerebral venous thrombosis (CVT). In eight patients referred to our Institution for iIH who were later shown to harbor CVT we have performed a comprehensive coagulation work-up, including genetic tests for inherited predisposition to thrombophilia, to clarify the etiology of sinus venous thrombosis. All subjects were women. All but one were overweight. There were high plasma concentrations of D dimer, thrombin-anti-thrombin complexes or prothrombin fragments 1 and 2, further supporting the neuroimaging diagnosis of CVT. Importantly, seven of eight cases had a raised level of plasminogen activator inhibitor 1, a well known inhibitor of fibrinolysis related to obesity. Tissue plasminogen activator levels were elevated accordingly. Factor V gene mutation was present in one subject, and the 20,210 prothrombin gene mutation was found in another individual. Three patients had elevated plasmatic levels of homocysteine. In conclusion, the present study provides solid evidence that impaired fibrinolysis probably related to overweight, acting in concert with other prothrombotic abnormalities, is involved in the pathogenesis of CVT presenting as iIH.
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Affiliation(s)
- A Quattrone
- Cattedra ed U.O. di Neurologia, Facoltà di Medicina e Chirurgia, Catanzaro, Italy.
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26
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Donato G, Lavano A, Volpentesta G, Chirchiglia D, Signorelli CD, Tucci L. Expression of tenascin in astrocytic tumours: too much ado about nothing? J Neurol Neurosurg Psychiatry 1997; 63:413. [PMID: 9328274 PMCID: PMC2169708 DOI: 10.1136/jnnp.63.3.413] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
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27
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Donato G, Lavano A, Volpentesta G, Chirchiglia D, Veraldi A, De Rose F, Iannello AN, Stroscio C, Signorelli CD. Telangiectatic osteosarcoma of the skull. A post-Paget case. Clin Neuropathol 1997; 16:201-3. [PMID: 9266145] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/05/2023] Open
Abstract
We report a case of post-Paget telangiectatic osteosarcoma of the skull in a 75-year-old woman. Such a neoplasia is a rare variant of osteosarcoma, a tumor rare in the cranic bones. The patient was submitted for a careful analysis by the following procedures: technetium scintigram, X-rays, CT scan, and MRI. After the surgical procedure, pathological examination confirmed the diagnosis. Both radiological and pathological pattern of this tumor are discussed in relation to the differential diagnosis. Our report shows that benign lesions may represent a possible cause of diagnostic errors. They must be excluded by histological analysis.
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Affiliation(s)
- G Donato
- Department of Neurosurgery, University of Reggio Calabria, School of Medicine, Catanzaro, Italy
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28
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Mariconda M, Lavano A, Iannò B, Volpentesta G, Signorelli CD, Milano C. Tuberculosis of the lower cervical spine: a description of two cases. Chir Organi Mov 1996; 81:325-30. [PMID: 9009417] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
Abstract
Tubercular infection is a rare occurrence in the lower cervical spine. The isolated involvement of the posterior arch is particularly rare, and the very few cases in which it is reported at the thoracic or lumbar levels were principally observed in immunodepressive patients. It is the purpose of this study to describe two cases of tuberculosis of the lower cervical spine with neurological deficit: one expansive neoformation at the level of the arch of C7, with saving of the vertebral body and the discs, and a spondylodiscitis at C4-C5, treated conservatively, the healing process of which was followed by MRI.
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Affiliation(s)
- M Mariconda
- Cattedra di Ortopedia e Traumatologia, Università di Reggio Calabria, Catanzaro
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29
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Donato G, Lavano A, Volpentesta G, Habetswallner F, Martino G, Marotta M, Perino FA, Signorelli CD. The extracellular matrix in slow-growing tumors of the central nervous system. Boll Soc Ital Biol Sper 1992; 68:63-8. [PMID: 1503740] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/27/2022]
Abstract
This report describes and illustrates the results of the histopathological and histochemical investigation on five slow-growing tumors of the central nervous system: four meningiomas and an ependymoma of the spinal cord. We have studied, by means of polarizing microscopy, sections stained with picro-sirius red F3BA that enhance the birefringence of collagen and reticulum fibres. The heterogeneous behaviour of the distribution of the collagen let us conclude that the fibrillar component of the extracellular matrix have a scarce importance for the speed of growth of these tumours.
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Affiliation(s)
- G Donato
- Cattedra di Neurochirurgia-Università di Reggio Calabria
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30
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Donato G, Gallelli A, Rivalta L, Lavano A, Volpentesta G, Habetswallner F, Barbieri V, Perino FA, Marsico SA, Signorelli CD. Serum neuron-specific enolase in various pathological conditions. Boll Soc Ital Biol Sper 1992; 68:31-7. [PMID: 1503736] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/27/2022]
Abstract
Quantitative determination of neuron-specific enolase in the serum was performed by RIA method in 18 neurological patients and in 22 patients with pulmonary diseases. The data confirmed that the specificity of this marker is not absolute for the detection both of the nature and of the seat of origin of the disease. Further problems are posed in patients which simultaneously suffer from endocrine, nervous and pulmonary abnormality.
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Affiliation(s)
- G Donato
- Cattedra di Neurochirurgia, Università di Reggio Calabria
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31
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Abstract
Two more patients with triphasic waves (TW) on their EEGs in the absence of metabolic disturbances are described. One patient had coma associated with cerebellar hematoma, the other had mild dementia associated with idiopathic calcifications of the basal ganglia and normal auditory brainstem responses, subcortical and cortical somatosensory evoked potentials. Neurologic examination failed to show asterixis in both patients. The literature on nonmetabolic causes of TW was also reviewed, and the clinical and anatomic reports of 10 patients have been analyzed: 7 patients had focal brainstem-diencephalic lesions (craniopharyngioma: 2 patients; thalamic gliomas: 3 patients; pontine stroke: 2 patients), and 3 patients suffered from diffuse subcortical or multifocal encephalopathies (Binswanger's encephalopathy: 1 patient; cerebral carcinomatosis: 1 patient; multifocal cerebral lymphoma: 1 patient). From the clinical point of view, patients with nonmetabolic diseases causing TW presented either disturbance of higher cerebral functions with no asterixis or sudden onset of coma. It is concluded that TW may result from focal brainstem/diencephalic lesions or from diffuse subcortical or multifocal encephalopathies in the absence of concomitant metabolic abnormalities. Nonmetabolic causes of TW should be suspected in patients presenting with neurologic disturbances not associated with asterixis.
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Affiliation(s)
- U Aguglia
- Institute of Neurological Sciences, University of Reggio Calabria, Faculty of Medicine, Italy
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32
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Abstract
Three patients with cerebral tumor involving diencephalic midline structures (2 malignant gliomas, 1 craniopharyngioma) and no metabolic abnormalities developed disorientation in time and place or coma with triphasic waves (TW) seen on electroencephalograms. Serial EEG recordings showed persistence or disappearance of TW depending on poor or good outcome of the antiedema treatment. TW have been described with disorders affecting the brain diffusely, as metabolic encephalopathies, dementing processes, cerebral carcinomatosis and baclofen intoxication. The findings described here demonstrate that TW may occur in patients with brain tumor involving subcortical midline structures.
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Affiliation(s)
- U Aguglia
- Institute of Neurological Sciences, University of Reggio Calabria, Faculty of Medicine, Catanzaro, Italy
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33
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Lavano A, Benvenuti D, Volpentesta G, Donato G, Marotta R, Zappia M, Signorelli CD. Symptomatic tension pneumocephalus after evacuation of chronic subdural haematoma: report of seven cases. Clin Neurol Neurosurg 1990; 92:35-41. [PMID: 2154353 DOI: 10.1016/0303-8467(90)90005-p] [Citation(s) in RCA: 18] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/30/2022]
Abstract
We present seven cases of tension pneumocephalus developing after burr hole evacuation of chronic subdural haematoma. After a careful review of the literature we discuss the physiopathology, the diagnosis and the treatment of this complication of chronic subdural haematoma surgery.
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Affiliation(s)
- A Lavano
- Clinica Neurochirurgica, Università di Reggio Calabria, Policlinico MaterDomini, Catanzaro, Italy
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34
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Abstract
A rare case of a meningioma of the posterior margin of the petrous temporal bone associated with cerebrospinal fluid rhinorrhea is presented. After a careful review of the literature, the possible pathogenesis of the fistulous tract is discussed.
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Affiliation(s)
- D Benvenuti
- Department of Neurosurgery, 2. Faculty of Medicine, University of Naples, Italy
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35
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Benvenuti D, Maiuri F, Lavano A. Paraparesis due to bilateral subdural hematoma. Acta Neurol (Napoli) 1987; 9:288-90. [PMID: 3434357] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/05/2023]
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36
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Benvenuti D, Maiuri F, Lavano A, Volpentesta G, Giamundo A, Tecame S. Postoperative intracerebral haemorrhages remote from the site of the initial operation. Br J Neurosurg 1987; 1:377-84. [PMID: 3077271 DOI: 10.3109/02688698709023782] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/04/2023]
Abstract
Two cases of postoperative intracerebral haemorrhages remote from the site of the initial craniotomy for saccular aneurysms are reported and the other cases from the literature are reviewed. Lack of a good postoperative recovery and the appearance of neurological signs not related to the site of the operation may suggest this complication, which is associated with high mortality and disability rate. The possible pathogeness of those postoperative haemorrhages is discussed.
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Affiliation(s)
- D Benvenuti
- Department of Neurosurgery, 2nd School of Medicine, University of Naples, Italy
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37
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Abstract
Seven patients with spinal osteoid osteomas are reported and another 110 cases from the literature are reviewed. Among the patients spinal pain is the constant clinical complaint, while radicular pain and scoliosis are present in half of the patients. Whereas radiograms and tomograms of the spine are sometimes inadequate for diagnosis, bone scanning is positive in 100% of patients and is useful for directing spinal computed tomography at the exact level of the lesion. Complete removal of the tumoral nidus produces remission of pain in more than 95% of cases. The possibility of an erroneous diagnosis of a lumbar protruded disk and the necessity of a bone scan in young patients with spinal or radicular pain are emphasized.
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38
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De Chiara A, Benvenuti D, Maiuri F, Giamundo A, Lavano A. Association of internal carotid aneurysm and temporal glioblastoma. Neurochirurgia (Stuttg) 1986; 29:58-60. [PMID: 3713956 DOI: 10.1055/s-2008-1053702] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
Abstract
A 52-year-old woman had a right temporal glioblastoma six months after an operation for a right internal carotid aneurysm. In the literature there are no reports of gliomas arising in the region of a preceding craniotomy for an aneurysm. The rare association of brain tumours with arterial aneurysms and the pathogenetic theories are discussed. The authors suppose that in their case there is a relationship between the vascular changes due to the aneurysm and the operation and the growth of the malignant glioma.
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39
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Giamundo A, Benvenuti D, Lavano A, D'Andrea F. Chronic subdural haematoma after spinal anaesthesia. Case report. J Neurosurg Sci 1985; 29:153-5. [PMID: 4093803] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/08/2023]
Abstract
In this study an interesting and not frequent case of non-traumatic chronic subdural haematoma after spinal anaesthesia is reported. After a careful review of the cases described in the literature, the Authors discussed the physiopathological mechanisms, emphasizing how the break of the bridge veins or of the subarachnoid granulations, the cerebral atrophy and the dehydration are factors which facilitate the appearance of this neurological complication. They suggest that a suitable post-operative rehydration is an important prevention factor.
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40
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Giamundo A, Lavano A, Benvenuti D, Corriero G, Signorelli CS. Intradural tuberculoma of the spine and opto-chiasmatic arachnoiditis as complication of tuberculous meningitis. A case report. Acta Neurol (Napoli) 1985; 7:38-42. [PMID: 3993459] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/08/2023]
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41
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Corriero G, Maiuri F, Lavano A, Rolando F. Post-traumatic syringomyelia. Clinical features, investigation and treatment. Acta Neurol (Napoli) 1982; 4:368-72. [PMID: 6965265] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/22/2023]
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