1
|
Condino F, Crocco MC, Pirritano D, Petrone A, Del Giudice F, Guzzi R. A Linear Predictor Based on FTIR Spectral Biomarkers Improves Disease Diagnosis Classification: An Application to Multiple Sclerosis. J Pers Med 2023; 13:1596. [PMID: 38003911 PMCID: PMC10672539 DOI: 10.3390/jpm13111596] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/27/2023] [Revised: 11/02/2023] [Accepted: 11/09/2023] [Indexed: 11/26/2023] Open
Abstract
Multiple sclerosis (MS) is a neurodegenerative disease of the central nervous system that can lead to long-term disability. The diagnosis of MS is not simple and requires many instrumental and clinical tests. Sampling easily collected biofluids using spectroscopic approaches is becoming of increasing interest in the medical field to integrate and improve diagnostic procedures. Here we present a statistical approach where we combine a number of spectral biomarkers derived from the ATR-FTIR spectra of blood plasma samples of healthy control subjects and MS patients, to obtain a linear predictor useful for discriminating between the two groups of individuals. This predictor provides a simple tool in which the contribution of different molecular components is summarized and, as a result, the sensitivity (80%) and specificity (93%) of the identification are significantly improved compared to those obtained with typical classification algorithms. The strategy proposed can be very helpful when applied to the diagnosis of diseases whose presence is reflected in a minimal way in the analyzed biofluids (blood and its derivatives), as it is for MS as well as for other neurological disorders.
Collapse
Affiliation(s)
- Francesca Condino
- Department of Economics, Statistics and Finance ”Giovanni Anania”, University of Calabria, 87036 Rende, Italy;
| | - Maria Caterina Crocco
- STAR Research Infrastructure, University of Calabria, 87036 Rende, Italy;
- Department of Physics, Molecular Biophysics Laboratory, University of Calabria, 87036 Rende, Italy
| | - Domenico Pirritano
- SOC Neurologia, Azienda Ospedaliero-Universitaria Renato Dulbecco, 88100 Catanzaro, Italy;
- UOC Neurologia, Azienda Ospedaliera dell’Annunziata, 87100 Cosenza, Italy; (A.P.); (F.D.G.)
| | - Alfredo Petrone
- UOC Neurologia, Azienda Ospedaliera dell’Annunziata, 87100 Cosenza, Italy; (A.P.); (F.D.G.)
| | - Francesco Del Giudice
- UOC Neurologia, Azienda Ospedaliera dell’Annunziata, 87100 Cosenza, Italy; (A.P.); (F.D.G.)
- SOC Neurologia, Ospedale Jazzolino, Azienda Ospedaliera Provinciale, 89900 Vibo Valentia, Italy
| | - Rita Guzzi
- STAR Research Infrastructure, University of Calabria, 87036 Rende, Italy;
- CNR-NANOTEC, Department of Physics, University of Calabria, 87036 Rende, Italy
| |
Collapse
|
2
|
Crocco MC, Moyano MFH, Annesi F, Bruno R, Pirritano D, Del Giudice F, Petrone A, Condino F, Guzzi R. ATR-FTIR spectroscopy of plasma supported by multivariate analysis discriminates multiple sclerosis disease. Sci Rep 2023; 13:2565. [PMID: 36782055 PMCID: PMC9924868 DOI: 10.1038/s41598-023-29617-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/23/2022] [Accepted: 02/07/2023] [Indexed: 02/15/2023] Open
Abstract
Multiple sclerosis (MS) is one of the most common neurodegenerative diseases showing various symptoms both of physical and cognitive type. In this work, we used attenuated total reflection Fourier transformed infrared (ATR-FTIR) spectroscopy to analyze plasma samples for discriminating MS patients from healthy control individuals, and identifying potential spectral biomarkers helping the diagnosis through a quick non-invasive blood test. The cohort of the study consists of 85 subjects, including 45 MS patients and 40 healthy controls. The differences in the spectral features both in the fingerprint region (1800-900 cm-1) and in the high region (3050-2800 cm-1) of the infrared spectra were highlighted also with the support of different chemometric methods, to capture the most significant wavenumbers for the differentiation. The results show an increase in the lipid/protein ratio in MS patients, indicating changes in the level (metabolism) of these molecular components in the plasma. Moreover, the multivariate tools provided a promising rate of success in the diagnosis, with 78% sensitivity and 83% specificity obtained through the random forest model in the fingerprint region. The MS diagnostic tools based on biomarkers identification on blood (and blood component, like plasma or serum) are very challenging and the specificity and sensitivity values obtained in this work are very encouraging. Overall, the results obtained suggest that ATR-FTIR spectroscopy on plasma samples, requiring minimal or no manipulation, coupled with statistical multivariate approaches, is a promising analytical tool to support MS diagnosis through the identification of spectral biomarkers.
Collapse
Affiliation(s)
- Maria Caterina Crocco
- Molecular Biophysics Laboratory, Department of Physics, University of Calabria, 87036, Rende, Italy
- STAR Research Infrastructure, University of Calabria, 87036, Rende, CS, Italy
| | | | | | - Rosalinda Bruno
- Department of Pharmacy, Health and Nutritional Sciences, University of Calabria, 87036, Rende, CS, Italy
| | - Domenico Pirritano
- Neurological and Stroke Unit, Multiple Sclerosis Clinic, Annunziata Hospital, 87100, Cosenza, Italy
- SOC Neurologia-Azienda Ospedaliera Pugliese-Ciaccio, 88100, Catanzaro, Italy
| | - Francesco Del Giudice
- Neurological and Stroke Unit, Multiple Sclerosis Clinic, Annunziata Hospital, 87100, Cosenza, Italy
- SOC Neurologia-Ospedale Jazzolino, Azienda Ospedaliera Provinciale, 89900, Vibo Valentia, Italy
| | - Alfredo Petrone
- Neurological and Stroke Unit, Multiple Sclerosis Clinic, Annunziata Hospital, 87100, Cosenza, Italy
| | - Francesca Condino
- Department of Economics, Statistics and Finance "Giovanni Anania", University of Calabria, Arcavacata di Rende, CS, Italy
| | - Rita Guzzi
- Molecular Biophysics Laboratory, Department of Physics, University of Calabria, 87036, Rende, Italy.
- CNR-Nanotec Rende, Via P. Bucci, 87036, Rende, Italy.
| |
Collapse
|
3
|
Mumoli L, Vescio V, Pirritano D, Russo E, Bosco D. ADEM anti-MOG antibody-positive after SARS-CoV2 vaccination. Neurol Sci 2021; 43:763-766. [PMID: 34796418 PMCID: PMC8601784 DOI: 10.1007/s10072-021-05761-7] [Citation(s) in RCA: 17] [Impact Index Per Article: 5.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/17/2021] [Accepted: 11/16/2021] [Indexed: 11/30/2022]
Affiliation(s)
- Laura Mumoli
- Neurology Department, Pugliese-Ciaccio Hospital, Viale Pio X, 8810, Catanzaro, Italy.
| | - Virginia Vescio
- Radiology Department, Pugliese-Ciaccio Hospital, Catanzaro, Italy
| | - Domenico Pirritano
- Neurology Department, Pugliese-Ciaccio Hospital, Viale Pio X, 8810, Catanzaro, Italy
| | - Emilio Russo
- Science of Health Department, University of Catanzaro, Catanzaro, Italy
| | - Domenico Bosco
- Neurology Department, Pugliese-Ciaccio Hospital, Viale Pio X, 8810, Catanzaro, Italy
| |
Collapse
|
4
|
Annesi F, Hermoso-Durán S, Rizzuti B, Bruno R, Pirritano D, Petrone A, Del Giudice F, Ojeda J, Vega S, Sanchez-Gracia O, Velazquez-Campoy A, Abian O, Guzzi R. Thermal Liquid Biopsy (TLB) of Blood Plasma as a Potential Tool to Help in the Early Diagnosis of Multiple Sclerosis. J Pers Med 2021; 11:jpm11040295. [PMID: 33924346 PMCID: PMC8069382 DOI: 10.3390/jpm11040295] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/25/2021] [Revised: 03/31/2021] [Accepted: 04/09/2021] [Indexed: 12/21/2022] Open
Abstract
Background: Multiple sclerosis (MS) is frequently characterized by a variety of clinical signs, often exhibiting little specificity. The diagnosis requires a combination of medical observations and instrumental tests, and any support for its objective assessment is helpful. Objective: Herein, we describe the application of thermal liquid biopsy (TLB) of blood plasma samples, a methodology for predicting the occurrence of MS with a noninvasive, quick blood test. Methods: TLB allows one to define an index (TLB score), which provides information about overall real-time alterations in plasma proteome that may be indicative of MS. Results: This pilot study, based on 85 subjects (45 MS patients and 40 controls), showed good performance indexes (sensitivity and specificity both around 70%). The diagnostic methods better discriminate between early stage and low-burden MS patients, and it is not influenced by gender, age, or assumption of therapeutic drugs. TLB is more accurate for patients having low disability level (≤ 3.0, measured by the expanded disability status scale, EDSS) and a relapsing–remitting diagnosis. Conclusion: Our results suggest that TLB can be applied to MS, especially in an initial phase of the disease when diagnosis is difficult and yet more important (in such cases, accuracy of prediction is close to 80%), as well as in personalized patient periodic monitoring. The next step will be determining its utility in differentiating between MS and other disorders, in particular in inflammatory diseases.
Collapse
Affiliation(s)
- Ferdinanda Annesi
- CNR-NANOTEC, Licryl-UOS Cosenza and CEMIF.Cal, Department of Physics, University of Calabria, 87036 Rende, Italy; (F.A.); (B.R.)
| | - Sonia Hermoso-Durán
- Institute of Biocomputation and Physics of Complex Systems (BIFI), Joint Units IQFR-CSIC-BIFI, and GBsC-CSIC-BIFI, Universidad de Zaragoza, 50018 Zaragoza, Spain; (S.H.-D.); (S.V.); (A.V.-C.)
- Instituto de Investigación Sanitaria Aragón (IIS Aragón), 50009 Zaragoza, Spain
| | - Bruno Rizzuti
- CNR-NANOTEC, Licryl-UOS Cosenza and CEMIF.Cal, Department of Physics, University of Calabria, 87036 Rende, Italy; (F.A.); (B.R.)
- Institute of Biocomputation and Physics of Complex Systems (BIFI), Joint Units IQFR-CSIC-BIFI, and GBsC-CSIC-BIFI, Universidad de Zaragoza, 50018 Zaragoza, Spain; (S.H.-D.); (S.V.); (A.V.-C.)
| | - Rosalinda Bruno
- Department of Pharmacy, Health and Nutritional Sciences, University of Calabria, 87036 Rende, Italy;
| | - Domenico Pirritano
- Neurological and Stroke Unit, Multiple Sclerosis Clinic, Annunziata Hospital, 87100 Cosenza, Italy; (D.P.); (A.P.); (F.D.G.)
| | - Alfredo Petrone
- Neurological and Stroke Unit, Multiple Sclerosis Clinic, Annunziata Hospital, 87100 Cosenza, Italy; (D.P.); (A.P.); (F.D.G.)
| | - Francesco Del Giudice
- Neurological and Stroke Unit, Multiple Sclerosis Clinic, Annunziata Hospital, 87100 Cosenza, Italy; (D.P.); (A.P.); (F.D.G.)
| | - Jorge Ojeda
- Department of Statistical Methods, Universidad de Zaragoza, 50009 Zaragoza, Spain;
| | - Sonia Vega
- Institute of Biocomputation and Physics of Complex Systems (BIFI), Joint Units IQFR-CSIC-BIFI, and GBsC-CSIC-BIFI, Universidad de Zaragoza, 50018 Zaragoza, Spain; (S.H.-D.); (S.V.); (A.V.-C.)
| | | | - Adrian Velazquez-Campoy
- Institute of Biocomputation and Physics of Complex Systems (BIFI), Joint Units IQFR-CSIC-BIFI, and GBsC-CSIC-BIFI, Universidad de Zaragoza, 50018 Zaragoza, Spain; (S.H.-D.); (S.V.); (A.V.-C.)
- Instituto de Investigación Sanitaria Aragón (IIS Aragón), 50009 Zaragoza, Spain
- Departamento de Bioquímica y Biología Molecular y Celular, Universidad de Zaragoza, 50009 Zaragoza, Spain
- Centro de Investigación Biomédica en Red en el Área Temática de Enfermedades Hepáticas y Digestivas (CIBERehd), 28029 Madrid, Spain
- Fundación ARAID, Gobierno de Aragón, 50009 Zaragoza, Spain
| | - Olga Abian
- Institute of Biocomputation and Physics of Complex Systems (BIFI), Joint Units IQFR-CSIC-BIFI, and GBsC-CSIC-BIFI, Universidad de Zaragoza, 50018 Zaragoza, Spain; (S.H.-D.); (S.V.); (A.V.-C.)
- Instituto de Investigación Sanitaria Aragón (IIS Aragón), 50009 Zaragoza, Spain
- Departamento de Bioquímica y Biología Molecular y Celular, Universidad de Zaragoza, 50009 Zaragoza, Spain
- Centro de Investigación Biomédica en Red en el Área Temática de Enfermedades Hepáticas y Digestivas (CIBERehd), 28029 Madrid, Spain
- Instituto Aragonés de Ciencias de la Salud (IACS), 50009 Zaragoza, Spain
- Correspondence: (O.A.); (R.G.); Tel.: +34-876-555417 (O.A.); +39-0984-406077 (R.G.)
| | - Rita Guzzi
- CNR-NANOTEC, Licryl-UOS Cosenza and CEMIF.Cal, Department of Physics, University of Calabria, 87036 Rende, Italy; (F.A.); (B.R.)
- Department of Physics, Molecular Biophysics Laboratory, University of Calabria, 87036 Rende, Italy
- Correspondence: (O.A.); (R.G.); Tel.: +34-876-555417 (O.A.); +39-0984-406077 (R.G.)
| |
Collapse
|
5
|
Cappellari M, Mangiafico S, Saia V, Pracucci G, Nappini S, Nencini P, Konda D, Sallustio F, Vallone S, Zini A, Bracco S, Tassi R, Bergui M, Cerrato P, Pitrone A, Grillo F, Saletti A, De Vito A, Gasparotti R, Magoni M, Puglielli E, Casalena A, Causin F, Baracchini C, Castellan L, Malfatto L, Menozzi R, Scoditti U, Comelli C, Duc E, Comai A, Franchini E, Cosottini M, Mancuso M, Peschillo S, De Michele M, Giorgianni A, Delodovici ML, Lafe E, Denaro MF, Burdi N, Internò S, Cavasin N, Critelli A, Chiumarulo L, Petruzzellis M, Doddi M, Carolei A, Auteri W, Petrone A, Padolecchia R, Tassinari T, Pavia M, Invernizzi P, Turcato G, Forlivesi S, Ciceri EFM, Bonetti B, Inzitari D, Toni D, Limbucci N, Consoli A, Renieri L, Fainardi E, Gandini R, Pampana E, Diomedi M, Koch G, Verganti L, Sacchetti F, Zelent G, Bigliardi G, Picchetto L, Vandelli L, Romano DG, Cioni S, Gennari P, Cerase A, Martini G, Stura G, Daniele D, Naldi A, Papa R, Vinci SL, Bernava G, Velo M, Caragliano A, Tessitore A, Buonomo O, Musolino R, La Spina P, Casella C, Carolina Fazio M, Cotroneo M, Onofrio M, Azzini C, Casetta I, Mardighian D, Frigerio M, Costa A, Di Egidio V, Lattanzi R, Assetta M, Cester G, Mavilio N, Serrati C, Piazza P, Epifani E, Andreone A, Castellini P, Latte L, Grisendi I, Vaudano G, Comelli S, Cavallo R, Chianale G, Simonetti L, Taglialatela F, Isceri S, Procaccianti G, Zaniboni A, Borghi A, Bonatti G, Ferro F, Bonatti M, Dall’Ora E, Currò Dossi R, Turri E, Turri M, Puglioli M, Lazzarotti G, Lauretti D, Giannini N, Maccarone M, Orlandi G, Chiti A, Guidetti G, Biraschi F, Falcou A, Anzini A, Mancini A, Fausti S, Di Mascio MT, Durastanti L, Sbardella E, Mellina V, Baruzzi F, Pellegrino C, Terrana A, Carimati F, Ruggiero M, Sanna A, Passarin MG, Colosimo C, Pedicelli A, D’Argento F, Alexandre A, Frisullo G, Zappoli F, Martignoni A, Cavallini A, Persico A, Valvassori L, Piano M, Agostoni E, Motto C, Gatti A, Longoni M, Guccione A, Tortorella R, Zampieri P, Zimatore DS, Grazioli A, Ricciardi GK, Augelli R, Bovi P, Tomelleri G, Micheletti N, Semeraro V, Lucarelli N, Ganimede M, Tinelli A, Pia Prontera M, Pesare A, Cagliari E, Quatrale R, Federico F, Passalacqua G, Filauri P, Orlandi B, De Santis F, Gabriele A, Tiseo C, Armentano A, Di Benedetto O, Silvagni U, Perrotta P, Crispino E, Stancati F, Rizzuto S, Pugliese P, Pisani E, Siniscalchi A, Gaudiano C, Pirritano D, Del Giudice F, Calia S, Ganci G, Sugo A, Scomazzoni F, Simionato F, Roveri L, De Nicola M, Giannoni M, Bruni S, Gambelli E, Provinciali L, Carriero A, Coppo L, Baldan J, Paolo Nuzzi N, Marcheselli S, Corato M, Cotroneo E, Ricciardi F, Gigli R, Pozzessere C, Pezzella FR, Corsi F, Squassina G, Cobelli M, Morassi M, Magni E, Pepe F, Bigni B, Costa P, Crabbio M, Griffini S, Palmerini F, Piras MP, Natrella M, Fanelli G, Cristoferi M, Bottacchi E, Corso G, Tosi P, Amistà P, Russo M, Tettoni S, Gallesio I, Mascolo MC, Meloni GB, Fabio C, Maiore M, Pintus F, Pischedda A, Manca A, Mongili C, Zanda B, Sanna A, Baule A, Pappalardo MP, Craparo G, Gallo C, Monaco S, Mannino M, Terruso V, Muto M, Guarnieri G, Andreone V, Dui G, Ticca A, Salmaggi A, Iannucci G, Pinna V, Di Clemente L, Perini F, De Boni A, De Luca C, De Giorgi F, Corraine S, Enne P, Ganau C, Piras V. IER-SICH Nomogram to Predict Symptomatic Intracerebral Hemorrhage After Thrombectomy for Stroke. Stroke 2019; 50:909-916. [DOI: 10.1161/strokeaha.118.023316] [Citation(s) in RCA: 35] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Background and Purpose—
As a reliable scoring system to detect the risk of symptomatic intracerebral hemorrhage after thrombectomy for ischemic stroke is not yet available, we developed a nomogram for predicting symptomatic intracerebral hemorrhage in patients with large vessel occlusion in the anterior circulation who received bridging of thrombectomy with intravenous thrombolysis (training set), and to validate the model by using a cohort of patients treated with direct thrombectomy (test set).
Methods—
We conducted a cohort study on prospectively collected data from 3714 patients enrolled in the IER (Italian Registry of Endovascular Stroke Treatment in Acute Stroke). Symptomatic intracerebral hemorrhage was defined as any type of intracerebral hemorrhage with increase of ≥4 National Institutes of Health Stroke Scale score points from baseline ≤24 hours or death. Based on multivariate logistic models, the nomogram was generated. We assessed the discriminative performance by using the area under the receiver operating characteristic curve.
Results—
National Institutes of Health Stroke Scale score, onset-to-end procedure time, age, unsuccessful recanalization, and Careggi collateral score composed the IER-SICH nomogram. After removing Careggi collateral score from the first model, a second model including Alberta Stroke Program Early CT Score was developed. The area under the receiver operating characteristic curve of the IER-SICH nomogram was 0.778 in the training set (n=492) and 0.709 in the test set (n=399). The area under the receiver operating characteristic curve of the second model was 0.733 in the training set (n=988) and 0.685 in the test set (n=779).
Conclusions—
The IER-SICH nomogram is the first model developed and validated for predicting symptomatic intracerebral hemorrhage after thrombectomy. It may provide indications on early identification of patients for more or less postprocedural intensive management.
Collapse
Affiliation(s)
- Manuel Cappellari
- Stroke Unit (M. Cappellari, S.F., B.B.), Azienda Ospedaliera Universitaria Integrata, Verona, Italy
| | - Salvatore Mangiafico
- Interventional Neuroradiology Unit (S.M., S.N.), Ospedale Careggi-University Hospital, Firenze, Italy
| | - Valentina Saia
- Neurology and Stroke Unit (T.T., V.S.), Santa Corona Hospital, Pietra Ligure, Italy
| | - Giovanni Pracucci
- Stroke Unit (D.I., P.N., G.P.), Ospedale Careggi-University Hospital, Firenze, Italy
- University of Florence, Firenze, Italy (G.P., P.N., D.I.)
| | - Sergio Nappini
- Interventional Neuroradiology Unit (S.M., S.N.), Ospedale Careggi-University Hospital, Firenze, Italy
| | - Patrizia Nencini
- Stroke Unit (D.I., P.N., G.P.), Ospedale Careggi-University Hospital, Firenze, Italy
- University of Florence, Firenze, Italy (G.P., P.N., D.I.)
| | - Daniel Konda
- Interventional Neuroradiology Unit (D.K.), Policlinico Tor Vergata, Roma, Italy
| | | | - Stefano Vallone
- Neuroradiology Unit, Ospedale Civile S. Agostino-Estense University Hospital, Modena, Italy (S.V.)
| | - Andrea Zini
- Stroke Unit, IRCCS Istituto delle Scienze Neurologiche, Maggiore Hospital, Bologna, Italy (A.Z.)
| | - Sandra Bracco
- Interventional Neuroradiology Unit (S.B.), Ospedale S. Maria delle Scotte-University Hospital, Siena, Italy
| | - Rossana Tassi
- Stroke Unit (R.T.), Ospedale S. Maria delle Scotte-University Hospital, Siena, Italy
| | - Mauro Bergui
- Interventional Neuroradiology Unit (M.B.), Città della Salute e della Scienza-Molinette, Torino, Italy
| | - Paolo Cerrato
- Stroke Unit (P.C.), Città della Salute e della Scienza-Molinette, Torino, Italy
| | - Antonio Pitrone
- Interventional Neuroradiology Unit (A. Pitrone), Policlinico G. Martino, Messina, Italy
| | | | - Andrea Saletti
- Interventional Neuroradiology Unit (A.S.), Arcispedale S. Anna-University Hospital, Ferrara, Italy
| | - Alessandro De Vito
- Stroke Unit (A.D.V.), Arcispedale S. Anna-University Hospital, Ferrara, Italy
| | | | - Mauro Magoni
- Stroke Unit (M. Magoni), Spedali Civili, Brescia, Italy
| | - Edoardo Puglielli
- Vascular and Interventional Radiology Unit (E.P.), Ospedale Civile Mazzini, Teramo, Italy
| | | | - Francesco Causin
- Neuroradiology Unit (F.C.), Azienda Ospedaliero-Univeristaria, Padova, Italy
| | | | - Lucio Castellan
- Interventional Neuroradiology Unit (L. Castellan), IRCCS San Martino-IST, Genova, Italy
| | - Laura Malfatto
- Stroke Unit (L.M.), IRCCS San Martino-IST, Genova, Italy
| | - Roberto Menozzi
- Interventional Neuroradiology Unit (R.M.), Ospedale Universitario, Parma, Italy
| | | | - Chiara Comelli
- Interventional Neuroradiology Unit (C.C.), Ospedale San Giovanni Bosco, Torino, Italy
| | - Enrica Duc
- Neurology Unit (E.D.), Ospedale San Giovanni Bosco, Torino, Italy
| | - Alessio Comai
- Radiology Unit (A. Comai), Ospedale Centrale, Bolzano, Italy
| | | | - Mirco Cosottini
- Neuroradiology Unit (M. Cosottini), Ospedale Cisanello, Pisa, Italy
| | | | - Simone Peschillo
- Interventional Neuroradiology Unit (S.P.), Sapienza University Hospital, Roma, Italy
| | | | - Andrea Giorgianni
- Neuroradiology Unit (A.G.), Ospedale Universitario Circolo, ASST Sette Laghi, Varese, Italy
| | | | - Elvis Lafe
- Diagnostic and Interventional Neuroradiology Unit (E.L.), San Matteo Hospital and C. Mondino Foundation, Pavia, Italy
| | | | - Nicola Burdi
- Interventional Radiology Unit (N.B.), Ospedale SS. Annunziata, Taranto, Italy
| | | | - Nicola Cavasin
- Neuroradiology Unit (N.C.), Ospedale dell’Angelo, USSL3 Serenissima, Mestre, Italy
| | - Adriana Critelli
- Neurology Unit (A. Critelli), Ospedale dell’Angelo, USSL3 Serenissima, Mestre, Italy
| | | | - Marco Petruzzellis
- Interventional Neuroradiology Unit (M. Petruzzellis), Policlinico, Bari, Italy
| | - Marco Doddi
- Interventional Neuroradiology Unit (M.D.), Presidio Ospedaliero SS. Filippo e Nicola, Avezzano, Italy
| | - Antonio Carolei
- Stroke Unit (A. Carolei), Presidio Ospedaliero SS. Filippo e Nicola, Avezzano, Italy
| | - William Auteri
- Interventional Neuroradiology Unit (W.A.), Azienda Ospedaliera Annunziata, Cosenza, Italy
| | - Alfredo Petrone
- Neurology Unit (A. Petrone), Azienda Ospedaliera Annunziata, Cosenza, Italy
| | | | - Tiziana Tassinari
- Neurology and Stroke Unit (T.T., V.S.), Santa Corona Hospital, Pietra Ligure, Italy
| | - Marco Pavia
- Interventional Neuroradiology Unit (M. Pavia), Istituto Ospedaliero Fondazione Poliambulanza, Brescia, Italy
| | - Paolo Invernizzi
- Stroke Unit (P.I.), Istituto Ospedaliero Fondazione Poliambulanza, Brescia, Italy
| | - Gianni Turcato
- Emergency Department, Girolamo Fracastoro Hospital, San Bonifacio (Verona), Italy (G.T.)
| | - Stefano Forlivesi
- Stroke Unit (M. Cappellari, S.F., B.B.), Azienda Ospedaliera Universitaria Integrata, Verona, Italy
| | | | - Bruno Bonetti
- Stroke Unit (M. Cappellari, S.F., B.B.), Azienda Ospedaliera Universitaria Integrata, Verona, Italy
| | - Domenico Inzitari
- Stroke Unit (D.I., P.N., G.P.), Ospedale Careggi-University Hospital, Firenze, Italy
- University of Florence, Firenze, Italy (G.P., P.N., D.I.)
| | - Danilo Toni
- Stroke Unit (M.D.M., D.T.), Sapienza University Hospital, Roma, Italy
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
Collapse
|
6
|
Siniscalchi A, Bonci A, Biagio Mercuri N, Pirritano D, Squillace A, De Sarro G, Gallelli L. The Role of Topiramate in the Management of Cocaine Addiction: a Possible Therapeutic Option. Curr Neuropharmacol 2016; 13:815-8. [PMID: 26630959 PMCID: PMC4759320 DOI: 10.2174/1570159x13666150729222643] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.6] [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: 05/09/2015] [Revised: 07/01/2015] [Accepted: 07/28/2015] [Indexed: 12/27/2022] Open
Abstract
Topiramate (TPM) is an antiepileptic drug able to play a role in both neurological and
psychiatric disorders. TPM facilitates gamma-aminobutyric acid (GABA) transmission and inhibits
glutamatergic transmission (i.e. AMPA/kainate receptors). Several studies reported that the modulation of GABAergic and glutamatergic synaptic transmission may reduce cocaine
reinforcement. Therefore, TPM could be used in the management of cocaine dependence.
Collapse
Affiliation(s)
| | | | | | | | | | | | - Luca Gallelli
- Clinical Specialist (Neurologist), Department of Neurology, Annunziata Hospital, Via F. Migliori, 1 - 87100 Cosenza, Italy.
| |
Collapse
|
7
|
Siniscalchi A, Gallelli L, Malferrari G, Pirritano D, Serra R, Santangelo E, De Sarro G. Cerebral stroke injury: the role of cytokines and brain inflammation. J Basic Clin Physiol Pharmacol 2014; 25:131-7. [PMID: 24515999 DOI: 10.1515/jbcpp-2013-0121] [Citation(s) in RCA: 79] [Impact Index Per Article: 7.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/13/2013] [Accepted: 01/10/2014] [Indexed: 12/31/2022]
Abstract
Stroke represents the most frequent cause of permanent disability in adults worldwide. Cerebral ischemia triggers the pathological pathways of the ischemic cascade and causes irreversible neuronal injury in the ischemic core within minutes of the onset. Elements of the immune system are involved in all stages of ischemic cascade from acute intravascular events triggered by the interruption of blood supply, to the parenchymal processes leading to brain damage and to the ensuing tissue repair. In this review, we will provide a brief overview of current understanding of the role of cytokines and brain inflammation during acute ischemic stroke.
Collapse
|
8
|
Consoli A, Pirritano D, Bosco D, Postorino P, Consoli D. Corticosteroid treatment in a patient with Marchiafava–Bignami disease. Neurol Sci 2014; 35:1143-5. [DOI: 10.1007/s10072-014-1705-9] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/25/2013] [Accepted: 02/25/2014] [Indexed: 11/30/2022]
|
9
|
Fava A, Plastino M, Cristiano D, Spanò A, Cristofaro S, Opipari C, Chillà A, Casalinuovo F, Colica C, De Bartolo M, Pirritano D, Bosco D. Insulin resistance possible risk factor for cognitive impairment in fibromialgic patients. Metab Brain Dis 2013; 28:619-27. [PMID: 23892884 DOI: 10.1007/s11011-013-9421-3] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/25/2013] [Accepted: 07/11/2013] [Indexed: 01/28/2023]
Abstract
To evaluate glucose metabolism and/or insulin resistance (IR) in 96 patients with Fibromyalgia (FM), associated or not to cognitive impairment. We investigated glucose metabolism in 96 FM patients. Enrolled patients were divided into two groups: 48 patients with memory deficit (group A) and 48 without memory deficit (control group). We evaluated glucose and insulin levels after a 2 h-Oral-Glucose-Tolerance-Test (2 h-OGTT) and insulin resistance (IR) by the homeostasis model assessment formula (HOMA). Body Mass Index (BMI), waist-to-hip-ratio (WHR), anxiety level, fasting plasma insulin and Non-Steroidal Anti-Inflammatory agents use were higher in patients with FM with memory impairment; while age, sex, waist circumference, education level, fasting plasma glucose, glycate hemoglobin, triglycerides, blood lipid profile, C- Reactivity-Protein (CRP), blood pressure and smoking habits were similar in both groups. Following OGTT the prevalence of glucose metabolism abnormalities was significantly higher in group A. IR was present in 79% patients, of whom 23% had also impaired glucose tolerance, 4% newly diagnosed diabetes mellitus and 52% IR only. Obesity and overweight prevailed in group A. IR, but not BMI or WHR was associated to an increased risk of memory impairment (OR = 2,6; 95% CI: 1,22-3,7). The results of this study suggest that IR may represent a risk factor for memory impairment in fibromialgic patients.
Collapse
|
10
|
Fava A, Pirritano D, Consoli D, Plastino M, Casalinuovo F, Cristofaro S, Colica C, Ermio C, De Bartolo M, Opipari C, Lanzo R, Consoli A, Bosco D. Chronic migraine in women is associated with insulin resistance: a cross-sectional study. Eur J Neurol 2013; 21:267-72. [PMID: 24238370 DOI: 10.1111/ene.12289] [Citation(s) in RCA: 65] [Impact Index Per Article: 5.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/20/2013] [Accepted: 09/23/2013] [Indexed: 12/17/2022]
Abstract
BACKGROUND AND PURPOSE Migraine is a common neurological disorder. It can be divided into episodic migraine (EM) and chronic migraine (CM), based on headache frequency. Some studies have shown that insulin sensitivity is impaired in migraine; moreover, hypertension, diabetes and obesity are common in patients with CM. The aim of this study was to assess serum glucose, insulin levels and insulin resistance (IR) in a sample of episodic migraineurs, chronic migraineurs and non-pain healthy controls. METHODS Eighty-three women with EM, 83 with CM and 83 healthy controls were recruited. Headache was diagnosed according to the latest International Classification of Headache Disorders 2 criteria. Waist circumference, body mass index (BMI) and blood pressure were measured. Checked metabolic parameters included fasting glucose, the 2 h 75 g oral glucose tolerance test (2 h OGTT), serum HbA1c, blood lipid profile, C-reactive protein and prolactin. The homeostasis model assessment formula was used to calculate IR. RESULTS A significant prevalence of IR in CM was observed (P = 0.002). No significant associations were found with fasting glycaemia, the 2 h OGTT, HbA1c, blood lipid profile, C-reactive protein, prolactin and waist circumference. Obesity (BMI >30 kg/m(2)) was associated with an increased risk of CM [odds ratio (OR) 2.4]. When the outcome of interest was the association between IR and obesity, the OR was significantly increased compared with IR alone (OR = 13.2). CONCLUSION This may suggest that CM is associated with IR status, particularly when it is in partnership with obesity.
Collapse
Affiliation(s)
- A Fava
- Department of Clinical and Experimental Medicine, University of Catanzaro, Catanzaro, Italy
| | | | | | | | | | | | | | | | | | | | | | | | | |
Collapse
|
11
|
Fava A, Pirritano D, Plastino M, Cristiano D, Puccio G, Colica C, Ermio C, De Bartolo M, Mauro G, Bosco D. The Effect of Lipoic Acid Therapy on Cognitive Functioning in Patients with Alzheimer's Disease. J Neurodegener Dis 2013; 2013:454253. [PMID: 26316990 PMCID: PMC4437336 DOI: 10.1155/2013/454253] [Citation(s) in RCA: 29] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/24/2012] [Revised: 02/27/2013] [Accepted: 03/13/2013] [Indexed: 01/21/2023]
Abstract
Diabetes mellitus (DM) is an important risk factor for Alzheimer's disease (AD). Most diabetic patients have insulin resistance (IR) that is associated with compensatory hyperinsulinemia, one of the mechanisms suggested for increased AD risk in patients with DM. Alpha-lipoic acid (ALA) is a disulfide molecule with antioxidant properties that has positive effects on glucose metabolism and IR. This study evaluated the effect of ALA treatment (600 mg/day) on cognitive performances in AD patients with and without DM. One hundred and twenty-six patients with AD were divided into two groups, according to DM presence (group A) or absence (group B). Cognitive functions were assessed by MMSE, Alzheimer's Disease Assessment Scale-cognitive (ADAS-Cog), Clinician's Interview-Based Impression of Severity (CIBIC), Clinical Dementia Rating (CDR), and Alzheimer's Disease Functional and Change Scale (ADFACS). IR was assessed by HOMA index. At the end of the study, MMSE scores showed a significant improvement in 43% patients of group A (26 subjects) and 23% of group B (15 subjects), compared to baseline (P = .001). Also ADAS-Cog, CIBIC, and ADFACS scores showed a significant improvement in group A versus group B. IR was higher in group A. Our study suggests that ALA therapy could be effective in slowing cognitive decline in patients with AD and IR.
Collapse
Affiliation(s)
- Antonietta Fava
- Department of Clinical and Experimental Medicine, University of Catanzaro, 88100 Catanzaro, Italy
| | - Domenico Pirritano
- Department of Neuroscience, “S. Giovanni di Dio” Hospital, 88900 Crotone, Italy
| | | | - Dario Cristiano
- Department of Neuroscience, “S. Giovanni di Dio” Hospital, 88900 Crotone, Italy
| | - Giovanna Puccio
- Department of Neuroscience, “S. Giovanni di Dio” Hospital, 88900 Crotone, Italy
| | - Carmen Colica
- Institute of Neurological Science, National Research Council, Roccelletta di Borgia, 88021 Catanzaro, Italy
| | - Caterina Ermio
- Department of Neuroscience, “S. Giovanni Paolo II” Hospital, 88046 Lamezia Terme, Catanzaro, Italy
| | - Matteo De Bartolo
- Neurophysiology Unit, General Hospital, 87067 Rossano, Cosenza, Italy
| | - Gaetano Mauro
- General Medicine Unit, General Hospital, 87055 San Giovanni in Fiore, Cosenza, Italy
| | - Domenico Bosco
- Department of Neuroscience, “S. Giovanni di Dio” Hospital, 88900 Crotone, Italy
| |
Collapse
|
12
|
Cerasa A, Valentino P, Chiriaco C, Pirritano D, Nisticò R, Gioia CM, Trotta M, Del Giudice F, Tallarico T, Rocca F, Augimeri A, Bilotti G, Quattrone A. MR imaging and cognitive correlates of relapsing-remitting multiple sclerosis patients with cerebellar symptoms. J Neurol 2012; 260:1358-66. [PMID: 23271221 DOI: 10.1007/s00415-012-6805-y] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/16/2012] [Revised: 12/04/2012] [Accepted: 12/12/2012] [Indexed: 10/27/2022]
Abstract
Multiple sclerosis (MS) is a demyelinating disease affecting the central nervous system, frequently associated with cognitive impairments. Damages of the cerebellum are very common features of patients with MS, although the impact of this clinical factor is generally neglected. Recent evidence from our group demonstrated that MS patients with cerebellar damages are characterized by selective cognitive dysfunctions related to attention and language abilities. Here, we aimed at investigating the presence of neuroanatomical abnormalities in relapsing-remitting MS patients with (RR-MSc) and without (RR-MSnc) cerebellar signs. Twelve RR-MSc patients, 14 demographically, clinically, and radiologically, matched RR-MSnc patients and 20 controls were investigated. All patients underwent neuropsychological assessment. After refilling of FLAIR lesions on the 3D T1-weighted images, VBM was performed using SPM8 and DARTEL. A correlation analysis was performed between VBM results and neuropsychological variables characterizing RR-MSc patients. Despite a similar clinical status, RR-MSc patients were characterized by more severe cognitive damages in attention and language domains with respect to RR-MSnc and controls. With respect to controls, RR-MSnc patients were characterized by a specific atrophy of the bilateral thalami that became more widespread (including motor cortex) in the RR-MSc group (FWE < 0.05). However, consistent with their well-defined neuropsychological deficits, RR-MSc group showed atrophies in the prefrontal and temporal cortical areas when directly compared with RR-MSnc group. Our results demonstrated that RR-MS patients having cerebellar signs were characterized by a distinct neuroanatomical profile, mainly involving cortical regions underpinning executive functions and verbal fluency.
Collapse
Affiliation(s)
- Antonio Cerasa
- Neuroimaging Research Unit, Institute of Neurological Sciences, National Research Council, 88100, Germaneto, CZ, Italy.
| | | | | | | | | | | | | | | | | | | | | | | | | |
Collapse
|
13
|
Cerasa A, Gioia MC, Valentino P, Nisticò R, Chiriaco C, Pirritano D, Tomaiuolo F, Mangone G, Trotta M, Talarico T, Bilotti G, Quattrone A. Computer-Assisted Cognitive Rehabilitation of Attention Deficits for Multiple Sclerosis. Neurorehabil Neural Repair 2012. [DOI: 10.1177/1545968312465194] [Citation(s) in RCA: 110] [Impact Index Per Article: 9.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Background. Although a growing body of evidence has highlighted the role of cognitive rehabilitation (CR) in the management of cognitive dysfunctions in multiple sclerosis (MS), there is still no evidence for a validated therapeutic approach. Objective. We propose a new therapeutic strategy characterized by a computer-based intensive attention training program in MS patients with predominant attention deficits. We aim to investigate the effectiveness of our rehabilitation procedure, tailored for those with impaired abilities, using functional magnetic resonance imaging (fMRI). Methods. Using a double-blind randomized controlled study, we enrolled 12 MS patients, who underwent a CR program (experimental group), and 11 age-gender–matched MS patients, who underwent a placebo intervention (control group). fMRI was recorded during the execution of a cognitive task broadly used for assessing attention abilities in MS patients (paced visual serial addition test). Results. Significant effects were detected both at a phenotypic and at an intermediate phenotypic level. After CR, the experimental group, in comparison with the control group, showed a specific enhanced performance in attention abilities as assessed by the Stroop task with an effect size of 0.88, which was associated with increased activity in the posterior cerebellar lobule and in the superior parietal lobule. Conclusions. Our study demonstrates that intensive CR tailored for those with impaired abilities affects neural plasticity and improves some aspects of cognitive deficits in MS patients. The reported neurophysiological and behavioral effects corroborate the benefits of our therapeutic approach, which might have a reliable application in the clinical management of cognitive deficits in MS.
Collapse
Affiliation(s)
- Antonio Cerasa
- Unità di Ricerca Neuroimmagini, ISN-CNR, Catanzaro, Italy
| | | | - Paola Valentino
- Unità di Neurologia, Università degli studi “Magna Graecia,” Catanzaro, Italy
| | - Rita Nisticò
- Unità di Neurologia, Università degli studi “Magna Graecia,” Catanzaro, Italy
| | | | - Domenico Pirritano
- Unità di Neurologia, Università degli studi “Magna Graecia,” Catanzaro, Italy
| | | | | | - Maria Trotta
- Unità di Neurologia, Università degli studi “Magna Graecia,” Catanzaro, Italy
| | - Tiziana Talarico
- Unità di Neurologia, Università degli studi “Magna Graecia,” Catanzaro, Italy
| | - Giacinta Bilotti
- Unità di Neurologia, Università degli studi “Magna Graecia,” Catanzaro, Italy
| | - Aldo Quattrone
- Unità di Ricerca Neuroimmagini, ISN-CNR, Catanzaro, Italy
- Unità di Neurologia, Università degli studi “Magna Graecia,” Catanzaro, Italy
| |
Collapse
|
14
|
Cerasa A, Passamonti L, Valentino P, Nisticò R, Pirritano D, Gioia MC, Chiriaco C, Mangone G, Perrotta P, Quattrone A. Cerebellar-parietal dysfunctions in multiple sclerosis patients with cerebellar signs. Exp Neurol 2012; 237:418-26. [DOI: 10.1016/j.expneurol.2012.07.020] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/26/2012] [Accepted: 07/31/2012] [Indexed: 10/28/2022]
|
15
|
Nisticò R, Pirritano D, Novellino F, Salsone M, Morelli M, Valentino P, Condino F, Arabia G, Quattrone A. Blink reflex recovery cycle in patients with essential tremor associated with resting tremor. Neurology 2012; 79:1490-5. [PMID: 22993289 DOI: 10.1212/wnl.0b013e31826d5f83] [Citation(s) in RCA: 28] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
OBJECTIVE An increased R2 recovery component of the blink reflex (R2-BRrc) has been commonly observed in Parkinson disease, cranio-cervical dystonia, and dystonic tremor, while the BRrc was reported normal in patients with essential tremor (ET). We studied BRrc in patients with ET associated with resting tremor (rET) in comparison with patients with ET. METHODS This was a cross-sectional study investigating R2-BRrc at interstimulus intervals (ISI) of 100, 150, 200, 300, 400, 500, and 750 msec in 14 patients with rET, 14 patients with ET, and 16 healthy controls. To compare individual patients, we calculated an R2 recovery index in each subject as the mean of R2 area ratio values at ISIs of 150, 200, 300, 400, and 500 msec. All patients and controls underwent DAT-SPECT. RESULTS Patients with rET differed from those with ET for the presence of resting tremor associated in several cases (36%) with a subtle arm dystonia. DAT-SPECT was normal in all patients and controls. All patients with rET (with and without dystonia) had an increased R2-BRrc while all patients with ET had a normal BRrc comparable to that of control subjects. The R2 recovery index was abnormal in all patients with rET but in none of the patients with ET. CONCLUSIONS Patients with rET showed increased R2-BRrc, suggesting that this form of tremor may be a dystonic tremor rather than a subtype of ET. BRrc helps to correctly diagnose DAT-negative patients with resting tremor also in the absence of overt dystonic posturing.
Collapse
Affiliation(s)
- Rita Nisticò
- Department of Medical Sciences, University Magna Graecia, Cosenza, Italy
| | | | | | | | | | | | | | | | | |
Collapse
|
16
|
Nisticò R, Pirritano D, Salsone M, Valentino P, Novellino F, Condino F, Bono F, Quattrone A. Blink reflex recovery cycle in patients with dystonic tremor: a cross-sectional study. Neurology 2012; 78:1363-5. [PMID: 22496196 DOI: 10.1212/wnl.0b013e3182518316] [Citation(s) in RCA: 31] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Affiliation(s)
- R Nisticò
- University Magna Graecia, Neuroimaging Research Unit, National Research Council, Catanzaro, Italy
| | | | | | | | | | | | | | | |
Collapse
|
17
|
Valentino P, Nisticò R, Pirritano D, Bilotti G, Del Giudice F, Sturniolo M, Quattrone A. Lamotrigine therapy for paroxysmal dysarthria caused by multiple sclerosis: a case report. J Neurol 2011; 258:1349-50. [PMID: 21264473 DOI: 10.1007/s00415-011-5901-8] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/05/2010] [Revised: 12/23/2010] [Accepted: 01/03/2011] [Indexed: 11/27/2022]
|
18
|
Abstract
BACKGROUND Idiopathic peripheral facial nerve palsy or Bell's palsy (BP) is the most common cause of facial nerve palsy. OBJECTIVE To evaluate the role of glucose metabolism abnormalities in BP. METHODS We identified 148 patients with unilateral BP and 128 control subjects. In all we evaluated glucose level at fasting and after a 2-h oral glucose tolerance test (2h-OGTT). In addition we determined insulin resistance (IR), by HOMA-index. Patients and controls were divided in to two groups, according to their Body Mass Index (BMI). RESULTS Following a 2h-OGTT, the prevalence of glucose metabolism abnormalities was significantly higher in patients with BP than in controls (P < 0.001). Impaired glucose tolerance (IGT) was found in 57 (38%) patients and in 23 (18%) controls, while a new-diagnosed DM (NDDM) was found in 29 (19%) patients and in 8 (6%) controls. The IR was significantly increased only in BP patients with BMI ≥ 24.9 (P = 0.005). BMI, waist circumference, blood pressure, tryglicerides, serum lipid, drugs use were not significantly different between patients and controls. CONCLUSIONS In this study we found that prediabetes is frequently associated with facial palsy. We propose to perform a 2h-OGTT in patients with peripheral facial palsy and normal fasting glycaemia. HOMA-index should be evaluated in obese facial palsy patients.
Collapse
Affiliation(s)
- D Bosco
- Department of Neuroscience, S. Giovanni di Dio Hospital, Crotone, Italy.
| | | | | | | | | | | | | | | |
Collapse
|
19
|
Nisticò R, Pirritano D, Salsone M, Novellino F, Del Giudice F, Morelli M, Trotta M, Bilotti G, Condino F, Cherubini A, Valentino P, Quattrone A. Synchronous pattern distinguishes resting tremor associated with essential tremor from rest tremor of Parkinson's disease. Parkinsonism Relat Disord 2010; 17:30-3. [PMID: 21071257 DOI: 10.1016/j.parkreldis.2010.10.006] [Citation(s) in RCA: 42] [Impact Index Per Article: 3.0] [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: 08/04/2010] [Revised: 10/01/2010] [Accepted: 10/11/2010] [Indexed: 11/30/2022]
Abstract
Rest tremor associated with essential tremor (ET) is a condition that poses challenges in diagnosing Parkinson's disease (PD). We investigated tremor parameters in PD and ET patients with rest tremor. Fifteen patients with PD and 15 patients with ET underwent electrophysiological examination to evaluate characteristics of muscle bursting in rest postures. Rest tremor amplitude of PD patients was significantly higher than that of patients with ET (p = 0.002), whereas burst duration and frequency were significantly higher in ET than in PD group (p = 0.002, p < 0.001, respectively). Patients with PD, however, showed some overlap of these electrophysiological values with values from patients with ET. By contrast, rest tremor pattern showed no overlap between the two diseases, because all patients with ET presented a synchronous pattern whereas PD patients had an alternating pattern (p < 0.001), a finding that differentiated the patients on an individual basis. The electromyographic pattern of rest tremor may help to differentiate PD from ET.
Collapse
Affiliation(s)
- R Nisticò
- Neuroimaging Research Unit, National Research Council, Catanzaro, Italy
| | | | | | | | | | | | | | | | | | | | | | | |
Collapse
|
20
|
Plastino M, Fava A, Pirritano D, Cotronei P, Sacco N, Sperlì T, Spanò A, Gallo D, Mungari P, Consoli D, Bosco D. Effects of insulinic therapy on cognitive impairment in patients with Alzheimer disease and diabetes mellitus type-2. J Neurol Sci 2010; 288:112-6. [PMID: 19836029 DOI: 10.1016/j.jns.2009.09.022] [Citation(s) in RCA: 74] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/08/2009] [Revised: 09/23/2009] [Accepted: 09/23/2009] [Indexed: 11/17/2022]
Abstract
BACKGROUND Type-2 Diabetes Mellitus (DM-2) is an important risk factor for Alzheimer disease (AD) and vascular dementia (VD). The role of insulinic therapy on cognitive decline is controversial. OBJECTIVE To evaluate cognitive impairment in patients with AD and DM-2 treated with either oral antidiabetic drugs or combination of insulin with other diabetes medications. METHODS 104 patients with mild-to-moderate AD and DM-2 were divided into two groups, according to antidiabetic pharmacotherapy: group A, patients treated with oral antidiabetic drugs and group B, patients treated with insulin combined with other oral antidiabetic medications. Cognitive functions were assessed by the Mini Mental State Examination (MMSE) and the Clinician's Global Impression (CGI), with a follow-up of 12 months. RESULTS At the end of the study, the MMSE scores showed a significant worsening in 56.5% patients of group A and in 23.2% patients of group B, compared to baseline MMSE scores (P=.001). Also CGI-C scores showed a significant worsening for all domains after 12 months in group A vs group B (P=.001). The two groups were matched for body mass index, serum lipids, triglycerides, Apo epsilon4 allele and smoke habit. Conversely, ischemic heart disease and hypertension were significantly higher in group B (P=.002). After adjustment for this risk variables, our results remained significant (P=.001). CONCLUSIONS Our study suggests that insulinic therapy could be effective in slowing cognitive decline in patients with AD.
Collapse
|
21
|
Paglionico S, Arabia G, Pirritano D, Quattrone A, Lavano A, De Rose M. Deep brain stimulation in a patient with isolated mixed tremor. Mov Disord 2009; 25:248-50. [DOI: 10.1002/mds.22901] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
|
22
|
Bosco D, Plastino M, Fava A, Ettore M, Bosco F, Ermio C, Tallarigo F, Pirritano D, Consoli D. Role of the Oral Glucose Tolerance Test (OGTT) in the idiopathic restless legs syndrome. J Neurol Sci 2009; 287:60-3. [DOI: 10.1016/j.jns.2009.09.008] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/10/2009] [Revised: 09/04/2009] [Accepted: 09/08/2009] [Indexed: 11/28/2022]
|
23
|
Valentino P, Cerasa A, Chiriaco C, Nisticò R, Pirritano D, Gioia MC, Lanza P, Canino M, Del Giudice F, Gallo O, Condino F, Torchia G, Quattrone A. Cognitive deficits in multiple sclerosis patients with cerebellar symptoms. Mult Scler 2009; 15:854-9. [DOI: 10.1177/1352458509104589] [Citation(s) in RCA: 45] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Background Cerebellar dysfunction is common in patients with multiple sclerosis (MS). However, neuropsychological studies of this clinical feature are lacking. Objective We investigate the neuropsychological features in relapsing-remitting MS (RR-MS) patients with and without cerebellar dysfunction. Methods Twenty-one RR-MS patients with cerebellar dysfunction (RR-MSc), characterized by prevalent ataxic gait and nystagmus, and 21 RR-MS patients without any cerebellar manifestation (RR-MSnc) pair-matched for demographical and clinical variables were studied. All patients from each group underwent an extensive battery of neuropsychological tests. Magnetic resonance imaging analysis included hyperintense fast fluid-attenuated inversion-recovery lesion load in the whole brain as well as in the four lobes separately. Results Any significant differences were detected in total and regional lesion load measurements between the two groups. RR-MSc group performed equally as well as the RR-MSnc group on many of the cognitive exploration measures. Nevertheless, the RR-MSc group performed more poorly than the RR-MSnc group on attention tests (Symbol Digit Modalities Test) and verbal fluency tests (Controlled Oral Word Association Test); neither of the test results proved to be affected by regional lesion loads. Conclusion These results highlight the importance of considering cognitive deficits associated with the presence of cerebellar symptoms in RR-MS.
Collapse
Affiliation(s)
- P Valentino
- Institute of Neurology, University Magna Graecia, Catanzaro, Italy
| | - A Cerasa
- Institute of Neurological Sciences, National Research Council, Piano Lago di Mangone, Cosenza, Italy
| | - C Chiriaco
- Institute of Neurology, University Magna Graecia, Catanzaro, Italy
| | - R Nisticò
- Institute of Neurological Sciences, National Research Council, Piano Lago di Mangone, Cosenza, Italy
| | - D Pirritano
- Institute of Neurology, University Magna Graecia, Catanzaro, Italy
| | - MC Gioia
- Institute of Neurological Sciences, National Research Council, Piano Lago di Mangone, Cosenza, Italy
| | - P Lanza
- Institute of Neurological Sciences, National Research Council, Piano Lago di Mangone, Cosenza, Italy
| | - M Canino
- Institute of Neurology, University Magna Graecia, Catanzaro, Italy
| | - F Del Giudice
- Institute of Neurology, University Magna Graecia, Catanzaro, Italy
| | - O Gallo
- Institute of Neurological Sciences, National Research Council, Piano Lago di Mangone, Cosenza, Italy
| | - F Condino
- Institute of Neurological Sciences, National Research Council, Piano Lago di Mangone, Cosenza, Italy
| | - G Torchia
- Institute of Neurological Sciences, National Research Council, Piano Lago di Mangone, Cosenza, Italy
| | - A Quattrone
- Institute of Neurology, University Magna Graecia, Catanzaro, Italy; Institute of Neurological Sciences, National Research Council, Piano Lago di Mangone, Cosenza, Italy
| |
Collapse
|
24
|
Andreoli V, Trecroci F, La Russa A, Valentino P, Condino F, Latorre V, Nisticò R, Pirritano D, Del Giudice F, Canino M, Cittadella R, Quattrone A. CASP-9: A susceptibility locus for multiple sclerosis in Italy. J Neuroimmunol 2009; 210:100-3. [PMID: 19359048 DOI: 10.1016/j.jneuroim.2009.03.013] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/10/2008] [Revised: 02/24/2009] [Accepted: 03/05/2009] [Indexed: 11/17/2022]
Abstract
Caspase-9 is a primary effector CASP that executes programmed cell death, which plays an important role in the development of multiple sclerosis (MS). Polymorphisms in the CASP-9 gene may influence its activity, thereby modulating the susceptibility to MS. To test this hypothesis, we evaluated a SNP in the CASP-9 gene in a set of Italian patients from Southern Italy and healthy control subjects. Our results suggest that the presence of the G/G genotype represents a higher risk factor in our MS population and a differential production of CASP-9 might be a contributory factor in determining the severity of MS.
Collapse
Affiliation(s)
- V Andreoli
- Institute of Neurological Sciences, National Research Council, Pianolago di Mangone, Cosenza, Italy.
| | | | | | | | | | | | | | | | | | | | | | | |
Collapse
|
25
|
Valentino P, Labate A, Nisticò R, Pirritano D, Cerasa A, Liguori M, Bastone L, Crescibene L, Quattrone A. Anti-GM1 antibodies are not associated with cerebral atrophy in patients with multiple sclerosis. Mult Scler 2009; 15:114-5. [DOI: 10.1177/1352458508096685] [Citation(s) in RCA: 7] [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] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Objectives The aim of this study was to correlate the brain atrophy with serum levels of anti-GM1 antibodies in patients with relapsing–remitting multiple sclerosis (RRMS). Methods Plasma sample from 52 patients with RRMS and 65 healthy controls were examined for anti-GM1 antibodies. Patients with RRMS underwent to MRI study with automated method called SIENAX that calculated an estimate of gray matter (GMV) and white matter (WMV) volumes. Results The percentage of RRMS patients with increased anti-GM1 was 37.8%. Elevated levels of anti-GM1 antibodies did not correlate with brain atrophy. Conclusions Anti-GM1 antibodies do not represent a marker of axonal damage in patients with RRMS.
Collapse
Affiliation(s)
- P Valentino
- Institute of Neurology, University Magna Græcia, Catanzaro, Italy
| | - A Labate
- Institute of Neurology, University Magna Græcia, Catanzaro, Italy; Institute of Neurological Sciences, National Research Council, Mangone (CS), Italy
| | - R Nisticò
- Institute of Neurological Sciences, National Research Council, Mangone (CS), Italy
| | - D Pirritano
- Institute of Neurology, University Magna Græcia, Catanzaro, Italy
| | - A Cerasa
- Institute of Neurological Sciences, National Research Council, Mangone (CS), Italy
| | - M Liguori
- Institute of Neurological Sciences, National Research Council, Mangone (CS), Italy
| | - L Bastone
- Institute of Neurological Sciences, National Research Council, Mangone (CS), Italy
| | - L Crescibene
- Institute of Neurological Sciences, National Research Council, Mangone (CS), Italy
| | - A Quattrone
- Institute of Neurology, University Magna Græcia, Catanzaro, Italy; Institute of Neurological Sciences, National Research Council, Mangone (CS), Italy
| |
Collapse
|
26
|
Valentino P, Labate A, Pirritano D, Crescibene L, Cascini G, Quattrone A. Orolingual tremor as unusual presentation of anti-Hu paraneoplastic syndrome. Mov Disord 2008; 23:1791-2. [DOI: 10.1002/mds.22205] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022] Open
|
27
|
Andreoli V, Cittadella R, Valentino P, Condino F, La Russa A, Liguori M, Manna I, Spadafora P, Nisticò R, Pirritano D, Clodomiro A, Quattrone A. The role of VLA4 polymorphisms in multiple sclerosis: An association study. J Neuroimmunol 2007; 189:125-8. [PMID: 17609118 DOI: 10.1016/j.jneuroim.2007.06.015] [Citation(s) in RCA: 7] [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] [Received: 03/22/2007] [Revised: 05/29/2007] [Accepted: 06/20/2007] [Indexed: 11/24/2022]
Abstract
Lymphocyte and monocyte brain infiltration determines inflammation in multiple sclerosis. The trafficking of these cells into the CNS results from the VLA-4 binding with its ligand on brain endothelial cells. MS patients treated with an antibody against the alpha-4 subunit, which inhibits this interaction, prevents brain lesion development. We investigated the association between VLA-4 gene polymorphisms and MS in a study on 275 patients and 255 controls. No differences were detected, thus suggesting that these polymorphisms are not a significant genetic risk factor for susceptibility to MS in Italy.
Collapse
Affiliation(s)
- V Andreoli
- Institute of Neurological Sciences, National Research Council, Piano Lago di Mangone, Cosenza, Italy.
| | | | | | | | | | | | | | | | | | | | | | | |
Collapse
|
28
|
Caroleo S, Longo C, Pirritano D, Nisticò R, Valentino P, Iocco M, Santangelo E, Amantea B. A case of acute quadriplegia complicating Mediterranean spotted fever. Clin Neurol Neurosurg 2007; 109:463-5. [PMID: 17382465 DOI: 10.1016/j.clineuro.2007.02.007] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/02/2006] [Revised: 02/14/2007] [Accepted: 02/15/2007] [Indexed: 11/18/2022]
Abstract
Mediterranean spotted fever is a rickettsiosis caused by Rickettsia conorii. Mediterranean spotted fever is considered to be a benign disease, however, approximately 10% of patients present with a severe systemic manifestation in which neurologic involvement occurs. We present a case of an 80-year-old man with a R. conorii infection who developed an acute quadriplegia secondary to an axonal polyneuropathy. The characteristic tache noire was observed on the lateral region of the thigh and elevated IgM antibody titres against R. conorii were detected by an indirect immunofluorescence test.
Collapse
Affiliation(s)
- Santo Caroleo
- Institute of Anaesthesiology, Reanimation and Intensive Care Medicine, University Magna Graecia, Catanzaro, Italy.
| | | | | | | | | | | | | | | |
Collapse
|
29
|
Gallelli L, Colosimo M, Pirritano D, Ferraro M, De Fazio S, Marigliano NM, De Sarro G. Retrospective Evaluation of Adverse??Drug Reactions Induced??by??Nonsteroidal Anti-Inflammatory Drugs. Clin Drug Investig 2007; 27:115-22. [PMID: 17217316 DOI: 10.2165/00044011-200727020-00004] [Citation(s) in RCA: 37] [Impact Index Per Article: 2.2] [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: 11/02/2022]
Abstract
BACKGROUND AND OBJECTIVE Nonsteroidal anti-inflammatory drugs (NSAIDs) are among the most widely prescribed drugs, and their use can be complicated by the development of adverse drug reactions (ADRs). The aim of this study was to assess the frequency of NSAID-induced ADRs in hospitalised patients in the Clinical Divisions of the Catanzaro and Cosenza hospitals. METHODS We retrospectively analysed NSAID-induced ADRs after evaluating all ADRs recorded by the Clinical Divisions of the Catanzaro and Cosenza hospitals over a 10-year period, from January 1995 to December 2004. RESULTS NSAIDs were found to be responsible for 55.2% of the episodes of ADRs overall. Diclofenac and aspirin (acetylsalicylic acid) were the drugs most frequently involved in the development of ADRs, while the skin was the body system most susceptible to NSAID-induced ADRs (43%). We determined that the drug-ADR relationship was probable in 62% of the reports; withdrawal of NSAID therapy led to a resolution of the clinical features of ADRs in 86% of episodes. CONCLUSION NSAID therapy represents a common cause of ADRs in hospitalised patients. Their use should be carefully considered, especially in the presence of polydrug therapy.
Collapse
Affiliation(s)
- L Gallelli
- Department of Experimental and Clinical Medicine, Faculty of Medicine and Surgery, University Magna Graecia of Catanzaro, Mater Domini University Hospital, Catanzaro, Italy.
| | | | | | | | | | | | | |
Collapse
|
30
|
Manna I, Valentino P, La Russa A, Condino F, Nisticò R, Liguori M, Clodomiro A, Andreoli V, Pirritano D, Cittadella R, Quattrone A. Genetic variation in the myeloperoxidase gene and cognitive impairment in multiple sclerosis. J Negat Results Biomed 2006; 5:3. [PMID: 16504169 PMCID: PMC1420327 DOI: 10.1186/1477-5751-5-3] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/10/2005] [Accepted: 02/27/2006] [Indexed: 11/10/2022] Open
Abstract
There is evidence that multiple sclerosis (MS) may associated with cognitive impairment in 25 to 40% of cases. The gene encoding myeloperoxidase (MPO) is involved in molecular pathways leading to beta-amyloid deposition. We investigated a functional biallelic (G/A) polymorphism in the promoter region (-463) of the MPO gene in 465 patients affected by MS, divided into 204 cognitively normal and 261 impaired. We did not find significant differences in allele or genotype distributions between impaired and preserved MS patients. Our findings suggest that MPO polymorphism is not a risk factor for cognitive impairment in MS.
Collapse
Affiliation(s)
- I Manna
- Institute of Neurological Science, National Research Council, Cosenza, Italy
| | - P Valentino
- Department of Medical Sciences, Institute of Neurology, University "Magna Graecia", Catanzaro, Italy
| | - A La Russa
- Institute of Neurological Science, National Research Council, Cosenza, Italy
| | - F Condino
- Institute of Neurological Science, National Research Council, Cosenza, Italy
| | - R Nisticò
- Department of Medical Sciences, Institute of Neurology, University "Magna Graecia", Catanzaro, Italy
| | - M Liguori
- Institute of Neurological Science, National Research Council, Cosenza, Italy
| | - A Clodomiro
- Department of Medical Sciences, Institute of Neurology, University "Magna Graecia", Catanzaro, Italy
| | - V Andreoli
- Institute of Neurological Science, National Research Council, Cosenza, Italy
| | - D Pirritano
- Department of Medical Sciences, Institute of Neurology, University "Magna Graecia", Catanzaro, Italy
| | - R Cittadella
- Institute of Neurological Science, National Research Council, Cosenza, Italy
| | - A Quattrone
- Institute of Neurological Science, National Research Council, Cosenza, Italy
- Department of Medical Sciences, Institute of Neurology, University "Magna Graecia", Catanzaro, Italy
| |
Collapse
|
31
|
Valentino P, Conforti FL, Pirritano D, Nisticò R, Mazzei R, Patitucci A, Sprovieri T, Gabriele AL, Muglia M, Clodomiro A, Gambardella A, Zappia M, Quattrone A. Brachial amyotrophic diplegia associated with a novel SOD1 mutation (L106P). Neurology 2005; 64:1477-8. [PMID: 15851752 DOI: 10.1212/01.wnl.0000158679.47281.03] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Affiliation(s)
- P Valentino
- Institute of Neurology, University Magna Graecia, Catanzaro, Italy
| | | | | | | | | | | | | | | | | | | | | | | | | |
Collapse
|
32
|
Gallelli L, Nardi M, Prantera T, Barbera S, Raffaele M, Arminio D, Pirritano D, Colosimo M, Maselli R, Pelaia G, De Gregorio P, De Sarro GB. Retrospective analysis of adverse drug reactions induced by gemcitabine treatment in patients with non-small cell lung cancer. Pharmacol Res 2004; 49:259-63. [PMID: 14726222 DOI: 10.1016/j.phrs.2003.10.001] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Abstract
Non-small cell lung cancer (NSCLC) is the leading cause of cancer death in the world. Traditional chemotherapy for advanced NSCLC is often considered excessively toxic. Recent clinical trials documented that gemcitabine may represent a good therapeutical option in patients with NSCLC. Aim of our research was to retrospectively evaluate the adverse effects induced by gemcitabine in patients with NSCLC from 1 January 1997 to 31 December 2002, in clinical records of Oncology Divisions of "S. Giovanni di Dio" Hospital of Crotone, "Ospedali Riuniti" Hospital of Reggio Calabria, Hospital of Paola, and in Pneumological Oncology Division of "Mariano Santo" Hospital of Cosenza, Italy. Clinical records of patients treated with gemcitabine (1000mgm(-2) on days 1 and 8) were reviewed and following data were obtained: sex and age of the patients, histologic diagnosis and disease stage, World Health Organisation (WHO) performance status and toxic effects induced by gemcitabine. We reported that 71.6% of NSCLC patients (age range 48-77 years; 135 males, 27 females; performance status 0=53, 1=109) were eligible for our study. Side effect of gemcitabine involved gastrointestinal system (nausea, vomiting and diarrhoea) and only in the last cycles (VIII-XI) emopoiethic system (leukopenia, neutropenia, thrombocytopenia and anemia). Grade IV vomiting occurred in three patients, thrombocytopenia in two. Grade III leukopenia was observed in three patients. Other toxicities were mild. None of the patients died during chemotherapy. In conclusion, these data showed that gemcitabine present a very good tolerability in patients with NSCLC. Therefore, it could be considered as a new therapeutic agents to use as first line therapy for this disease.
Collapse
Affiliation(s)
- L Gallelli
- Chair of Pharmacology, Department of Experimental and Clinical Medicine, University of Catanzaro, Regional Pharmacovigilance Center, University of Catanzaro, Via T. Campanella 115, 88100, Catanzaro, Italy,
| | | | | | | | | | | | | | | | | | | | | | | |
Collapse
|
33
|
Allegro R, Serretta V, Aragona F, Motta M, Orestano L, Cammarata C, Melloni D, Magno C, Aragona C, Pirritano D, Paola Q, Cosentino V, Capizzi G, Saita A, Spampinato A, Nicolosi D, Raciti G, Salvia G, Rinella M, Macaluso MP, Orestano F, Vacirca F, Caramia M, Cozzupoli P, De Grande G, Lapira G, Ventrici F, Falvo F, Galfano G, Armenio A, Gange E, Rizzo I, Massarelli M, Saita A, Bartolotta S, Pepe P, Pavone C, Ingargiola G, Taschetti S, Vaccarella G, Contino G, De Leo F. Osservational Study on Early Diagnosis of Prostate Carcinoma in Sicily and Calabria. Urologia 2004. [DOI: 10.1177/039156030407100311] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
The diagnosis of prostate carcinoma has been monitored in Sicily and Calabria for one year. Material e Methods Twenty-seven urological centres of Sicily and Calabria joined the study. Detailed informations about age, familiarity, PSA, Gleason score and TNM stage at diagnosis were centralized between november 2001 and november 2002. Results 721 patients have been recruited. The median age was 73 years. More than 80% of the patients were older than 65 years. Median PSA was 14 ng/ml. The clinical stage at diagnosis was T1c in 33% of patients and 67% had an organ confined prostate cancer (T1-T2). Familiarity was detected in 8% of cases. Age and PSA at diagnosis in these patients were similar to those of the remaining population. However, only 18% of them had a T1 tumor, emphasizing the delay in diagnosis in these patients. Although only 10% of the patients shows at diagnosis a metastatic tumor, 29% only are fit for radical prostatectomy in according to age, PSA and stage.
Collapse
Affiliation(s)
- R. Allegro
- Ist. Urologia, Università di Palermo, Palermo
| | - V. Serretta
- Ist. Urologia, Università di Palermo, Palermo
| | - F. Aragona
- Div. Urologia, Ospedale Cannizzaro, Catania
| | - M. Motta
- Ist. Urologia, Università di Catania, Catania
| | - L. Orestano
- Div. Urologia, Casa di Cura Orestano, Palermo
| | | | - D. Melloni
- Ist. Urologia, Università di Messina, Messina
| | - C. Magno
- Ist. Urologia, Università di Messina, Messina
| | | | | | - Q. Paola
- Div. Urologia, Ospedale Civile, Sciacca (Agrigento)
| | - V. Cosentino
- Div. Urologia, Ospedale Civile, Gela (Caltanissetta)
| | - G. Capizzi
- Div. Urologia, Ospedale Civile, Comiso (Ragusa)
| | - A. Saita
- Ist. Urologia, Università di Catania, Catania
| | | | | | - G. Raciti
- Div. Urologia, Ospedale Oncologico San Luigi, Catania
| | - G. Salvia
- Div. Urologia, Ospedale Civile, Bronte (Catania)
| | - M. Rinella
- Ist. Urologia, Università di Palermo, Palermo
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | - C. Pavone
- (Palermo) Dibenedetto (San Cataldo, Caltanissetra)
| | | | | | | | | | | | | |
Collapse
|
34
|
Serretta V, Morgia G, Fondacaro L, Curto G, Pirritano D, Lo Bianco A, Melloni D, Orestano F, Motta M, Pavone-Macaluso M. Management of symptomatic benign prostatic hyperplasia in southern Italy: a retrospective analysis of the Sicilian-Calabrian Society of Urology (SSCU) of 32,000 patients. Urol Int 2003; 71:16-21. [PMID: 12845254 DOI: 10.1159/000071087] [Citation(s) in RCA: 3] [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] [Received: 04/08/2002] [Accepted: 07/04/2002] [Indexed: 11/19/2022]
Abstract
INTRODUCTION The availability of new pharmacological and surgical options is responsible for important changes in the management of symptomatic benign prostate hyperplasia (BPH). The Sicilian-Calabrian Society of Urology performed a retrospective survey to assess the management of BPH in southern Italy in 1997 and 1998. PATIENTS AND METHODS A 3-page questionnaire was sent to the 36 urological units of these two regions. The real number of patients treated was required. The numbers were checked with data obtained from the Health Regional Offices. RESULTS Twenty-six urological units (72.3%) replied. Almost all patients underwent urinalysis, determination of serum prostate-specific antigen and creatinine levels, and renal and postvoid vesical echography. Uroflowmetry was performed in 69% and transrectal ultrasound in 56% of the patients. International Prostate Symptom Score or other symptom scores were used in 36% of the cases. Out of 31,558 patients with symptomatic BPH, 5,636 were surgically treated. Admission was due to acute urinary retention in 1,324 cases (23.5%). Transurethral resection of the prostate was the commonest procedure, accounting for 59.5% of the interventions. Open prostatectomy was performed in 1,804 patients (32%). Minimally invasive therapies accounted for less than 9% of the treatments. CONCLUSIONS The present survey provides a picture of the current surgical practice in BPH in southern Italy in the late 1990s. Symptom scores are not routinely adopted. The low rate of transurethral prostate resections is in keeping with the worldwide decline. On the contrary, a high rate of open prostatectomies has been detected.
Collapse
Affiliation(s)
- Vincenzo Serretta
- Institute of Urology, University of Palermo, Palermo, and Department of Urology, Civic Hospital, Catanzaro, Italy.
| | | | | | | | | | | | | | | | | | | |
Collapse
|
35
|
Gallelli L, Ferreri G, Colosimo M, Pirritano D, Flocco MA, Pelaia G, Maselli R, De Sarro GB. Retrospective analysis of adverse drug reactions to bronchodilators observed in two pulmonary divisions of Catanzaro, Italy. Pharmacol Res 2003; 47:493-9. [PMID: 12742002 DOI: 10.1016/s1043-6618(03)00003-3] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Abstract
We retrospectively analysed the adverse drug reactions (ADRs) associated with bronchodilator therapy and reported over a 7-year period, from January 1995 to December 2001, in clinical notes of two Pulmonary division of "Mater Domini" University Hospital and "Pugliese-Ciaccio" Hospital, both located in Catanzaro, Italy. Bronchodilators were responsible for 45 (18.5%) out of 243 episodes of ADRs. Theophylline was the drug most involved in ADRs (53.4%), and skin was the body system most susceptible to ADRs induced by all bronchodilators (47.7%). We determined that the drug-ADR relationship was certain in 73% of the reports; withdrawal of the suspected drug led to recovery in 86% of cases. In conclusion, this retrospective evaluation demonstrated that bronchodilators are a common cause of ADRs in hospitalised patients and, therefore, drug surveillance can successfully identify adverse events related with drug administration in hospitalised patients.
Collapse
Affiliation(s)
- L Gallelli
- Department of Experimental and Clinical Medicine, Clinical Pharmacology Unit, University Magna Graecia of Catanzaro, Italy
| | | | | | | | | | | | | | | |
Collapse
|
36
|
Gallelli L, Ferreri G, Colosimo M, Pirritano D, Guadagnino L, Pelaia G, Maselli R, De Sarro GB. Adverse drug reactions to antibiotics observed in two pulmonology divisions of catanzaro, Italy: a six-year retrospective study. Pharmacol Res 2002; 46:395-400. [PMID: 12419643 DOI: 10.1016/s1043661802002104] [Citation(s) in RCA: 33] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
We retrospectively analysed adverse drug reactions (ADRs) associated with antibiotic therapy and reported over a 6-year period, from January 1995 to December 2000, in clinical notes of two Pulmonology Units of "Mater Domini" University Hospital and "Pugliese-Ciaccio" Hospital, both located in Catanzaro, Italy. Antibiotics were responsible for 92 (44.9%) out of 205 episodes of ADRs. In particular, 22 episodes (23.9%) were observed after penicillin G administration, 19 episodes (20.7%) following ceftazidime and cefotaxime administration, 16 episodes (17.4%) after therapy with ampicillin, and 35 reactions (38%) were further reported during treatments with other antibiotics. We determined that the drug-ADR relationship was certain in 63% of the reports; withdrawal of the suspected drug led to recovery in 95% of cases. In conclusion, this retrospective evaluation demonstrated that antibiotics are a common cause of ADRs in hospitalised patients and, therefore, drug surveillance can successfully identify targeted adverse events.
Collapse
Affiliation(s)
- L Gallelli
- Department of Experimental and Clinical Medicine, University Magna Graecia of Catanzaro, Regional Pharmacovigilance Center, Mater Domini University Hospital, Via T. Campanella, Italy
| | | | | | | | | | | | | | | |
Collapse
|
37
|
Serretta V, Morgia G, Fondacaro L, Curto G, Lo bianco A, Pirritano D, Melloni D, Orestano F, Motta M, Pavone-Macaluso M. Open prostatectomy for benign prostatic enlargement in southern Europe in the late 1990s: a contemporary series of 1800 interventions. Urology 2002; 60:623-7. [PMID: 12385922 DOI: 10.1016/s0090-4295(02)01860-5] [Citation(s) in RCA: 174] [Impact Index Per Article: 7.9] [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: 11/19/2022]
Abstract
OBJECTIVES Contemporary series of open prostatectomies from Western countries are rare. Frequently, the analysis of the outcome of open prostatectomy refers to old experiences or to series from developing countries. Any comparison with transurethral resection of the prostate can be invalidated by complications of open surgery because of the lack of an adequate healthcare system and technology. METHODS The Sicilian-Calabrian Society of Urology performed a retrospective study to assess the surgical management of benign prostatic hyperplasia in Sicily and Calabria in 1997 and 1998. A three-page questionnaire was sent to the 36 urologic units of these two Italian regions with more than 7.5 million inhabitants. RESULTS Twenty-six units (72.3%) replied. Of 31,558 patients treated for symptomatic benign prostatic hyperplasia, 5636 underwent surgery. Open prostatectomy (n = 1804) accounted for 32% of all surgical treatment. The median prostate volume was 75 cm(3) and the median serum prostate-specific antigen level was 3.7 ng/mL. The postoperative median hospitalization time was 7 days. Concomitant low urinary tract disease was present in 25% of the patients. Severe bleeding occurred in 11.6% of open prostatectomies. Blood transfusions were given in 8.2% of cases. Sepsis was reported in 8.6% of the patients. Reinterventions, within 2 years, mainly due to bladder neck stenosis, were reported in 3.6% of cases. CONCLUSIONS The results of the present survey provide a current picture of open prostatectomy. This procedure, even if performed nowadays and in Western countries, shows the same significant rate of early and late complications reported in the past or in less-developed countries.
Collapse
|
38
|
Savettieri G, Cittadella R, Valentino P, Manna I, Andreoli V, La Russa A, La Porta G, Ruscica F, Ragonese P, Pirritano D, Bonavita S, Tedeschi G, Quattrone A. Lack of association between estrogen receptor 1 gene polymorphisms and multiple sclerosis in southern Italy in humans. Neurosci Lett 2002; 327:115-8. [PMID: 12098649 DOI: 10.1016/s0304-3940(02)00410-x] [Citation(s) in RCA: 17] [Impact Index Per Article: 0.8] [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: 11/22/2022]
Abstract
Estrogen receptor 1 gene polymorphisms (ESR1) have been found to be associated with multiple sclerosis (MS) in both Japanese and Finnish populations. We investigated the association between ESR1 polymorphisms (PvuII and XbaI) and MS in a study of 132 MS patients and 129 controls from the same geographic background (southern Italy). Allelic and genotypic frequencies were not different between MS patients and population controls for either the PvuII or XbaI polymorphism. This result suggests that the association between a given disease and a genomic characteristic must be confirmed by separate investigations in different populations.
Collapse
|
39
|
Abstract
BACKGROUND Owing to the existing controversy about the role of life-style in the pathogenesis of BPH, the possible associations of LUTS and prostate enlargement with alcohol intake, coffee consumption, smoking, physical activity, body mass index (BMI) and concomitant diseases were studied in the large series of patients of the QUIBUS study. RESULTS Among concomitant diseases, essential hypertension was the most represented. However no apparent additive or synergistic influence on symptoms was recorded in this subset of the population. Coffee consumption was not associated with prostate volume or LUTS. Alcohol consumption was associated with urgency and intermittence and with an overall higher IPSS. No major influence on symptoms was found in smokers. Physical activity was associated with a lower frequency of incomplete bladder emptying, repeated urination, intermittence and urgency. The postulated existence of an association between BMI and BPH was not confirmed in this study. When a prediction of the IPSS scores was tempted by entering the life-style factors in a multiple regression model, they were able to explain at best 5% of the variance of the dependent variable. CONCLUSION Life-style patterns bear a greater influence on individual symptoms than on total scores. This difference is sometimes high enough to recommend specific life-style measures to patients with LUTS and prostate enlargement.
Collapse
Affiliation(s)
- D Prezioso
- Clinica Urologica 2, Università Federico II, Naples, Italy
| | | | | | | | | | | |
Collapse
|
40
|
Labate A, Gambardella A, Messina D, Tammaro S, Le Piane E, Pirritano D, Cosco C, Doldo P, Mazzei R, Oliveri RL, Bosco D, Zappia M, Valentino P, Aguglia U, Quattrone A. Silent celiac disease in patients with childhood localization-related epilepsies. Epilepsia 2001; 42:1153-5. [PMID: 11580763 DOI: 10.1046/j.1528-1157.2001.45700.x] [Citation(s) in RCA: 46] [Impact Index Per Article: 2.0] [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: 11/20/2022]
Abstract
PURPOSE To evaluate how many patients with a clinical picture of idiopathic childhood localization-related epilepsies may also have silent celiac disease (CD). This will help determine whether investigation for CD should be restricted to those patients with childhood partial epilepsy with occipital paroxysms (CPEO) or should be extended to all patients with childhood partial epilepsy (CPE) regardless of seizure type and electroencephalographic (EEG) paroxysms. METHODS The study group consisted of 72 patients (31 girls and 41 boys; mean age, 12.6 +/- 4.28 years; age at onset, 6.4 +/- 3.7 years) who were observed consecutively over a 5-year period and who received an initial diagnosis of idiopathic CPE. A diagnosis of CD was confirmed by using enzyme-linked immunosorbent assay (ELISA) to assess the presence of antigliadin antibodies and the immunofluorescent undirected test to assess the presence of antiendomysium antibodies. RESULTS Twenty-five patients had CPEO, whereas the remaining 47 had CPE with centrotemporal spikes (CPEC). None of the patients with CPEC had positive antibody tests. Of the 25 patients with CPEO, two (8%) had antiendomysium immunoglobulin (Ig) A antibodies. In both of these patients, the jejunal biopsy showed atrophy of the villi and hyperplasia of the crypts, consistent with a diagnosis of CD. Brain computed tomography (CT) was normal in one of these patients and revealed occipital corticosubcortical calcifications in the other. CONCLUSIONS Our study indicates that CD screening should be performed routinely only in patients with CPEO.
Collapse
Affiliation(s)
- A Labate
- Institute of Neurology, University Magna Graecia of Catanzaro, Italy
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
Collapse
|
41
|
Gambardella A, Muglia M, Labate A, Magariello A, Gabriele AL, Mazzei R, Pirritano D, Conforti FL, Patitucci A, Valentino P, Zappia M, Quattrone A. Juvenile Huntington's disease presenting as progressive myoclonic epilepsy. Neurology 2001; 57:708-11. [PMID: 11524486 DOI: 10.1212/wnl.57.4.708] [Citation(s) in RCA: 55] [Impact Index Per Article: 2.4] [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: 11/15/2022] Open
Abstract
A 9-year-old girl, who had no family history of neurologic diseases in the first-degree relatives, had a 3-year history of progressive myoclonus epilepsy (PME). A thorough laboratory investigation was normal. As two sisters of her paternal grandmother were said to have Huntington's disease (HD), the authors looked for HD and found a CAG repeat expansion of 115 repeats. This diagnosis should be considered in addition to other causes in patients with PME. Moreover, the current case further supports the notion that HD should be considered even when a family history is not obvious.
Collapse
Affiliation(s)
- A Gambardella
- Institute of Neurology, School of Medicine, Catanzaro, Italy
| | | | | | | | | | | | | | | | | | | | | | | |
Collapse
|
42
|
Oliveri RL, Zappia M, Annesi G, Bosco D, Annesi F, Spadafora P, Pasqua AA, Tomaino C, Nicoletti G, Pirritano D, Labate A, Gambardella A, Logroscino G, Manobianca G, Epifanio A, Morgante L, Savettieri G, Quattrone A. The parkin gene is not involved in late-onset Parkinson's disease. Neurology 2001; 57:359-62. [PMID: 11468333 DOI: 10.1212/wnl.57.2.359] [Citation(s) in RCA: 30] [Impact Index Per Article: 1.3] [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
Mutations in the parkin gene have been reported in patients with early onset PD. The authors investigated the parkin gene in 118 patients who had an onset of PD after age 45 years: 95 subjects were sporadic patients and 23 subjects were from 18 families with a probable autosomal recessive inheritance. No pathogenetic mutations in the parkin gene were detected either in familial or in sporadic patients. Moreover, no differences were found between patients and 100 age-matched normal controls in the allele and genotype frequencies of four exonic parkin polymorphisms.
Collapse
Affiliation(s)
- R L Oliveri
- Institute of Neurology, University of Catanzaro, Italy
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
Collapse
|
43
|
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.
Collapse
Affiliation(s)
- A Quattrone
- Institutes of Neurology, University Magna Graecia, Catanzaro, Italy.
| | | | | | | | | | | | | | | | | | | | | | | | | |
Collapse
|
44
|
Pirritano D, Martino L, Falvo F, Spasari A, Gemelli R, Talarico B, Sicuro O, Zagordi A, Apollini L, Scalfari A. TUIP in the treatment of BPH: Personal experience. Urologia 1998. [DOI: 10.1177/039156039806500134] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
The authors describe their experience with 40 patients subjected to TUIP for BPH from May ‘92 to November ‘96. The criteria used for including patients in the study were based on the prostatic weight calculated ultrasonically by means of the ellipsoid rule. Results were similar to those reported in world literature. The authors conclude that although TURP is the best endoscopic technique for BPH, TUIP is also important since both catheterisation and hospitalisation times are shorter with resulting cost savings.
Collapse
Affiliation(s)
- D. Pirritano
- Divisione Urologica - Azienda Ospedaliera “Pugliese-Ciaccio” - Catanzaro
| | - L.F. Martino
- Divisione Urologica - Azienda Ospedaliera “Pugliese-Ciaccio” - Catanzaro
| | - F. Falvo
- Divisione Urologica - Azienda Ospedaliera “Pugliese-Ciaccio” - Catanzaro
| | - A. Spasari
- Divisione Urologica - Azienda Ospedaliera “Pugliese-Ciaccio” - Catanzaro
| | - R. Gemelli
- Divisione Urologica - Azienda Ospedaliera “Pugliese-Ciaccio” - Catanzaro
| | - B. Talarico
- Divisione Urologica - Azienda Ospedaliera “Pugliese-Ciaccio” - Catanzaro
| | - O.L. Sicuro
- Divisione Urologica - Azienda Ospedaliera “Pugliese-Ciaccio” - Catanzaro
| | - A.A. Zagordi
- Divisione Urologica - Azienda Ospedaliera “Pugliese-Ciaccio” - Catanzaro
| | - L. Apollini
- Divisione Urologica - Azienda Ospedaliera “Pugliese-Ciaccio” - Catanzaro
| | - A. Scalfari
- Divisione Urologica - Azienda Ospedaliera “Pugliese-Ciaccio” - Catanzaro
| |
Collapse
|
45
|
Pirritano D, Spasari A, Falvo F, De Pasquale M, Zagordi A, Apollini L, Martino L, Sicuro O, Scalfari A. Retroperitoneal hematoma from spontaneous rupture of renal neoplasia. Urologia 1998. [DOI: 10.1177/039156039806500106] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
The authors describe 4 recently observed cases of retroperitoneal hematoma from spontaneous rupture of renal neoplasia. The aim of this report is to underline the problems concerning the pathogenesis, diagnosis, staging and therapy.
Collapse
Affiliation(s)
- D. Pirritano
- Divisione Urologica - Azienda Ospedaliera “Pugliese-Ciaccio” - Catanzaro
| | - A. Spasari
- Divisione Urologica - Azienda Ospedaliera “Pugliese-Ciaccio” - Catanzaro
| | - F. Falvo
- Divisione Urologica - Azienda Ospedaliera “Pugliese-Ciaccio” - Catanzaro
| | - M. De Pasquale
- Divisione Urologica - Azienda Ospedaliera “Pugliese-Ciaccio” - Catanzaro
| | - A. Zagordi
- Divisione Urologica - Azienda Ospedaliera “Pugliese-Ciaccio” - Catanzaro
| | - L. Apollini
- Divisione Urologica - Azienda Ospedaliera “Pugliese-Ciaccio” - Catanzaro
| | - L. Martino
- Divisione Urologica - Azienda Ospedaliera “Pugliese-Ciaccio” - Catanzaro
| | - O. Sicuro
- Divisione Urologica - Azienda Ospedaliera “Pugliese-Ciaccio” - Catanzaro
| | - A. Scalfari
- Divisione Urologica - Azienda Ospedaliera “Pugliese-Ciaccio” - Catanzaro
| |
Collapse
|
46
|
Pirritano D, Falvo F, Ielapi V, Sicuro O, Martino L, Apollini L, Palermo S, Scalfari A. Symptomatic metabolic radiotherapy (with Sr-89) of bone metastases in prostatic cancer. Personal experience. Urologia 1998. [DOI: 10.1177/039156039806500122] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
The authors report their experience with 20 patients subjected to metabolic radiotherapy with Sr-89 for palliation of bone metastases in advanced prostatic cancer. Sr-89 is an effective symptomatic treatment, generally well tolerated, with minimal adverse effects.
Collapse
Affiliation(s)
| | | | | | | | | | | | - S. Palermo
- Divisione di Medicina Nucleare - Azienda Ospedaliera “Pugliese-Ciaccio” - Catanzaro
| | | |
Collapse
|
47
|
Spasari A, Apollini L, Lanza T, Zagordi A, Pirritano D, Falvo F, Scalfari A. Neurologically impaired patients at urologica/ risk: Social-health aspects of the problem in our territory. Urologia 1998. [DOI: 10.1177/039156039806500137] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
In view of the lack of spinal units in Calabria and Institutes from which information can be obtained on the conditions of patients with injuries to the spinal cord, we researched such patients (approx. 500,000) with urological risk in our territory. We included in our study 81 patients, 62 men and 19 women, aged between 18 and 78 years. Significant uro-andrological problems were found in 42 patients. It is to be hoped that the survey contributes to improving the poor assistance at present provided for persons with injuries to the spinal cord in Calabria.
Collapse
Affiliation(s)
- A. Spasari
- Divisione Urologica - Azienda Ospedaliera “Pugliese-Ciaccio” - Catanzaro
| | - L. Apollini
- Divisione Urologica - Azienda Ospedaliera “Pugliese-Ciaccio” - Catanzaro
| | - T. Lanza
- Divisione Urologica - Azienda Ospedaliera “Pugliese-Ciaccio” - Catanzaro
| | - A. Zagordi
- Divisione Urologica - Azienda Ospedaliera “Pugliese-Ciaccio” - Catanzaro
| | - D. Pirritano
- Divisione Urologica - Azienda Ospedaliera “Pugliese-Ciaccio” - Catanzaro
| | - F. Falvo
- Divisione Urologica - Azienda Ospedaliera “Pugliese-Ciaccio” - Catanzaro
| | - A. Scalfari
- Divisione Urologica - Azienda Ospedaliera “Pugliese-Ciaccio” - Catanzaro
| |
Collapse
|
48
|
Pirritano D, Scalfari A, Ventrice G, Martino L, Zagordi A, Apollini L, Lanza P. Post-traumatic thrombosis of the renal artery. Our experience. Urologia 1997. [DOI: 10.1177/039156039706400424] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
– In this work the authors describe a case of post-trauma renal artery thrombosis. The 46-year-old male patient, with a post trauma to the right flank, underwent emergency urography during which he went into shock. Emergency laparotomy was therefore performed by anterior transperitoneal approach. Trauma of the spleen and rupture of the right kidney with thrombosis of the right renal artery was found. The aim of the authors is to show that immediate operation is sometimes necessary without careful pre-operative radiological exams in order to save the patient's life.
Collapse
Affiliation(s)
- D. Pirritano
- Divisione Urologica - Azienda Ospedaliera “Pugliese-Ciaccio” - Catanzaro
| | - A. Scalfari
- Divisione Urologica - Azienda Ospedaliera “Pugliese-Ciaccio” - Catanzaro
| | - G.A. Ventrice
- Divisione Urologica - Azienda Ospedaliera “Pugliese-Ciaccio” - Catanzaro
| | - L.F. Martino
- Divisione Urologica - Azienda Ospedaliera “Pugliese-Ciaccio” - Catanzaro
| | - A.A. Zagordi
- Divisione Urologica - Azienda Ospedaliera “Pugliese-Ciaccio” - Catanzaro
| | - L.M. Apollini
- Divisione Urologica - Azienda Ospedaliera “Pugliese-Ciaccio” - Catanzaro
| | - P. Lanza
- Divisione Urologica - Azienda Ospedaliera “Pugliese-Ciaccio” - Catanzaro
| |
Collapse
|
49
|
Spasari A, Scalfari A, Falvo F, Pirritano D, Ventrice G, Zagordi A, Martino L, Lanza P. Prolonged chemotherapy in advanced urinary cancer: Ethical considerations. Urologia 1996. [DOI: 10.1177/039156039606300302] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
The authors report their experience with 10 patients subjected to chemotherapy for urinary cancer. The decision to prolong therapy sprang from the persistent efficacy of the same and the will to live of the actual patients, while respecting the classical moral principles of bioethics.
Collapse
Affiliation(s)
- A. Spasari
- Divisione Urologica - Azienda Ospedaliera “Pugliese - Ciaccio” - Catanzaro
| | - A. Scalfari
- Divisione Urologica - Azienda Ospedaliera “Pugliese - Ciaccio” - Catanzaro
| | - F. Falvo
- Divisione Urologica - Azienda Ospedaliera “Pugliese - Ciaccio” - Catanzaro
| | - D. Pirritano
- Divisione Urologica - Azienda Ospedaliera “Pugliese - Ciaccio” - Catanzaro
| | - G.A. Ventrice
- Divisione Urologica - Azienda Ospedaliera “Pugliese - Ciaccio” - Catanzaro
| | - A.A. Zagordi
- Divisione Urologica - Azienda Ospedaliera “Pugliese - Ciaccio” - Catanzaro
| | - L.F. Martino
- Divisione Urologica - Azienda Ospedaliera “Pugliese - Ciaccio” - Catanzaro
| | - P. Lanza
- Divisione Urologica - Azienda Ospedaliera “Pugliese - Ciaccio” - Catanzaro
| |
Collapse
|
50
|
Pirritano D, Scalfari A, Gemelli R, Catuogno C, Ielapi V, Martino L, Ventrice G, Lanza P. Rottura dei corpi cavernosi: Nostra esperienza. Urologia 1995. [DOI: 10.1177/039156039506200435] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
The Authors report their experience on traumatic rupture of the corpora cavernosa. The importance of immediate surgery, in order to fully repair the lesions and avoid complications, is underlined.
Collapse
Affiliation(s)
- D. Pirritano
- Divisione Urologica - Ospedale Civile “A. Pugliese” - Catanzaro
| | - A. Scalfari
- Divisione Urologica - Ospedale Civile “A. Pugliese” - Catanzaro
| | - R. Gemelli
- Divisione Urologica - Ospedale Civile “A. Pugliese” - Catanzaro
| | - C. Catuogno
- Divisione Urologica - Ospedale Civile “A. Pugliese” - Catanzaro
| | - V. Ielapi
- Divisione Urologica - Ospedale Civile “A. Pugliese” - Catanzaro
| | - L.F. Martino
- Divisione Urologica - Ospedale Civile “A. Pugliese” - Catanzaro
| | - G.A. Ventrice
- Divisione Urologica - Ospedale Civile “A. Pugliese” - Catanzaro
| | - P. Lanza
- Divisione Urologica - Ospedale Civile “A. Pugliese” - Catanzaro
| |
Collapse
|