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1. Survey on treatments for primary headaches in 13 specialized juvenile Headache Centers: The first multicenter Italian study

Author

Toldo, Irene, Rattin, Martina, Perissinotto, Egle, De Carlo, Debora, Bolzonella, Barbara, Nosadini, Margherita, Rossi, Livia Nicoletta, Vecchio, Angelo, Simonati, Alessandro, Carotenuto, Marco, Scalas, Cinzia, Sciruicchio, Vittorio, Raieli, Vincenzo, Mazzotta, Giovanni, Tozzi, Elisabetta, Valeriani, Massimiliano, Cianchetti, Carlo, Balottin, Umberto, Guidetti, Vincenzo, Sartori, Stefano, and Battistella, Pier Antonio

Published
2017
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5. Headache attributed to aeroplane travel: the first multicentric survey in a paediatric population affected by primary headaches

Author

De Carlo, Debora, primary, Toldo, Irene, additional, Tamborino, Agnese Maria, additional, Bolzonella, Barbara, additional, Ledda, Maria Giuseppina, additional, Margari, Lucia, additional, Raieli, Vincenzo, additional, Santucci, Margherita, additional, Sciruicchio, Vittorio, additional, Vecchio, Angelo, additional, Zanini, Sergio, additional, Sartori, Stefano, additional, Gatta, Michela, additional, Verrotti, Alberto, additional, and Battistella, Pier Antonio, additional

Published
2018
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6. Symptomatic and presumed symptomatic focal epilepsies in childhood: An observational, prospective study

Author

Vecchi, Marilena, Barba, Carmen, DE CARLo, Debora, Stivala, Micol, Guerrini, Renzo, Albamonte, Emilio, Ranalli, Domiziana, Battaglia, Domenica, Lunardi, Giada, Boniver, Clementina, Piccolo, Benedetta, Pisani, Francesco, Cantalupo, Gaetano, Nieddu, Giuliana, Casellato, Susanna, Cappanera, Silvia, Cesaroni, Elisabetta, Zamponi, Nelia, Serino, Domenico, Fusco, Lucia, Iodice, Alessandro, Palestra, Filippo, Giordano, Lucio, Freri, Elena, De Giorgi, Ilaria, Ragona, Francesca, Granata, Tiziana, Fiocchi, Isabella, Bova, Stefania Maria, Mastrangelo, Massimo, Verrotti, Alberto, Matricardi, Sara, Fontana, Elena, Caputo, Davide, Darra, Francesca, DALLA BERNARDINA, Bernardo, Beccaria, Francesca, Capovilla, Giuseppe, Baglietto, Maria Pia, Gagliardi, Alessandra, Vignoli, Aglaia, Canevini, Maria Paola, Perissinotto, Egle, and Francione, Stefano

Subjects
Intractable epilepsy, Behavior impairment, Focal symptomatic seizures, Childhood epilepsy
Published
2016

8. Symptomatic and presumed symptomatic focal epilepsies in childhood: An observational, prospective multicentre study

Author

Vecchi, Marilena, Barba, Carmen, De Carlo, Debora, Stivala, Micol, Guerrini, Renzo, Albamonte, Emilio, Ranalli, Domiziana, Battaglia, Domenica Immacolata, Lunardi, Giada, Boniver, Clementina, Piccolo, Benedetta, Pisani, Francesco, Cantalupo, Gaetano, Nieddu, Giuliana, Casellato, Susanna, Cappanera, Silvia, Cesaroni, Elisabetta, Zamponi, Nelia, Serino, Domenico, Fusco, Lucia, Iodice, Alessandro, Palestra, Filippo, Giordano, Lucio, Freri, Elena Maria Giovanna, De Giorgi, Ilaria, Ragona, Francesca, Granata, Tiziana, Fiocchi, Isabella, Bova, Stefania Maria, Mastrangelo, Massimo, Verrotti, Alberto, Matricardi, Sara, Fontana, Elena, Caputo, Davide, Darra, Francesca, Dalla Bernardina, Bernardo, Beccaria, Francesca, Capovilla, Giuseppe, Baglietto, Maria Pia, Gagliardi, Alessandra, Vignoli, Aglaia, Canevini, Maria Paola, Perissinotto, Egle, Francione, Stefano, Battaglia, Domenica Immacolata (ORCID:0000-0003-0491-4021), Vecchi, Marilena, Barba, Carmen, De Carlo, Debora, Stivala, Micol, Guerrini, Renzo, Albamonte, Emilio, Ranalli, Domiziana, Battaglia, Domenica Immacolata, Lunardi, Giada, Boniver, Clementina, Piccolo, Benedetta, Pisani, Francesco, Cantalupo, Gaetano, Nieddu, Giuliana, Casellato, Susanna, Cappanera, Silvia, Cesaroni, Elisabetta, Zamponi, Nelia, Serino, Domenico, Fusco, Lucia, Iodice, Alessandro, Palestra, Filippo, Giordano, Lucio, Freri, Elena Maria Giovanna, De Giorgi, Ilaria, Ragona, Francesca, Granata, Tiziana, Fiocchi, Isabella, Bova, Stefania Maria, Mastrangelo, Massimo, Verrotti, Alberto, Matricardi, Sara, Fontana, Elena, Caputo, Davide, Darra, Francesca, Dalla Bernardina, Bernardo, Beccaria, Francesca, Capovilla, Giuseppe, Baglietto, Maria Pia, Gagliardi, Alessandra, Vignoli, Aglaia, Canevini, Maria Paola, Perissinotto, Egle, Francione, Stefano, and Battaglia, Domenica Immacolata (ORCID:0000-0003-0491-4021)

Abstract

Objective: To describe the clinical, neuropsychological, and psychopathologic features of a cohort of children with a new diagnosis of symptomatic or presumed symptomatic focal epilepsy at time of recruitment and through the first month. The selected population will be followed for 2–5 years after enrollment to investigate the epilepsy course and identify early predictors of drug resistance. Methods: In this observational, multicenter, nationwide study, children (age 1 month–12.9 years) with a new diagnosis of symptomatic or presumed symptomatic focal epilepsy were consecutively enrolled in 15 Italian tertiary childhood epilepsy centers. Inclusion criteria were as follows: (1) diagnosis of symptomatic focal epilepsy due to acquired and developmental etiologies, and presumed symptomatic focal epilepsy; (2) age at diagnosis older than 1 month and <13 years; and (3) written informed consent. Children were subdivided into three groups: ≤3 years, >3 to 6 years, and >6 years. Clinical, electroencephalography (EEG), neuroimaging, and neuropsychological variables were identified for statistical analyses. Results: Two hundred fifty-nine children were enrolled (116 female and 143 male). Median age: 4.4 years (range 1 month–12.9 years); 46.0% (n = 119) of children were younger than 3 years, 24% (61) from 3 to 6 years of age, and 30% (79) older than 6 years. Neurologic examination findings were normal in 71.8%. Brain magnetic resonance imaging (MRI) was abnormal in 59.9%. Children age ≤3 years experienced the highest seizure frequency in the first month after recruitment (p < 0.0001). Monotherapy in the first month was used in 67.2%. Cognitive tests at baseline revealed abnormal scores in 30%; behavioral problems were present in 21%. At multivariate analysis, higher chances to exhibit more than five seizures in the first month after epilepsy onset was confirmed for younger children and those with temporal lobe epilepsy. Significance: In this prospective cohort study

Published
2016

9. Airplane headache:a multicenter study in pediatric age

Author

DE CARLO, Debora, Bolzonella, Barbara, Margari, L, Raieli, V, Santucci, M, Sciruicchio, V, Verrotti, A, Vecchio, A, Zanini, S, Toldo, Irene, Sartori, Stefano, Gatta, Michela, and Battistella, PIER ANTONIO

Published
2014

10. Symptomatic and presumed symptomatic focal epilepsies in childhood: An observational, prospective multicentre study

Author

Vecchi, Marilena, primary, Barba, Carmen, additional, De Carlo, Debora, additional, Stivala, Micol, additional, Guerrini, Renzo, additional, Albamonte, Emilio, additional, Ranalli, Domiziana, additional, Battaglia, Domenica, additional, Lunardi, Giada, additional, Boniver, Clementina, additional, Piccolo, Benedetta, additional, Pisani, Francesco, additional, Cantalupo, Gaetano, additional, Nieddu, Giuliana, additional, Casellato, Susanna, additional, Cappanera, Silvia, additional, Cesaroni, Elisabetta, additional, Zamponi, Nelia, additional, Serino, Domenico, additional, Fusco, Lucia, additional, Iodice, Alessandro, additional, Palestra, Filippo, additional, Giordano, Lucio, additional, Freri, Elena, additional, De Giorgi, Ilaria, additional, Ragona, Francesca, additional, Granata, Tiziana, additional, Fiocchi, Isabella, additional, Bova, Stefania Maria, additional, Mastrangelo, Massimo, additional, Verrotti, Alberto, additional, Matricardi, Sara, additional, Fontana, Elena, additional, Caputo, Davide, additional, Darra, Francesca, additional, Dalla Bernardina, Bernardo, additional, Beccaria, Francesca, additional, Capovilla, Giuseppe, additional, Baglietto, Maria Pia, additional, Gagliardi, Alessandra, additional, Vignoli, Aglaia, additional, Canevini, Maria Paola, additional, Perissinotto, Egle, additional, and Francione, Stefano, additional

Published
2016
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22. Osmophobia as an early marker of migraine: A follow-up study in juvenile patients

Author

De Carlo, Debora, primary, Toldo, Irene, additional, Dal Zotto, Lara, additional, Perissinotto, Egle, additional, Sartori, Stefano, additional, Gatta, Michela, additional, Balottin, Umberto, additional, Mazzotta, Giovanni, additional, Moscato, Davide, additional, Raieli, Vincenzo, additional, Rossi, Livia Nicoletta, additional, Sangermani, Roberto, additional, Soriani, Stefano, additional, Termine, Cristiano, additional, Tozzi, Elisabetta, additional, Vecchio, Angelo, additional, Zanchin, Giorgio, additional, and Battistella, Pier Antonio, additional

Published
2012
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23. Ring 17 syndrome: first clinical report without intellectual disability

Author

Elisabetta Lenzini, Barbara Bacci, D De Carlo, Vincenza Tarantino, Luca De Palma, Clementina Boniver, Marilena Vecchi, De Palma, Luca, De Carlo, Debora, Lenzini, Elisabetta, Boniver, Clementina, Tarantino, Vincenza, Bacci, Barbara, and Vecchi, Marilena

Subjects
Ring Chromosome, Pathology, medicine.medical_specialty, Adolescent, Ring chromosome, Drug Resistance, Status epilepticus, Neuropsychological Tests, Biology, Executive Function, Epilepsy, Cognition, Intellectual Disability, Intellectual disability, medicine, Humans, Ring Chromosomes, Genetics, Ring (mathematics), Ring 17 syndrome, Settore M-PSI/02 - Psicobiologia E Psicologia Fisiologica, Ring 20 syndrome, Chromosome analysi, Chromosome, Focal epilepsy, Electroencephalography, Karyotype, Syndrome, General Medicine, medicine.disease, Settore MED/39 - Neuropsichiatria Infantile, Neurology, Epilepsy syndromes, Female, Neuropsychological Test, Neurology (clinical), medicine.symptom, Chromosomes, Human, Pair 17, Human
Abstract

Ring chromosomes are rare abnormalities caused by the fusion of the telomeric regions. Three-ring chromosome syndromes (Cr 20, Cr 17 and Cr 14) cause epilepsy with variable phenotypes. In ring 17 patients with mild phenotype, some authors have shown an epilepsy syndrome similar to that of ring 20. We report the first case of a girl with ring chromosome 17 and a normal neurological and general cognitive profile. She had had, from 9 years old, focal pharmacoresistant epilepsy associated with episodes of non-convulsive status epilepticus with mainly autonomic features. Cytogenetic analysis revealed an abnormal karyotype characterised by the presence of de novo ring chromosome 17 in 19% of metaphases. The array CGH (100 KB) did not show any genetic deletion. The clinical and epilepsy phenotype was, to a certain degree, similar to that of ring 20 syndrome.

Published
2015
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24. Survey on treatments for primary headaches in 13 specialized juvenile Headache Centers: The first multicenter Italian study

Author

D De Carlo, Irene Toldo, Martina Rattin, Vincenzo Raieli, Elisabetta Tozzi, Marco Carotenuto, Massimiliano Valeriani, Alessandro Simonati, Giovanni Mazzotta, Egle Perissinotto, Vincenzo Guidetti, Umberto Balottin, Carlo Cianchetti, Pier Antonio Battistella, Cinzia Scalas, Vittorio Sciruicchio, L. N. Rossi, Margherita Nosadini, Stefano Sartori, A Vecchio, Barbara Bolzonella, Toldo, Irene, Rattin, Martina, Perissinotto, Egle, De Carlo, Debora, Bolzonella, Barbara, Nosadini, Margherita, Rossi, Livia Nicoletta, Vecchio, Angelo, Simonati, Alessandro, Carotenuto, Marco, Scalas, Cinzia, Sciruicchio, Vittorio, Raieli, Vincenzo, Mazzotta, Giovanni, Tozzi, Elisabetta, Valeriani, Massimiliano, Cianchetti, Carlo, Balottin, Umberto, Guidetti, Vincenzo, Sartori, Stefano, and Battistella, Pier Antonio

Subjects
Male, Pediatrics, medicine.medical_specialty, Adolescent, Migraine Disorders, Adolescents, Children, Migraine, Primary headaches, Tension-type headache, Treatment, Pediatrics, Perinatology and Child Health, Neurology (clinical), Tension-type, Triptans, Pizotifen, 03 medical and health sciences, 0302 clinical medicine, children, Primary headache, Behavior Therapy, Surveys and Questionnaires, medicine, Acupuncture, Humans, Amitriptyline, migraine, 030212 general & internal medicine, adolescents, Practice Patterns, Physicians', Child, Flunarizine, Retrospective Studies, treatment, business.industry, Anti-Inflammatory Agents, Non-Steroidal, General Medicine, primary headaches, tension-type headache, Perinatology and Child Health, medicine.disease, Tolerability, Italy, Cohort, Anticonvulsants, Female, business, headache, 030217 neurology & neurosurgery, medicine.drug
Abstract

Aim The purpose of this retrospective multicenter study was to evaluate the use and the self-perceived efficacy and tolerability of pharmacological and non-pharmacological treatments in children and adolescents with primary headaches. Methods Study of a cohort of children and adolescents diagnosed with primary headache, consecutively referred to 13 juvenile Italian Headache Centers. An ad hoc questionnaire was used for clinical data collection. Results Among 706 patients with primary headaches included in the study, 637 cases with a single type of headache (migraine 76% – with and without aura in 10% and 67% respectively; tension-type headache 24%) were selected (mean age at clinical interview: 12 years). Acetaminophen and non-steroidal anti-inflammatory drugs (in particular ibuprofen) were commonly used to treat attacks, by 76% and 46% of cases respectively. Triptans were used overall by 6% of migraineurs and by 13% of adolescents with migraine, with better efficacy than acetaminophen and non-steroidal anti-inflammatory drugs. Preventive drugs were used by 19% of migraineurs and by 3% of subjects with tension-type headache. In migraineurs, flunarizine was the most frequently used drug (18%), followed by antiepileptic drugs (7%) and pizotifen (6%), while cyproheptadine, propanolol and amitriptyline were rarely used. Pizotifen showed the best perceived efficacy and tolerability. Melatonin and nutraceuticals were used by 10% and 32% of subjects, respectively, both for migraine and tension-type headache, with good results in terms of perceived efficacy and tolerability. Non-pharmacological preventive treatments (i.e. relaxation techniques, biofeedback, cognitive-behavioral therapy, acupuncture) were used only by 10% of cases (migraine 9%, tension-type headache 15%). Discussion Non-steroidal anti-inflammatory drugs, especially ibuprofen, should be preferred to acetaminophen for acute attacks of migraine or tension-type headache, because they were usually more effective and well tolerated. Triptans could be used more frequently as first or almost second choice for treating migraine attack in adolescents. Non-pharmacological preventive treatments are recommended by some pediatric guidelines as first-line interventions for primary headaches and their use should be implemented in clinical practice. Prospective multicenter studies based on larger series are warranted to better understand the best treatment strategies for young people with primary headaches.

Published
2017

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