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3. Accelerated long-term forgetting: from subjective memory decline to a defined clinical entity.

Author

Ruggeri, Massimiliano, Ricci, Monica, Gerace, Carmela, and Blundo, Carlo

Subjects
ALZHEIMER'S disease, NEURODEGENERATION, REGRESSION analysis, AMNESIA, MEMORY
Abstract

Subjective memory decline (SMD) might represent the preclinical phase of Alzheimer's disease (AD), and has been reported in epileptic amnesia associated with accelerated long-term forgetting (ALF). We investigated ALF in SMD subjects by means of RAVLT recall and recognition and ROCF recall after 1-week retention and compared with a control group. Two-way ANOVAs for RAVLT and ROCF were conducted, and stepwise regression analysis was administered considering EMQ and DASS-21 as factors. SMD subjects performed significantly worse than controls at 1-week delay on RAVLT recall and recognition, but not on ROCF, and not associated with depression or memory complaints. SMD patients showed ALF, which is usually associated with temporomesial dysfunctions, representing a cognitive marker to assess objectively memory problems in SMD, and to undisclose initial neurodegenerative disease involving temporal structures usually compromised in AD. Therefore, SMD might no longer be "subjective," but rather a specific and defined clinical entity. [ABSTRACT FROM AUTHOR]

Published
2024
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4. Progressive Aphasia, Apraxia of Speech and Agraphia in Corticobasal Degeneration: A 12-Case Series Clinical and Neuropsychological Descriptive Study

Author

Ruggeri, Massimiliano, Biagioli, Clelia, Ricci, Monica, Gerace, Carmela, and Blundo, Carlo

Abstract

Background: Despite initial underreporting of language dysfunctions in corticobasal syndrome (CBS), aphasia is now recognized as a frequent feature of this disease. Aphasia in CBS seems clinically overlying to a non-fluent/agrammatic primary progressive aphasia (nfaPPA), which is also a clinical phenotype associated with corticobasal degeneration (CBD) pathology. However, the clinical features of aphasia in CBS still remain poorly delineated, resulting in misjudgements in the differential diagnosis from a PPA presentation of the disease. Aims: To investigate the language disorders of this syndrome, also through a systematic examination of recoding skills (reading, written spelling and repetition) and articulatory disturbances, which have been rarely examined in previous studies. Methods & Procedures: We present a clinical and neuropsychological descriptive study of the language impairments in a case series of 12 aphasic patients with a clinical diagnosis of CBS. Language assessment was conducted by means of the Esame NeuroPsicologico dell'Afasia, a comprehensive Italian battery for language functions, the Token Test, and the Apraxia of Speech Rating Scale. Outcomes & Results: The language profile of the patients showed a severe expressive language disorder, characterized by non-fluent speech, apraxia of speech (AoS) with predominant stuttering-like dysfluencies, spatial/apraxic agraphia, lack of word-finding and defective sentence repetition. Severe limb apraxia, visual-spatial deficit and alien hand syndrome were also present. Neuroimaging showed bilateral left asymmetric atrophies and hypometabolism in the frontal premotor, parietal posterior and temporal areas. Conclusions & Implications: These findings suggest that aphasia in CBS might present as a 'mixed PPA', instead of an nfaPPA as previously stated, showing a combination of features of the nfa and logopenic variants of the PPA, associated with AoS, stuttering and agraphia, which might be additional important cognitive markers for the clinical diagnosis of CBS and discriminating features of an nfaPPA presentation of a CBD. These results might also suggest specific intervention areas in the rehabilitation of patients with CBS.

Published
2020
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13. List of Contributors

Author

Abbatecola, Angela Marie, primary, Abe, Koji, additional, Abisambra, Jose F., additional, Ahmad, Aliya, additional, Alaei, Hojjatollah, additional, Alagiakrishnan, Kannayiram, additional, Aliev, Gjumrakch, additional, Allegri, Ricardo Francisco, additional, Almeida, Osvaldo P., additional, Álvarez-Cervera, Fernando J., additional, Alwi, Nor Amalina Ahmad, additional, Ames, David, additional, Anderson-Mooney, Amelia Jane, additional, Andrade, José Paulo, additional, Anglés, Neus, additional, Armstrong, R.A., additional, Assunção, Marco, additional, Atteia, Hebatallah Husseini, additional, Avila, Marco Fidel, additional, Bair, Ming-Jong, additional, Barbagallo, Mario, additional, Barberger-Gateau, Pascale, additional, Barbieri, Michelangela, additional, Barreto, George E., additional, Bata-García, José L., additional, Begum, Monirun, additional, Bellia, Francesco, additional, Belvedere, Mario, additional, Bennett, Louise E., additional, Białecka, Monika, additional, Bird, Michael, additional, Blundo, Carlo, additional, Boccardi, Virginia, additional, Bolea, Irene, additional, Bosco, Domenico, additional, Brouwer-Brolsma, Elske M., additional, Brust, John C.M., additional, Buffa, Roberto, additional, Bunner, Kendra D., additional, Burri, Lena, additional, Cabezas, Ricardo, additional, Camina, María Alicia, additional, Campbell, Tessa N., additional, Cano, Lourdes Rexach, additional, Chen, Huan-Lin, additional, Chen, Jianmin, additional, Cheung, David Wing-Shing, additional, Choy, Francis Y.M., additional, Chua, J., additional, Colica, Carmen, additional, Corcia, Philippe, additional, Craft, Suzanne, additional, Cristiano, Dario, additional, Cusimano, Michael D., additional, Dalton, Kate, additional, Davidson, Terry L., additional, De Bartolo, Matteo, additional, de Bem, Andreza Fabro, additional, de Castro, Isac, additional, de Groot, Lisette C.P.G.M., additional, de la Cruz Marcos, Sandra, additional, de Oliveira, Jade, additional, del Balzo, Valeria, additional, Deguchi, Kentaro, additional, Deguchi, Shoko, additional, Deth, Richard, additional, Dominguez, Ligia J., additional, Donini, Lorenzo M., additional, Doruk, Huseyin, additional, Dziewas, Rainer, additional, Díes, Rafael Carles, additional, El-Bachá, Ramon Santos, additional, El-Swefy, Sahar Elsayed, additional, Enciso, Laura Carreño, additional, Ermio, Caterina, additional, Escribano, Begoña M., additional, Estrada-Sánchez, Ana María, additional, Etgen, Thorleif, additional, Farina, Marcelo, additional, Fava, Antonietta, additional, Feart, Catherine, additional, Feng, Lei, additional, Fernández-Fernández, Laura, additional, Ferreira, Danilio Alvear Sampaio, additional, Fiala, Milan, additional, Fialdini, Renata Caruso, additional, Fisher, Cheryl, additional, Galimberti, Daniela, additional, Galvin, James E., additional, Gelber, Rebecca P., additional, Gerace, Carmela, additional, Giannakopoulos, Panteleimon, additional, Giannopoulos, Phillip F., additional, Giridharan, Vijayasree V., additional, Giusti, Anna Maria, additional, Gonzalez, Janneth, additional, Góngora-Alfaro, José L., additional, Gordon, Paul H., additional, Greiwe, Jeffrey S., additional, Grima, Natalie A., additional, Guedes, Rubem, additional, Gupta, Susham, additional, Gyengesi, Erika, additional, Haller, Sven, additional, Hanson, Angela J., additional, Harvey, Jenni, additional, Hassan, Ossama Morsi, additional, Henderson, Samuel T., additional, Herrup, Karl, additional, Hickey, M.A., additional, Hoerr, Robert, additional, Hou, Xiaoli, additional, Huang, Chengyu, additional, Hügel, Helmut M., additional, Hwang, Sam-Long, additional, Ikeda, Yoshio, additional, Irie, Kazuhiro, additional, Jack, Alexandria, additional, Jackson, Neale, additional, Jackson, Richard L., additional, Jannise, Brittany, additional, Jiang, Yugang, additional, Johnson, C.Shanthi, additional, Jolliff, James S., additional, Jové, Mariona, additional, Kam, Jonathan S., additional, Kanoski, Scott E., additional, Khan, Khurshid, additional, Kimura, Takemi, additional, Kitagishi, Yasuko, additional, Konishi, Tetsuya, additional, Kovacs, Gabor G., additional, Krause, Debra, additional, Kua, Ee-Heok, additional, Kurata, Tomoko, additional, Kurian, Mini, additional, Kwok, Timothy, additional, Lam, Wai Ping, additional, Lattanzio, Fabrizia, additional, Lawrence, Catherine B., additional, Lee, Tih-Shih, additional, Lee, Yuan-Kai, additional, Leslie, Paula, additional, Leung, Ping Chung, additional, Li, Runping, additional, Liang, Willmann, additional, Lim, Siong-Meng, additional, Lin, Fengwu, additional, Lin, I-Tsung, additional, Loef, Martin, additional, Lovblad, Karl-Olof, additional, Luque, Evelio, additional, Luz, Protásio Lemos da, additional, Macaulay, S.Lance, additional, Madan, Swati, additional, Maetzler, Walter, additional, Mahendran, R., additional, Majeed, Abu Bakar Abdul, additional, Mander, Alastair G., additional, Mani, Vasudevan, additional, Manley, Graham, additional, Manor, Danny, additional, Margetts, Christine, additional, Marini, Elisabetta, additional, Martin-Fernandez, J.Javier, additional, Martínez-Martos, José Manuel, additional, Martínez, Irene Villegas, additional, de Mateo Silleras, Beatriz, additional, Matsuda, Satoru, additional, May, Brian H., additional, McGirr, Alexander, additional, McCormick, Laurie M., additional, Mehta, Jatin, additional, Mereu, Elena, additional, Messina, Antonino, additional, Minami, Akari, additional, Mirowsky, John, additional, Moore, Eileen M., additional, Moreira, Eduardo Luiz Gasnhar, additional, Morelló, José Ramón, additional, Mori, Takashi, additional, Münch, Gerald, additional, Murakami, Kazuma, additional, Mutter, Joachim, additional, Naharci, Mehmet Ilkin, additional, Nakao, Frank Shigeo, additional, Ng, Tze-Pin, additional, Nigro, Julie, additional, Ninomiya, Toshiharu, additional, Nishiyama, Marcelo, additional, Nomani, Erum, additional, Nooyens, Astrid C.J., additional, Oda, Adriana Leico, additional, Okamura, Hitoshi, additional, Oliveira, Acary Souza Bulle, additional, Ono, Yuna, additional, Orsitto, Giuseppe, additional, Ozawa, Mio, additional, Pallet, Véronique, additional, Pamplona, Reinald, additional, Paolisso, Giuseppe, additional, Paradiso, Sergio, additional, Pase, Matthew P., additional, Patki, Gaurav, additional, Piguet, Olivier, additional, Pinto, Alessandro, additional, Pirritano, Domenico, additional, Plastino, Massimiliano, additional, Poggiogalle, Eleonora, additional, Polidori, M.Cristina, additional, Polimanti, Renato, additional, Portero-Otin, Manuel, additional, Power, Brian D., additional, Praticò, Domenico, additional, Prediger, Rui Daniel S., additional, Preedy, Victor R., additional, Prendergast, Mark A., additional, Rae, Daniela, additional, Ramasamy, Kalavathy, additional, Ramli, Muhammad Zaki, additional, Ramirez, Bartolomé, additional, Ramírez-Expósito, María Jesús, additional, Rebec, George V., additional, Reddy, V.Prakash, additional, Redondo del Río, María Paz, additional, Reguant, Jordi, additional, Reisi, Parham, additional, Remington, Ruth, additional, Ricci, Monica, additional, Rizzarelli, Enrico, additional, Robinson, Stephen R., additional, Rogers, Eugene, additional, Rosini, Francesca, additional, Roupas, Peter, additional, Rufa, Alessandra, additional, Russo, María Julieta, additional, Sahathevan, Ramesh, additional, Salim, Samina, additional, Salvioni, Cristina Cleide dos Santos, additional, Sample, Camille H., additional, Santamaría, Abel, additional, Saqqur, Maher, additional, Saragat, Bruno, additional, Sauvant, Julie, additional, Sauvant, Patrick, additional, Scarpini, Elio, additional, Scelza, M.F.Z., additional, Schwen, Richard J., additional, Self, Rachel L., additional, Serrano, José C.E., additional, Shea, Thomas B., additional, Shih, Ping-Hsiao, additional, Shimizu, Takahiko, additional, Shunichiro, Shinagawa, additional, Siahmard, Zahra, additional, Sławek, Jarosław, additional, Smoliner, Christine, additional, Solé, Montse, additional, Sprini, Delia, additional, Squitti, Rosanna, additional, Srulijes, Karin, additional, Stahl, Wilhelm, additional, Stanich, Patricia, additional, Stephens, Brian R., additional, Sun, Mingxue, additional, Takamatsu, Junichi, additional, Tang, Hong Chai, additional, Thandavarayan, Rajarajan A., additional, Torrente, Daniel, additional, Town, Terrence, additional, Túnez, Isaac, additional, Ulatowski, Lynn, additional, Unzeta, Mercedes, additional, Valente, Tony, additional, van Keizerswaard, Jolanda, additional, van de Rest, Ondine, additional, van der Zwaluw, Nikita L., additional, Vecchio, Graziella, additional, Veiga, Judith Jimenez, additional, Vila-Rodriguez, Fidel, additional, Walach, Harald, additional, Warnecke, Tobias, additional, Watters, David A.K., additional, Weber, Wolfgang, additional, Weitzman, Rachel, additional, White, Lon R., additional, Wirth, Rainer, additional, Wu, Chia-Hsien, additional, Xiao, Kai, additional, Xue, Charlie C.L., additional, Yen, Gow-Chin, additional, Yew, David Tai-Wai, additional, Yokoi, Teruo, additional, Zhang, Anthony L., additional, Zhang, Lihong, additional, and Zito, Giancarlo, additional

Published
2015
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21. The instruments used by the Italian centres for cognitive disorders and dementia to diagnose mild cognitive impairment (MCI)

Author

Limongi, Federica, Noale, Marianna, Bianchetti, Angelo, Ferrara, Nicola, Padovani, Alessandro, Scarpini, Elio, Trabucchi, Marco, Maggi, Stefania, Antonucci, Sara, Arena, Maria Grazia, Avanzi, Stefano, Barocco, Federica, Baschi, Roberta, Bellandi, Daniele, Biagini, Carlo Adriano, Bono, Valentina, Boselli, Barbara, Cacchiò, Gabriella, Caggia, Emanuele, Caleri, Veronica, Canonico, Vincenzo, Caratozzolo, Salvatore, Carbone, Gabriele, Carta, Daniela, Cavallini, Maria Chiara, Cerqua, Giuliano, Cester, Alberto, Chiari, Annalisa, Coppi, Elisabetta, Cossu, Antonello, Cossu, Beatrice, Cozzolino, Maria Immacolata, D’Agati, Marina, Daniele, Sanfilippo, Del Re, Maria Letizia, Dijk, Babette, Fabbo, Andrea, Fascendini, Sara, Forlani, Chiara, Formilan, Marino, Fuschillo, Carmine, GENNUSO, Michele, Gerace, Carmela, Giacalone, Fabio, BARBAGALLO, Giuseppe, Guerini, Fabio, Guido, Massimo, Linarello, Simona, Lorico, Fabio, Luchetti, Lucio, Luchetti, Maurizio, Ludovico, Livia, Lupinetti, Mariacristina, Luvié, Savina, Marcon, Michela, Mariani, Donatella, Masone Iacobucci, Giovanna, Meligrana, Lucia, Melzi, Paola, Menon, Vanda, Micale, Giuliana, Minervini, Mauro G., Monastero, Roberto, Mossello, Enrico, Nuccetelli, Francesco, Nucera, Valentina, Orsini, Anna Vittoria Marta, PACI, Cristina, Pagni, Cristina, Piccoli, Tommaso, Pietrella, Alessio, Pilotto, Alberto, Prete, Camilla, Putzu, Valeria, Ragno, Michele, Ricci, Monica, Rissotto, Roberto, Romorini, Alessandro, Rosso, Mara, Rozzini, Luca, Rutigliani, Maria Antonietta, Santillo, Antonella, Scoppa, Francesco, Secreto, Piero, Senesi, Barbara, Serrati, Carlo, Spanò, Andrea, Stangalino, Carla, Tetto, Antonio, Tiezzi, Alessandro, Tognoni, Gloria, Vanelli Coralli, Mirco, Vecchio, Concetto, Viale, Daniela, Vinceti, Giulia, Vista, Marco, Zanacchi, Elisa, Zannella, Patrizia, Limongi, Federica, Noale, Marianna, Bianchetti, Angelo, Ferrara, Nicola, Padovani, Alessandro, Scarpini, Elio, Trabucchi, Marco, Maggi, Stefania, Antonucci, Sara, Arena, Maria Grazia, Avanzi, Stefano, Barocco, Federica, Baschi, Roberta, Bellandi, Daniele, Biagini, Carlo Adriano, Bono, Valentina, Boselli, Barbara, Cacchiò, Gabriella, Caggia, Emanuele, Caleri, Veronica, Canonico, Vincenzo, Caratozzolo, Salvatore, Carbone, Gabriele, Carta, Daniela, Cavallini, Maria Chiara, Cerqua, Giuliano, Cester, Alberto, Chiari, Annalisa, Coppi, Elisabetta, Cossu, Antonello, Cossu, Beatrice, Cozzolino, Maria Immacolata, D’Agati, Marina, Daniele, Sanfilippo, Del Re, Maria Letizia, Dijk, Babette, Fabbo, Andrea, Fascendini, Sara, Forlani, Chiara, Formilan, Marino, Fuschillo, Carmine, Gennuso, Michele, Gerace, Carmela, Giacalone, Fabio, Giuseppe, Barbagallo, Guerini, Fabio, Guido, Massimo, Linarello, Simona, Lorico, Fabio, Luchetti, Lucio, Luchetti, Maurizio, Ludovico, Livia, Lupinetti, Mariacristina, Luvié, Savina, Marcon, Michela, Mariani, Donatella, Masone Iacobucci, Giovanna, Meligrana, Lucia, Melzi, Paola, Menon, Vanda, Micale, Giuliana, Minervini, Mauro G., Monastero, Roberto, Mossello, Enrico, Nuccetelli, Francesco, Nucera, Valentina, Orsini, Anna Vittoria Marta, Paci, Cristina, Pagni, Cristina, Piccoli, Tommaso, Pietrella, Alessio, Pilotto, Alberto, Prete, Camilla, Putzu, Valeria, Ragno, Michele, Ricci, Monica, Rissotto, Roberto, Romorini, Alessandro, Rosso, Mara, Rozzini, Luca, Rutigliani, Maria Antonietta, Santillo, Antonella, Scoppa, Francesco, Secreto, Piero, Senesi, Barbara, Serrati, Carlo, Spanò, Andrea, Stangalino, Carla, Tetto, Antonio, Tiezzi, Alessandro, Tognoni, Gloria, Vanelli Coralli, Mirco, Vecchio, Concetto, Viale, Daniela, Vinceti, Giulia, Vista, Marco, Zanacchi, Elisa, and Zannella, Patrizia

Subjects
Male, medicine.medical_specialty, Aging, Diagnosis tool, Standardized test, Italian centres for cognitive disorders and dementia, 03 medical and health sciences, 0302 clinical medicine, Surveys and Questionnaires, mental disorders, medicine, Dementia, Humans, Cognitive Dysfunction, 030212 general & internal medicine, Medical diagnosis, Mild cognitive impairment (MCI), Geriatric Assessment, Aged, Aged, 80 and over, Mini–Mental State Examination, medicine.diagnostic_test, business.industry, Neuropsychology, Mild cognitive impairment, Cognition, medicine.disease, Mental Status and Dementia Tests, Italy, Physical therapy, Settore MED/26 - Neurologia, Female, Geriatrics and Gerontology, business, Clock drawing test, 030217 neurology & neurosurgery
Abstract

Aims: The purpose of this study was to examine the tools used in Italy to diagnose mild cognitive impairment (MCI). Methods: In collaboration with the Luigi Amaducci Research Consortium, the Italian Network of Alzheimer Evaluation Units prepared a questionnaire to describe how MCI is diagnosed in the Italian Centres for cognitive disorders and dementia (CCDD). Results: Most of the ninety-two CCDDs participating in the survey were located in hospitals (54.7%); large percentages were coordinated by neurologists (50.8%) and geriatricians (44.6%). Almost all (98.5%) used the Mini Mental State Examination to diagnose MCI; the Clock Drawing Test was also frequently used (83.9%). Other neuropsychological, imaging and biomarker tests were utilized less frequently and a wide diversity in the instruments used was noted. Conclusions: According to the results, diagnoses of MCI are based on a multitude of instruments, with major differences in the clinical assessment of geriatricians and neurologists. Standardized testing protocols, validated instruments and cut-off points need to be identified and adopted by the CCDDs for assessing MCI.

Published
2018

23. Late-onset obsessive-compulsive disorder as the initial manifestation of possible behavioural variant Alzheimer's disease.

Author

Ruggeri, Massimiliano, Ricci, Monica, Gerace, Carmela, and Blundo, Carlo

Subjects
ALZHEIMER'S disease, OBSESSIVE-compulsive disorder, FRONTAL lobe, CINGULATE cortex, OLDER women
Abstract

A late-onset obsessive-compulsive disorder (OCD) might be a challenging diagnostic issue because of the overlapping with the dementia conditions more related to frontal lobe pathology. We aim to describe and investigate how this condition might represent the isolated long-lasting symptomatology of a frontal Alzheimer's disease (AD). An elderly woman with normal cognitive status showed a subacute onset of OCD with contamination obsession and washing compulsion. We conducted neuropsychological assessments and neuroimaging examinations at the onset and at 3-years follow-up. At 3-years follow-up, the patient developed cognitive deterioration, frontal behavioural disorders and improvement of OCD. Cognitive assessment showed impairments of executive functions, episodic memory, and constructional apraxia, according to the involvement of fronto-mesial, temporal and parietal regions at neuroimaging. A clinical diagnosis of possible behavioural variant AD was assigned. A typical OCD might be the long-lasting initial manifestation of a possible behavioural variant AD due to dysfunctions of the anterior cingulate network. [ABSTRACT FROM AUTHOR]

Published
2022
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29. Rotigotine effect in prolonged disturbance of consciousness. Brief report of two cases.

Author

Corsi FM, Gerace C, and Ricci M

Subjects
Administration, Cutaneous, Aged, Cerebral Hemorrhage complications, Female, Humans, Male, Middle Aged, Recovery of Function, Akinetic Mutism drug therapy, Dopamine Agonists therapeutic use, Persistent Vegetative State drug therapy, Tetrahydronaphthalenes therapeutic use, Thiophenes therapeutic use
Abstract

Two patients with post-coma reactivation deficiency who showed a "dramatic" response to rotigotine therapy are described. They had suffered from prolonged coma due to lesions in the mesencephalic ventral tegmental area. The authors believe that rotigotine effect in these cases could be due to restoration of dopaminergic transmission in medial frontal areas previously "de-afferented" from the lesions. Some comatous patients may experience a prolonged difficulty in recovering a normal state of consciousness. This phenomenon may be due to dysfunction of amynergic activating pathways connecting brainstem to the frontal cerebral cortex. In particular, dysfunction of dopaminergic pathways from the mesencephalon to the frontal cortical areas may be responsible for clinical pictures characterized by preserved alertness and total loss of interactions with the surrounding environment; the so called "waking coma" cases.

Published
2020
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