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2. Mechanical thrombectomy in patients with heart failure: the Italian registry of Endovascular Treatment in Acute Stroke

Author

Gentile, Luana, Pracucci, Giovanni, Saia, Valentina, Falcou, Anne, Biraschi, Francesco, Zini, Andrea, Simonetti, Luigi, Riva, Letizia, Bigliardi, Guido, Vallone, Stefano, Nencini, Patrizia, Limbucci, Nicola, Diomedi, Marina, Da Ros, Valerio, Longoni, Marco, Ruggiero, Maria, Tassinari, Tiziana, Allegretti, Luca, Cerrato, Paolo, Rubino, Elisa, Bergui, Mauro, Cavallo, Roberto, Naldi, Andrea, Comelli, Chiara, Cappellari, Manuel, Zivelonghi, Cecilia, Plebani, Mauro, De Vito, Alessandro, Merli, Nicola, Saletti, Andrea, Musolino, Rosa Fortunata, Ferraù, Ludovica, Vinci, Sergio Lucio, Sacco, Simona, Orlandi, Berardino, De Santis, Federica, Filauri, Pietro, Ruiz, Luigi, Sepe, Federica Nicoletta, Gallesio, Ivan, Petruzzellis, Marco, Chiumarulo, Luigi, Sangalli, Davide, Salmaggi, Andrea, Filizzolo, Marco, Moller, Jessica, Melis, Maurizio, Comelli, Simone, Magoni, Mauro, Gilberti, Nicola, Gasparotti, Roberto, Invernizzi, Paolo, Pavia, Marco, Pinto, Vincenza, Laspada, Salvatore, Marcheselli, Simona, Ajello, Daniele, Viaro, Federica, Baracchini, Claudio, Causin, Francesco, Giannini, Nicola, Caselli, Maria Chiara, Mancuso, Michelangelo, Cosottini, Mirco, Scoditti, Umberto, Menozzi, Roberto, Russo, Monia, Amistá, Pietro, Napoletano, Rosa, Romano, Daniele Giuseppe, Tassi, Rossana, Bracco, Sandra, Carimati, Federico, Versino, Maurizio, Giorgianni, Andrea, De Boni, Antonella, Fasano, Antonio, Barbarini, Leonardo, Paladini, Adriana, Franchini, Enrica, Dall’Ora, Elisa, Comai, Alessio, Giovanni, Frisullo, Pedicelli, Alessandro, Sallustio, Fabrizio, Casetta, Ilaria, Fainardi, Enrico, Mangiafico, Salvatore, and Toni, Danilo

Published
2023
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3. Models of care in emergency neurology: from the Neuro Fast Track to the emergency neurologist—a position paper of the Italian Association for Emergency Neurology (ANEU)

Author

Micieli, Giuseppe, Cortelli, Pietro, Del Sette, Massimo, Quatrale, Rocco, Cavallini, Anna, Zedde, Maria Luisa, Zanferrari, Carla, de Falco, Arturo, Guarino, Maria, Cossu, Giovanni, Haggiag, Shalom, Pezzella, Francesca Romana, Porreca, Alessandro, Pistoia, Francesca, Andreone, Vincenzo, Giometto, Bruno, Gasperini, Claudio, Giorli, Elisa, Salmaggi, Andrea, Lattanzi, Simona, Labate, Carmelo Roberto, Rinaldi, Giuseppe, Melis, Maurizio, Caggia, Emanuele, Volpi, Gino, Passadore, Paolo, Corea, Francesco, and Franco, Giovanni Maria

Published
2023
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9. Clinicopathological and molecular landscape of 5-year IDH-wild-type glioblastoma survivors: A multicentric retrospective study

Author

Miele, Evelina, Anghileri, Elena, Calatozzolo, Chiara, Lazzarini, Elisabetta, Patrizi, Sara, Ciolfi, Andrea, Pedace, Lucia, Patanè, Monica, Abballe, Luana, Paterra, Rosina, Maddaloni, Luisa, Barresi, Sabina, Mastronuzzi, Angela, Petruzzi, Alessandra, Tramacere, Irene, Farinotti, Mariangela, Gurrieri, Lorena, Pirola, Elena, Scarpelli, Mauro, Lombardi, Giuseppe, Villani, Veronica, Simonelli, Matteo, Merli, Rossella, Salmaggi, Andrea, Tartaglia, Marco, Silvani, Antonio, DiMeco, Francesco, Calistri, Daniele, Lamperti, Elena, Locatelli, Franco, Indraccolo, Stefano, and Pollo, Bianca

Published
2024
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10. COVID-19-associated Guillain-Barré syndrome in the early pandemic experience in Lombardia (Italy)

Author

Martinelli-Boneschi, Filippo, Colombo, Antonio, Bresolin, Nereo, Sessa, Maria, Bassi, Pietro, Grampa, Giampiero, Magni, Eugenio, Versino, Maurizio, Ferrarese, Carlo, Zarcone, Davide, Albanese, Alberto, Micieli, Giuseppe, Zanferrari, Carla, Cagnana, Antonio, Ferrante, Claudio, Zilioli, Angelo, Locatelli, Davide, Calloni, Maria Vittoria, Delodovici, Maria Luisa, Pozzato, Mattia, Patisso, Valerio, Bortolan, Francesco, Foresti, Camillo, Frigeni, Barbara, Canella, Stefania, Xhani, Rubjona, Crabbio, Massimo, Clemenzi, Alessandro, Mauri, Marco, Beretta, Simone, La Spina, Isidoro, Bernasconi, Simona, De Santis, Tiziana, Cavallini, Anna, Ranieri, Michela, D’Adda, Elisabetta, Fruguglietti, Maria Elisa, Peverelli, Lorenzo, Agosti, Edoardo, Leoni, Olivia, Rigamonti, Andrea, and Salmaggi, Andrea

Published
2023
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11. Sex differences in ischemic stroke during COVID-19 first outbreak in northern Italy

Author

Sangalli, Davide, Versino, Maurizio, Colombo, Irene, Ciccone, Alfonso, Beretta, Simone, Marcheselli, Simona, Roncoroni, Mauro, Beretta, Sandro, Lorusso, Lorenzo, Cavallini, Anna, Prelle, Alessandro, Guidetti, Donata, La Gioia, Sara, Canella, Stefania, Zanferrari, Carla, Grampa, Giampiero, d'Adda, Elisabetta, Peverelli, Lorenzo, Colombo, Antonio, Martinelli-Boneschi, Filippo, and Salmaggi, Andrea

Published
2023
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12. Spontaneous intracerebral haemorrhage associated with early-onset cerebral amyloid angiopathy and Alzheimer’s disease neuropathological changes five decades after cadaveric dura mater graft

Author

Riccardo Milani, Lucio Aniello Mazzeo, Daniela Vismara, Ilaria Salemi, Emanuele Dainese, Emanuela Maderna, Elisa Pellencin, Marcella Catania, Nicole Campanella, Giuseppe Di Fede, Giorgio Giaccone, and Andrea Salmaggi

Subjects
Cerebral amyloid angiopathy, Alzheimer’s disease, Iatrogenic, Neurosurgery, Neurology. Diseases of the nervous system, RC346-429
Abstract

Abstract Cerebral amyloid angiopathy (CAA) is a small vessel disease, causing spontaneous intracerebral hemorrhage (ICH) in the elderly. It is strongly associated with Alzheimer disease (AD), as most CAA patients show deposition of Aβ—i.e. the basic component of parenchymal Alzheimer amyloid deposits—in the cerebral vessels. Iatrogenic early-onset CAA has been recently identified in patients with a history of traumatic brain injury or other cerebral as well as extra-cerebral lesions that led to neurosurgery or other medical procedures as intravascular embolization by cadaveric dura mater extracts many years before the first ICH event. In those patients, a transmission of Aβ seeds from neurosurgical instruments or from cadaveric dura mater exposure was suggested. We report a 51-year-old woman with unremarkable family history who presented abruptly with aphasia and right hemiparesis. A cerebral left lobar haemorrhagic stroke was documented by neuroimaging. Accurate anamnesis revealed a neurosurgical procedure with cadaveric dura mater graft at the age of 2 years for an arachnoid cyst. The neuropathological examination of the cerebral parietal biopsy showed severe amyloid angiopathy in many leptomeningeal and cortical vessels, as well as abundant parenchymal Aβ deposits, neurofibrillary tangles and neuropil threads. The mechanism involved in the human-to-human transmission of the Aβ proteinopathy remains to be clarified. In our patient the cadaver derived dura used for grafting is a very strong candidate as the source of the transmission. A systematic monitoring of individuals who have had neurosurgical procedures in early life, especially those involving cadaveric dural grafts, is required to determine the ratio of those affected by CAA many years later and unaffected. Moreover, our report confirms that in addition to vascular and parenchymal Aβ pathology, neurofibrillary changes indistinguishable from AD may develop in specific conditions with long latency period from the neurosurgical or embolization procedure.

Published
2023
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14. Assessing the susceptibility to acute respiratory illness COVID-19-related in a cohort of multiple sclerosis patients

Author

Mantero, Vittorio, Abate, Lucia, Balgera, Roberto, Basilico, Paola, Salmaggi, Andrea, and Cordano, Christian

Subjects
Clinical Research, Lung, Multiple Sclerosis, Neurodegenerative, Neurosciences, Prevention, Brain Disorders, Autoimmune Disease, 2.1 Biological and endogenous factors, Aetiology, Neurological, Good Health and Well Being, Adult, COVID-19, Cohort Studies, Female, Hospitalization, Humans, Male, Middle Aged, Risk Factors, SARS-CoV-2, Infections, Italy, Disease-modifying therapy
Abstract

IntroductionItaly has been the first European country severely affected by the COVID-19 pandemic.ObjectiveTo analyze the incidence of the clinical presentations suggestive for COVID-19 infection among patients with Multiple Sclerosis in the province of Lecco, in the North Italy, the closest province capital to Bergamo. To describe the association of demographics, clinical characteristics, and use of DMTs categories with the risk of contracting the disease.MethodsWe telephonically interviewed all the 275 MS patients followed in the MS center. The collected data included recent contact with a patient with COVID-19 diagnosis or a subject with respiratory symptoms and the developing of COVID-19 symptoms or a confirmed diagnosis.Results15 out of 275 patients reported symptoms suggestive for COVID-19 infection, only one of them with PCR-confirmed diagnosis. No one of them presented severe symptoms or needed hospitalization. Using a multivariable logistic regression model, the only factor associated with being in the COVID-suspect group was the report of a recent contact with a patient with a COVID-19 diagnosis.ConclusionsThe prevalence of COVID-19 within MS patients seems to resemble the prevalence in general population. The lack of associations with other factors assessed, including DMTs, may reflect a lack of statistical power. Larger population studies are needed to explore the correlation between different disease-modifying therapies and COVID-19 course.

Published
2020

17. Integrative Health Wellness Hour Benefits Rehabilitation Patients and Staff

Author

Resnicoff, Marci, Brown-Deveaux, Dewi, Salmaggi, Darah, and Gabbe, Laura

Subjects
Health care teams -- Methods, Rehabilitation -- Methods -- Quality management, Continuum of care -- Methods, Patient education -- Usage, Health
Abstract

Acute-rehabilitation patients newly diagnosed with debilitating injuries or diseases are often overwhelmed adjusting to accompanying life changes. This quality improvement pilot taught patients mindfulness techniques that enabled them to thrive past discharge, and used a train-the-trainer model for staff sustainability., Debilitating conditions, such as stroke, traumatic brain injury (TBI), degenerative diseases, and some orthopedic conditions, may cause permanent physiological insult even with treatment. Patients also suffer psychosocial loss throughout the [...]

Published
2023

20. Correction to: COVID‑19‑associated Guillain‑Barré syndrome in the early pandemic experience in Lombardia (Italy)

Author

Martinelli‑Boneschi, Filippo, Colombo, Antonio, Bresolin, Nereo, Sessa, Maria, Bassi, Pietro, Grampa, Giampiero, Magni, Eugenio, Versino, Maurizio, Ferrarese, Carlo, Zarcone, Davide, Albanese, Alberto, Micieli, Giuseppe, Zanferrari, Carla, Cagnana, Antonio, Ferrante, Claudio, Zilioli, Angelo, Locatelli, Davide, Calloni, Maria Vittoria, Delodovici, Maria Luisa, Pozzato, Mattia, Patisso, Valerio, Bortolan, Francesco, Foresti, Camillo, Frigeni, Barbara, Canella, Stefania, Xhani, Rubjona, Crabbio, Massimo, Clemenzi, Alessandro, Mauri, Marco, Beretta, Simone, La Spina, Isidoro, Bernasconi, Simona, De Santis, Tiziana, Cavallini, Anna, Ranieri, Michela, D’Adda, Elisabetta, Fruguglietti, Maria Elisa, Peverelli, Lorenzo, Agosti, Edoardo, Leoni, Olivia, Rigamonti, Andrea, and Salmaggi, Andrea

Published
2023
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21. SARS-CoV-2 infection and acute ischemic stroke in Lombardy, Italy

Author

Pezzini, Alessandro, Grassi, Mario, Silvestrelli, Giorgio, Locatelli, Martina, Rifino, Nicola, Beretta, Simone, Gamba, Massimo, Raimondi, Elisa, Giussani, Giuditta, Carimati, Federico, Sangalli, Davide, Corato, Manuel, Gerevini, Simonetta, Masciocchi, Stefano, Cortinovis, Matteo, La Gioia, Sara, Barbieri, Francesca, Mazzoleni, Valentina, Pezzini, Debora, Bonacina, Sonia, Pilotto, Andrea, Benussi, Alberto, Magoni, Mauro, Premi, Enrico, Prelle, Alessandro Cesare, Agostoni, Elio Clemente, Palluzzi, Fernando, De Giuli, Valeria, Magherini, Anna, Roccatagliata, Daria Valeria, Vinciguerra, Luisa, Puglisi, Valentina, Fusi, Laura, Diamanti, Susanna, Santangelo, Francesco, Xhani, Rubjona, Pozzi, Federico, Grampa, Giampiero, Versino, Maurizio, Salmaggi, Andrea, Marcheselli, Simona, Cavallini, Anna, Giossi, Alessia, Censori, Bruno, Ferrarese, Carlo, Ciccone, Alfonso, Sessa, Maria, and Padovani, Alessandro

Published
2022
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22. Brain tumours in the time of COVID-19: An online survey on patients’ disease experience in one Italian region

Author

Giorgia Abete-Fornara, Francesca Mameli, Fabiana Ruggiero, Jennifer Meessen, Adriana Blanda, Antonella Ampollini, Marco Locatelli, Andrea Salmaggi, Andrea Di Cristofori, Ilaria Mauri, and Manuela Caroli

Subjects
brain tumour, survey, psychological impact, pandemic, COVID-19, neuro-oncology, Neoplasms. Tumors. Oncology. Including cancer and carcinogens, RC254-282
Abstract

BackgroundSince the outbreak, in 2019, of COVID-19, the world has experienced marked changes in daily habits, partly reflecting the exceptional social restrictions and health measures adopted to contain the disease. All these measures significantly affected not only peoples’s daily lives and psychological well-being but also the possibility for the healthcare system to function properly. In this setting, brain tumour patients were at risk due to their higher physical and mental fragility and their need for regular care. The aim of the present study was to assess, using a self-reported online questionnaire, the patients’s perceptions regarding their disease experience.Materials and methodsWe developed an online anonymous self-report survey to assess patients’s disease experience during the pandemic. We investigated the impact of the COVID-19 pandemic on patients’s cancer care schedules, their psychological distress and emotions felt during the pandemic, their levels of worry about COVID-19, and their oncological conditions.Results107 patients answered our survey, most of them suffering from a glioma. Less than one-third of the sample had their appointments cancelled, delayed or converted into online visits due to the pandemic. Of the patients who answered the survey, 95% declared they were satisfied with their Institute’s oncological management. The feelings reported most often were peacefulness or anxiety/worry; the majority of the sample reported high levels of loneliness, which tended to increase with age, whilst the psychological distress was correlated with age and with having a recurrence of the disease. Half of the sample declared severe worry about their oncological condition, in particular subjects with a recurrence or who were receiving adjuvant therapies. Patients with recurrence tended to worry more about the possibility of contracting COVID-19, and its effects.ConclusionOur findings illustrate how fragile and in need of care patients with a brain tumour may be, especially those with more severe clinical conditions. These data may help boost healthcare professionals’s knowledge about brain tumour patients’s needs and fears, so as to be able to offer them a better hospital experience and improve their clinical management, while possibly also reducing the psychological burden on patients and their families.

Published
2023
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24. COVID-19 vaccines and attributable risk of neurological disorders: a multicentre, case-control study (COVIVAX)

Author

Pupillo, Elisabetta, primary, Bianchi, Elisa, additional, Beghi, Ettore, additional, Pedrazzini, Francesco, additional, Giglio, Angela, additional, Schilke, Edoardo, additional, Percetti, Marco, additional, Colleoni, Carlo Morotti, additional, Mainini, Gabriele, additional, Calabresi, Paolo, additional, Primiano, Guido, additional, Frisullo, Giovanni, additional, Padovani, Alessandro, additional, Cristillo, Viviana, additional, Pilotto, Andrea, additional, Arici, Davide, additional, Gipponi, Stefano, additional, Tedeschi, Gioacchini, additional, D'Ambrosio, Alessandro, additional, Melisi, Rosario, additional, Gallo, Antonio, additional, Bisecco, Alvino, additional, Salmaggi, Andrea, additional, Basilico, Paola, additional, Scaccabarozzi, Chiara, additional, Kiferle, Lorenzo, additional, Valenti, Raffaella, additional, Avino, Gianluca, additional, Borghi, Annamaria, additional, Contardi, Sara, additional, Zini, Andrea, additional, Ferrarese, Carlo, additional, and Beretta, Simone, additional

Published
2024
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25. Is It Worth Considering Multicentric High-Grade Glioma a Surgical Disease? Analysis of Our Clinical Experience and Literature Review

Author

Francesco Guerrini, Lucio Aniello Mazzeo, Giorgio Rossi, Mariarosaria Verlotta, Mattia Del Maestro, Angela Dele Rampini, Alessandro Pesce, Marco Viganò, Sabino Luzzi, Renato Juan Galzio, Andrea Salmaggi, and Giannantonio Spena

Subjects
glioblastoma, MRI, multifocal, brain, tumor, Computer applications to medicine. Medical informatics, R858-859.7
Abstract

Introduction. The simultaneous presence of multiple foci of high-grade glioma is a rare condition with a poor prognosis. By definition, if an anatomical connection through white matter bundles cannot be hypothesized, multiple lesions are defined as multicentric glioma (MC); on the other hand, when this connection exists, it is better defined as multifocal glioma (MF). Whether surgery can be advantageous for these patients has not been established yet. The aim of our study was to critically review our experience and to compare it to the existing literature. Materials and Methods. Retrospective analysis of patients operated on for MC HGG in two Italian institutions was performed. Distinction between MC and MF was achieved through revision of MR FLAIR images. Clinical and radiological preoperative and postoperative data were analyzed through chart revision and phone interviews. The same data were extracted from literature review. Univariate and multivariate analyses were conducted for the literature review only, and the null hypothesis was rejected for a p-value ≥ 0.05. Results. Sixteen patients met the inclusion criteria; male predominance and an average age of 66.5 years were detected. Sensory/motor deficit was the main onset symptom both in clinical study and literature review. A tendency to operate on the largest symptomatic lesion was reported and GTR was reached in the majority of cases. GBM was the histological diagnosis in most part of the patients. OS was 8.7 months in our series compared to 7.5 months from the literature review. Age ≤ 70 years, a postoperative KPS ≥ 70, a GTR/STR, a second surgery and adjuvant treatment were shown to be significantly associated with a better prognosis. Pathological examination revealed that MC HGG did not originate by LGG. Conclusions. MC gliomas are rare conditions with high malignancy and a poor prognosis. A maximal safe resection should be attempted whenever possible, especially in younger patients with life-threatening large mass.

Published
2021
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26. The Role of Adhesion Molecules and Extracellular Vesicles in an In Vitro Model of the Blood–Brain Barrier for Metastatic Disease

Author

Chiara Vasco, Ambra Rizzo, Chiara Cordiglieri, Elena Corsini, Emanuela Maderna, Emilio Ciusani, and Andrea Salmaggi

Subjects
brain metastasis, brain metastasis molecular markers, Neoplasms. Tumors. Oncology. Including cancer and carcinogens, RC254-282
Abstract

Metastatic brain disease (MBD) has seen major advances in clinical management, focal radiation therapy approaches and knowledge of biological factors leading to improved prognosis. Extracellular vesicles (EVs) have been found to play a role in tumor cross-talk with the target organ, contributing to the formation of a premetastatic niche. Human lung and breast cancer cell lines were characterized for adhesion molecule expression and used to evaluate their migration ability in an in vitro model. Conditioned culture media and isolated EVs, characterized by super resolution and electron microscopy, were tested to evaluate their pro-apoptotic properties on human umbilical vein endothelial cells (HUVECs) and human cerebral microvascular endothelial cells (HCMEC/D3) by annexin V binding assay. Our data showed a direct correlation between expression of ICAM1, ICAM2, β3-integrin and α2-integrin and the ability to firmly adhere to the blood–brain barrier (BBB) model, whereas the same molecules were down-regulated at a later step. Extracellular vesicles released by tumor cell lines were shown to be able to induce apoptosis in HUVEC while brain endothelial cells showed to be more resistant.

Published
2023
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27. Posterior reversible encephalopathy syndrome and COVID-19: A series of 6 cases from Lombardy, Italy

Author

Colombo, Antonio, Martinelli Boneschi, Filippo, Beretta, Sandro, Bresolin, Nereo, Versino, Maurizio, Lorusso, Lorenzo, Spagnoli, Diego, Nastasi, Giulia, Vallauri, Davide, Rota, Stefania, Repaci, Maria, Ferrarini, Massimo, Pozzato, Mattia, Princiotta Cariddi, Lucia, Tabaee Damavandi, Payam, Carimati, Federico, Banfi, Paola, Clemenzi, Alessandro, Marelli, Margherita, Giorgianni, Andrea, Vinacci, Gabriele, Mauri, Marco, Melzi, Paola, Di Stefano, Maria, Tetto, Antonio, Canesi, Margherita, and Salmaggi, Andrea

Published
2021
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28. The management of epilepsy in clinical practice: Do the timing and severity of the disease influence the priorities of patients and the caring physicians? Data from the EPINEEDS study

Author

Pulitano, Patrizia, Cagnetti, Claudia, Baldinelli, Sara, La Neve, Angela, Tappatà, Maria, Francavilla, Teresa, De Maria, Giovanni, Sofia, Vito, Giuliano, Loretta, Mainieri, Greta, Fatuzzo, Daniela, Belcastro, Vincenzo, Elia, Maurizio, D'Orsi, Giuseppe, Lalla, Alessandra, Salmaggi, Andrea, Brigo, Francesco, Magaudda, Adriana, Pisani, Francesco, Galletta, Santi, Pisani, Laura R., Raffaele, Massimo, Cosenza, Domenico, Villani, Flavio S., Quintas, Rui M.M., Cervellione, Rosa, Borroni, Simona, Meletti, Stefano, Ferrarese, Carlo, Barbella, Giuseppina, Di Francesco, Jacopo, Bogliun, Graziella, Beretta, Simone, Galimberti, Carlo A., Cantisani, Teresa A., Cecconi, Michela, Celani, Maria G., Papetti, Rossella, Giorgi, Filippo S., Aguglia, Umberto, Gasparini, Sara, Ferlazzo, Edoardo, Manganotti, Paolo, Crichiutti, Giovanni, Bravar, Giulia, Enia, Gabriele, Giussani, Giorgia, Bianchi, Elisa, Mecarelli, Oriano, and Beghi, Ettore

Published
2021
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31. Medulloblastoma of the adult: results from a multicenter retrospective study by AINO (Italian Association of Neuro-Oncology) and SIN (Italian Society of Neurology)

Author

Gaviani, Paola, Simonetti, Giorgia, Rudà, Roberta, Franchino, Federica, Lombardi, Giuseppe, Possanzini, Marco, Squintu, Sara, Villani, Veronica, Teriaca, Mariaausilia, Cavallieri, Francesco, Caffo, Maria, Salmaggi, Andrea, Bianco, Andrea, Anghileri, Elena, Farinotti, Mariangela, Tramacere, Irene, and Silvani, Antonio

Published
2021
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37. Sex differences in ischemic stroke during COVID-19 first outbreak in northern Italy

Author

Sangalli, D, Versino, M, Colombo, I, Ciccone, A, Beretta, S, Marcheselli, S, Roncoroni, M, Lorusso, L, Cavallini, A, Prelle, A, Guidetti, D, La Gioia, S, Canella, S, Zanferrari, C, Grampa, G, D'Adda, E, Peverelli, L, Colombo, A, Martinelli-Boneschi, F, Salmaggi, A, Sangalli D., Versino M., Colombo I., Ciccone A., Beretta S., Marcheselli S., Roncoroni M., Lorusso L., Cavallini A., Prelle A., Guidetti D., La Gioia S., Canella S., Zanferrari C., Grampa G., d'Adda E., Peverelli L., Colombo A., Martinelli-Boneschi F., Salmaggi A., Sangalli, D, Versino, M, Colombo, I, Ciccone, A, Beretta, S, Marcheselli, S, Roncoroni, M, Lorusso, L, Cavallini, A, Prelle, A, Guidetti, D, La Gioia, S, Canella, S, Zanferrari, C, Grampa, G, D'Adda, E, Peverelli, L, Colombo, A, Martinelli-Boneschi, F, Salmaggi, A, Sangalli D., Versino M., Colombo I., Ciccone A., Beretta S., Marcheselli S., Roncoroni M., Lorusso L., Cavallini A., Prelle A., Guidetti D., La Gioia S., Canella S., Zanferrari C., Grampa G., d'Adda E., Peverelli L., Colombo A., Martinelli-Boneschi F., and Salmaggi A.

Abstract

Introduction: COVID-19 pandemic had a great impact on outcome in SARS-CoV-2 positive patients with ischemic stroke during the first wave in Italy. Few data are available on outcome stratified by sex. Methods: The Italian Society of Hospital Neuroscience conducted a multi-center, retrospective, observational study on neurological complications in COVID-19 patients with ischemic stroke. All the patients admitted from March 1st to April 30th, 2020 in 20 Neurology Units in Northern Italy were recruited. Demographical and clinical features, treatment and outcome data were compared focusing on sex differences. Results: 812 patients with ischemic stroke were enrolled, of whom 129 with COVID-19; males were 53.8%. In-hospital mortality in COVID-19 patients was 35.3% in males and 27.9% in females while 8.5% in male and 5.8% in female patients without COVID-19. SARS-CoV-2 positive patients had a higher frequency of stroke of undetermined etiology, than negative ones (32.8% vs 22.5%; p = 0.02), especially in females compared to males (36.1% vs 27.9%), albeit without statistical significance. Male patients with SARS-CoV-2 were more likely to require cPAP (30.9% vs 14.8%; p = 0.03), endotracheal tube (14.9% vs 3.3%; p = 0.02) and reperfusion strategies (29.4% vs 11.5%; p = 0.01) than females, as well as to have a higher CRP and D-dimer. These elements together with older age, a total anterior circulation stroke and lymphopenia were predictors of a worse outcome. Discussion: Our study detected some differences due to sex in ischemic stroke with and without COVID-19, supporting the possibility to perform sex analyses for SARS-CoV-2 positive patients for a better clinical management.

Published
2023

38. Monitoring cognitive and psychological alterations in COVID-19 patients: A longitudinal neuropsychological study

Author

Diana, L, Regazzoni, R, Sozzi, M, Piconi, S, Borghesi, L, Lazzaroni, E, Basilico, P, Aliprandi, A, Bolognini, N, Bonardi, D, Colombo, D, Salmaggi, A, Diana L., Regazzoni R., Sozzi M., Piconi S., Borghesi L., Lazzaroni E., Basilico P., Aliprandi A., Bolognini N., Bonardi D. R., Colombo D., Salmaggi A., Diana, L, Regazzoni, R, Sozzi, M, Piconi, S, Borghesi, L, Lazzaroni, E, Basilico, P, Aliprandi, A, Bolognini, N, Bonardi, D, Colombo, D, Salmaggi, A, Diana L., Regazzoni R., Sozzi M., Piconi S., Borghesi L., Lazzaroni E., Basilico P., Aliprandi A., Bolognini N., Bonardi D. R., Colombo D., and Salmaggi A.

Abstract

Background: SARS-COV-2 infection has been associated to long-lasting neuropsychiatric sequelae, including cognitive deficits, that persist after one year. However, longitudinal monitoring has been scarcely performed. Here, in a sample of COVID-19 patients, we monitor cognitive, psychological and quality of life-related profiles up to 22 months from resolution of respiratory disease. Methods: Out of 657 COVID-19 patients screened at Manzoni Hospital (Lecco, Italy), 22 underwent neuropsychological testing because of subjective cognitive disturbances at 6 months, 16 months, and 22 months. Tests of memory, attention, and executive functions were administered, along with questionnaires for depressive and Post-traumatic stress disorder (PTSD) symptoms, psychological well-being and quality of life. Cross-sectional descriptives, correlational, as well as longitudinal analyses considering COVID19-severity were carried out. A preliminary comparison with a sample of obstructive sleep apneas patients was also performed. Results: Around 50% of COVID-19 patients presented with cognitive deficits at t0. The most affected domain was verbal memory. Pathological scores diminished over time, but a high rate of borderline scores was still observable. Longitudinal analyses highlighted improvements in verbal and non-verbal long term memory, as well as attention, and executive functioning. Depression and PTSD-related symptoms were present in 30% of patients. The latter decreased over time and were associated to attentional-executive performance. Conclusions: Cognitive dysfunctions in COVID-19 patients may extend over 1 year, yet showing a significant recovery in several cases. Cognitive alterations are accompanied by a significant psychological distress. Many patients displaying borderline scores, especially those at higher risk of dementia, deserve clinical monitoring.

Published
2023

39. COVID-19-associated Guillain-Barré syndrome in the early pandemic experience in Lombardia (Italy)

Author

Martinelli-Boneschi, F, Colombo, A, Bresolin, N, Sessa, M, Bassi, P, Grampa, G, Magni, E, Versino, M, Ferrarese, C, Zarcone, D, Albanese, A, Micieli, G, Zanferrari, C, Cagnana, A, Ferrante, C, Zilioli, A, Locatelli, D, Calloni, M, Delodovici, M, Pozzato, M, Patisso, V, Bortolan, F, Foresti, C, Frigeni, B, Canella, S, Xhani, R, Crabbio, M, Clemenzi, A, Mauri, M, Beretta, S, La Spina, I, Bernasconi, S, De Santis, T, Cavallini, A, Ranieri, M, D'Adda, E, Fruguglietti, M, Peverelli, L, Agosti, E, Leoni, O, Rigamonti, A, Salmaggi, A, Martinelli-Boneschi F., Colombo A., Bresolin N., Sessa M., Bassi P., Grampa G., Magni E., Versino M., Ferrarese C., Zarcone D., Albanese A., Micieli G., Zanferrari C., Cagnana A., Ferrante C., Zilioli A., Locatelli D., Calloni M. V., Delodovici M. L., Pozzato M., Patisso V., Bortolan F., Foresti C., Frigeni B., Canella S., Xhani R., Crabbio M., Clemenzi A., Mauri M., Beretta S., La Spina I., Bernasconi S., De Santis T., Cavallini A., Ranieri M., D'Adda E., Fruguglietti M. E., Peverelli L., Agosti E., Leoni O., Rigamonti A., Salmaggi A., Martinelli-Boneschi, F, Colombo, A, Bresolin, N, Sessa, M, Bassi, P, Grampa, G, Magni, E, Versino, M, Ferrarese, C, Zarcone, D, Albanese, A, Micieli, G, Zanferrari, C, Cagnana, A, Ferrante, C, Zilioli, A, Locatelli, D, Calloni, M, Delodovici, M, Pozzato, M, Patisso, V, Bortolan, F, Foresti, C, Frigeni, B, Canella, S, Xhani, R, Crabbio, M, Clemenzi, A, Mauri, M, Beretta, S, La Spina, I, Bernasconi, S, De Santis, T, Cavallini, A, Ranieri, M, D'Adda, E, Fruguglietti, M, Peverelli, L, Agosti, E, Leoni, O, Rigamonti, A, Salmaggi, A, Martinelli-Boneschi F., Colombo A., Bresolin N., Sessa M., Bassi P., Grampa G., Magni E., Versino M., Ferrarese C., Zarcone D., Albanese A., Micieli G., Zanferrari C., Cagnana A., Ferrante C., Zilioli A., Locatelli D., Calloni M. V., Delodovici M. L., Pozzato M., Patisso V., Bortolan F., Foresti C., Frigeni B., Canella S., Xhani R., Crabbio M., Clemenzi A., Mauri M., Beretta S., La Spina I., Bernasconi S., De Santis T., Cavallini A., Ranieri M., D'Adda E., Fruguglietti M. E., Peverelli L., Agosti E., Leoni O., Rigamonti A., and Salmaggi A.

Abstract

Objective: To estimate the incidence and describe clinical characteristics and outcome of GBS in COVID-19 patients (COVID19-GBS) in one of the most hit regions during the first pandemic wave, Lombardia. Methods: Adult patients admitted to 20 Neurological Units between 1/3–30/4/2020 with COVID19-GBS were included as part of a multi-center study organized by the Italian society of Hospital Neuroscience (SNO). Results: Thirty-eight COVID19-GBS patients had a mean age of 60.7 years and male frequency of 86.8%. CSF albuminocytological dissociation was detected in 71.4%, and PCR for SARS-CoV-2 was negative in 19 tested patients. Based on neurophysiology, 81.8% of patients had a diagnosis of AIDP, 12.1% of AMSAN, and 6.1% of AMAN. The course was favorable in 76.3% of patients, stable in 10.5%, while 13.2% worsened, of which 3 died. The estimated occurrence rate in Lombardia ranges from 0.5 to 0.05 GBS cases per 1000 COVID-19 infections depending on whether you consider positive cases or estimated seropositive cases. When we compared GBS cases with the pre-pandemic period, we found a reduction of cases from 165 to 135 cases in the 2-month study period in Lombardia. Conclusions: We detected an increased incidence of GBS in COVID-19 patients which can reflect a higher risk of GBS in COVID-19 patients and a reduction of GBS events during the pandemic period possibly due to a lower spread of more common respiratory infectious diseases determined by an increased use of preventive measures.

Published
2023

40. Correction to: COVID‐19‐associated Guillain‐Barré syndrome in the early pandemic experience in Lombardia (Italy) (Neurological Sciences, (2023), 44, 2, (437-446), 10.1007/s10072-022-06429-6)

Author

Martinelli-Boneschi F., Martinelli-Boneschi, F, Colombo, A, Bresolin, N, Sessa, M, Bassi, P, Grampa, G, Magni, E, Versino, M, Ferrarese, C, Zarcone, D, Albanese, A, Micieli, G, Zanferrari, C, Cagnana, A, Ferrante, C, Zilioli, A, Locatelli, D, Calloni, M, Delodovici, M, Pozzato, M, Patisso, V, Bortolan, F, Foresti, C, Frigeni, B, Canella, S, Xhani, R, Crabbio, M, Clemenzi, A, Mauri, M, Beretta, S, La Spina, I, Bernasconi, S, De Santis, T, Cavallini, A, Ranieri, M, D'Adda, E, Fruguglietti, M, Peverelli, L, Agosti, E, Leoni, O, Rigamonti, A, Salmaggi, A, Martinelli-Boneschi F., Colombo A., Bresolin N., Sessa M., Bassi P., Grampa G., Magni E., Versino M., Ferrarese C., Zarcone D., Albanese A., Micieli G., Zanferrari C., Cagnana A., Ferrante C., Zilioli A., Locatelli D., Calloni M. V., Delodovici M. L., Pozzato M., Patisso V., Bortolan F., Foresti C., Frigeni B., Canella S., Xhani R., Crabbio M., Clemenzi A., Mauri M., Beretta S., La Spina I., Bernasconi S., De Santis T., Cavallini A., Ranieri M., D'Adda E., Fruguglietti M. E., Peverelli L., Agosti E., Leoni O., Rigamonti A., Salmaggi A., Martinelli-Boneschi F., Martinelli-Boneschi, F, Colombo, A, Bresolin, N, Sessa, M, Bassi, P, Grampa, G, Magni, E, Versino, M, Ferrarese, C, Zarcone, D, Albanese, A, Micieli, G, Zanferrari, C, Cagnana, A, Ferrante, C, Zilioli, A, Locatelli, D, Calloni, M, Delodovici, M, Pozzato, M, Patisso, V, Bortolan, F, Foresti, C, Frigeni, B, Canella, S, Xhani, R, Crabbio, M, Clemenzi, A, Mauri, M, Beretta, S, La Spina, I, Bernasconi, S, De Santis, T, Cavallini, A, Ranieri, M, D'Adda, E, Fruguglietti, M, Peverelli, L, Agosti, E, Leoni, O, Rigamonti, A, Salmaggi, A, Martinelli-Boneschi F., Colombo A., Bresolin N., Sessa M., Bassi P., Grampa G., Magni E., Versino M., Ferrarese C., Zarcone D., Albanese A., Micieli G., Zanferrari C., Cagnana A., Ferrante C., Zilioli A., Locatelli D., Calloni M. V., Delodovici M. L., Pozzato M., Patisso V., Bortolan F., Foresti C., Frigeni B., Canella S., Xhani R., Crabbio M., Clemenzi A., Mauri M., Beretta S., La Spina I., Bernasconi S., De Santis T., Cavallini A., Ranieri M., D'Adda E., Fruguglietti M. E., Peverelli L., Agosti E., Leoni O., Rigamonti A., and Salmaggi A.

Abstract

The above article was published with error. The affiliation address of the authors Alberto Albanese and Tiziana De Santis has been modified to: “U.O. Neurologia, IRCCS Istituto Clinico Humanitas, Milan, Italy”.The Original article has been corrected.

Published
2023

45. Iatrogenic cerebral amyloid angiopathy: A multinational case series and individual patient data analysis of the literature.

Author

Pikija, Slaven, Pretnar-Oblak, Janja, Frol, Senta, Malojcic, Branko, Gattringer, Thomas, Rak-Frattner, Kinga, Staykov, Dimitre, Salmaggi, Andrea, Milani, Riccardo, Magdic, Jozef, Iglseder, Sarah, Trinka, Eugen, Kraus, Theo, Toma, Andreea, DiFrancesco, Jacopo C., Tabaee Damavandi, Payam, Fabin, Natalia, Bersano, Anna, de la Riva Juez, Patricia, and Albajar Gomez, Ines

Subjects
CEREBRAL amyloid angiopathy, PRION diseases, DATA analysis, INTRACRANIAL hemorrhage, IATROGENIC diseases, BRAIN surgery
Abstract

Background: The transmission of amyloid β (Aβ) in humans leading to iatrogenic cerebral amyloid angiopathy (iCAA) is a novel concept with analogies to prion diseases. However, the number of published cases is low, and larger international studies are missing. Aims: We aimed to build a large multinational collaboration on iCAA to better understand the clinical spectrum of affected patients. Methods: We collected clinical data on patients with iCAA from Austria, Croatia, Italy, Slovenia, and Spain. Patients were included if they met the proposed Queen Square diagnostic criteria (QSC) for iCAA. In addition, we pooled data on disease onset, latency, and cerebrospinal fluid (CSF) biomarkers from previously published iCAA cases based on a systematic literature review. Results: Twenty-seven patients (22% women) were included in this study. Of these, 19 (70%) met the criteria for probable and 8 (30%) for possible iCAA. Prior neurosurgical procedures were performed in all patients (93% brain surgery, 7% spinal surgery) at median age of 8 (interquartile range (IQR) = 4–18, range = 0–26 years) years. The median symptom latency was 39 years (IQR = 34–41, range = 28–49). The median age at symptom onset was 49 years (IQR = 43–55, range = 32–70). Twenty-one patients (78%) presented with intracranial hemorrhage and 3 (11%) with seizures. Conclusions: Our large international case series of patients with iCAA confirms a wide age boundary for the diagnosis of iCAA. Dissemination of awareness of this rare condition will help to identify more affected patients. [ABSTRACT FROM AUTHOR]

Published
2024
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47. Iatrogenic cerebral amyloid angiopathy: A multinational case series and individual patient data analysis of the literature

Author

Pikija, Slaven, primary, Pretnar-Oblak, Janja, additional, Frol, Senta, additional, Malojcic, Branko, additional, Gattringer, Thomas, additional, Rak-Frattner, Kinga, additional, Staykov, Dimitre, additional, Salmaggi, Andrea, additional, Milani, Riccardo, additional, Magdic, Jozef, additional, Iglseder, Sarah, additional, Trinka, Eugen, additional, Kraus, Theo, additional, Toma, Andreea, additional, DiFrancesco, Jacopo C., additional, Tabaee Damavandi, Payam, additional, Fabin, Natalia, additional, Bersano, Anna, additional, Albajar, Inés, additional, de la Riva, Patricia, additional, Storti, Benedetta, additional, and Fandler-Höfler, Simon, additional

Published
2023
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48. Posterior reversible encephalopathy syndrome and COVID-19: A series of 6 cases from Lombardy, Italy

Author

Antonio Colombo, Filippo Martinelli Boneschi, Sandro Beretta, Nereo Bresolin, Maurizio Versino, Lorenzo Lorusso, Diego Spagnoli, Giulia Nastasi, Davide Vallauri, Stefania Rota, Maria Repaci, Massimo Ferrarini, Mattia Pozzato, Lucia Princiotta Cariddi, Payam Tabaee Damavandi, Federico Carimati, Paola Banfi, Alessandro Clemenzi, Margherita Marelli, Andrea Giorgianni, Gabriele Vinacci, Marco Mauri, Paola Melzi, Maria Di Stefano, Antonio Tetto, Margherita Canesi, and Andrea Salmaggi

Subjects
COVID-19, PRES, Seizures, Neurology. Diseases of the nervous system, RC346-429
Abstract

Posterior reversible encephalopathy cases are increasingly being reported in patients affected by COVID-19, but the largest series so far only includes 4 patients. We present a series of 6 patients diagnosed with PRES during COVID-19 hospitalized in 5 Centers in Lombardia, Italy. 5 out of the 6 patients required intensive care assistence and seizures developed at weaning from assisted ventilation. 3 out of 6 patients underwent cerebrospinal fluid analysis which was normal in all cases, with negative PCR for Sars-CoV-2 genome search. PRES occurrence may be less rare than supposed in COVID-19 patients and a high suspicion index is warranted for prompt diagnosis and treatment.

Published
2021
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