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De Grado A, Manfredi C, Brugnera A, Groppo E, Valvassori L, Cencini F, Erbetta A, Ciceri E, Lerario R, Priori A, Scelzo E. Watch brain circulation in unexplained progressive myelopathy: a review of Cognard type V arterio-venous fistulas. Neurol Sci 2023; 44:3457-3480. [PMID: 37380820 PMCID: PMC10495521 DOI: 10.1007/s10072-023-06870-1] [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] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/22/2022] [Accepted: 05/18/2023] [Indexed: 06/30/2023]
Abstract
BACKGROUND Intracranial dural arterio-venous fistulas are pathological anastomoses between arteries and veins located within dural sheets and whose clinical manifestations depend on location and hemodynamic features. They can sometimes display perimedullary venous drainage (Cognard type V fistulas-CVFs) and present as a progressive myelopathy. Our review aims at describing CVFs' variety of clinical presentation, investigating a possible association between diagnostic delay and outcome and assessing whether there is a correlation between clinical and/or radiological signs and clinical outcomes. METHODS We conducted a systematic search on Pubmed, looking for articles describing patients with CVFs complicated with myelopathy. RESULTS A total of 72 articles for an overall of 100 patients were selected. The mean age was 56.20 ± 14.07, 72% of patients were man, and 58% received an initial misdiagnosis. CVFs showed a progressive onset in 65% of cases, beginning with motor symptoms in 79% of cases. As for the MRI, 81% presented spinal flow voids. The median time from symptoms' onset to diagnosis was 5 months with longer delays for patients experiencing worse outcomes. Finally, 67.1% of patients showed poor outcomes while the remaining 32.9% obtained a partial-to-full recovery. CONCLUSIONS We confirmed CVFs' broad clinical spectrum of presentation and found that the outcome is not associated with the severity of the clinical picture at onset, but it has a negative correlation with the length of diagnostic delay. We furthermore underlined the importance of cervico-dorsal perimedullary T1/T2 flow voids as a reliable MRI parameter to orient the diagnosis and distinguish CVFs from most of their mimics.
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Affiliation(s)
- Amedeo De Grado
- Clinica Neurologica, Polo Universitario San Paolo, ASST Santi Paolo e Carlo, Dipartimento di Scienze della Salute, Università degli Studi di Milano, Via Antonio Di Rudinì, 8, Milan, Italy
| | - Chiara Manfredi
- Clinica Neurologica, Polo Universitario San Paolo, ASST Santi Paolo e Carlo, Dipartimento di Scienze della Salute, Università degli Studi di Milano, Via Antonio Di Rudinì, 8, Milan, Italy
| | - Agostino Brugnera
- Department of Human and Social Sciences, University of Bergamo, Bergamo, Italy
| | - Elisabetta Groppo
- Clinica Neurologica, Polo Universitario San Paolo, ASST Santi Paolo e Carlo, Dipartimento di Scienze della Salute, Università degli Studi di Milano, Via Antonio Di Rudinì, 8, Milan, Italy
| | - Luca Valvassori
- Department of Neuroradiology, ASST Santi Paolo E Carlo, Milan, Italy
| | - Federica Cencini
- Clinica Neurologica, Polo Universitario San Paolo, ASST Santi Paolo e Carlo, Dipartimento di Scienze della Salute, Università degli Studi di Milano, Via Antonio Di Rudinì, 8, Milan, Italy
| | - Alessandra Erbetta
- Department of Neuroradiology, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milan, Italy
| | - Elisa Ciceri
- Department of Imaging Radiology and Interventional Neuroradiology, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milan, Italy
| | - Rosanna Lerario
- Institute of Bari, Spinal Unit, ICS MAUGERI SPA SB, IRCCS, Bari, Italy
| | - Alberto Priori
- Clinica Neurologica, Polo Universitario San Paolo, ASST Santi Paolo e Carlo, Dipartimento di Scienze della Salute, Università degli Studi di Milano, Via Antonio Di Rudinì, 8, Milan, Italy.
- Aldo Ravelli" Center for Neurotechnology and Experimental Brain Therapeutics, University of Milan, Milan, Italy.
| | - Emma Scelzo
- Clinica Neurologica, Polo Universitario San Paolo, ASST Santi Paolo e Carlo, Dipartimento di Scienze della Salute, Università degli Studi di Milano, Via Antonio Di Rudinì, 8, Milan, Italy
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Guerini FR, Agliardi C, Oreni L, Groppo E, Bolognesi E, Zanzottera M, Caputo D, Rovaris M, Clerici M. Vitamin D Receptor Gene Polymorphism Predicts the Outcome of Multidisciplinary Rehabilitation in Multiple Sclerosis Patients. Int J Mol Sci 2023; 24:13379. [PMID: 37686183 PMCID: PMC10487750 DOI: 10.3390/ijms241713379] [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] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/17/2023] [Revised: 08/25/2023] [Accepted: 08/27/2023] [Indexed: 09/10/2023] Open
Abstract
Better knowledge about the possible role of genetic factors in modulating the response to multiple sclerosis (MS) treatment, including rehabilitation, known to promote neural plasticity, could improve the standard of care for this disease. Vitamin D receptor (VDR) gene polymorphisms are associated with MS risk, probably because of the role played by vitamin D in regulating inflammatory and reparative processes. The aim of this study was to evaluate the association of the most important functional VDR SNPs (TaqI (T/C), ApaI (A/C), and FokI (C/T)) with functional outcome in MS patients undergoing multidisciplinary inpatient rehabilitation (MDR) treatment, in order to determine whether genetic profiling might be useful to identify subjects with a higher chance of recovery. To this end, 249 MS inpatients with a diagnosis of either progressive (pMS; n = 155) or relapsing remitting (RRMS; n = 94) disease who underwent MDR treatment (average duration = 5.1 weeks) were genotyped for VDR SNPs by real-time allelic discrimination. The rehabilitation outcome was assessed using the modified Barthel Index (mBI), Expanded Disability Status Scale (EDSS), and pain numerical rating scores (NRS) at the beginning and the end of MDR treatment. A positive correlation was observed in RRMS patients between the VDR TaqI major allele (TT) and mBI increase (i.e., better functional recovery), as assessed by the linear and logistic regression analysis adjusted for gender, age, disease duration, time of hospitalization, HLA-DRB1*15.01 positivity, and number of rehabilitative interventions (Beta = 6.35; p = 0.0002). The VDR-1 TaqI, ApaI, FokI: TCC haplotype was also associated with mBI increase in RRMS patients (Beta = 3.24; p = 0.007), whereas the VDR-2: CAC haplotype was correlated with a lower mBI increase (Beta = -2.18 p = 0.04) compared with the other haplotypes. VDR TaqI major allele (TT), as well as the VDR-1 TaqI, ApaI, FokI: TCC haplotype could be associated with a better rehabilitation outcome in RRMS patients.
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Affiliation(s)
- Franca Rosa Guerini
- IRCCS Fondazione Don Carlo Gnocchi, Via Capecelatro 66, 20148 Milan, Italy; (F.R.G.); (L.O.); (E.G.); (E.B.); (M.Z.); (D.C.); (M.R.); (M.C.)
| | - Cristina Agliardi
- IRCCS Fondazione Don Carlo Gnocchi, Via Capecelatro 66, 20148 Milan, Italy; (F.R.G.); (L.O.); (E.G.); (E.B.); (M.Z.); (D.C.); (M.R.); (M.C.)
| | - Letizia Oreni
- IRCCS Fondazione Don Carlo Gnocchi, Via Capecelatro 66, 20148 Milan, Italy; (F.R.G.); (L.O.); (E.G.); (E.B.); (M.Z.); (D.C.); (M.R.); (M.C.)
| | - Elisabetta Groppo
- IRCCS Fondazione Don Carlo Gnocchi, Via Capecelatro 66, 20148 Milan, Italy; (F.R.G.); (L.O.); (E.G.); (E.B.); (M.Z.); (D.C.); (M.R.); (M.C.)
- Ospedale San Paolo, ASST Santi Paolo e Carlo, Clinical Neurology Unit, Department of Health Sciences, University of Milan, 20142 Milan, Italy
| | - Elisabetta Bolognesi
- IRCCS Fondazione Don Carlo Gnocchi, Via Capecelatro 66, 20148 Milan, Italy; (F.R.G.); (L.O.); (E.G.); (E.B.); (M.Z.); (D.C.); (M.R.); (M.C.)
| | - Milena Zanzottera
- IRCCS Fondazione Don Carlo Gnocchi, Via Capecelatro 66, 20148 Milan, Italy; (F.R.G.); (L.O.); (E.G.); (E.B.); (M.Z.); (D.C.); (M.R.); (M.C.)
| | - Domenico Caputo
- IRCCS Fondazione Don Carlo Gnocchi, Via Capecelatro 66, 20148 Milan, Italy; (F.R.G.); (L.O.); (E.G.); (E.B.); (M.Z.); (D.C.); (M.R.); (M.C.)
| | - Marco Rovaris
- IRCCS Fondazione Don Carlo Gnocchi, Via Capecelatro 66, 20148 Milan, Italy; (F.R.G.); (L.O.); (E.G.); (E.B.); (M.Z.); (D.C.); (M.R.); (M.C.)
| | - Mario Clerici
- IRCCS Fondazione Don Carlo Gnocchi, Via Capecelatro 66, 20148 Milan, Italy; (F.R.G.); (L.O.); (E.G.); (E.B.); (M.Z.); (D.C.); (M.R.); (M.C.)
- Pathophysiology and Transplantation Department, University of Milan, 20122 Milan, Italy
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Ferrucci R, Cuffaro L, Capozza A, Rosci C, Maiorana N, Groppo E, Reitano MR, Poletti B, Ticozzi N, Tagliabue L, Silani V, Priori A. Brain positron emission tomography (PET) and cognitive abnormalities one year after COVID-19. J Neurol 2023; 270:1823-1834. [PMID: 36692636 PMCID: PMC9873215 DOI: 10.1007/s00415-022-11543-8] [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: 09/05/2022] [Revised: 12/19/2022] [Accepted: 12/20/2022] [Indexed: 01/25/2023]
Abstract
Emerging evidence indicates that the etiologic agent responsible for coronavirus disease 2019 (COVID-19), can cause neurological complications. COVID-19 may induce cognitive impairment through multiple mechanisms. The aim of the present study was to describe the possible neuropsychological and metabolic neuroimaging consequences of COVID-19 12 months after patients' hospital discharge. We retrospectively recruited 7 patients (age [mean ± SD] = 56 years ± 12.39, 4 men) who had been hospitalized for COVID-19 with persistent neuropsychological deficits 12 months after hospital discharge. All patients underwent cognitive assessment and brain (18F-FDG) PET/CT, and one also underwent 18F-amyloid PET/CT. Of the seven patients studied, four had normal glucose metabolism in the brain. Three patients showed various brain hypometabolism patterns: (1) unilateral left temporal mesial area hypometabolism; (2) pontine involvement; and (3) bilateral prefrontal area abnormalities with asymmetric parietal impairment. The patient who showed the most widespread glucose hypometabolism in the brain underwent an 18F-amyloid PET/CT to assess the presence of Aβ plaques. This examination showed significant Aβ deposition in the superior and middle frontal cortex, and in the posterior cingulate cortex extending mildly in the rostral and caudal anterior cingulate areas. Although some other reports have already suggested that brain hypometabolism may be associated with cognitive impairment at shorter intervals from SarsCov-2 infection, our study is the first to assess cognitive functions, brain metabolic activity and in a patient also amyloid PET one year after COVID-19, demonstrating that cerebral effects of COVID-19 can largely outlast the acute phase of the disease and even be followed by amyloid deposition.
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Affiliation(s)
- Roberta Ferrucci
- Department of Health Science, Aldo Ravelli Research Center, University of Milan, Milan, Italy
- Neurology Unit, ASST-Santi Paolo e Carlo Hospital, Milan, Italy
| | - Luca Cuffaro
- Neurology Unit, ASST-Santi Paolo e Carlo Hospital, Milan, Italy
| | - Antonella Capozza
- Nuclear Medicine Unit, ASST-Santi Paolo e Carlo Hospital, Milan, Italy
| | - Chiara Rosci
- Neurology Unit, ASST-Santi Paolo e Carlo Hospital, Milan, Italy
| | - Natale Maiorana
- Department of Health Science, Aldo Ravelli Research Center, University of Milan, Milan, Italy
| | | | | | - Barbara Poletti
- Department of Neurology and Laboratory of Neuroscience, IRCCS Auxologico Institute, Milan, Italy
| | - Nicola Ticozzi
- Department of Neurology and Laboratory of Neuroscience, IRCCS Auxologico Institute, Milan, Italy
- Department of Pathophysiology and Transplantation, University of Milan, Milan, Italy
| | - Luca Tagliabue
- Nuclear Medicine Unit, ASST-Santi Paolo e Carlo Hospital, Milan, Italy
| | - Vincenzo Silani
- Department of Neurology and Laboratory of Neuroscience, IRCCS Auxologico Institute, Milan, Italy
- Department of Pathophysiology and Transplantation, University of Milan, Milan, Italy
| | - Alberto Priori
- Department of Health Science, Aldo Ravelli Research Center, University of Milan, Milan, Italy.
- Neurology Unit, ASST-Santi Paolo e Carlo Hospital, Milan, Italy.
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Crispiatico V, Baldanzi C, Bertuletti M, Grassi S, Tedeschi F, Groppo E, Rovaris M, Cattaneo D, Vitali C. Factors Associated With Treatment-Related Changes in Voice Volume in People With Multiple Sclerosis. Int J MS Care 2023; 25:1-7. [PMID: 36711218 PMCID: PMC9881420 DOI: 10.7224/1537-2073.2021-056] [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] [Indexed: 02/05/2023]
Abstract
BACKGROUND Vocal disorders are frequent in people with multiple sclerosis (MS). Cognitive impairment, fatigue, depression, and other clinical characteristics can be associated with treatment effectiveness in rehabilitation. Finding baseline characteristics that identify those who are responding to treatment can help the clinical decision-making process, which can then help improve the effectiveness of voice treatment. We developed a model to identify factors associated with treatment-related improvement on voice intensity in people with MS. METHODS Data are from a randomized controlled trial of the effects of voice therapy. Forty-four people with MS were enrolled and randomized to receive Lee Silverman Voice Treatment LOUD, specifically addressing voice intensity, or conventional speech-therapy group. Voice intensity (dB) was measured during monologue before and after treatment and was used to differentiate those who responded (posttreatment voice intensity > 60 dB) from those who did not. Possible associated factors were cognitive impairment, fatigue, depression, disability, and disease duration. Associations were assessed by univariate logistic regression and univariate and multivariate linear regressions. RESULTS Mean ± SD monologue voice intensity is improved in the whole sample (before rehabilitation: 51.8 ± 4.2 dB; and after rehabilitation 57.0 ± 6.5 dB; P < .001), and 11 people with MS (27.5%) responded to treatment. Specificity of treatment was associated with the return to normal voice intensity (OR, 14.28; 95% CI, 12.17-309.56) and we found a linear association between voice improvement and the specificity of treatment (6.65 [SE = 1.54] dB; P < .05). Moreover, the analysis revealed a nonlinear association between improvement and fatigue, suggesting increased benefits for people with MS with moderate fatigue. Other factors were not significantly associated with treatment effectiveness. CONCLUSIONS Moderate fatigue and the specificity of the intervention seem to be key factors associated with clinically relevant improvement in voice intensity even in people with MS with a high level of disability and long disease duration.
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Affiliation(s)
- Valeria Crispiatico
- From the ASTeR Lab Adult Speech-therapy Team Research and Department of Neurorehabilitation (VC, CB, MB, SG, FT, MR, DC, CV), IRCSS Fondazione Don Carlo Gnocchi, Milano, Italia
| | - Cinzia Baldanzi
- From the ASTeR Lab Adult Speech-therapy Team Research and Department of Neurorehabilitation (VC, CB, MB, SG, FT, MR, DC, CV), IRCSS Fondazione Don Carlo Gnocchi, Milano, Italia
| | - Martina Bertuletti
- From the ASTeR Lab Adult Speech-therapy Team Research and Department of Neurorehabilitation (VC, CB, MB, SG, FT, MR, DC, CV), IRCSS Fondazione Don Carlo Gnocchi, Milano, Italia
| | - Silvia Grassi
- From the ASTeR Lab Adult Speech-therapy Team Research and Department of Neurorehabilitation (VC, CB, MB, SG, FT, MR, DC, CV), IRCSS Fondazione Don Carlo Gnocchi, Milano, Italia
| | - Francesca Tedeschi
- From the ASTeR Lab Adult Speech-therapy Team Research and Department of Neurorehabilitation (VC, CB, MB, SG, FT, MR, DC, CV), IRCSS Fondazione Don Carlo Gnocchi, Milano, Italia
| | - Elisabetta Groppo
- From Ospedale San Paolo - ASST Santi Paolo e Carlo, Milano, Italia (EG)
| | - Marco Rovaris
- From the ASTeR Lab Adult Speech-therapy Team Research and Department of Neurorehabilitation (VC, CB, MB, SG, FT, MR, DC, CV), IRCSS Fondazione Don Carlo Gnocchi, Milano, Italia
| | - Davide Cattaneo
- From the ASTeR Lab Adult Speech-therapy Team Research and Department of Neurorehabilitation (VC, CB, MB, SG, FT, MR, DC, CV), IRCSS Fondazione Don Carlo Gnocchi, Milano, Italia
- From the Department of Physiopathology and Transplants, University of Milano, Italia (DC)
| | - Chiara Vitali
- From the ASTeR Lab Adult Speech-therapy Team Research and Department of Neurorehabilitation (VC, CB, MB, SG, FT, MR, DC, CV), IRCSS Fondazione Don Carlo Gnocchi, Milano, Italia
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Cencini F, Catania M, Di Fede G, Rossi G, Khouri Chalouhi K, Manfredi C, Giaccone G, Tiraboschi P, Bersano A, Groppo E, Rosci C, Tancredi L, Campiglio L, De Grado A, Priori A, Scelzo E. SORL1 gene mutation and octapeptide repeat insertion in PRNP gene in a case presenting with rapidly progressive dementia and cerebral amyloid angiopathy. Eur J Neurol 2022; 29:3139-3146. [PMID: 35789031 DOI: 10.1111/ene.15487] [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: 05/12/2022] [Accepted: 06/29/2022] [Indexed: 11/27/2022]
Abstract
BACKGROUND Cerebral amyloid angiopathy (CAA) has been associated with a variety of neurodegenerative disorders, included prion diseases (PrDs) and Alzheimer's disease (AD); its pathophysiology is still largely unknown. We report the case of an 80-year-old man with a rapidly progressive dementia and neuroimaging features consistent with CAA carrying two genetic defects in the PRNP and SORL1 genes. METHODS Neurological examination, brain Magnetic Resonance Imaging (MRI), electroencephalogram-electromyography (EEG-EMG) polygraphy and analysis of 14-3-3 and tau proteins, Aβ40 and Aβ42 in the cerebrospinal fluid (CSF) were performed. The patient underwent a detailed genetic study by next generation sequencing analysis. RESULTS The patient presented with progressive cognitive dysfunction, generalized myoclonus and ataxia. About 9 months after symptom onset, he was bed-bound, almost mute and akinetic. Brain MRI was consistent with CAA. CSF analysis showed high levels of t-tau and p-tau, decreased Aβ42, decreased Aβ42/Aβ40 ratio, while 14.3.3 protein was not detected. EEG-EMG polygraphy demonstrated diffuse slowing, frontal theta activity and generalized spikes-waves related to upper limb myoclonus induced by intermittent photic stimulation. Genetic tests revealed the presence of the E270K variant in the SORL1 gene and the presence of a single octapeptide repeat insertion (OPRI) in the coding region of the PRNP gene. CONCLUSIONS The specific pathogenic contribution of the two DNA variations is difficult to determine without neuropathology; among the possible explanations, we discuss the possibility of their link with CAA. Vascular and degenerative pathways actually interact in a synergistic way, and genetic studies may lead to more insight into pathophysiological mechanisms.
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Affiliation(s)
- Federica Cencini
- III Clinical Neurology Unit, Department of Health Sciences, "Aldo Ravelli" Research Center, University of Milan, Polo Universitario Ospedale San Paolo, ASST Santi Paolo e Carlo, Milan, Italy
| | - Marcella Catania
- Neurology 5 / Neuropathology Unit, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milan, Italy
| | - Giuseppe Di Fede
- Neurology 5 / Neuropathology Unit, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milan, Italy
| | - Giacomina Rossi
- Neurology 5 / Neuropathology Unit, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milan, Italy
| | | | - Chiara Manfredi
- III Clinical Neurology Unit, Department of Health Sciences, "Aldo Ravelli" Research Center, University of Milan, Polo Universitario Ospedale San Paolo, ASST Santi Paolo e Carlo, Milan, Italy
| | - Giorgio Giaccone
- Neurology 5 / Neuropathology Unit, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milan, Italy
| | - Pietro Tiraboschi
- Neurology 5 / Neuropathology Unit, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milan, Italy
| | - Anna Bersano
- Cerebrovascular Unit, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milan, Italy
| | - Elisabetta Groppo
- III Clinical Neurology Unit, Department of Health Sciences, "Aldo Ravelli" Research Center, University of Milan, Polo Universitario Ospedale San Paolo, ASST Santi Paolo e Carlo, Milan, Italy
| | - Chiara Rosci
- III Clinical Neurology Unit, Department of Health Sciences, "Aldo Ravelli" Research Center, University of Milan, Polo Universitario Ospedale San Paolo, ASST Santi Paolo e Carlo, Milan, Italy
| | - Lucia Tancredi
- III Clinical Neurology Unit, Department of Health Sciences, "Aldo Ravelli" Research Center, University of Milan, Polo Universitario Ospedale San Paolo, ASST Santi Paolo e Carlo, Milan, Italy
| | - Laura Campiglio
- III Clinical Neurology Unit, Department of Health Sciences, "Aldo Ravelli" Research Center, University of Milan, Polo Universitario Ospedale San Paolo, ASST Santi Paolo e Carlo, Milan, Italy
| | - Amedeo De Grado
- III Clinical Neurology Unit, Department of Health Sciences, "Aldo Ravelli" Research Center, University of Milan, Polo Universitario Ospedale San Paolo, ASST Santi Paolo e Carlo, Milan, Italy
| | - Alberto Priori
- III Clinical Neurology Unit, Department of Health Sciences, "Aldo Ravelli" Research Center, University of Milan, Polo Universitario Ospedale San Paolo, ASST Santi Paolo e Carlo, Milan, Italy
| | - Emma Scelzo
- III Clinical Neurology Unit, Department of Health Sciences, "Aldo Ravelli" Research Center, University of Milan, Polo Universitario Ospedale San Paolo, ASST Santi Paolo e Carlo, Milan, Italy
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Ferrucci R, Dini M, Rosci C, Capozza A, Groppo E, Reitano MR, Allocco E, Poletti B, Brugnera A, Bai F, Monti A, Ticozzi N, Silani V, Centanni S, D’Arminio Monforte A, Tagliabue L, Priori A. One‐Year Cognitive Follow‐Up of COVID‐19 Hospitalized Patients. Eur J Neurol 2022; 29:2006-2014. [PMID: 35285122 PMCID: PMC9111730 DOI: 10.1111/ene.15324] [Citation(s) in RCA: 40] [Impact Index Per Article: 20.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/19/2022] [Revised: 02/12/2022] [Accepted: 03/03/2022] [Indexed: 11/28/2022]
Abstract
Background and purpose Methods Results Conclusion
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Affiliation(s)
- Roberta Ferrucci
- Aldo Ravelli” Research Center for Neurotechnology and Experimental Brain therapeutics Department of Health Sciences University of Milan 20142 Milan Italy
- ASST Santi Paolo e Carlo San Paolo University Hospital 20142 Milan Italy
| | - Michelangelo Dini
- Aldo Ravelli” Research Center for Neurotechnology and Experimental Brain therapeutics Department of Health Sciences University of Milan 20142 Milan Italy
| | - Chiara Rosci
- ASST Santi Paolo e Carlo San Paolo University Hospital 20142 Milan Italy
| | - Antonella Capozza
- ASST Santi Paolo e Carlo San Paolo University Hospital 20142 Milan Italy
| | - Elisabetta Groppo
- ASST Santi Paolo e Carlo San Paolo University Hospital 20142 Milan Italy
| | - Maria R. Reitano
- ASST Santi Paolo e Carlo San Paolo University Hospital 20142 Milan Italy
| | - Elisa Allocco
- ASST Santi Paolo e Carlo San Paolo University Hospital 20142 Milan Italy
| | - Barbara Poletti
- Department of Neurology and Laboratory of Neuroscience IRCCS Istituto Auxologico Italiano 20149 Milan Italy
| | - Agostino Brugnera
- Department of Human and Social sciences University of Bergamo 24129 Bergamo Italy
| | - Francesca Bai
- ASST Santi Paolo e Carlo San Paolo University Hospital 20142 Milan Italy
| | - Alessia Monti
- Department of Neurorehabilitation Sciences Casa di Cura Policlinico 20144 Milan Italy
| | - Nicola Ticozzi
- Department of Neurology and Laboratory of Neuroscience IRCCS Istituto Auxologico Italiano 20149 Milan Italy
- Department of Pathophysiology and Transplantation Dino Ferrari” Center University of Milano 20122 Milan Italy
| | - Vincenzo Silani
- Aldo Ravelli” Research Center for Neurotechnology and Experimental Brain therapeutics Department of Health Sciences University of Milan 20142 Milan Italy
- Department of Neurology and Laboratory of Neuroscience IRCCS Istituto Auxologico Italiano 20149 Milan Italy
- Department of Pathophysiology and Transplantation Dino Ferrari” Center University of Milano 20122 Milan Italy
| | - Stefano Centanni
- ASST Santi Paolo e Carlo San Paolo University Hospital 20142 Milan Italy
- Department of Health Sciences (DISS) University of Milan 20142 Milan Italy
| | - Antonella D’Arminio Monforte
- ASST Santi Paolo e Carlo San Paolo University Hospital 20142 Milan Italy
- Department of Health Sciences (DISS) University of Milan 20142 Milan Italy
| | - Luca Tagliabue
- ASST Santi Paolo e Carlo San Paolo University Hospital 20142 Milan Italy
| | - Alberto Priori
- Aldo Ravelli” Research Center for Neurotechnology and Experimental Brain therapeutics Department of Health Sciences University of Milan 20142 Milan Italy
- ASST Santi Paolo e Carlo San Paolo University Hospital 20142 Milan Italy
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7
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Torchio A, Corrini C, Anastasi D, Parelli R, Meotti M, Spedicato A, Groppo E, D'Arma A, Grosso C, Montesano A, Cattaneo D, Gervasoni E. Identification of modified dynamic gait index cutoff scores for assessing fall risk in people with Parkinson disease, stroke and multiple sclerosis. Gait Posture 2022; 91:1-6. [PMID: 34628216 DOI: 10.1016/j.gaitpost.2021.09.201] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/17/2020] [Revised: 05/17/2021] [Accepted: 09/29/2021] [Indexed: 02/02/2023]
Abstract
BACKGROUND Balance and gait impairments increase fall rate and injury in people with neurological disorders(PwND). The modified Dynamic Gait Index(mDGI) is a scale assessing dynamic balance during walking, however its ability in identifying Fallers and Recurrent Fallers has not been studied. RESEARCH QUESTION To evaluate mDGI's ability in identifying retrospective Fallers and Recurrent Fallers establishing cut-off scores for its use in clinical practice. METHOD In this cross-sectional study, the number of retrospective falls and mDGI scores were collected. PwND were categorised as Non-Fallers or Fallers (falls≥1) and as Recurrent Fallers(falls≥2) or Non-Recurrent/Non-Fallers(falls<2) according to their number of retrospective falls over two months. Two generalised linear logistic models were developed using a machine learning method to detect Fallers (Model 1) and Recurrent Fallers (Model 2) based on mDGI scores. ROC curves were used to identify mDGI cut-off scores to distinguish between different fall categories. RESULTS 58 PwND (mean ± standard deviation age: 63.4 ± 12 years) including 28 people with Multiple Sclerosis, 15 people with Parkinson's disease and 15 people with Stroke were analysed. The mDGI score(median (IQR)) for Non-Fallers, Fallers, Recurrent Fallers and Non-Recurrent/Non-Fallers was respectively 50(22), 37(22), 26.5(20.25) and 46.5(20.5)points. The cut-off to identify Fallers from Non-Fallers was 49 points(sensitivity:100 %, specificity:50 %, post-test probability with mDGI ≤ cut-off: 53.2 %, post-test probability with mDGI > cut-off: 0%, AUC:0.68), while 29 points(sensitivity:60 %, specificity:79 %, post-test probability with mDGI ≤ cut-off:52.1 %, post-test probability with mDGI > cut-off:16.1 %, AUC:0.70) was the best cut-off to identify Recurrent Fallers. SIGNIFICANCE People with mDGI score>49 points have low or minimal fall risk, while people with mDGI score≤49 points should be further investigated with other scales before starting a balance-focused rehabilitation intervention. People scoring ≤29 points on the mDGI scale may need a fall prevention intervention, regardless of the results of other balance clinical measures.
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Affiliation(s)
- Alessandro Torchio
- IRCSS Fondazione Don Carlo Gnocchi, Via Capecelatro, 66 - 20148, Milano, Italy
| | - Chiara Corrini
- IRCSS Fondazione Don Carlo Gnocchi, Via Capecelatro, 66 - 20148, Milano, Italy
| | - Denise Anastasi
- IRCSS Fondazione Don Carlo Gnocchi, Via Capecelatro, 66 - 20148, Milano, Italy
| | - Riccardo Parelli
- IRCSS Fondazione Don Carlo Gnocchi, Via Capecelatro, 66 - 20148, Milano, Italy
| | - Matteo Meotti
- IRCSS Fondazione Don Carlo Gnocchi, Via Capecelatro, 66 - 20148, Milano, Italy
| | - Albino Spedicato
- IRCSS Fondazione Don Carlo Gnocchi, Via Capecelatro, 66 - 20148, Milano, Italy
| | - Elisabetta Groppo
- Clinica Neurologica III, Università degli Studi di Milano, Polo Universitario San Paolo, ASST Santi Paolo e Carlo, Via Antonio di Rudinì 8, 20142, Milano, Italy
| | - Alessia D'Arma
- IRCSS Fondazione Don Carlo Gnocchi, Via Capecelatro, 66 - 20148, Milano, Italy
| | - Cristina Grosso
- IRCSS Fondazione Don Carlo Gnocchi, Via Capecelatro, 66 - 20148, Milano, Italy
| | - Angelo Montesano
- IRCSS Fondazione Don Carlo Gnocchi, Via Capecelatro, 66 - 20148, Milano, Italy
| | - Davide Cattaneo
- IRCSS Fondazione Don Carlo Gnocchi, Via Capecelatro, 66 - 20148, Milano, Italy; Department of Physiopathology and Transplants, University of Milan, 20100 Milan, Italy.
| | - Elisa Gervasoni
- IRCSS Fondazione Don Carlo Gnocchi, Via Capecelatro, 66 - 20148, Milano, Italy
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Crispiatico V, Baldanzi C, Napoletano A, Tomasoni L, Tedeschi F, Groppo E, Rovaris M, Vitali C, Cattaneo D. Effects of voice rehabilitation in people with MS: A double-blinded long-term randomized controlled trial. Mult Scler 2021; 28:1081-1090. [PMID: 34652243 DOI: 10.1177/13524585211051059] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
BACKGROUND Hypophonia is a prevailing problem in people with multiple sclerosis (PwMS). However, evidence supporting the effectiveness of voice rehabilitation is lacking. OBJECTIVE The aim of this study was to identify the most effective method to reduce hypophonia. METHODS In this randomized controlled trial, 44 PwMS were randomized to intensive and high-effort voice treatment groups, the LSVT-LOUD®, and conventional treatment group. Subjects received 16 treatments (4 sessions/week) lasting 45 minutes. The primary outcome was voice intensity (dB) in monologue, vocalization, and sentences while voice handicap index (VHI) measured voice self-perception. Outcomes were assessed by a blinded observer at baseline, post-treatment, and 15-month follow-up (FU). RESULTS Linear models revealed a significant post-intervention between-group mean difference in favor of LSVT-LOUD for monologue: +6.3 dB (95% CI: 2.5 to 10.1); vocalization: +7.4 dB (95% CI: 2.3 to 12.5); and sentences: +9.5 dB (95% CI: 4.7 to 14.3). However, 43.7% PwMS in the LSVT-LOUD and 10% in the conventional treatment group obtained a full recovery of voice intensity (>60 dB) post-treatment, Fisher's test = 13.3, p < 0.01. However, these improvements were not maintained at FU. Between-group differences at VHI were -10.8 (95% CI: -21.2 to -0.4) and -11.3 (95% CI: -24.3 to -1.7) in favor of LSVT-LOUD at post and FU. CONCLUSION LSVT-LOUD can be a valid treatment to increase voice intensity in PwMS. However, results suggest the need for FU interventions targeting maintenance.
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Affiliation(s)
| | | | | | | | | | - Elisabetta Groppo
- Ospedale San Paolo-Azienda Socio-Sanitaria Territoriale (ASST) Santi Paolo e Carlo, Milano, Italy
| | | | | | - Davide Cattaneo
- Department of of Pathophysiology and Transplantation, University of Milano, Milano, Italy
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9
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Bocci T, Campiglio L, Zardoni M, Coppola S, Groppo E, Chiumello D, Priori A. Critical illness neuropathy in severe COVID-19. J Neurol Sci 2021. [PMCID: PMC8498321 DOI: 10.1016/j.jns.2021.119806] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
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10
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De Grado A, Manfredi C, Groppo E, Scarabello M, Valvassori L, Cencini F, Bartesaghi F, Erbetta A, Ciceri E, Bocci T, Priori A, Scelzo E. Progressive myelopathy due to treatable intracranial dural arterovenous fistulae. J Neurol Sci 2021. [DOI: 10.1016/j.jns.2021.119929] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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11
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Dini M, Groppo E, Chiara R, Reitano M, Allocco E, Brugnera A, Poletti B, D'Arminio Monforte A, Chiumello D, Centanni S, Silani V, Priori A, Ferrucci R. Prolonged cognitive deficits after COVID-19. J Neurol Sci 2021. [PMCID: PMC8498312 DOI: 10.1016/j.jns.2021.119804] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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12
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Bocci T, Campiglio L, Zardoni M, Botta S, Coppola S, Groppo E, Chiumello D, Priori A. Critical illness neuropathy in severe COVID-19: a case series. Neurol Sci 2021; 42:4893-4898. [PMID: 34477990 PMCID: PMC8414960 DOI: 10.1007/s10072-021-05471-0] [Citation(s) in RCA: 13] [Impact Index Per Article: 4.3] [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: 04/30/2021] [Accepted: 07/07/2021] [Indexed: 11/30/2022]
Abstract
INTRODUCTION Neurological complications of SARS-CoV-2 disease have received growing attention, but only few studies have described to date clinical and neurophysiological findings in COVID patients during their stay in intensive care units (ICUs). Here, we neurophysiologically assessed the presence of either critical illness neuropathy (CIP) or myopathy (CIM) in ICU patients. MATERIALS AND METHODS Patients underwent a neurophysiological assessment, including bilateral examination of the median, ulnar, deep peroneal and tibial motor nerves and of the median, ulnar, radial and sural sensory nerves. Needle electromyography (EMG) was performed for both distal and proximal muscles of the lower and upper limbs. In order to differentiate CIP from CIM, Direct Muscle Stimulation (DMS) was applied either to the deltoid or tibialis anterior muscles. Peak to peak amplitudes and onset latencies of the responses evoked by DMS (DMSamp, DMSlat) or by motor nerve stimulation (MNSamp, MNSlat) were compared. The ratio MNSamp to DMSamp (NMR) and the MNSlat to DMSlat difference (NMD: MNSlat - DMSlat) were also evaluated. RESULTS Nerve conduction studies showed a sensory-motor polyneuropathy with axonal neurogenic pattern, as confirmed by needle EMG. Both MNSamp and NMR were significantly reduced when compared to controls (p < 0.0001), whereas MNSlat and NMD were markedly increased (p = 0.0049). CONCLUSIONS We have described COVID patients in the ICU with critical illness neuropathy (CIP). COVID-related CIP could have implications for the functional recovery and rehabilitation strategies.
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Affiliation(s)
- Tommaso Bocci
- Aldo Ravelli" Center for Neurotechnology and Experimental Brain Therapeutics, Department of Health Sciences, University of Milan, Milan, Italy.,Clinical Neurology Unit, ASST Santi Paolo & Carlo, Milan, Italy
| | - Laura Campiglio
- Clinical Neurology Unit, ASST Santi Paolo & Carlo, Milan, Italy
| | - Manuela Zardoni
- Clinical Neurology Unit, ASST Santi Paolo & Carlo, Milan, Italy
| | - Stefano Botta
- Clinical Neurology Unit, ASST Santi Paolo & Carlo, Milan, Italy
| | - Silvia Coppola
- Intensive Care, Anesthesia and Resuscitation Unit, ASST Santi Paolo & Carlo, Milan, Italy.,Department of Health Sciences, University of Milan, Milan, Italy
| | | | - Davide Chiumello
- Intensive Care, Anesthesia and Resuscitation Unit, ASST Santi Paolo & Carlo, Milan, Italy.,Department of Health Sciences, University of Milan, Milan, Italy
| | - Alberto Priori
- Aldo Ravelli" Center for Neurotechnology and Experimental Brain Therapeutics, Department of Health Sciences, University of Milan, Milan, Italy. .,Clinical Neurology Unit, ASST Santi Paolo & Carlo, Milan, Italy. .,Struttura Complessa Di Neurologia I, Ospedale Universitario San Paolo, Via Antonio di Rudinì 8, 20142, Milan, Italy.
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13
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Silvagni E, Inglese F, Bortoluzzi A, Borrelli M, Goeman JJ, Revenaz A, Groppo E, Steup-Beekman GM, Huizinga TWJ, Ronen I, de Bresser J, Fainardi E, Govoni M, Ercan E. Longitudinal changes in cerebral white matter microstructure in newly diagnosed systemic lupus erythematosus patients. Rheumatology (Oxford) 2021; 60:2678-2687. [PMID: 33507240 PMCID: PMC8213425 DOI: 10.1093/rheumatology/keaa677] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [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: 06/26/2020] [Revised: 09/10/2020] [Indexed: 11/13/2022] Open
Abstract
OBJECTIVES To evaluate longitudinal variations in diffusion tensor imaging (DTI) metrics of different white matter (WM) tracts of newly diagnosed SLE patients, and to assess whether DTI changes relate to changes in clinical characteristics over time. METHODS A total of 17 newly diagnosed SLE patients (19-55 years) were assessed within 24 months from diagnosis with brain MRI (1.5 T Philips Achieva) at baseline, and after at least 12 months. Fractional anisotropy, mean diffusivity (MD), radial diffusivity (RD) and axial diffusivity values were calculated in several normal-appearing WM tracts. Longitudinal variations in DTI metrics were analysed by repeated measures analysis of variance. DTI changes were separately assessed for 21 WM tracts. Associations between longitudinal alterations of DTI metrics and clinical variables (SLEDAI-2K, complement levels, glucocorticoid dosage) were evaluated using adjusted Spearman correlation analysis. RESULTS Mean MD and RD values from the normal-appearing WM significantly increased over time (P = 0.019 and P = 0.021, respectively). A significant increase in RD (P = 0.005) and MD (P = 0.012) was found in the left posterior limb of the internal capsule; RD significantly increased in the left retro-lenticular part of the internal capsule (P = 0.013), and fractional anisotropy significantly decreased in the left corticospinal tract (P = 0.029). No significant correlation was found between the longitudinal change in DTI metrics and the change in clinical measures. CONCLUSION Increase in diffusivity, reflecting a compromised WM tissue microstructure, starts in initial phases of the SLE disease course, even in the absence of overt neuropsychiatric (NP) symptoms. These results indicate the importance of monitoring NP involvement in SLE, even shortly after diagnosis.
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Affiliation(s)
- Ettore Silvagni
- Rheumatology Unit, Department of Medical Sciences, University of Ferrara and Azienda Ospedaliero-Universitaria S. Anna, Cona (Ferrara), Italy
| | - Francesca Inglese
- Department of Radiology, Leiden University Medical Center, Leiden, the Netherlands
| | - Alessandra Bortoluzzi
- Rheumatology Unit, Department of Medical Sciences, University of Ferrara and Azienda Ospedaliero-Universitaria S. Anna, Cona (Ferrara), Italy
| | - Massimo Borrelli
- Neuroradiology Unit, Department of Radiology, Azienda Ospedaliero-Universitaria Sant'Anna, Cona (Ferrara), Italy
| | - Jelle J Goeman
- Department of Biomedical Data Sciences, Leiden University Medical Center, Leiden, the Netherlands
| | - Alfredo Revenaz
- Neuroradiology Unit, Department of Radiology, Azienda Ospedaliero-Universitaria Sant'Anna, Cona (Ferrara), Italy
| | | | - Gerda M Steup-Beekman
- Department of Rheumatology, Leiden University Medical Center, Leiden, the Netherlands
| | - Tom W J Huizinga
- Department of Rheumatology, Leiden University Medical Center, Leiden, the Netherlands
| | - Itamar Ronen
- Department of Radiology, Leiden University Medical Center, Leiden, the Netherlands
| | - Jeroen de Bresser
- Department of Radiology, Leiden University Medical Center, Leiden, the Netherlands
| | - Enrico Fainardi
- Neuroradiology Unit, Department of Experimental and Clinical Biomedical Sciences, University of Florence, Florence, Italy
| | - Marcello Govoni
- Rheumatology Unit, Department of Medical Sciences, University of Ferrara and Azienda Ospedaliero-Universitaria S. Anna, Cona (Ferrara), Italy
| | - Ece Ercan
- Department of Radiology, Leiden University Medical Center, Leiden, the Netherlands
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14
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Ferrucci R, Dini M, Groppo E, Rosci C, Reitano MR, Bai F, Poletti B, Brugnera A, Silani V, D’Arminio Monforte A, Priori A. Long-Lasting Cognitive Abnormalities after COVID-19. Brain Sci 2021; 11:235. [PMID: 33668456 PMCID: PMC7917789 DOI: 10.3390/brainsci11020235] [Citation(s) in RCA: 83] [Impact Index Per Article: 27.7] [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: 12/30/2020] [Revised: 02/03/2021] [Accepted: 02/09/2021] [Indexed: 02/07/2023] Open
Abstract
Considering the mechanisms capable of causing brain alterations in COVID-19, we aimed to study the occurrence of cognitive abnormalities in the months following hospital discharge. We recruited 38 (aged 22-74 years; 27 males) patients hospitalized for complications of SARS-CoV-2 infection in nonintensive COVID units. Participants underwent neuropsychological testing about 5 months after hospital discharge. Of all patients, 42.1% had processing speed deficits, while 26.3% showed delayed verbal recall deficits. Twenty-one percent presented with deficits in both processing speed and verbal memory. Bivariate analysis revealed a positive correlation between the lowest arterial oxygen partial pressure (PaO2) to fractional inspired oxygen (FiO2) (P/F) ratio during hospitalization and verbal memory consolidation performance (SRT-LTS score, r = 0.404, p = 0.027), as well as a positive correlation between SpO2 levels upon hospital arrival and delayed verbal recall performance (SRT-D score, rs = 0.373, p = 0.042). Acute respiratory distress syndrome (ARDS) during hospitalization was associated with worse verbal memory performance (ARDS vs. no ARDS: SRT-LTS mean score = 30.63 ± 13.33 vs. 44.50 ± 13.16, p = 0.007; SRT-D mean score = 5.95 ± 2.56 vs. 8.10 ± 2.62, p = 0.029). Cognitive abnormalities can frequently be found in COVID-19 patients 5 months after hospital discharge. Increased fatigability, deficits of concentration and memory, and overall decreased cognitive speed months after hospital discharge can interfere with work and daily activities.
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Affiliation(s)
- Roberta Ferrucci
- Aldo Ravelli Research Center for Neurotechnology and Experimental Brain Therapeutics, University of Milan, 20142 Milan, Italy; (R.F.); (M.D.); (V.S.)
- ASST-Santi Paolo e Carlo University Hospital, 20142 Milan, Italy; (E.G.); (C.R.); (M.R.R.); (F.B.); (A.D.M.)
- Department of Health Science (DISS), University of Milan, 20142 Milan, Italy
| | - Michelangelo Dini
- Aldo Ravelli Research Center for Neurotechnology and Experimental Brain Therapeutics, University of Milan, 20142 Milan, Italy; (R.F.); (M.D.); (V.S.)
- ASST-Santi Paolo e Carlo University Hospital, 20142 Milan, Italy; (E.G.); (C.R.); (M.R.R.); (F.B.); (A.D.M.)
- Department of Health Science (DISS), University of Milan, 20142 Milan, Italy
| | - Elisabetta Groppo
- ASST-Santi Paolo e Carlo University Hospital, 20142 Milan, Italy; (E.G.); (C.R.); (M.R.R.); (F.B.); (A.D.M.)
| | - Chiara Rosci
- ASST-Santi Paolo e Carlo University Hospital, 20142 Milan, Italy; (E.G.); (C.R.); (M.R.R.); (F.B.); (A.D.M.)
| | - Maria Rita Reitano
- ASST-Santi Paolo e Carlo University Hospital, 20142 Milan, Italy; (E.G.); (C.R.); (M.R.R.); (F.B.); (A.D.M.)
| | - Francesca Bai
- ASST-Santi Paolo e Carlo University Hospital, 20142 Milan, Italy; (E.G.); (C.R.); (M.R.R.); (F.B.); (A.D.M.)
- Department of Health Science (DISS), University of Milan, 20142 Milan, Italy
| | - Barbara Poletti
- Department of Neurology and Laboratory of Neuroscience, IRCCS Istituto Auxologico Italian, 20149 Milan, Italy;
| | - Agostino Brugnera
- Department of Human and Social sciences, University of Bergamo, 24129 Bergamo, Italy;
| | - Vincenzo Silani
- Aldo Ravelli Research Center for Neurotechnology and Experimental Brain Therapeutics, University of Milan, 20142 Milan, Italy; (R.F.); (M.D.); (V.S.)
- Department of Neurology and Laboratory of Neuroscience, IRCCS Istituto Auxologico Italian, 20149 Milan, Italy;
- Department of Pathophysiology and Transplantation, “Dino Ferrari” Center, University of Milano, 20122 Milan, Italy
| | - Antonella D’Arminio Monforte
- ASST-Santi Paolo e Carlo University Hospital, 20142 Milan, Italy; (E.G.); (C.R.); (M.R.R.); (F.B.); (A.D.M.)
- Department of Health Science (DISS), University of Milan, 20142 Milan, Italy
| | - Alberto Priori
- Aldo Ravelli Research Center for Neurotechnology and Experimental Brain Therapeutics, University of Milan, 20142 Milan, Italy; (R.F.); (M.D.); (V.S.)
- ASST-Santi Paolo e Carlo University Hospital, 20142 Milan, Italy; (E.G.); (C.R.); (M.R.R.); (F.B.); (A.D.M.)
- Department of Health Science (DISS), University of Milan, 20142 Milan, Italy
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Cattaneo D, Gervasoni E, Anastasi D, Di Giovanni R, Brichetto G, Carpinella I, Cavalla P, Confalonieri P, Groppo E, Prosperini L, Tacchino A, Rovaris M, Solaro C. Prevalence and patterns of subclinical motor and cognitive impairments in non-disabled individuals with early multiple sclerosis: a multicenter cross-sectional study. Ann Phys Rehabil Med 2021; 65:101491. [PMID: 33454397 DOI: 10.1016/j.rehab.2021.101491] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/07/2020] [Revised: 11/10/2020] [Accepted: 11/12/2020] [Indexed: 11/18/2022]
Abstract
BACKGROUND Motor and cognitive disorders appear early in the course of multiple sclerosis (MS) and develop gradually over time. OBJECTIVE To study the frequency and pattern of subtle functional disorders in people with MS (PwMS) with no overt signs of disability in an early phase of the disease and their association with walking impairments in daily activities. METHODS In this cross-sectional study, we recruited PwMS with an Expanded Disability Status Scale (EDSS) score ≤ 2.5 and disease duration ≤ 5 years. Participants were assessed with functional scales rating walking endurance (6-Min Walk Test), perceived walking ability (Twelve-item Multiple Sclerosis Walking Scale), balance (Fullerton Advanced Balance scale_short), manual dexterity (Nine Hole Peg Test), fatigue (Fatigue Severity Scale), and cognitive impairments (Brief International Cognitive Assessment). RESULTS About 90% of the 82 PwMS (mean [SD] EDSS score 1.5 [0.7] and disease duration 2.2 [1.7] years) showed endurance values below the expected score; almost 30% showed impairment, and for 57%, perceived walking ability score was abnormal. Balance was impaired in 48% of participants, as was manual dexterity (29%) and fatigue (24%), but only a few showed cognitive impairments. Only 11% of PwMS had no abnormal score on the scales used in the assessment. As compared with EDSS score 0 to 1.5, with EDSS score 2 to 2.5, performance was worse for endurance (difference ±61.0 m, p=0.016), perceived walking ability (-11 points, p=0.002), balance (+1.9 points, p=0.005), manual dexterity (-2.8 sec, p=0.004), and fatigue (-1.3 points, p=0.013). Factors that predicted perceived walking ability were balance (B = -1.37, p<0.001) and fatigue (B = 5.11, p<0.001) rather than endurance (B = -0.01, p=048). CONCLUSION Even PwMS with no clinical disability and classified as having "no problem walking" present walking and other functional deficits when assessed with specific functional tests. The addition of specific tools could better identify subtle motor and cognitive deficits. Finally, the assessment of balance disorders and fatigue is important to understand individuals' perceived walking impairments in daily activities.
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Affiliation(s)
- Davide Cattaneo
- IRCSS Fondazione Don Carlo Gnocchi, Via Capecelatro 66, 20148 Milano, Italy
| | - Elisa Gervasoni
- IRCSS Fondazione Don Carlo Gnocchi, Via Capecelatro 66, 20148 Milano, Italy.
| | - Denise Anastasi
- IRCSS Fondazione Don Carlo Gnocchi, Via Capecelatro 66, 20148 Milano, Italy
| | - Rachele Di Giovanni
- Rehabilitation Department, CRRF Mons L Novarese, 13040 Loc. Trompone, Moncrivello (VC), Italy
| | - Giampaolo Brichetto
- Scientific Research Area, Italian Multiple Sclerosis Foundation (FISM), via Operai 40, 16149 Genoa, Italy
| | - Ilaria Carpinella
- IRCSS Fondazione Don Carlo Gnocchi, Via Capecelatro 66, 20148 Milano, Italy
| | - Paola Cavalla
- MS Center, Department of Neuroscience and Mental Health, City of Health and Science, University Hospital of Torino, via Cherasco 15, Turin, Italy
| | - Paolo Confalonieri
- Multiple Sclerosis Center, IRCCS Foundation "Carlo Besta" Neurological Institute, Milan, Italy
| | - Elisabetta Groppo
- IRCSS Fondazione Don Carlo Gnocchi, Via Capecelatro 66, 20148 Milano, Italy; Clinica Neurologica III, Università degli Studi di Milano, Polo Universitario San Paolo, ASST Santi Paolo e Carlo, Via Antonio di Rudinì, 820142 Milano, Italy
| | - Luca Prosperini
- Department of Neurosciences, S. Camillo-Forlanini Hospital, c.ne Gianicolense 87, 00152 Rome, Italy
| | - Andrea Tacchino
- Scientific Research Area, Italian Multiple Sclerosis Foundation (FISM), via Operai 40, 16149 Genoa, Italy
| | - Marco Rovaris
- IRCSS Fondazione Don Carlo Gnocchi, Via Capecelatro 66, 20148 Milano, Italy
| | - Claudio Solaro
- Rehabilitation Department, CRRF Mons L Novarese, 13040 Loc. Trompone, Moncrivello (VC), Italy
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Skorynina A, Tereshchenko A, Usoltsev O, Bugaev A, Lomachenko K, Guda A, Groppo E, Pellegrini R, Lamberti C, Soldatov A. Time-dependent carbide phase formation in palladium nanoparticles. Radiat Phys Chem Oxf Engl 1993 2020. [DOI: 10.1016/j.radphyschem.2018.11.033] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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Baldanzi C, Crispiatico V, Foresti S, Groppo E, Rovaris M, Cattaneo D, Vitali C. Effects of Intensive Voice Treatment (The Lee Silverman Voice Treatment [LSVT LOUD]) in Subjects With Multiple Sclerosis: A Pilot Study. J Voice 2020; 36:585.e1-585.e13. [PMID: 32819780 DOI: 10.1016/j.jvoice.2020.07.025] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/28/2020] [Revised: 07/21/2020] [Accepted: 07/21/2020] [Indexed: 11/16/2022]
Abstract
AIM The rehabilitation of voice disorders is an unmet need in multiple sclerosis (MS). The Lee Silverman Voice Treatment (LSVT LOUD) is a well-documented and effective speech treatment, developed to treat voice disorders in Parkinson Disease. The purpose of the present study was to examine the viability of applying the LSVT LOUD to individuals with MS and verify short- and long-term improvements in acoustic and perceptual voice parameters. METHODS A single subject design was performed in a consecutive sample of 8 subjects with MS. The subjects' voice was recorded with PRAAT software for 5 days at baseline during the 16 treatment sessions, and at follow-up (FU) 6/12 months later. PRAAT provided data on sustained /a/ (SPL/a/) voice intensity and maximum phonation time (MPT/a/) of sustained /a/, and on functional sentences voice intensity. In addition, self-assessment questionnaire Voice Handicap Index, the perceptual GIRBAS scale and intensity of monologue were collected at first day of baseline, post-treatment and at FU. In the treatment phase each subject received treatment according to LSVT LOUD protocol. Visual analysis calculated for daily acoustic variables was used to determine baseline stability and analyse changes following treatment. The Wilcoxon test was used to assess statistically significant differences between baseline and post treatment. RESULTS All participants completed the LSVT LOUD programme; one participant dropped out at FU. Improvements in acoustic analysis were found: SPL/a/ improved on average (± standard deviation) 11.64 ± 4.19 dB with 7 subjects showing statistically significant improvement (P < 0.05); MPT/a/ improved on average 1.2 ± 1.53seconds, while intensity of functional sentences improved on average 8.11 ± 3.46 dB with 4 and 5 subjects showed statistically significant improvement, respectively. Intensity of monologue improved 14.90 ± 3.33 dB. Acoustic values are maintained or increased at FU respect to baseline. All subjects improved perceptual ratings at Voice Handicap Index and results were maintained at FU. These changes were associated with improvements on five parameters on the GIRBAS scale at post-treatment, however no further improvement were observed at FU. CONCLUSION Intensive LSVT LOUD treatment is a viable approach to treat hypophonia in MS. LSVT LOUD improved both quantitative-instrumental and perceptive-subjective assessments. Randomised controlled trials are needed to provide a firm support on the effectiveness of LSVT LOUD in MS.
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Affiliation(s)
| | | | | | - Elisabetta Groppo
- Ospedale San Paolo - Azienda Socio-Sanitaria Territoriale (ASST), Milano, Italy
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Cattaneo D, Coote S, Rasova K, Gervasoni E, Groppo E, Prokopiusova T, Reznickova J, Montesano A, Jonsdottir J. Factors influencing balance improvement in multiple sclerosis rehabilitation: A pragmatic multicentric trial. Ann Phys Rehabil Med 2019; 63:93-98. [PMID: 31212044 DOI: 10.1016/j.rehab.2019.05.007] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [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: 10/30/2018] [Revised: 05/02/2019] [Accepted: 05/04/2019] [Indexed: 11/28/2022]
Abstract
OBJECTIVES Treatment for progressive multiple sclerosis (pMS) is a key area of research. To date, whether MS type and the rehabilitation setting are associated with worse or better response to rehabilitation is unclear. We aimed to understand the association between balance and MS type, in/outpatient treatment and specificity of the intervention. METHODS We assessed 150 people with MS before and after in/outpatient rehabilitation. The Berg Balance Scale (BBS) was used to discriminate between responders (≥+3-point improvement in BBS score; a clinically meaningful improvement) and non-responders to specific or non-specific balance rehabilitation. Factors associated with balance were analyzed by univariate and multivariable logistic regression analyses, estimating odds ratios (ORs) and 95% confidence intervals (CIs). RESULTS Balance improved after rehabilitation: median (quartile 1 [Q1]-Q3) BBS score pre- and post-rehabilitation of 49 (45-53) and 52 (47-55) (P<0.001). Univariate logistic analysis revealed a clinically meaningful improvement in balance associated with pMS (OR 2.21 [95% CI 1.09-4.05]), inpatient therapy (0.41 [0.19-0.84]), using a walking aid (1.68 [1.06-2.69]), and low baseline BBS score (0.86 [0.81-0.92]). On multivariable analysis, probability of improvement was similar for participants with pMS and the relapsing-remitting form but was associated with low baseline BBS score and specific treatment (OR 0.81 [95% CI 0.74-0.89] and 5.66 [1.79-21.5]). CONCLUSION A clinically meaningful improvement in balance was more likely when MS individuals with moderate to high disability had specific exercises targeting balance, but MS type did not influence the outcome.
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Affiliation(s)
| | - Susan Coote
- School of Allied Health and Health Research Institute, University of Limerick, Limerick, Ireland
| | - Kamila Rasova
- Department of rehabilitation, Third Faculty of Medicine, Charles University in Prague, Czech Republic
| | | | | | - Terezie Prokopiusova
- Department of rehabilitation, Third Faculty of Medicine, Charles University in Prague, Czech Republic
| | - Jitka Reznickova
- Department of rehabilitation, Third Faculty of Medicine, Charles University in Prague, Czech Republic
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Groppo E, Signori A, Sormani MP, Grosso C, Mantia LL, Cattaneo D, Rovaris M. Predictors of hospital-based multidisciplinary rehabilitation effects in persons with multiple sclerosis: a large-scale, single-centre study. Mult Scler J Exp Transl Clin 2019; 5:2055217319843673. [PMID: 31019725 PMCID: PMC6469285 DOI: 10.1177/2055217319843673] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [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: 01/30/2019] [Revised: 03/12/2019] [Accepted: 03/23/2019] [Indexed: 11/15/2022] Open
Abstract
Background Persons with multiple sclerosis may benefit from hospital-based
multidisciplinary rehabilitation. Objectives To investigate the effects of hospital-based multidisciplinary rehabilitation
and to identify their potential predictors in a large sample of persons with
multiple sclerosis. Methods From the charts of 655 persons with multiple sclerosis consecutively admitted
to our unit, disease profiles, modified Barthel index, Expanded Disability
Status Scale (EDSS), pain numerical rating score and type of interventions
were retrospectively collected. We defined an improvement at discharge as
follows: modified Barthel index increase of at least 5 points, EDSS decrease
of 1.0 if baseline score was 5.5 or less and of 0.5 if baseline score was
greater than 5.5; any numerical rating score decrease. Results After a median admission period of 36 days, at discharge 65%, 22% and 89% of
persons with multiple sclerosis improved for modified Barthel index, EDSS
and numerical rating score, respectively. The modified Barthel index
improvement was associated with shorter disease duration, lower EDSS at
baseline and with access to psychological counselling. EDSS improvement was
associated with shorter disease duration, relapsing–remitting course, female
gender and longer duration of the admission period. Conclusions Inpatient multidisciplinary rehabilitation was associated with improved
autonomy in activities of daily living in a relevant proportion of persons
with multiple sclerosis. The effect seems to be more evident in individuals
with shorter multiple sclerosis duration and relapsing–remitting disease
course.
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Affiliation(s)
- Elisabetta Groppo
- Multiple Sclerosis Center and Neurorehabilitation Unit, IRCCS Fondazione Don Gnocchi, Italy
| | - Alessio Signori
- Department of Health Sciences (DISSAL), University of Genoa, Italy
| | | | - Cristina Grosso
- Multiple Sclerosis Center and Neurorehabilitation Unit, IRCCS Fondazione Don Gnocchi, Italy
| | - Loredana La Mantia
- Multiple Sclerosis Center and Neurorehabilitation Unit, IRCCS Fondazione Don Gnocchi, Italy
| | - Davide Cattaneo
- LaRICE Research Laboratory, IRCCS Fondazione Don Gnocchi, Italy
| | - Marco Rovaris
- Multiple Sclerosis Center and Neurorehabilitation Unit, IRCCS Fondazione Don Gnocchi, Italy
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Isernia S, Baglio F, d’Arma A, Groppo E, Marchetti A, Massaro D. Social Mind and Long-Lasting Disease: Focus on Affective and Cognitive Theory of Mind in Multiple Sclerosis. Front Psychol 2019; 10:218. [PMID: 30792684 PMCID: PMC6374311 DOI: 10.3389/fpsyg.2019.00218] [Citation(s) in RCA: 24] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/08/2018] [Accepted: 01/22/2019] [Indexed: 12/11/2022] Open
Abstract
The role of social cognition, including theory of mind (ToM), in affecting quality of life (QoL) along the course of diseases has been reported. This is a considerable aspect in chronic pathologies, such as multiple sclerosis (MS), in which supporting and maintaining QoL is of crucial importance. We aimed to investigate the relation between ToM, clinical variables and neuropsychological profile in a cohort of adults with long lasting disease, such as different clinical MS phenotypes (Relapsing Remitting -RR- versus Progressive -Pr). In particular, our study focuses on (1) how (affective and cognitive) ToM impairment occurs in different phenotypes, (2) whether MS ToM impairment is secondary to or independent from cognitive deficit and (3) whether ToM deficit impacts QoL. 42 adults with MS (18 M: 24 F, 52.38 ± 10.31 mean age, 21.24 ± 10.94 mean disease duration, 26 RR and 16 Pr) and 26 matched healthy controls (HC) (7 M: 19 F, 51.35 ± 12.42 mean age) were screened with a neuropsychological and ToM battery, assessing both affective and cognitive components. We found statistically significant groups differences in cognitive but not affective ToM, with a lower performance in PrMS than those with a RRMS disease course. Also, significant predictive effects of neuropsychological tests on ToM were identified in MS group. Finally, MS people with different level of affective ToM differed significantly in QoL. ToM deficit in moderately disabled people with MS involves cognitive but not affective ToM components with implications on QoL. It also appears to be related to cognitive performance. As neurological and neurocognitive profiles influence mentalizing in MS, ToM evaluation should be considered for inclusion in clinical screening.
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Affiliation(s)
- Sara Isernia
- Theory of Mind Unit, Department of Psychology, Università Cattolica del Sacro Cuore, Milan, Italy
- Fondazione Don Carlo Gnocchi Onlus (IRCCS), Milan, Italy
| | | | - Alessia d’Arma
- Fondazione Don Carlo Gnocchi Onlus (IRCCS), Milan, Italy
| | | | - Antonella Marchetti
- Theory of Mind Unit, Department of Psychology, Università Cattolica del Sacro Cuore, Milan, Italy
| | - Davide Massaro
- Theory of Mind Unit, Department of Psychology, Università Cattolica del Sacro Cuore, Milan, Italy
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Granieri E, De Mattia G, Laudisi M, Govoni V, Castellazzi M, Caniatti L, Baldi E, Groppo E, Pugliatti M, Casetta I. Multiple Sclerosis in Italy: A 40-Year Follow-Up of the Prevalence in Ferrara. Neuroepidemiology 2018; 51:158-165. [PMID: 30130759 DOI: 10.1159/000491548] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [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: 05/27/2018] [Accepted: 06/24/2018] [Indexed: 11/19/2022] Open
Abstract
BACKGROUND To assess a longitudinal follow-up of the prevalence of multiple sclerosis (MS) through 4 decades in the province of Ferrara, northern Italy, and reappraise the current rates on December 31, 2016. METHODS We conducted a community-based intensive prevalence study, by adopting a complete enumeration approach. MS cases were identified from administrative health data and medical records from the Units of Neurology and Motor Rehabilitation, Ferrara University Hospital, from other provincial neurological structures and from archives of the National Pension Institute and National Health Insurance scheme of the study area. Case ascertainment method and case definition are analogous to those adopted in previous surveys in the same area of study. RESULTS On December 31, 2016, 685 patients (478 women and 207 men) affected by definite or probable MS (Poser's criteria) were living in the province of Ferrara (population 386,896), yielding a crude prevalence ratio of 194.91 (95% CI 180.4-209.6) per 100,000, 260.8 (95% CI 238.10-285.82) for women and 123.1 (95% CI 106.98-141.21) for men The prevalence ratio was 26.9 per 100,000 in 1978, increased to a value of 46.1 per 100,000 in 1981, 69.4 per 100,000 in 1993, 120.9 per 100,000 in 2004. Female to male ratio was 2.31 (1.2 on December 31, 1978). The mean duration of the disease at prevalence day was 17.5 ± 11.9 years (13.9 ± 10.8 years in 1978). The mean age at prevalence day was 52.04 ± 10.8 years (13.8 ± 10.8 years in 1978). CONCLUSION Our study has confirmed the province of Ferrara is an area at high risk for MS, in line with epidemiological data from the regions of continental and insular Italy. The sharp increase in MS prevalence over time in this population can be imputed in part to a greater exposition to risk factors in genetically susceptible subjects but also to an increased survival and improved ascertainment. So, the results suggest that both methodologic and environmental factors are essential in determining the real distribution of MS. The need to get reliable estimates of MS prevalence must be highlighted as a public health and research priority, essential to support planning and prioritization of care services and to reduce the overall burden of chronic disease.
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Affiliation(s)
- Enrico Granieri
- Multiple Sclerosis Research Center, Section of Neurological Sciences, Department of Biochemical and Specialty Surgical Sciences, University of Ferrara, Ferrara,
| | - Giulia De Mattia
- Multiple Sclerosis Research Center, Section of Neurological Sciences, Department of Biochemical and Specialty Surgical Sciences, University of Ferrara, Ferrara, Italy
| | - Michele Laudisi
- Multiple Sclerosis Research Center, Section of Neurological Sciences, Department of Biochemical and Specialty Surgical Sciences, University of Ferrara, Ferrara, Italy
| | - Vittorio Govoni
- Multiple Sclerosis Research Center, Section of Neurological Sciences, Department of Biochemical and Specialty Surgical Sciences, University of Ferrara, Ferrara, Italy
| | - Massimiliano Castellazzi
- Multiple Sclerosis Research Center, Section of Neurological Sciences, Department of Biochemical and Specialty Surgical Sciences, University of Ferrara, Ferrara, Italy
| | - Luisa Caniatti
- Department of Neuroscience and Rehabilitation, Division of Neurology, "Sant'Anna" University-Hospital, Ferrara, Italy
| | - Eleonora Baldi
- Department of Neuroscience and Rehabilitation, Division of Neurology, "Sant'Anna" University-Hospital, Ferrara, Italy
| | - Elisabetta Groppo
- Multiple Sclerosis Research Center, Section of Neurological Sciences, Department of Biochemical and Specialty Surgical Sciences, University of Ferrara, Ferrara, Italy
| | - Maura Pugliatti
- Multiple Sclerosis Research Center, Section of Neurological Sciences, Department of Biochemical and Specialty Surgical Sciences, University of Ferrara, Ferrara, Italy
| | - Ilaria Casetta
- Multiple Sclerosis Research Center, Section of Neurological Sciences, Department of Biochemical and Specialty Surgical Sciences, University of Ferrara, Ferrara, Italy
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Groppo E, Bonino F, Cesano F, Damin A, Manzoli M. CHAPTER 4. Raman, IR and INS Characterization of Functionalized Carbon Materials. Metal-free Functionalized Carbons in Catalysis 2018. [DOI: 10.1039/9781788013116-00103] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/03/2022]
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Carosso M, Lazzarini A, Piovano A, Pellegrini R, Morandi S, Manzoli M, Vitillo JG, Ruiz MJ, Lamberti C, Groppo E. Looking for the active hydrogen species in a 5 wt% Pt/C catalyst: a challenge for inelastic neutron scattering. Faraday Discuss 2018; 208:227-242. [DOI: 10.1039/c7fd00214a] [Citation(s) in RCA: 14] [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: 12/23/2022]
Abstract
We looked at the active hydrogen species in a highly dispersed and very homogeneous 5 wt% Pt/C industrial catalyst (Pt particle mean diameter of 2.0 ± 0.5 nm) for hydrogenation reactions, by coupling H2 adsorption measurements with Inelastic Neutron Scattering (INS).
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Affiliation(s)
- M. Carosso
- Department of Chemistry
- NIS Centre and INSTM
- University of Turin
- Turin
- Italy
| | - A. Lazzarini
- Department of Chemistry
- NIS Centre and INSTM
- University of Turin
- Turin
- Italy
| | - A. Piovano
- Institut Laue-Langevin (ILL)
- 38000 Grenoble
- France
| | | | - S. Morandi
- Department of Chemistry
- NIS Centre and INSTM
- University of Turin
- Turin
- Italy
| | - M. Manzoli
- Department of Drug Science and Technology
- NIS Centre and INSTM
- University of Turin
- Turin
- Italy
| | - J. G. Vitillo
- Department of Chemistry
- NIS Centre and INSTM
- University of Turin
- Turin
- Italy
| | | | - C. Lamberti
- Department of Physics and CrisDi Interdepartmental Centre
- University of Turin
- 10125 Turin
- Italy
- RC “Smart Materials”
| | - E. Groppo
- Department of Chemistry
- NIS Centre and INSTM
- University of Turin
- Turin
- Italy
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Gagliardi S, Grieco GS, Gualandi F, Caniatti LM, Groppo E, Valente M, Giuseppe N, Neri M, Cereda C. Erratum to: De novo exonic duplication of ATP1A2 in Italian patient with hemiplegic migraine: a case report. J Headache Pain 2017; 18:68. [PMID: 28702766 PMCID: PMC5507936 DOI: 10.1186/s10194-017-0771-9] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/15/2017] [Accepted: 06/15/2017] [Indexed: 11/10/2022] Open
Affiliation(s)
- Stella Gagliardi
- Genomic and Post-Genomic Center, "C. Mondino" National Neurological Institute, Mondino 2, 27100, Pavia, Italy.
| | - Gaetano Salvatore Grieco
- Genomic and Post-Genomic Center, "C. Mondino" National Neurological Institute, Mondino 2, 27100, Pavia, Italy
| | - Francesca Gualandi
- Medical Genetics Unit, Department of Medical Sciences and Reproduction and Growth, University-Hospital S'Anna Ferrara, Ferrara, Italy
| | - Luisa Maria Caniatti
- Neurology Unit, Department of Neuroscience/ Rehabilitation, University-Hospital S'Anna Ferrara, Ferrara, Italy
| | - Elisabetta Groppo
- Neurology Unit, Department of Neuroscience/ Rehabilitation, University-Hospital S'Anna Ferrara, Ferrara, Italy
| | - Marialuisa Valente
- Genomic and Post-Genomic Center, "C. Mondino" National Neurological Institute, Mondino 2, 27100, Pavia, Italy
| | - Nappi Giuseppe
- Headache Science Center, C. Mondino National Neurological Institute, Pavia, Italy
| | - Marcella Neri
- Medical Genetics Unit, Department of Medical Sciences and Reproduction and Growth, University-Hospital S'Anna Ferrara, Ferrara, Italy
| | - Cristina Cereda
- Genomic and Post-Genomic Center, "C. Mondino" National Neurological Institute, Mondino 2, 27100, Pavia, Italy
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Groppo E, Baglio F, Cattaneo D, Tavazzi E, Bergsland N, Di Tella S, Parelli R, Carpinella I, Grosso C, Capra R, Rovaris M. Multidisciplinary Rehabilitation is Efficacious and Induces Neural Plasticity in Multiple Sclerosis even when Complicated by Progressive Multifocal Leukoencephalopathy. Front Neurol 2017; 8:491. [PMID: 28974941 PMCID: PMC5610687 DOI: 10.3389/fneur.2017.00491] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [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: 03/13/2017] [Accepted: 09/01/2017] [Indexed: 11/13/2022] Open
Abstract
A 48-year-old woman with multiple sclerosis (MS), treated with natalizumab for more than one year without clinical and magnetic resonance imaging (MRI) signs of disease activity, was diagnosed with definite progressive multifocal leukoencephalopathy (PML). She presented with subacute motor deficit of the right upper limb (UL), followed by involvement of the homolateral leg and urinary urgency. The patient was treated with steroids and plasma exchange. On follow-up MRI scans, the PML lesion remained stable and no MS rebounds were observed, but the patient complained of a progressive worsening of the right UL motor impairment, becoming dependent in most activities of daily living. A cycle of multidisciplinary rehabilitation (MDR) was then started, including daily sessions of UL robot therapy and occupational therapy. Functional MRI (fMRI) was acquired before and at the end of the MDR cycle using a motor task which consisted of 2 runs: in one run the patient was asked to observe while the second one consisted of hand grasping movements. At the end of the rehabilitation period, both the velocity and the smoothness of arm trajectories during robot-based reaching movements were significantly improved. After MDR, compared with baseline, fMRI showed significantly increased functional activation within the sensory-motor network in the active, motor task, while no significant differences were found in the observational task. MDR in MS, including robot-assisted UL training, seems to be clinically efficacious and to have a significant impact on brain functional reorganization on a short-term, even in the presence of superimposed tissue damage provoked by PML.
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Affiliation(s)
| | | | | | | | - Niels Bergsland
- IRCCS Fondazione Don Gnocchi ONLUS, Milan, Italy.,Buffalo Neuroimaging Analysis Center, Department of Neurology, University at Buffalo SUNY, Buffalo, NY, United States
| | | | | | | | | | - Ruggero Capra
- ASST Spedali Civili of Brescia, MS Regional Center, Montichiari, Italy
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Ganjkhanlou Y, Berlier G, Groppo E, Borfecchia E, Bordiga S. In Situ Investigation of the Deactivation Mechanism in Ni-ZSM5 During Ethylene Oligomerization. Top Catal 2017. [DOI: 10.1007/s11244-017-0845-6] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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Lazzarini A, Pellegrini R, Piovano A, Rudić S, Castan-Guerrero C, Torelli P, Chierotti MR, Gobetto R, Lamberti C, Groppo E. The effect of surface chemistry on the performances of Pd-based catalysts supported on activated carbons. Catal Sci Technol 2017. [DOI: 10.1039/c7cy01005b] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
In this work we investigated in detail the effects of nitric acid on the surface chemistry of two carbons, activated by steam and by phosphoric acid, meant to identify the nature and the concentration of the oxidized surface species.
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Affiliation(s)
- A. Lazzarini
- Department of Chemistry
- NIS Centre and INSTM
- University of Turin
- Turin
- Italy
| | - R. Pellegrini
- Chimet SpA – Catalyst Division
- Viciomaggio Arezzo
- Italy
| | - A. Piovano
- Institut Laue-Langevin (ILL)
- 38000 Grenoble
- France
| | - S. Rudić
- ISIS Facility
- Rutherford Appleton Laboratory
- Didcot
- UK
| | - C. Castan-Guerrero
- CNR-Istituto Officina dei Materiali
- Laboratorio TASC in Area Science Park
- 34149 Trieste
- Italy
| | - P. Torelli
- CNR-Istituto Officina dei Materiali
- Laboratorio TASC in Area Science Park
- 34149 Trieste
- Italy
| | - M. R. Chierotti
- Department of Chemistry
- NIS Centre and INSTM
- University of Turin
- Turin
- Italy
| | - R. Gobetto
- Department of Chemistry
- NIS Centre and INSTM
- University of Turin
- Turin
- Italy
| | - C. Lamberti
- Department of Chemistry
- NIS Centre and INSTM
- University of Turin
- Turin
- Italy
| | - E. Groppo
- Department of Chemistry
- NIS Centre and INSTM
- University of Turin
- Turin
- Italy
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Botavina M, Barzan C, Piovano A, Braglia L, Agostini G, Martra G, Groppo E. Insights into Cr/SiO2 catalysts during dehydrogenation of propane: an operando XAS investigation. Catal Sci Technol 2017. [DOI: 10.1039/c7cy00142h] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/26/2022]
Abstract
In situ and operando XAS spectroscopic methods were applied to monitor the variations in the oxidation state and in the local structure of the chromium sites in a 2.0Cr/SiO2-DHS catalyst during propane dehydrogenation under non-oxidative and different oxidative conditions.
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Affiliation(s)
- M. Botavina
- Department of Chemistry, NIS and INSTM Reference Centre
- University of Turin
- 1-10135 Torino
- Italy
| | - C. Barzan
- Department of Chemistry, NIS and INSTM Reference Centre
- University of Turin
- 1-10135 Torino
- Italy
| | - A. Piovano
- Department of Chemistry, NIS and INSTM Reference Centre
- University of Turin
- 1-10135 Torino
- Italy
| | - L. Braglia
- Department of Chemistry, NIS and INSTM Reference Centre
- University of Turin
- 1-10135 Torino
- Italy
- European Synchrotron Radiation Facility (ESRF)
| | - G. Agostini
- IRC “Smart Materials”
- Southern Federal University
- 344090 Rostov-on-Don
- Russia
| | - G. Martra
- Department of Chemistry, NIS and INSTM Reference Centre
- University of Turin
- 1-10135 Torino
- Italy
- STM-CNR
| | - E. Groppo
- Department of Chemistry, NIS and INSTM Reference Centre
- University of Turin
- 1-10135 Torino
- Italy
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Groppo E, Armaroli A, Selvatici R, Gualandi F, Sensi M. Huntington's disease-like presentation in Spinocerebellar ataxia type 12. Mov Disord 2016; 31:1248-9. [PMID: 27245258 DOI: 10.1002/mds.26679] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/13/2016] [Revised: 03/29/2016] [Accepted: 04/24/2016] [Indexed: 11/05/2022] Open
Affiliation(s)
- Elisabetta Groppo
- Department of Biomedical and Specialistic Surgical Sciences, University of Ferrara, University-Hospital Arcispedale S. Anna, Ferrara, Italy
| | - Annarita Armaroli
- Department of Medical Sciences & Department of Reproduction and Growth, UOL of Medical Genetics Unit, University-Hospital S. Anna, Ferrara, Italy
| | - Rita Selvatici
- Department of Medical Sciences & Department of Reproduction and Growth, UOL of Medical Genetics Unit, University-Hospital S. Anna, Ferrara, Italy
| | - Francesca Gualandi
- Department of Medical Sciences & Department of Reproduction and Growth, UOL of Medical Genetics Unit, University-Hospital S. Anna, Ferrara, Italy
| | - Mariachiara Sensi
- Neurological Unit, Neuroscience Department, University-Hospital Arcispedale S. Anna, Cona, Italy
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Quadri M, Olgiati S, Sensi M, Gualandi F, Groppo E, Rispoli V, Graafland J, Breedveld GJ, Fabbrini G, Berardelli A, Bonifati V. PRKRA Mutation Causing Early-Onset Generalized Dystonia-Parkinsonism (DYT16) in an Italian Family. Mov Disord 2016; 31:765-7. [PMID: 26990861 DOI: 10.1002/mds.26583] [Citation(s) in RCA: 25] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/12/2015] [Revised: 01/20/2016] [Accepted: 01/22/2016] [Indexed: 01/08/2023] Open
Affiliation(s)
- Marialuisa Quadri
- Department of Clinical Genetics, Erasmus MC, Rotterdam, The Netherlands
| | - Simone Olgiati
- Department of Clinical Genetics, Erasmus MC, Rotterdam, The Netherlands
| | - Mariachiara Sensi
- Department of Neurology and Rehabilitation, University Hospital Arcispedale S. Anna, Ferrara, Italy
| | - Francesca Gualandi
- Department of Reproduction and Growth, UOL of Medical Genetics, University Hospital S. Anna, Ferrara, Italy
| | - Elisabetta Groppo
- Department of Biomedical and Specialistic Surgical Sciences, University Hospital Arcispedale S. Anna, Ferrara, Italy
| | - Vittorio Rispoli
- Department of Biomedical and Specialistic Surgical Sciences, University Hospital Arcispedale S. Anna, Ferrara, Italy
| | - Josja Graafland
- Department of Clinical Genetics, Erasmus MC, Rotterdam, The Netherlands
| | - Guido J Breedveld
- Department of Clinical Genetics, Erasmus MC, Rotterdam, The Netherlands
| | - Giovanni Fabbrini
- Department of Neurology and Psychiatry, Sapienza University of Rome and, IRCSS Neuromed, Pozzilli, Italy
| | - Alfredo Berardelli
- Department of Neurology and Psychiatry, Sapienza University of Rome and, IRCSS Neuromed, Pozzilli, Italy
| | - Vincenzo Bonifati
- Department of Clinical Genetics, Erasmus MC, Rotterdam, The Netherlands
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Revenaz A, Ruggeri M, Laganà M, Bergsland N, Groppo E, Rovaris M, Fainardi E. A semi-automated measuring system of brain diffusion and perfusion magnetic resonance imaging abnormalities in patients with multiple sclerosis based on the integration of coregistration and tissue segmentation procedures. BMC Med Imaging 2016; 16:4. [PMID: 26762399 PMCID: PMC4712616 DOI: 10.1186/s12880-016-0108-1] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [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: 08/17/2015] [Accepted: 01/06/2016] [Indexed: 12/31/2022] Open
Abstract
Background Diffusion-weighted imaging (DWI) and perfusion-weighted imaging (PWI) abnormalities in patients with multiple sclerosis (MS) are currently measured by a complex combination of separate procedures. Therefore, the purpose of this study was to provide a reliable method for reducing analysis complexity and obtaining reproducible results. Methods We implemented a semi-automated measuring system in which different well-known software components for magnetic resonance imaging (MRI) analysis are integrated to obtain reliable measurements of DWI and PWI disturbances in MS. Results We generated the Diffusion/Perfusion Project (DPP) Suite, in which a series of external software programs are managed and harmonically and hierarchically incorporated by in-house developed Matlab software to perform the following processes: 1) image pre-processing, including imaging data anonymization and conversion from DICOM to Nifti format; 2) co-registration of 2D and 3D non-enhanced and Gd-enhanced T1-weighted images in fluid-attenuated inversion recovery (FLAIR) space; 3) lesion segmentation and classification, in which FLAIR lesions are at first segmented and then categorized according to their presumed evolution; 4) co-registration of segmented FLAIR lesion in T1 space to obtain the FLAIR lesion mask in the T1 space; 5) normal appearing tissue segmentation, in which T1 lesion mask is used to segment basal ganglia/thalami, normal appearing grey matter (NAGM) and normal appearing white matter (NAWM); 6) DWI and PWI map generation; 7) co-registration of basal ganglia/thalami, NAGM, NAWM, DWI and PWI maps in previously segmented FLAIR space; 8) data analysis. All these steps are automatic, except for lesion segmentation and classification. Conclusion We developed a promising method to limit misclassifications and user errors, providing clinical researchers with a practical and reproducible tool to measure DWI and PWI changes in MS.
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Affiliation(s)
- Alfredo Revenaz
- Unità Operativa di Neuroradiologia, Dipartimento di Neuroscienze e Riabilitazione, Azienda Ospedaliero-Universitaria of Ferrara, Arcispedale S. Anna, Via Aldo Moro 8, 44124, Cona, Ferrara, Italy.
| | | | - Marcella Laganà
- MR Research Laboratory, IRCCS Don Gnocchi Foundation ONLUS, Milan, Italy.
| | - Niels Bergsland
- MR Research Laboratory, IRCCS Don Gnocchi Foundation ONLUS, Milan, Italy. .,Buffalo Neuroimaging Analysis Center, Department of Neurology, University at Buffalo SUNY, Buffalo, NY, USA.
| | - Elisabetta Groppo
- Sezione di Neurologia, Dipartimento di Scienze Biomediche e Chirurgico Specialistiche, Università di Ferrara, Ferrara, Italy.
| | - Marco Rovaris
- Unità Operativa di Sclerosi Multipla, Fondazione Don Gnocchi ONLUS, IRCCS S. Maria Nascente, 20148, Milano, Italy.
| | - Enrico Fainardi
- Unità Operativa di Neuroradiologia, Dipartimento di Neuroscienze e Riabilitazione, Azienda Ospedaliero-Universitaria of Ferrara, Arcispedale S. Anna, Via Aldo Moro 8, 44124, Cona, Ferrara, Italy.
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Quadri M, Olgiati S, Sensi M, Gualandi F, Groppo E, Rispoli V, Graafland J, Breedveld GJ, Fabbrini G, Bonifati V. DYT16/PRKRA founder mutation causes childhood-onset generalized dystonia in a family from Southern Italy. Parkinsonism Relat Disord 2016. [DOI: 10.1016/j.parkreldis.2015.10.571] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Botavina MA, Agafonov YA, Gaidai NA, Groppo E, Cortés Corberán V, Lapidus AL, Martra G. Towards efficient catalysts for the oxidative dehydrogenation of propane in the presence of CO2: Cr/SiO2 systems prepared by direct hydrothermal synthesis. Catal Sci Technol 2016. [DOI: 10.1039/c5cy00998g] [Citation(s) in RCA: 25] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
CrOx/SiO2 catalysts with high propene/olefin yield, stable towards irreversible deactivation, are proposed for the oxidative dehydrogenation of propane with CO2.
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Affiliation(s)
- M. A. Botavina
- Department of Chemistry and “Nanostructured Interfaces and Surfaces – NIS” Interdepartmental Centre
- Torino, University of Torino
- Italy
| | - Yu. A. Agafonov
- N.D. Zelinsky Institute of Organic Chemistry
- Russ. Acad. Sci
- 117991 Moscow
- Russia
| | - N. A. Gaidai
- N.D. Zelinsky Institute of Organic Chemistry
- Russ. Acad. Sci
- 117991 Moscow
- Russia
| | - E. Groppo
- Department of Chemistry and “Nanostructured Interfaces and Surfaces – NIS” Interdepartmental Centre
- Torino, University of Torino
- Italy
| | | | - A. L. Lapidus
- N.D. Zelinsky Institute of Organic Chemistry
- Russ. Acad. Sci
- 117991 Moscow
- Russia
| | - G. Martra
- Department of Chemistry and “Nanostructured Interfaces and Surfaces – NIS” Interdepartmental Centre
- Torino, University of Torino
- Italy
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Quadri M, Olgiati S, Sensi M, Gualandi F, Groppo E, Rispoli V, Graafland J, Breedveld GJ, Fabbrini G, Bonifati V. DYT16/PRKRA founder mutation causes childhood-onset generalized dystonia in a family from Southern Italy. Parkinsonism Relat Disord 2016. [DOI: 10.1016/j.parkreldis.2015.10.327] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Lazzarini A, Piovano A, Pellegrini R, Leofanti G, Agostini G, Rudić S, Chierotti MR, Gobetto R, Battiato A, Spoto G, Zecchina A, Lamberti C, Groppo E. A comprehensive approach to investigate the structural and surface properties of activated carbons and related Pd-based catalysts. Catal Sci Technol 2016. [DOI: 10.1039/c6cy00159a] [Citation(s) in RCA: 70] [Impact Index Per Article: 8.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/09/2023]
Abstract
Activated carbons and related Pd-based catalysts are investigated with a multi-techniques approach, which allows correlating structure and performance.
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Fainardi E, Bortolotti D, Bolzani S, Castellazzi M, Tamborino C, Roversi G, Baldi E, Caniatti ML, Casetta I, Gentili V, Granieri E, Rizzo R, Granieri E, Castellazzi M, Casetta I, Tola MR, Fainardi E, Dallocchio F, Bellini T, Rizzo R, Rotola A, Di Luca D, Seraceni S, Contini C, Sabbioni S, Negrini M, Tognon M, Antonelli T, Groppo E, Gentile M, Baldi E, Caniatti ML, Ceruti S, Manfrinato MR, Trentini A, Bortolotti D, Miotto E, Ferracin M, Mazzoni E, Pietrobon S, Masini I, Rotondo JC, Martini F, Baruzzi A, Roberto D’Alessandro R, Michelucci R, Salvi F, Stecchi S, Scandellari C, Terzano G, Granella F, Nichelli P, Sola P, Ferraro D, Vitetta F, Simone AM, Bedin R, Marcello N, Motti L, Montepietra S, Guidetti D, Immovilli P, Montanari E, Pesci I, Guareschi A, Greco G, Santangelo M, Mauro AM, Malagù S, Rasi F, Spadoni M, Galeotti M, Fiorani L, Neri W, Ravasio A, Pasquinelli M, Gutman S, Monaldini C. Cerebrospinal fluid amounts of HLA-G in dimeric form are strongly associated to patients with MRI inactive multiple sclerosis. Mult Scler 2015; 22:245-9. [DOI: 10.1177/1352458515590647] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/27/2015] [Accepted: 05/13/2015] [Indexed: 11/15/2022]
Abstract
Background: The relevance of human leukocyte antigen (HLA)-G in dimeric form in multiple sclerosis (MS) is still unknown. Objective: To investigate the contribution of cerebrospinal fluid (CSF) HLA-G dimers in MS pathogenesis. Methods: CSF amounts of 78-kDa HLA-G dimers were measured by western blot analysis in 80 MS relapsing–remitting MS (RRMS) patients and in 81 inflammatory and 70 non-inflammatory controls. Results: CSF amounts of 78kDa HLA-G dimers were more frequent in RRMS than in inflammatory ( p<0.01) and non-inflammatory controls ( p<0.001) and in magnetic resonance imaging (MRI) inactive than in MRI active RRMS ( p<0.00001). Conclusion: Our findings suggest that HLA-G dimers may be implicated in termination of inflammatory response occurring in MS.
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Affiliation(s)
- Enrico Fainardi
- Department of Neurosciences and Rehabilitation, Neuroradilogy Unit, Azienda Ospedaliero-Universitaria, Arcispedale S. Anna, Ferrara, Italy
| | - Daria Bortolotti
- Department of Medical Sciences, Section of Microbiology and Medical Genetics, University of Ferrara, Ferrara, Italy
| | - Silvia Bolzani
- Department of Medical Sciences, Section of Microbiology and Medical Genetics, University of Ferrara, Ferrara, Italy
| | - Massimiliano Castellazzi
- Department of Biomedical and Specialist Surgical Sciences, Section of Neurology, University of Ferrara, Ferrara, Italy
| | - Carmine Tamborino
- Department of Biomedical and Specialist Surgical Sciences, Section of Neurology, University of Ferrara, Ferrara, Italy
| | - Gloria Roversi
- Department of Biomedical and Specialist Surgical Sciences, Section of Neurology, University of Ferrara, Ferrara, Italy
| | - Eleonora Baldi
- Department of Neurosciences and Rehabilitation, Neurology Unit, Azienda Ospedaliero-Universitaria, Arcispedale S. Anna, Ferrara, Italy
| | - Maria Luisa Caniatti
- Department of Neurosciences and Rehabilitation, Neurology Unit, Azienda Ospedaliero-Universitaria, Arcispedale S. Anna, Ferrara, Italy
| | - Ilaria Casetta
- Department of Biomedical and Specialist Surgical Sciences, Section of Neurology, University of Ferrara, Ferrara, Italy
| | - Valentina Gentili
- Department of Medical Sciences, Section of Microbiology and Medical Genetics, University of Ferrara, Ferrara, Italy
| | - Enrico Granieri
- Department of Biomedical and Specialist Surgical Sciences, Section of Neurology, University of Ferrara, Ferrara, Italy
| | - Roberta Rizzo
- Department of Medical Sciences, Section of Microbiology and Medical Genetics, University of Ferrara, Ferrara, Italy
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Raglio A, Attardo L, Gontero G, Rollino S, Groppo E, Granieri E. Effects of music and music therapy on mood in neurological patients. World J Psychiatry 2015; 5:68-78. [PMID: 25815256 PMCID: PMC4369551 DOI: 10.5498/wjp.v5.i1.68] [Citation(s) in RCA: 71] [Impact Index Per Article: 7.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/26/2014] [Revised: 01/12/2015] [Accepted: 02/11/2015] [Indexed: 02/05/2023] Open
Abstract
Mood disorder and depressive syndromes represent a common comorbid condition in neurological disorders with a prevalence rate that ranges between 20% and 50% of patients with stroke, epilepsy, multiple sclerosis, and Parkinson’s disease. Notwithstanding, these conditions are often under-diagnosed and under-treated in the clinical practice and negatively affect the functional recovery, the adherence to treatment, the quality of life, and even the mortality risk. In addition, a bidirectional association between depression and neurological disorders may be possible being that depressive syndromes may be considered as a risk factor for certain neurological diseases. Despite the large amount of evidence regarding the effects of music therapy (MT) and other musical interventions on different aspects of neurological disorders, no updated article reviewing outcomes such as mood, emotions, depression, activity of daily living and so on is actually available; for this reason, little is known about the effectiveness of music and MT on these important outcomes in neurological patients. The aim of this article is to provide a narrative review of the current literature on musical interventions and their effects on mood and depression in patients with neurological disorders. Searching on PubMed and PsycInfo databases, 25 studies corresponding to the inclusion criteria have been selected; 11 of them assess the effects of music or MT in Dementia, 9 explore the efficacy on patients with Stroke, and 5 regard other neurological diseases like Multiple Sclerosis, Amyotrophic Lateral Sclerosis/motor neuron disease, Chronic quadriplegia, Parkinson’s Disease, and Acquired Brain dysfunctions. Selected studies are based on relational and rehabilitative music therapy approaches or concern music listening interventions. Most of the studies support the efficacy of MT and other musical interventions on mood, depressive syndromes, and quality of life on neurological patients.
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Groppo E, De Gennaro R, Granieri G, Fazio P, Cesnik E, Granieri E, Casetta I. Incidence and prognosis of stroke in young adults: a population-based study in Ferrara, Italy. Neurol Sci 2011; 33:53-8. [PMID: 21695657 DOI: 10.1007/s10072-011-0654-9] [Citation(s) in RCA: 21] [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] [Subscribe] [Scholar Register] [Received: 01/25/2011] [Accepted: 06/03/2011] [Indexed: 11/25/2022]
Abstract
The reported annual incidence of juvenile stroke ranges from 9 to 47 cases per 100,000 inhabitants. We sought to estimate the incidence of first-ever stroke in young adults through a population-based stroke registry in a well-defined and stable population. We planned to collect all cases of new stroke in people aged 15-44 years in Ferrara, Italy, over the period 2002-2007. During the surveillance period, a first-ever stroke was diagnosed in 39 patients, giving a mean annual crude incidence rate of 12.1 cases per 100,000 person-years (95% CI 8.6-16.5), 9.1 when adjusted to the European population. The overall 30-day case fatality rate was 7.7, 21.4% for hemorrhagic stroke. The incidence rate was in the range of estimates detected in western countries. The case-fatality rate was lower than that reported in less recent studies. The stroke subtype predicted the probability of death and the outcome.
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Affiliation(s)
- Elisabetta Groppo
- Section of Clinical Neurology, Department of Medical and Surgical Sciences of Communication and Behaviour, University of Ferrara, Corso della Giovecca 203, 44121 Ferrara, Italy
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Pellegrini R, Agostini G, Groppo E, Piovano A, Leofanti G, Lamberti C. 0.5wt.% Pd/C catalyst for purification of terephthalic acid: Irreversible deactivation in industrial plants. J Catal 2011. [DOI: 10.1016/j.jcat.2011.03.012] [Citation(s) in RCA: 46] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Casetta I, Groppo E, De Gennaro R, Cesnik E, Piccolo L, Volpato S, Granieri E. Myasthenia gravis: a changing pattern of incidence. J Neurol 2010; 257:2015-9. [PMID: 20623298 DOI: 10.1007/s00415-010-5651-z] [Citation(s) in RCA: 55] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/17/2010] [Revised: 06/25/2010] [Accepted: 06/29/2010] [Indexed: 11/25/2022]
Abstract
The annual incidence of myasthenia gravis (MG) ranges from 3 to 30 per 1,000,000 people. Since the mid-1980s, an increasing incidence has been reported, mainly due to late-onset MG. Whether the increase was due to population aging, improved diagnosis and case collection, or a true excess of incidence cases is still under debate. We used a complete enumeration approach by reviewing all possible sources of case collection in the province of Ferrara, Italy, to estimate the MG incidence and its temporal trend over the study period (1985-2007). The mean annual age-adjusted incidence of MG was 18 per 1,000,000, without any significant temporal trend. The incidence rates in the period 1985-1990 were 14 both for early and late-onset MG. Thereafter, a significant increase in incidence of late-onset MG (p < 0.05), and a decrease in early onset MG were detected (p < 0.01). These findings were related to nonthymoma MG. The median age at onset of the disease steadily increased over time. A changing pattern of MG incidence with an increase in frequency of late-onset and a decrease of early onset MG was found in the last years, giving a significant shift to older age at onset of the disease. Unknown environmental factors may have driven this change in MG epidemiology.
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Affiliation(s)
- I Casetta
- Section of Clinical Neurology, Department of Medical and Surgical Sciences of Communication and Behavior, Neuroscience Center, University of Ferrara, Corso della Giovecca 203, 44100, Ferrara, Italy.
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Pellegrini R, Leofanti G, Agostini G, Groppo E, Rivallan M, Lamberti C. Pd-supported catalysts: evolution of support porous texture along Pd deposition and alkali-metal doping. Langmuir 2009; 25:6476-6485. [PMID: 19348495 DOI: 10.1021/la900084p] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/27/2023]
Abstract
Adsorption of N2 at 77 K and scanning electron microscopy have been used to measure the changes in the support morphology, at nano- and microscale level, along the processes involved in the preparation of a supported Pd catalyst: Pd deposition, doping, and thermal treatments. Among the investigated supports, viz., activated carbons, gamma-Al2O3, SiO2, and SiO2-Al2O3 (SA), the SA one was found particularly sensitive to these processes, as a result of its high plasticity and reactivity. Involved processes can be summarized as follows: (i) During the Pd deposition, the support itself is partially dissolved and removed as a result of both the basicity of the precipitating agent and the final washing. (ii) When the undoped sample is thermally treated up to 823 K, only modest phenomena are observed. (iii) Upon doping with potassium carbonate, the support dissolution continues, and the greater the carbonate concentration, the greater the dissolution extent. In this case the dissolved material is not removed, but reprecipitates (partially outside the pores), during the subsequent drying at 393 K. (iv) When doped samples are thermally treated, the reaction between carbonate and support causes the mobilization of the support itself, with sintering phenomena that can reach the total collapse of the porous structure. The starting temperature of the pore collapse decreases with increasing potassium carbonate concentration. The modification of the support influences, directly or indirectly, the surface properties and the availability of Pd particles that can be doped or even covered by materials from support and made more or less accessible or even inaccessible by pore narrowing, widening, or blocking.
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Affiliation(s)
- R Pellegrini
- Chimet S.p.A-Catalyst Division, Via di Pescaiola 74, I-52041 Viciomaggio, Arezzo, Italy.
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Groppo E, Estephane J, Lamberti C, Spoto G, Zecchina A. Ethylene, propylene and ethylene oxide in situ polymerization on the Cr(II)/SiO2 system: A temperature- and pressure-dependent investigation. Catal Today 2007. [DOI: 10.1016/j.cattod.2007.01.052] [Citation(s) in RCA: 27] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Bordiga S, Regli L, Bonino F, Groppo E, Lamberti C, Xiao B, Wheatley PS, Morris RE, Zecchina A. Adsorption properties of HKUST-1 toward hydrogen and other small molecules monitored by IR. Phys Chem Chem Phys 2007; 9:2676-85. [PMID: 17627311 DOI: 10.1039/b703643d] [Citation(s) in RCA: 320] [Impact Index Per Article: 18.8] [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: 12/28/2022]
Abstract
Among microporous systems metal organic frameworks are considered promising materials for molecular adsorption. In this contribution infrared spectroscopy is successfully applied to highlight the positive role played by coordinatively unsaturated Cu2+ ions in HKUST-1, acting as specific interaction sites. A properly activated material, obtained after solvent removal, is characterized by a high fraction of coordinatively unsaturated Cu2+ ions acting as preferential adsorption sites that show specific activities towards some of the most common gaseous species (NO, CO2, CO, N2 and H2). From a temperature dependent IR study, it has been estimated that the H2 adsorption energy is as high as 10 kJ mol(-1). A very complex spectral evolution has been observed upon lowering the temperature. A further peculiarity of this material is the fact that it promotes ortho-para conversion of the adsorbed H2 species.
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Affiliation(s)
- S Bordiga
- Dipartimento di Chimica IFM and NIS Centre of Excellence, Università di Torino, INSTM UdR Torino, Via Pietro Giuria 7, 10125, Torino, Italy.
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Bertarione S, Prestipino C, Groppo E, Scarano D, Spoto G, Zecchina A, Pellegrini R, Leofanti G, Lamberti C. Direct IR observation of vibrational properties of carbonyl species formed on Pd nano-particles supported on amorphous carbon: comparison with Pd/SiO2–Al2O3. Phys Chem Chem Phys 2006; 8:3676-81. [PMID: 16883397 DOI: 10.1039/b606431k] [Citation(s) in RCA: 28] [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] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
By diluting optically opaque carbon-supported Pd particles in silica Aerosil we succeeded in observing the IR bands of adsorbed carbonyls and extracting information on the particle dispersion. Comparison with literature single crystal data and with silica-alumina supported Pd allowed us to make an assignment in terms of linear and 2-fold bridged carbonyls formed on Pd(111) and Pd(100) faces. Two Pd/C samples have been investigated. The relative intensities of the two carbonyl families observed on the two samples are consistent with the Pd dispersion independently measured with CO chemisorption, TEM and EXAFS analysis.
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Affiliation(s)
- S Bertarione
- Dipartimento di Chimica IFM, NIS Centre of Excellence and INSTM (Centro di Riferimento), Università di Torino, Via P. Giuria 7, I-10125-Torino, Italy
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Groppo E, Lamberti C, Cesano F, Zecchina A. On the fraction of CrII sites involved in the C2H4 polymerization on the Cr/SiO2 Phillips catalyst: a quantification by FTIR spectroscopy. Phys Chem Chem Phys 2006; 8:2453-6. [PMID: 16721428 DOI: 10.1039/b604515d] [Citation(s) in RCA: 34] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
An estimation of the fraction of Cr(II) sites involved in the C(2)H(4) polymerization on a Cr(II)/SiO(2) Phillips catalyst has been obtained by means of in situ alternated CO adsorption and C(2)H(4) polymerization FTIR experiments: about 28% of the total surface sites react fast with C(2)H(4), while a lower fraction, which depends upon the temperature reaction conditions, is more slowly involved, in agreement with XANES results.
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Affiliation(s)
- E Groppo
- Department of Inorganic, Physical and Materials Chemistry, INSTM centro di riferimento and NIS Centre of Excellence, University of Turin, Torino, Italy.
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Groppo E, Lamberti C, Bordiga S, Spoto G, Damin A, Zecchina A. FTIR Investigation of the H2, N2, and C2H4 Molecular Complexes Formed on the Cr(II) Sites in the Phillips Catalyst: a Preliminary Step in the understanding of a Complex System. J Phys Chem B 2005; 109:15024-31. [PMID: 16852901 DOI: 10.1021/jp051826w] [Citation(s) in RCA: 40] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
Abstract
This work reports the first complete FTIR characterization of H2, N2 and C2H4 molecular complexes formed on the Cr(II) sites in the Phillips catalyst. The use of a silica aerogel as support for Cr(II) sites, substituting the conventional aerosil material, allowed us to obtain a remarkable increase in the signal-to-noise ratio of the IR spectra of adsorbed species. The improvement is directly related to an increase of the surface area of the support (approximately 700 m2 g(-1)) and to an almost complete absence of scattering [Groppo et al., Chem. Mater. 2005, 17, 2019-2027]. The use of this support and the adoption of suitable experimental conditions results, for the first time, in the clear observation of H2 and N2 adducts formed on two different types of Cr(II) sites, thus yielding important information on the coordinative state of the Cr(II) ions, which well agrees with the evidences provided in the past by other probe molecules. Furthermore, we report the first complete characterization of the C2H4 pi-complexes formed on Cr(II) sites. These results are particularly important in the view of the understanding of the polymerization mechanism, since the C2H4 coordination and the formation of pi-bonded complexes are the first steps of the reaction.
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Affiliation(s)
- E Groppo
- Department of Inorganic, Physical and Materials Chemistry, and NIS Center of Excellence, University of Torino, via P. Giuria 7, I-10125 Torino, Italy.
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Groppo E, Lamberti C, Bordiga S, Spoto G, Zecchina A. The Structure of Active Centers and the Ethylene Polymerization Mechanism on the Cr/SiO2 Catalyst: A Frontier for the Characterization Methods. Chem Rev 2005; 105:115-84. [PMID: 15720153 DOI: 10.1021/cr040083s] [Citation(s) in RCA: 354] [Impact Index Per Article: 18.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
- E Groppo
- Department of Inorganic, Physical and Materials Chemistry and NIS Centre of Excellence, University of Torino, Via P. Giuria 7, 10125 Torino, Italy
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Groppo E, Prestipino C, Lamberti C, Luches P, Giovanardi C, Boscherini F. Growth of NiO on Ag(001): Atomic Environment, Strain, and Interface Relaxations Studied by Polarization Dependent Extended X-ray Absorption Fine Structure. J Phys Chem B 2003. [DOI: 10.1021/jp027788n] [Citation(s) in RCA: 51] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
| | | | | | | | | | - F. Boscherini
- INFM and Dipartimento di Fisica, Università di Bologna, Viale C. Berti Pichat 6/2, 40127 Bologna, Italy
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