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van der Meer PB, Maschio M, Dirven L, Taphoorn MJB, Koekkoek JAF, Coppola A, Maialetti A, Pietrella A, Rigamonti A, Zarabla A, Frigeni B, Salis B, Di. Bonaventura C, Marras CE, Palestini C, Ferlazzo E, Venturelli E, Dainese F, Martella F, Paladin F, Villani F, Capizzi G, Napoleoni L, Stanzani L, Stragapede L, Zummo L, Balducci M, Eoli M, Rizzi M, Vernaleone M, Messina R, Vittorini R, Gasparini S, Ius T, Cianci V, Manfioli V, Mariani V, Capovilla G. First-line levetiracetam versus enzyme-inducing antiseizure medication in glioma patients with epilepsy. Epilepsia 2023; 64:162-169. [PMID: 36380710 PMCID: PMC10100008 DOI: 10.1111/epi.17464] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/22/2022] [Revised: 11/08/2022] [Accepted: 11/14/2022] [Indexed: 11/17/2022]
Abstract
OBJECTIVE This study aimed to directly compare the effectiveness of first-line monotherapy levetiracetam (LEV) versus enzyme-inducing antiseizure medications (EIASMs) in glioma patients. METHODS In this nationwide retrospective observational cohort study, Grade 2-4 glioma patients were included, with a maximum duration of follow-up of 36 months. Primary outcome was antiseizure medication (ASM) treatment failure for any reason, and secondary outcomes were treatment failure due to uncontrolled seizures and due to adverse effects. For estimation of the association between ASM treatment and ASM treatment failure, multivariate cause-specific cox proportional hazard models were estimated, adjusting for potential confounders. RESULTS In the original cohort, a total of 808 brain tumor patients with epilepsy were included, of whom 109 glioma patients were prescribed first-line LEV and 183 glioma patients first-line EIASMs. The EIASM group had a significantly higher risk of treatment failure for any reason compared to LEV (adjusted hazard ratio [aHR] = 1.82, 95% confidence interval [CI] = 1.20-2.75, p = .005). Treatment failure due to uncontrolled seizures did not differ significantly between EIASMs and LEV (aHR = 1.32, 95% CI = .78-2.25, p = .300), but treatment failure due to adverse effects differed significantly (aHR = 4.87, 95% CI = 1.89-12.55, p = .001). SIGNIFICANCE In this study, it was demonstrated that LEV had a significantly better effectiveness (i.e., less ASM treatment failure for any reason or due to adverse effects) compared to EIASMs, supporting the current neuro-oncology guideline recommendations to avoid EIASMs in glioma patients.
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Affiliation(s)
- Pim B van der Meer
- Department of Neurology, Leiden University Medical Center, Leiden, the Netherlands
| | - Marta Maschio
- Center for Tumor-Related Epilepsy, Unità Operativa Semplice Dipartimentale Neuro-oncology, Istituto di Ricovero e Cura a Carattere Scientifico Regina Elena National Cancer Institute, Rome, Italy
| | - Linda Dirven
- Department of Neurology, Leiden University Medical Center, Leiden, the Netherlands.,Department of Neurology, Haaglanden Medical Center, the Hague, the Netherlands
| | - Martin J B Taphoorn
- Department of Neurology, Leiden University Medical Center, Leiden, the Netherlands
| | - Johan A F Koekkoek
- Department of Neurology, Leiden University Medical Center, Leiden, the Netherlands.,Department of Neurology, Haaglanden Medical Center, the Hague, the Netherlands
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2
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Nave RD, Magaudda A, Michelucci R, Capizzi G, Calabrò A, Guerrini L, Gavazzi C, Diciotti S, Riguzzi P, Daniele O, Villari N, Tassinari C, Mascalchi M. Whole-brain histogram and voxel-based analyses of apparent diffusion coefficient and magnetization transfer ratio in celiac disease, epilepsy, and cerebral calcifications syndrome. AJNR Am J Neuroradiol 2007; 28:479-85. [PMID: 17353316 PMCID: PMC7977847] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/14/2023]
Abstract
BACKGROUND AND PURPOSE Diffusion and magnetization transfer (MT) techniques have been applied to the investigation with MR of epilepsy and have revealed changes in patients with or without abnormalities on MR imaging. We hypothesized that also in the coeliac disease (CD), epilepsy and cerebral calcifications (CEC) syndrome diffusion and MT techniques could reveal brain abnormalities undetected by MR imaging and tentatively correlated to epilepsy. MATERIALS AND METHODS Diffusion and MT weighted images were obtained in 10 patients with CEC, 8 patients with CD without epilepsy and 17 healthy volunteers. The whole brain apparent diffusion coefficient (ADC) and MT ratio (MTR) maps were analyzed with histograms and the Statistical Parametric Mapping 2 (SPM2) software. We employed the non-parametric Mann-Whitney U test to assess differences for ADC and MTR histogram metrics. Voxel by voxel comparison of the ADC and MTR maps was performed with 2 tails t-test corrected for multiple comparison. RESULTS A significantly higher whole brain ADC value as compared to healthy controls was observed in CEC (P = 0.006) and CD (P = 0.01) patients. SPM2 showed bilateral areas of significantly decreased MTR in the parietal and temporal subcortical white matter (WM) in the CEC patients. CONCLUSION Our study indicates that diffusion and MT techniques are also capable of revealing abnormalities undetected by MR imaging. In particular patients with CEC syndrome show an increase of the whole brain ADC histogram which is more pronounced than in patients with gluten intolerance. IN CEC patients, voxel-based analysis demonstrates a localized decrease of the MTR in the parieto-temporal subcortical WM.
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Affiliation(s)
- R. Della Nave
- Section of Radiodiagnostics, University of Florence, Florence, Italy
| | - A. Magaudda
- Department of Neurology, University of Messina, Messina, Italy
| | - R. Michelucci
- Division of Neurology, Bellaria Hospital, University of Bologna, Bologna, Italy
| | - G. Capizzi
- Department of Child Neurology and Psychiatry, University of Turin, Turin, Italy
| | - A. Calabrò
- Section of Gastroenterology, University of Florence, Florence, Italy
| | - L. Guerrini
- Section of Radiodiagnostics, University of Florence, Florence, Italy
| | - C. Gavazzi
- Section of Radiodiagnostics, University of Florence, Florence, Italy
| | - S. Diciotti
- Department of Clinical Physiopathology and Department of Electronics and Telecommunications, University of Florence, Florence, Italy
| | - P. Riguzzi
- Division of Neurology, Bellaria Hospital, University of Bologna, Bologna, Italy
| | - O. Daniele
- Institute of Neuropsychiatry, University of Palermo, Palermo, Italy
| | - N. Villari
- Section of Radiodiagnostics, University of Florence, Florence, Italy
| | - C.A. Tassinari
- Division of Neurology, Bellaria Hospital, University of Bologna, Bologna, Italy
| | - M. Mascalchi
- Section of Radiodiagnostics, University of Florence, Florence, Italy
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Aragona F, Pepe P, Motta M, Saita A, Raciti G, La Rosa P, Nicolosi D, Dammino A, Minaldi G, Rizza G, Azzarello G, Aragona C, Rotondo S, Orestano L, Serrao A, Amico F, Dibenedetto G, Cosentino V, Iurato C, Raffino S, Gulletta M, Calarco A, Paola Q, Barbera M, Gulino V, Capizzi G, Orestano F. Incidence of Prostate Cancer in Sicily: Results of a Multicenter Case-Findings Protocol. Eur Urol 2005; 47:569-74. [PMID: 15826745 DOI: 10.1016/j.eururo.2004.11.007] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/23/2004] [Accepted: 11/17/2004] [Indexed: 11/29/2022]
Abstract
OBJECTIVE To establish the incidence of prostate cancer (PCa) in Sicily in patients who entered an early detection protocol. METHODS From February 2002 to February 2004, 16,298 subjects aged 40-75 entered the protocol. Patients with suspicious DRE, PSA>10 ng/ml, PSA<or=2.5 ng/ml, from 2.6 to 4 ng/ml or from 4.1 to 10 ng/ml with F/T PSA of <or=15%, <or=20% and <or=25% respectively underwent needle biopsy according to an extensive protocol. RESULTS 3266 patients were eligible for biopsy; PSA was <or=4 in 12.7% and <or=10 ng/ml in 63.9% of patients. A PCa was found in 1171 cases (36.9%) with a relationship between PCa incidence and PSA and age respectively (chi2-test, p<0.0001); 51.8% of patients with PCa had a PSA<10 and 8.8% a PSA<4 ng/ml; 49% were clinically staged as T1c. The estimated odds ratios for each age group showed increased risk for PCa in the fourth decade with PSA between 2.6 and 4 ng/ml (12.5 times higher) and in the fifth decade with PSA between 4.1 and 10 ng/ml (6.2 times higher). CONCLUSIONS Age and serum PSA levels are the major risk factors for PCa. On their basis it is possible to modulate the most suitable timing for early diagnosis in individual patients.
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Affiliation(s)
- F Aragona
- Urology Unit, Azienda Ospedaliera Cannizzaro, Via Messina 829, 95126 Catania, Italy.
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Allegro R, Serretta V, Aragona F, Motta M, Orestano L, Cammarata C, Melloni D, Magno C, Aragona C, Pirritano D, Paola Q, Cosentino V, Capizzi G, Saita A, Spampinato A, Nicolosi D, Raciti G, Salvia G, Rinella M, Macaluso MP, Orestano F, Vacirca F, Caramia M, Cozzupoli P, De Grande G, Lapira G, Ventrici F, Falvo F, Galfano G, Armenio A, Gange E, Rizzo I, Massarelli M, Saita A, Bartolotta S, Pepe P, Pavone C, Ingargiola G, Taschetti S, Vaccarella G, Contino G, De Leo F. Osservational Study on Early Diagnosis of Prostate Carcinoma in Sicily and Calabria. Urologia 2004. [DOI: 10.1177/039156030407100311] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
The diagnosis of prostate carcinoma has been monitored in Sicily and Calabria for one year. Material e Methods Twenty-seven urological centres of Sicily and Calabria joined the study. Detailed informations about age, familiarity, PSA, Gleason score and TNM stage at diagnosis were centralized between november 2001 and november 2002. Results 721 patients have been recruited. The median age was 73 years. More than 80% of the patients were older than 65 years. Median PSA was 14 ng/ml. The clinical stage at diagnosis was T1c in 33% of patients and 67% had an organ confined prostate cancer (T1-T2). Familiarity was detected in 8% of cases. Age and PSA at diagnosis in these patients were similar to those of the remaining population. However, only 18% of them had a T1 tumor, emphasizing the delay in diagnosis in these patients. Although only 10% of the patients shows at diagnosis a metastatic tumor, 29% only are fit for radical prostatectomy in according to age, PSA and stage.
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Affiliation(s)
- R. Allegro
- Ist. Urologia, Università di Palermo, Palermo
| | - V. Serretta
- Ist. Urologia, Università di Palermo, Palermo
| | - F. Aragona
- Div. Urologia, Ospedale Cannizzaro, Catania
| | - M. Motta
- Ist. Urologia, Università di Catania, Catania
| | - L. Orestano
- Div. Urologia, Casa di Cura Orestano, Palermo
| | | | - D. Melloni
- Ist. Urologia, Università di Messina, Messina
| | - C. Magno
- Ist. Urologia, Università di Messina, Messina
| | | | | | - Q. Paola
- Div. Urologia, Ospedale Civile, Sciacca (Agrigento)
| | - V. Cosentino
- Div. Urologia, Ospedale Civile, Gela (Caltanissetta)
| | - G. Capizzi
- Div. Urologia, Ospedale Civile, Comiso (Ragusa)
| | - A. Saita
- Ist. Urologia, Università di Catania, Catania
| | | | | | - G. Raciti
- Div. Urologia, Ospedale Oncologico San Luigi, Catania
| | - G. Salvia
- Div. Urologia, Ospedale Civile, Bronte (Catania)
| | - M. Rinella
- Ist. Urologia, Università di Palermo, Palermo
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- (Palermo) Dibenedetto (San Cataldo, Caltanissetra)
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Morgia G, Saita A, Morana F, Macaluso CP, Serretta V, Lanza P, Capizzi G, Calarco A, Zumbo G. Endoprosthesis implantation in the treatment of recurrent urethral stricture: a multicenter study. Sicilian-Calabrian Urology Society. J Endourol 1999; 13:587-90. [PMID: 10597131 DOI: 10.1089/end.1999.13.587] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
PURPOSE This study was conducted by nine urology departments in southern Italy to assess the efficacy of and tolerance to treatment of recurrent urethral stricture using a permanent prosthesis. PATIENTS AND METHODS Since 1992, 99 prostheses have been implanted to treat inflammatory and iatrogenic (seven departments) or all types (two departments) of urethral strictures. The Urolume Wallstent was used in 94 cases. Three centers implanted more than one prosthesis when this was indicated. Local anesthesia was used by six centers, spinal anesthesia by two, and local or general by one. At three centers, urethrotomy was performed immediately prior to implantation; two centers used dilation to 30F, and two centers performed urethrotomy 24 or 36 hours before implantation. The median follow-up is 29.1 months (range 3-53 months). RESULTS The results were good in 52%, fair in 34%, and poor in 14% of patients. The maximum flow rate increased >75% in 82% of patients. All departments reported complete reepithelialization of the urethra by 6 months. The short-term complications (7-28 days) were perineal discomfort (86%) and dribbling (14%). The long-term complications were painful erection (44%), mucous hyperplasia (44%), recurring stricture (29%), and incontinence (14%). All departments performed resection for hyperplasia in many cases. CONCLUSION Permanent urethral endoprostheses can produce excellent results in patients with recurrent urethral strictures.
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Affiliation(s)
- G Morgia
- Catania University Urology Unit, Caltagirone Urology Unit, Italy.
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6
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Silengo M, Silvestro L, Capizzi G, Lerone M, Seri M, Rosaia L, Romeo G. Ectodermal dysplasia, primary hypothyroidism, and agenesis of the corpus callosum: variable expression of a single syndrome? J Med Genet 1998; 35:157-8. [PMID: 9507398 PMCID: PMC1051223 DOI: 10.1136/jmg.35.2.157] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/06/2023]
Abstract
We present two unrelated children, a male and a female, with signs of ectodermal dysplasia, mental retardation, agenesis/ dysgenesis of the corpus callosum, and primary hypothyroidism. Reports of ectodermal dysplasia with CNS malformations or hypothyroidism or both are rare. We suggest that the condition we describe is a distinct entity within the large group of ectodermal dysplasia syndromes and that it has a variable clinical spectrum. As both males and females are affected and in a few reports some parents show minimal signs, the inheritance is likely to be autosomal dominant.
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Affiliation(s)
- M Silengo
- Dipartimento di Scienze Pediatriche e dell'Adolescenza, Università di Torino, Italy
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7
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Ferrie CD, Beaumanoir A, Guerrini R, Kivity S, Vigevano F, Takaishi Y, Watanabe K, Mira L, Capizzi G, Costa P, Valseriati D, Grioni D, Lerman P, Ricci S, Vigliano P, Goumas-Kartalas A, Hashimoto K, Robinson RO, Panayiotopoulos CP. Early-onset benign occipital seizure susceptibility syndrome. Epilepsia 1997; 38:285-93. [PMID: 9070590 DOI: 10.1111/j.1528-1157.1997.tb01119.x] [Citation(s) in RCA: 93] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
Abstract
PURPOSE Childhood epilepsy with occipital paroxysms (CEOP) is characterised by ictal visual hallucinations and occipital epileptiform activity on interictal EEG. A variant has been described with nonvisual symptoms including tonic head and eye deviation, vomiting, and episodes of partial status epilepticus. We fully documented the electroclinical features of such patients to determine whether classification separate from CEOP is justified. METHODS This was a multicentre study with participating investigators submitting details of patients with idiopathic occipital seizures characterised by ictal head or eye deviation and vomiting. RESULTS One hundred thirteen patients were recruited. Seizures began in early childhood (mean, 4.6 years) and occurred infrequently (mean total seizures, 3); 30% of patients had only a single seizure. Two thirds of seizures were nocturnal. Ictal eye deviation occurred in 79%, vomiting in 70%, and head deviation in 35%. Seizures were predominantly complex partial in type. Partial status epilepticus occurred in 44% of patients. Seventy-four percent of patients had occipital interictal EEG epileptiform activity, predominantly right sided, with fixation-off sensitivity. Extraoccipital EEG abnormalities occurred in 35% of patients. Prognosis was excellent: the mean duration of active seizures was 1 year. CONCLUSIONS Although the two groups shared identical EEG features, the distinct clinical symptoms probably justify separate classification. Early-onset benign occipital seizure syndrome (EBOSS) is suggested as an appropriate name for the variant group.
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8
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Costa G, Di Tonno F, Capizzi G, Cavazzana A, Laurini L, Ruvolo V, Lavelli D. Rottura spontanea dell'uretere: Due casi: Spontaneous rupture of the ureter: Two cases. Urologia 1995. [DOI: 10.1177/039156039506200118] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Spontaneous rupture of the ureter is rare, usually ending in a periureteral abscess. Two cases of spontaneous rupture of the ureter secondary to calculosis in patients with ureterosigmoidostomy are described. Surgical management includes immediate drainage of the urinoma with urinary reconstruction (if necessary and possible) or radical surgery.
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Affiliation(s)
- G. Costa
- Divisione Urologica - Ospedale Civile - Camposampiero (Padova)
- Via P. Cosma, 1 - 35012 Camposampiero (Padova) - Italy
| | - F. Di Tonno
- Divisione Urologica - Ospedale Civile - Camposampiero (Padova)
| | - G. Capizzi
- Divisione Urologica - Ospedale Civile - Camposampiero (Padova)
| | - A. Cavazzana
- Divisione Urologica - Ospedale Civile - Camposampiero (Padova)
| | - L. Laurini
- Divisione Urologica - Ospedale Civile - Camposampiero (Padova)
| | - V. Ruvolo
- Divisione Urologica - Ospedale Civile - Camposampiero (Padova)
| | - D. Lavelli
- Divisione Urologica - Ospedale Civile - Camposampiero (Padova)
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Capizzi G, Laurini L, Di Tonno F, Munaretto G, Lavelli D. Favourable results of a therapeutical scheme in idiopathic retroperitoneal fibrosis: Suggested protocol. Urologia 1995. [DOI: 10.1177/039156039506201s16] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
— The Authors describe the favourable results obtained in 3 patients with Idiopathic Retroperitoneal Fibrosis (IRF) using a therapeutic protocol based on the association of prednisolone and cyclophosphamide. In 2 patients this therapy obtained a partial radiologic and total clinical remission; in the third case it guaranteed a stabilization of the results obtained by previous surgery. Given the absence of significant side effects, the protocol may be taken into consideration for practically all patients with TRF.
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Affiliation(s)
| | | | | | - G. Munaretto
- Servizio di Nefrologia e Dialisi - Ospedale Civile di Camposampiero (Padova)
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10
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Vigliano P, Rigardetto R, Capizzi G, Arfelli P, Barbicinti I, Boffi P, Bonassi E, Cavallo P, Crosa P, Gandione M. EEG diagnostic and predictive value on HIV infection in childhood. Neurophysiol Clin 1994; 24:367-79. [PMID: 7854257 DOI: 10.1016/s0987-7053(05)80250-3] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/27/2023] Open
Abstract
This prospective study evaluated the electroencephalographic (EEG) diagnostic and prognostic value in childhood HIV infection. It was carried out on 125 subjects and included all Piemonte's seropositive children. The EEG was repeated every three months during the first 15 months of life, and then, at least, annually in the P1 and P2 group. Data of group P2 was compared blindly to that of the seroconverted control group of the same age and risk. EEG results were normal in P0, P1 and control patients. In group P2, EEG was abnormal in 35.5% of subjects, of these 54.6% developed an encephalopathy with a delay of 2.5 months to 2 years 11 months. EEG is therefore useful to evaluate early CNS damage and to identify onset features and evolution of encephalopathy in P2 patients.
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Affiliation(s)
- P Vigliano
- University of Turin, Cattedra di Neuropsichiatria Infantile, Italy
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11
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Di Tonno F, Rigon R, Capizzi G, Bucca D, Di Pietro R, Zennari R. Solitary metastasis in the gluteus maximus from renal cell carcinoma 12 years after nephrectomy. Case report. Scand J Urol Nephrol 1993; 27:143-4. [PMID: 8493466 DOI: 10.3109/00365599309180435] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/31/2023]
Affiliation(s)
- F Di Tonno
- Department of Urology, Camposampiero Hospital, Padua, Italy
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12
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Laurini L, Costa G, Di Tonno F, Capizzi G. Urodynamic Aspects Compared. Urologia 1992. [DOI: 10.1177/039156039205900205] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
The aim of this study is to compare urodynamic and clinical (in particular night and daytime “dry” interval) parameters in patients subjected to urinary diversion with ileal orthotopic neobladder after cystectomy. Experiences with the techniques of Carney, Reddy II, Carney II and VIP have been compared. The progressive improvements obtained through these techniques, taken in chronological order, are clear, particularly from the urodynamic point of view.
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Affiliation(s)
- L. Laurini
- Divisione Urologica - Ospedale Camposampiero (Padova)
| | - G. Costa
- Divisione Urologica - Ospedale Camposampiero (Padova)
| | - F. Di Tonno
- Divisione Urologica - Ospedale Camposampiero (Padova)
| | - G. Capizzi
- Divisione Urologica - Ospedale Camposampiero (Padova)
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Abstract
The Authors have briefly reviewed current literature regarding orthotopic bladder substitution. On the grounds of these preliminary considerations, the experience progressively acquired in our Department during the last three years has been reevaluated. The following techniques have been performed: Carney (without ileal detubularization), Reddy II (with partial detubularization), Carney II (with total detubularization) and VIP (with reconfiguration associated with total ileal detubularization). Our data show that the association of detubularization and reconfiguration seems to be the most suitable measure to guarantee construction of a continent, high-capacity, low-pressure reservoir.
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Affiliation(s)
| | - M. Mazzonetto
- Servizio di Radiologia Ospedale Camposampiero (Padova)
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14
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Abstract
Leydig Cell Tumors (LCT) are uncommon testicular neoplasms that account for 1 to 3% of all testicular tumors. Only about 10% of LCT are malignant and generally refractory to radiotherapy and conventional chemotherapy. Therefore, there is some debate about the value of Retroperitoneal Lymphadenectomy (RPLND) in Stage I disease. Indeed, although surgery is the only available therapy which is able to cure and prevent tumor spread, RPLND is a challenging invasive surgery and may be useless in 90% of the cases. The Authors observed 5 cases of patients in clinical Stage I disease with benign behaviour demonstrated after an adequate follow-up. Pathological analysis showed absence of signs of malignancy. Starting from these experiences, it is suggested that RPLND may be avoided in selected cases when definite pathological signs of malignancy are absent.
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Affiliation(s)
| | | | - G. Capizzi
- Divisione di Urologia - Camposampiero (PD)
| | - G. Costa
- Divisione di Urologia - Camposampiero (PD)
| | - W. Artibani
- Istituto di Urologia dell'Università di Padova
| | - D. Lavelli
- Divisione di Urologia - Camposampiero (PD)
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15
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Di Tonno F, Capizzi G, Laurini L, Costa G, Zennari R, Dall'Orso E, Artibani W, Lavelli D. Focal xanthogranulomatous pyelonephritis: diagnostic and therapeutic aspects. Urol Int 1992; 48:453-6. [PMID: 1413314 DOI: 10.1159/000282377] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/26/2022]
Abstract
The authors report 2 cases of localized xanthogranulomatous pyelonephritis (XGP) in which computed tomography (CT) permitted to raise a motivated clinical suspicion of inflammatory disease: the surgical exploration documented absence of neoplasm and allowed a conservative therapy implying only the removal of the mass. A literature review confirms that some CT signs in XGP permit differentiation from carcinoma. If they are present, in unifocal cases of disease, the authors suggest a limited surgical approach and a therapeutic strategy as conservative as possible.
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Affiliation(s)
- F Di Tonno
- Department of Urology, University of Padua, Italy
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Capizzi G, Laurini L, Ruvolo V, Casagrande R, Di Tonno F, Lavelli D, Artibani W. Cisti Renale Suppurata Drenatasi in via Escretrice? Urologia 1989. [DOI: 10.1177/039156038905600427] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Affiliation(s)
- G. Capizzi
- ULSS n. 20 Camposampiero, Padova, Divisione di Urologia -Primario
| | - L. Laurini
- ULSS n. 20 Camposampiero, Padova, Divisione di Urologia -Primario
| | - V. Ruvolo
- ULSS n. 20 Camposampiero, Padova, Divisione di Urologia -Primario
| | - R. Casagrande
- ULSS n. 20 Camposampiero, Padova, Divisione di Urologia -Primario
| | - F. Di Tonno
- ULSS n. 20 Camposampiero, Padova, Divisione di Urologia -Primario
| | - D. Lavelli
- ULSS n. 20 Camposampiero, Padova, Divisione di Urologia -Primario
| | - W. Artibani
- Istituto di Urologia dell'Università di Padova
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17
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Lavelli D, Capizzi G, Casagrande R, Ruvolo V, Laurini L, Di Tonno F, Artibani W. Sostituzione Vescicale Dopo Cistectomia: Percorso Personale in Un Anno Di Esperienza. Urologia 1989. [DOI: 10.1177/039156038905600428] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Affiliation(s)
- D. Lavelli
- ULSS n. 20 Camposampiero, Padova, Divisione Urologica -Primario)
| | - G. Capizzi
- ULSS n. 20 Camposampiero, Padova, Divisione Urologica -Primario)
| | - R. Casagrande
- ULSS n. 20 Camposampiero, Padova, Divisione Urologica -Primario)
| | - V. Ruvolo
- ULSS n. 20 Camposampiero, Padova, Divisione Urologica -Primario)
| | - L. Laurini
- ULSS n. 20 Camposampiero, Padova, Divisione Urologica -Primario)
| | - F. Di Tonno
- ULSS n. 20 Camposampiero, Padova, Divisione Urologica -Primario)
| | - W. Artibani
- Istituto di Urologia dell'Università di Padova
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18
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Lavelli D, Capizzi G, Laurini L, Rusca F, Dengo B. Il Ruolo Dell'Ossigenoterapia Iperbarica Nella Risoluzione Della Malattia Di Fournier. Urologia 1987. [DOI: 10.1177/039156038705400519] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Affiliation(s)
| | | | | | - F. Rusca
- Istituto di Anestesia e Rianimazione
| | - B. Dengo
- Istituto di Anestesia e Rianimazione
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20
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Brero P, Poncini L, Capizzi G, Sacchetti L. [Influence of hypoxia on the EEG of patients with cystic fibrosis]. Minerva Pediatr 1985; 37:161-3. [PMID: 4021942] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/08/2023]
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21
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Capizzi G, Gandione M, Gruppi E, Peloso A, Rigardetto R, Gajno TM. [Clinical, electroencephalographic and neuroradiologic correlations in 20 cases of partial epilepsy in growing children]. Riv Neurobiol 1981; 27:485-90. [PMID: 6820570] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/22/2023]
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22
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Poz RD, Perissinotto B, Lavelli D, Capizzi G, Casagrande R. L'Attinomicosi Renale. Urologia 1980. [DOI: 10.1177/039156038004700420] [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: 11/16/2022]
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23
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Capizzi G, Cordero di Montezemolo L, Gandione M, Rigardetto R. [Clinical EEG correlations in 38 cases of acute lymphoblastic leukemia and leukemia-like lymphomas. Longitudinal study]. Minerva Pediatr 1980; 32:729-40. [PMID: 6936609] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/22/2023]
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24
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Signorelli G, Capizzi G, Chiavinato G. Profilassi Delle Complicazioni Trombo-Emboliche Nella Chirurgia Della Prostata Con L'Associazione Trasylol® Ed Eparina. Urologia 1977. [DOI: 10.1177/039156037704400409] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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