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Bosco L, Falzone YM, Butera C, Bianchi F, Vezzulli P, Filippi M, Del Carro U. Painful legs and moving toes syndrome: treating movement to treat pain-a case report. J Neurol 2020; 267:1852-1854. [PMID: 32372183 DOI: 10.1007/s00415-020-09878-1] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/08/2020] [Revised: 04/27/2020] [Accepted: 04/29/2020] [Indexed: 11/25/2022]
Affiliation(s)
- L Bosco
- Neurology Unit, IRCCS San Raffaele Scientific Institute, Via Olgettina 48, 20132, Milan, Italy
- Neurophysiology, IRCCS Unit San Raffaele Scientific Institute, Via Olgettina 60, 20132, Milan, Italy
| | - Y M Falzone
- Neurology Unit, IRCCS San Raffaele Scientific Institute, Via Olgettina 48, 20132, Milan, Italy
| | - C Butera
- Neurophysiology, IRCCS Unit San Raffaele Scientific Institute, Via Olgettina 60, 20132, Milan, Italy
| | - F Bianchi
- Neurophysiology, IRCCS Unit San Raffaele Scientific Institute, Via Olgettina 60, 20132, Milan, Italy
| | - P Vezzulli
- Neuroradiology Department, IRCCS San Raffaele Scientific Institute, Via Olgettina 60, 20132, Milan, Italy
| | - M Filippi
- Neurology Unit, IRCCS San Raffaele Scientific Institute, Via Olgettina 48, 20132, Milan, Italy.
- Neurophysiology, IRCCS Unit San Raffaele Scientific Institute, Via Olgettina 60, 20132, Milan, Italy.
- Neuroimaging Research Unit, Institute of Experimental Neurology, Division of Neuroscience, IRCCS San Raffaele Scientific Institute, Via Olgettina 60, 20132, Milan, Italy.
- Vita-Salute San Raffaele University, San Raffaele Scientific Institute, Via Olgettina 48, 20132, Milan, Italy.
| | - U Del Carro
- Neurophysiology, IRCCS Unit San Raffaele Scientific Institute, Via Olgettina 60, 20132, Milan, Italy
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Mandrioli J, Ferri L, Fasano A, Zucchi E, Fini N, Moglia C, Lunetta C, Marinou K, Ticozzi N, Drago Ferrante G, Scialo C, Sorarù G, Trojsi F, Conte A, Falzone YM, Tortelli R, Russo M, Sansone VA, Mora G, Silani V, Volanti P, Caponnetto C, Querin G, Monsurrò MR, Sabatelli M, Chiò A, Riva N, Logroscino G, Messina S, Calvo A. Cardiovascular diseases may play a negative role in the prognosis of amyotrophic lateral sclerosis. Eur J Neurol 2018. [PMID: 29512869 DOI: 10.1111/ene.13620] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.0] [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: 12/12/2022]
Abstract
BACKGROUND AND PURPOSE Only a few studies have considered the role of comorbidities in the prognosis of amyotrophic lateral sclerosis (ALS) and have provided conflicting results. METHODS Our multicentre, retrospective study included patients diagnosed from 1 January 2009 to 31 December 2013 in 13 referral centres for ALS located in 10 Italian regions. Neurologists at these centres collected a detailed phenotypic profile and follow-up data until death in an electronic database. Comorbidities at diagnosis were recorded by main categories and single medical diagnosis, with the aim of investigating their role in ALS prognosis. RESULTS A total of 2354 incident cases were collected, with a median survival time from onset to death/tracheostomy of 43 months. According to univariate analysis, together with well-known clinical prognostic factors (age at onset, diagnostic delay, site of onset, phenotype, Revised El Escorial Criteria and body mass index at diagnosis), the presence of dementia, hypertension, heart disease, chronic obstructive pulmonary disease, haematological and psychiatric diseases was associated with worse survival. In multivariate analysis, age at onset, diagnostic delay, phenotypes, body mass index at diagnosis, Revised El Escorial Criteria, dementia, hypertension, heart diseases (atrial fibrillation and heart failure) and haematological diseases (disorders of thrombosis and haemostasis) were independent prognostic factors of survival in ALS. CONCLUSIONS Our large, multicentre study demonstrated that, together with the known clinical factors that are known to be prognostic for ALS survival, hypertension and heart diseases (i.e. atrial fibrillation and heart failure) as well as haematological diseases are independently associated with a shorter survival. Our findings suggest some mechanisms that are possibly involved in disease progression, giving new interesting clues that may be of value for clinical practice and ALS comorbidity management.
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Affiliation(s)
- J Mandrioli
- Department of Neuroscience, S. Agostino-Estense Hospital, Azienda Ospedaliero-Universitaria di Modena, University of Modena and Reggio Emilia, Modena
| | - L Ferri
- Department of Neuroscience, S. Agostino-Estense Hospital, Azienda Ospedaliero-Universitaria di Modena, University of Modena and Reggio Emilia, Modena
| | - A Fasano
- Department of Neuroscience, S. Agostino-Estense Hospital, Azienda Ospedaliero-Universitaria di Modena, University of Modena and Reggio Emilia, Modena
| | - E Zucchi
- Department of Neuroscience, S. Agostino-Estense Hospital, Azienda Ospedaliero-Universitaria di Modena, University of Modena and Reggio Emilia, Modena
| | - N Fini
- Department of Neuroscience, S. Agostino-Estense Hospital, Azienda Ospedaliero-Universitaria di Modena, University of Modena and Reggio Emilia, Modena
| | - C Moglia
- 'Rita Levi Montalcini' Department of Neuroscience, University of Torino, Torino
| | - C Lunetta
- NEuroMuscular Omnicentre (NEMO), Serena Onlus Foundation, Milano.,NEuroMuscular Omnicentre (NEMO) Sud Clinical Center for Neuromuscular Diseases, Aurora Onlus Foundation, Messina
| | - K Marinou
- Department of Neurorehabilitation-ALS Center, Scientific Institute of Milan, Salvatore Maugeri Foundation IRCCS, Milan
| | - N Ticozzi
- Department of Neurology and Laboratory of Neuroscience, IRCCS Istituto Auxologico Italiano, Milan.,Department of Pathophysiology and Transplantation, 'Dino Ferrari' Center, University of Milan, Milan
| | - G Drago Ferrante
- Neurorehabilitation Unit/ALS Center, Salvatore Maugeri Foundation, IRCCS, Mistretta, Messina
| | - C Scialo
- Department of Neurosciences, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health, University of Genova, IRCCS AOU San Martino-IST, Genova
| | - G Sorarù
- Department of Neurosciences, Neuromuscular Center, University of Padova, Padua
| | - F Trojsi
- Department of Medical, Surgical, Neurological, Metabolic and Aging Sciences, MRI Research Center SUN-FISM, University of Campania 'Luigi Vanvitelli', Naples
| | - A Conte
- NEuroMuscular Omnicentre (NEMO), Serena Onlus Foundation-Pol. A. Gemelli Foundation, Rome
| | - Y M Falzone
- Division of Neuroscience, Department of Neurology, Institute of Experimental Neurology, San Raffaele Scientific Institute, Milan
| | - R Tortelli
- Department of Clinical Research in Neurology, University of Bari at Pia Fondazione 'Card. G. Panico', Tricase, Lecce
| | - M Russo
- Department of Clinical and Experimental Medicine, University of Messina and Nemo Sud Clinical Center for Neuromuscular Diseases, Aurora Foundation, Messina
| | - V A Sansone
- NEuroMuscular Omnicentre (NEMO), Serena Onlus Foundation, Milano.,Department of Biomedical Sciences for Health, University of Milan, Milan
| | - G Mora
- Department of Neurorehabilitation-ALS Center, Scientific Institute of Milan, Salvatore Maugeri Foundation IRCCS, Milan
| | - V Silani
- Department of Neurology and Laboratory of Neuroscience, IRCCS Istituto Auxologico Italiano, Milan.,Department of Pathophysiology and Transplantation, 'Dino Ferrari' Center, University of Milan, Milan
| | - P Volanti
- Neurorehabilitation Unit/ALS Center, Salvatore Maugeri Foundation, IRCCS, Mistretta, Messina
| | - C Caponnetto
- Department of Neurosciences, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health, University of Genova, IRCCS AOU San Martino-IST, Genova
| | - G Querin
- Department of Neurosciences, Neuromuscular Center, University of Padova, Padua
| | - M R Monsurrò
- Department of Medical, Surgical, Neurological, Metabolic and Aging Sciences, MRI Research Center SUN-FISM, University of Campania 'Luigi Vanvitelli', Naples
| | - M Sabatelli
- NEuroMuscular Omnicentre (NEMO), Serena Onlus Foundation-Pol. A. Gemelli Foundation, Rome.,Institute of Neurology, Catholic University of Sacred Heart, Rome, Italy
| | - A Chiò
- 'Rita Levi Montalcini' Department of Neuroscience, University of Torino, Torino
| | - N Riva
- Division of Neuroscience, Department of Neurology, Institute of Experimental Neurology, San Raffaele Scientific Institute, Milan
| | - G Logroscino
- Department of Clinical Research in Neurology, University of Bari at Pia Fondazione 'Card. G. Panico', Tricase, Lecce
| | - S Messina
- NEuroMuscular Omnicentre (NEMO) Sud Clinical Center for Neuromuscular Diseases, Aurora Onlus Foundation, Messina.,Department of Clinical and Experimental Medicine, University of Messina and Nemo Sud Clinical Center for Neuromuscular Diseases, Aurora Foundation, Messina
| | - A Calvo
- 'Rita Levi Montalcini' Department of Neuroscience, University of Torino, Torino
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