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Ambrosone A, Ibnsalih W, Marinelli A, Miele G, Migliozzi P, Musone MR. KM3NeT/ARCA Sensitivity to Starburst Galaxies. EPJ Web Conf 2023. [DOI: 10.1051/epjconf/202328003001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/22/2023] Open
Abstract
In this work, the expectations of the full detector KM3NeT/ARCA are presented for particular starburst galaxies signals. For the point-like search approach, we considered the most promising local starburst galaxies to be observed as point-like neutrino excesses: NGC 1068, the Small Magellanic Cloud and the Circinus Galaxy. In both cases, we provide the energy-integrated sensitivity for two ARCA building blocks in the energy range 100 GeV − 10 PeV. In the diffuse scenario, both track and shower events were considered. For the point like analysis, only νµ charge current events were taken into account. Interestingly, ARCA has the potential to constrain the selected phenomenological scenarios, providing evidence of the link between star-forming processes and hadronic emissions.
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Missori P, de Sousa DA, Ambrosone A, Currà A, Paolini S, Incarbone G, Amabile E, Biraschi F, Diana F, Peschillo S. Cotinine levels influence the risk of rupture of brain aneurysms. Acta Neurol Scand 2022; 146:562-567. [PMID: 35920037 PMCID: PMC9805191 DOI: 10.1111/ane.13679] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [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: 05/23/2022] [Revised: 07/11/2022] [Accepted: 07/21/2022] [Indexed: 01/09/2023]
Abstract
Cotinine, the primary metabolite of nicotine, is currently regarded as the best biomarker of tobacco smoke exposure. We aim to assess whether cotinine levels are associated with (1) intracranial aneurysm and (2) intracranial aneurysm rupture. METHODS We performed a single-center case-control study. Cases were consecutive patients admitted with diagnosis of brain aneurysm (ruptured or unruptured). We randomly selected controls without intracranial aneurysm from the same source population that produced the cases. Smoking data were collected by questionnaire, and serum levels of cotinine were used as an objective measure of nicotine exposure. Logistic regression models were used to assess the relationship between cotinine levels and aneurysm rupture. RESULTS We included 86 patients with intracranial aneurysm and 96 controls. Smoking status (p < .001), cotinine levels (p = .009), and female sex (p = .006) were associated with diagnosis of intracranial aneurysm. In the multivariate analysis, controlling for sex, smoker status and age, levels of cotinine were independently associated with aneurysm rupture (OR 1.53, 95% CI 1.10-2.13, p = .012). CONCLUSIONS Our results suggest that high cotinine levels in smokers with brain aneurysm are significantly associated with high rupture risk, independently of smoker status, age, and sex.
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Affiliation(s)
- Paolo Missori
- Department of Human Neurosciences, Neurosurgery, Policlinico Umberto I“Sapienza” University of RomeRomeItaly
| | - Diana Aguiar de Sousa
- Department of Neurosciences and Mental Health, Hospital de Santa MariaCentro Hospitalar Universitario Lisboa Norte, University of LisbonLisbonPortugal
| | - Angela Ambrosone
- Department of Human Neurosciences, Neurosurgery, Policlinico Umberto I“Sapienza” University of RomeRomeItaly
| | - Antonio Currà
- Department of Medical‐Surgical Sciences and Biotechnologies, Academic Neurology Unit, Ospedale A. Fiorini, Terracina, LT“Sapienza” University of Rome–Polo PontinoRomeItaly
| | - Sergio Paolini
- IRCCS Neuromed‐Pozzilli“Sapienza” University of RomeRomeItaly
| | - Giorgio Incarbone
- Department of Human Neurosciences, Neurosurgery, Policlinico Umberto I“Sapienza” University of RomeRomeItaly
| | - Elena Amabile
- Department of Human Neurosciences, Neurosurgery, Policlinico Umberto I“Sapienza” University of RomeRomeItaly
| | - Francesco Biraschi
- Department of Human Neurosciences, Interventional Neuroradiology, Policlinico Umberto I“Sapienza” University of RomeRomeItaly
| | - Francesco Diana
- Department of NeuroradiologyAzienda Ospedaliera Universitaria San Giovanni di Dio e Ruggi d'Aragona, University of SalernoSalernoItaly
| | - Simone Peschillo
- UniCamillus International Medical UniversityRomeItaly,Endovascular NeurosurgeryPia Fondazione Cardinale Giovanni Panico HospitalTricaseItaly
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Missori P, Ambrosone A, Cristofani L, Fattapposta F, Currà A. Third Cranial Nerve Palsy after Monoclonal Antibody Therapy for Lung Cancer: A Case Report. Case Rep Ophthalmol 2022; 13:282-285. [PMID: 35702522 PMCID: PMC9149351 DOI: 10.1159/000524114] [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] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/08/2021] [Accepted: 03/13/2022] [Indexed: 11/19/2022] Open
Abstract
Immune checkpoint inhibitors (ICIs) have shown promise in treating cancer patients, and pembrolizumab is a monoclonal IgG4 antibody that targets a human cell surface protein (receptor) called PD-1. Among the side effects, a rare cranial nerve palsy unrelated to the surgical treatment may occur. We report a case of a woman, which after neurosurgical treatment for cerebellar metastasis presented painless third cranial nerve palsy. The benefits of ICIs have been ascertained, but side effects also take place. Neurological symptoms should be recognized early to avoid substantial morbidity, and if necessary, the oncologic treatment should be changed.
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Affiliation(s)
- Paolo Missori
- Department of Human Neuroscience, Neurosurgery, “Sapienza” University of Rome, Policlinico Umberto I, Rome, Italy
- *Paolo Missori,
| | - Angela Ambrosone
- Department of Human Neuroscience, Neurosurgery, “Sapienza” University of Rome, Policlinico Umberto I, Rome, Italy
| | - Leonardo Cristofani
- Department of Radiological, Oncological and Anatomo-Pathological Sciences, “Sapienza” University of Rome, Policlinico Umberto I, Rome, Italy
| | - Francesco Fattapposta
- Department of Human Neuroscience, Neurology Unit A, “Sapienza” University of Rome, Policlinico Umberto I, Rome, Italy
| | - Antonio Currà
- Department of Medical-Surgical Sciences and Biotechnologies, Academic Neurology Unit, “Sapienza” University of Rome, Ospedale A. Fiorini, Rome, Italy
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Missori P, Peschillo S, Ambrosone A, Martini S, Rastelli E, Mancarella C, Vigliotta M, Paolini S. Intracranial meningioma and concomitant cavernous malformation: A series description and review of the literature. Clin Neurol Neurosurg 2020; 197:106167. [PMID: 32861039 DOI: 10.1016/j.clineuro.2020.106167] [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] [Received: 06/10/2020] [Revised: 08/18/2020] [Accepted: 08/19/2020] [Indexed: 10/23/2022]
Abstract
OBJECTIVES Intracranial meningioma with concomitant cavernous malformation has been rarely described in the literature. This study aimed to investigate the correct neurosurgical conduct. PATIENTS AND METHODS We retrieved clinical and radiological data for 39 outpatients or patients that underwent surgery (mean age: 60 years; n = 25 females) for a single or multiple meningiomas and concomitant single or multiple cavernous malformations. Cavernous malformations were classified according to Zabramski's type scale. Our results were compared to results published in the literature. RESULTS All patients had at least one meningioma and at least one concomitant cavernous malformation. Most meningiomas and cavernous malformations were located in the supratentorial region. Nine patients (23 %) had multiple meningiomas and nine had concomitant multiple cavernous malformations. Cavernous malformations were classified as type I (n = 0), type II (n = 9), type III (n = 11), or type IV (n = 19). The surgical priority was meningioma removal. A single patient underwent simultaneous removal of a meningioma and a contiguous cavernous malformation. In the postoperative period and long term follow-up, no complications occurred related to cavernous malformations, intra- or extra-lesional bleeding, or morphology/size changes. Years after surgical treatment, a new type IV cavernous malformation occurred in two patients. CONCLUSION Our findings corroborate that meningioma removal should take priority in patients with intracranial meningioma and concomitant cavernous malformation. Concomitant cavernous malformations showed no change in morphology or size; therefore, they should merely be observed during follow-up. In patients that harbor a single meningioma, a type IV cavernous malformation should preferably be considered a concomitant cerebral microbleed.
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Affiliation(s)
- Paolo Missori
- Human Neurosciences, Neurosurgery and Neuroradiology, Policlinico Umberto I, "Sapienza" University of Rome, Italy.
| | - Simone Peschillo
- Department of Neurosurgery, University of Catania, Catania, Italy
| | - Angela Ambrosone
- Human Neurosciences, Neurosurgery and Neuroradiology, Policlinico Umberto I, "Sapienza" University of Rome, Italy
| | - Stefano Martini
- Human Neurosciences, Neurosurgery and Neuroradiology, Policlinico Umberto I, "Sapienza" University of Rome, Italy
| | - Emanuela Rastelli
- Department of Radiology, Neuroradiology, Policlinico Umberto I, "Sapienza" University of Rome, Rome, Italy
| | | | - Massimo Vigliotta
- Human Neurosciences, Neurosurgery and Neuroradiology, Policlinico Umberto I, "Sapienza" University of Rome, Italy
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Donnarumma P, Nigro L, Ambrosone A, Tarantino R, Santoro A, Delfini R. Spinal epidural lipomatosis: a rare condition with unclear etiology. J Neurosurg Sci 2019; 63. [DOI: 10.23736/s0390-5616.17.04129-7] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/30/2023]
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Landi A, Marotta N, Ambrosone A, Prizio E, Mancarella C, Gregori F, La Torre G, Santoro A, Delfini R. Correlation Between Timing of Surgery and Outcome in ThoracoLumbar Fractures: Does Early Surgery Influence Neurological Recovery and Functional Restoration? A Multivariate Analysis of Results in Our Experience. Acta Neurochir Suppl 2017; 124:231-238. [PMID: 28120079 DOI: 10.1007/978-3-319-39546-3_35] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
BACKGROUND Treatment for spinal trauma is affected by both nonmodifiable and modifiable variables. The aim of this study was to compare early surgery with intermediate and late surgery to determine the benefits of spinal reconstruction in neurological recovery and functional restoration in patients with thoracolumbar fractures. METHODS In order to identify correlations between treatment timing, fracture site, neurological recovery, American Spinal Injury Association (ASIA) score restoration, and rehabilitation prognosis in patients with thoracic and lumbar fractures, we conducted a multivariate analysis of the results of surgery, at our institution, in 166 consecutive patients with unstable thoracolumbar fractures with or without neurological impairment. We conducted a literature review (1988-2012) and compared our results with those already published. RESULTS Regardless of the location and type of fracture, early surgery resulted in a reduction of median hospital and intensive care unit (ICU) length of stay, as well as a reduction of nosocomial complications. Regardless of the type of fracture and preoperative ASIA score, thoracic fractures had the worst outcome. Early treatment seemed to have better results, depending on the preoperative ASIA score. CONCLUSION Early surgery in patients with thoracolumbar fractures with incomplete neurological damage could positively affect neurological recovery, functional restoration, length of hospital and ICU stay, and associated comorbidity. Thoracic fractures had the worst outcome. Early surgery seemed to have better results if the initial ASIA score was good. The better the ASIA score on admission, the better was the outcome. Surgical timing did not affect the outcome when the ASIA score was A or E.
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Affiliation(s)
- Alessandro Landi
- Department of Neurology and Psychiatry, Division of Neurosurgery, "Sapienza" University of Rome, Viale del Policlinico 155, 00161, Rome, Italy.
| | - Nicola Marotta
- Department of Neurology and Psychiatry, Division of Neurosurgery, "Sapienza" University of Rome, Viale del Policlinico 155, 00161, Rome, Italy
| | - Angela Ambrosone
- Department of Neurology and Psychiatry, Division of Neurosurgery, "Sapienza" University of Rome, Viale del Policlinico 155, 00161, Rome, Italy
| | - Emiliano Prizio
- Department of Neurology and Psychiatry, Division of Neurosurgery, "Sapienza" University of Rome, Viale del Policlinico 155, 00161, Rome, Italy
| | - Cristina Mancarella
- Department of Neurology and Psychiatry, Division of Neurosurgery, "Sapienza" University of Rome, Viale del Policlinico 155, 00161, Rome, Italy
| | - Fabrizio Gregori
- Department of Neurology and Psychiatry, Division of Neurosurgery, "Sapienza" University of Rome, Viale del Policlinico 155, 00161, Rome, Italy
| | - Giuseppe La Torre
- Department of Public Health and Infectious Disease, "Sapienza" University of Rome, Rome, Italy
| | - Antonio Santoro
- Department of Neurology and Psychiatry, Division of Neurosurgery, "Sapienza" University of Rome, Viale del Policlinico 155, 00161, Rome, Italy
| | - Roberto Delfini
- Department of Neurology and Psychiatry, Division of Neurosurgery, "Sapienza" University of Rome, Viale del Policlinico 155, 00161, Rome, Italy
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Peruzzi F, Fama G, Angelini F, Ambrosone A, Benedetti L. [Achilles tendon ossification and achillodynia]. Radiol Med 1993; 86:440-3. [PMID: 8248579] [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] [Subscribe] [Scholar Register] [Indexed: 01/29/2023]
Abstract
Achilles tendon ossification is a rare and asymptomatic condition. The possible sequelae of tendinitis, bursitis and fracture are some of the causes of achillodynia. Achillodynia is often unrelieved by conservative management and excision of the ossification may be necessary. Moreover, ossification were found in 3 of 41 patients with spontaneous rupture of the Achilles tendon. Predisposing degenerative changes of the tendon were found in all patients. Thus there is no evidence that ossification by itself may increase the risk of tendon rupture.
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Affiliation(s)
- F Peruzzi
- Clinica Ortopedica I, Ospedale Università, Padova
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