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Monaco S, Massari MG, Renzi A, Di Trani M. COVID-19 post-traumatic stress disorder: the role of ACEs, alexithymia, and attachment in the Italian population. Eur Rev Med Pharmacol Sci 2024; 28:2615-2624. [PMID: 38567620 DOI: 10.26355/eurrev_202403_35767] [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: 04/04/2024]
Abstract
OBJECTIVE The COVID-19 pandemic is considered a collective traumatic event. Several studies have highlighted high levels of post-traumatic stress disorder (PTSD) symptoms among the general population during the pandemic. The general aim of this research is to explore the role of adverse childhood experiences (ACEs), alexithymia, and anxiety and avoidance attachment dimensions as risk factors that are making individuals more vulnerable to PTSD-COVID-related symptoms. SUBJECTS AND METHODS The COVID-19-PTSD Questionnaire, 20-Item Toronto Alexithymia Scale (TAS-20), Adverse Childhood Experiences Questionnaire, and the Experiences in Close Relationships-Revised Form (ECR-R) were administered to 224 participants who were between 18 and 65 years of age, and residents of Italy. Socio-demographic variables were also collected. The data was collected between October 2021 and March 2022. RESULTS The findings of the Spearman correlation analysis showed several significant associations between alexithymia, attachment dimensions, and PTSD symptoms related to COVID-19 diagnosis and age. A multivariable logistic regression model was performed using the COVID-19-PTSD total scores over/under the clinical cut-off as dependent variables and age, gender, anxiety and avoidance attachment scores, ACEs, and total alexithymia as independent variables, with alexithymia total score (B = .071; p = .001), ECR-R Anxiety (B = .034; p = .001) and ECR-R Avoidance (B = -.033; p = .024) showing to respectively increase and reduce the possibility of reporting clinical symptomatology. CONCLUSIONS Emotional regulation and attachment have been shown to be risk factors for COVID-19 PTSD symptomatology. Focused intervention programs and emotional education can be useful tools for developing protective factors in the general population.
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Affiliation(s)
- S Monaco
- Department of Dynamic and Clinical Psychology and Health Studies, Sapienza University, Rome, Italy.
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Monaco S, Menghi N, Crawford JD. Action-specific feature processing in the human cortex: An fMRI study. Neuropsychologia 2024; 194:108773. [PMID: 38142960 DOI: 10.1016/j.neuropsychologia.2023.108773] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/04/2023] [Revised: 11/29/2023] [Accepted: 12/18/2023] [Indexed: 12/26/2023]
Abstract
Sensorimotor integration involves feedforward and reentrant processing of sensory input. Grasp-related motor activity precedes and is thought to influence visual object processing. Yet, while the importance of reentrant feedback is well established in perception, the top-down modulations for action and the neural circuits involved in this process have received less attention. Do action-specific intentions influence the processing of visual information in the human cortex? Using a cue-separation fMRI paradigm, we found that action-specific instruction processing (manual alignment vs. grasp) became apparent only after the visual presentation of oriented stimuli, and occurred as early as in the primary visual cortex and extended to the dorsal visual stream, motor and premotor areas. Further, dorsal stream area aIPS, known to be involved in object manipulation, and the primary visual cortex showed task-related functional connectivity with frontal, parietal and temporal areas, consistent with the idea that reentrant feedback from dorsal and ventral visual stream areas modifies visual inputs to prepare for action. Importantly, both the task-dependent modulations and connections were linked specifically to the object presentation phase of the task, suggesting a role in processing the action goal. Our results show that intended manual actions have an early, pervasive, and differential influence on the cortical processing of vision.
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Affiliation(s)
- Simona Monaco
- CIMeC - Center for Mind/Brain Sciences, University of Trento, Rovereto (TN), Italy.
| | - Nicholas Menghi
- Max Planck Institute for Human Cognitive and Brain Sciences, Leipzig, Germany
| | - J Douglas Crawford
- Center for Vision Research, York University, Toronto, Ontario M3J 1P3, Canada; Vision: Science to Applications (VISTA) Program, Neuroscience Graduate Diploma Program and Departments of Psychology, Biology, and Kinesiology and Health Science, York University, Toronto, Ontario M3J 1P3, Canada
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Noviello S, Kamari Songhorabadi S, Deng Z, Zheng C, Chen J, Pisani A, Franchin E, Pierotti E, Tonolli E, Monaco S, Renoult L, Sperandio I. Temporal features of size constancy for perception and action in a real-world setting: A combined EEG-kinematics study. Neuropsychologia 2024; 193:108746. [PMID: 38081353 DOI: 10.1016/j.neuropsychologia.2023.108746] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/23/2023] [Revised: 11/23/2023] [Accepted: 12/04/2023] [Indexed: 12/24/2023]
Abstract
A stable representation of object size, in spite of continuous variations in retinal input due to changes in viewing distance, is critical for perceiving and acting in a real 3D world. In fact, our perceptual and visuo-motor systems exhibit size and grip constancies in order to compensate for the natural shrinkage of the retinal image with increased distance. The neural basis of this size-distance scaling remains largely unknown, although multiple lines of evidence suggest that size-constancy operations might take place remarkably early, already at the level of the primary visual cortex. In this study, we examined for the first time the temporal dynamics of size constancy during perception and action by using a combined measurement of event-related potentials (ERPs) and kinematics. Participants were asked to maintain their gaze steadily on a fixation point and perform either a manual estimation or a grasping task towards disks of different sizes placed at different distances. Importantly, the physical size of the target was scaled with distance to yield a constant retinal angle. Meanwhile, we recorded EEG data from 64 scalp electrodes and hand movements with a motion capture system. We focused on the first positive-going visual evoked component peaking at approximately 90 ms after stimulus onset. We found earlier latencies and greater amplitudes in response to bigger than smaller disks of matched retinal size, regardless of the task. In line with the ERP results, manual estimates and peak grip apertures were larger for the bigger targets. We also found task-related differences at later stages of processing from a cluster of central electrodes, whereby the mean amplitude of the P2 component was greater for manual estimation than grasping. Taken together, these findings provide novel evidence that size constancy for real objects at real distances occurs at the earliest cortical stages and that early visual processing does not change as a function of task demands.
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Affiliation(s)
- Simona Noviello
- Department of Psychology and Cognitive Science, University of Trento, Rovereto, TN, Italy
| | | | - Zhiqing Deng
- School of Psychology, South China Normal University, Guangzhou, Guangdong Province, China
| | - Chao Zheng
- School of Psychology, South China Normal University, Guangzhou, Guangdong Province, China
| | - Juan Chen
- School of Psychology, South China Normal University, Guangzhou, Guangdong Province, China; Philosophy and Social Science Laboratory of Reading and Development in Children and Adolescents (South China Normal University), Ministry of Education, China
| | - Angelo Pisani
- Department of Psychology "Renzo Canestrari", University of Bologna, Italy
| | - Elena Franchin
- Department of Psychology and Cognitive Science, University of Trento, Rovereto, TN, Italy
| | - Enrica Pierotti
- Center for Mind/Brain Sciences (CIMeC), University of Trento, Rovereto, TN, Italy
| | - Elena Tonolli
- Center for Mind/Brain Sciences (CIMeC), University of Trento, Rovereto, TN, Italy
| | - Simona Monaco
- Center for Mind/Brain Sciences (CIMeC), University of Trento, Rovereto, TN, Italy
| | - Louis Renoult
- School of Psychology, University of East Anglia, Norwich, UK
| | - Irene Sperandio
- Department of Psychology and Cognitive Science, University of Trento, Rovereto, TN, Italy.
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Sartin S, Ranzini M, Scarpazza C, Monaco S. Cortical areas involved in grasping and reaching actions with and without visual information: An ALE meta-analysis of neuroimaging studies. Curr Res Neurobiol 2022; 4:100070. [PMID: 36632448 PMCID: PMC9826890 DOI: 10.1016/j.crneur.2022.100070] [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] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/02/2022] [Revised: 11/23/2022] [Accepted: 12/18/2022] [Indexed: 12/31/2022] Open
Abstract
The functional specialization of the ventral stream in Perception and the dorsal stream in Action is the cornerstone of the leading model proposed by Goodale and Milner in 1992. This model is based on neuropsychological evidence and has been a matter of debate for almost three decades, during which the dual-visual stream hypothesis has received much attention, including support and criticism. The advent of functional magnetic resonance imaging (fMRI) has allowed investigating the brain areas involved in Perception and Action, and provided useful data on the functional specialization of the two streams. Research on this topic has been quite prolific, yet no meta-analysis so far has explored the spatial convergence in the involvement of the two streams in Action. The present meta-analysis (N = 53 fMRI and PET studies) was designed to reveal the specific neural activations associated with Action (i.e., grasping and reaching movements), and the extent to which visual information affects the involvement of the two streams during motor control. Our results provide a comprehensive view of the consistent and spatially convergent neural correlates of Action based on neuroimaging studies conducted over the past two decades. In particular, occipital-temporal areas showed higher activation likelihood in the Vision compared to the No vision condition, but no difference between reach and grasp actions. Frontal-parietal areas were consistently involved in both reach and grasp actions regardless of visual availability. We discuss our results in light of the well-established dual-visual stream model and frame these findings in the context of recent discoveries obtained with advanced fMRI methods, such as multivoxel pattern analysis.
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Affiliation(s)
- Samantha Sartin
- CIMeC - Center for Mind/Brain Sciences, University of Trento, Italy
| | | | - Cristina Scarpazza
- Department of General Psychology, University of Padua, Italy,IRCCS San Camillo Hospital, Venice, Italy
| | - Simona Monaco
- CIMeC - Center for Mind/Brain Sciences, University of Trento, Italy,Corresponding author. CIMeC - Center for Mind/Brain Sciences, University of Trento, Via delle Regole 101, 38123, Trento, Italy.
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Luabeya G, Le A, Freud E, Monaco S, Crawford JD. Cortical Integration of Multimodal Cues for Reach / Grasp planning. J Vis 2022. [DOI: 10.1167/jov.22.14.3551] [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: 12/23/2022] Open
Affiliation(s)
- Gaelle Luabeya
- York University, Toronto, Canada
- Centre for Vision Research, Toronto, Canada
- Vision Science to Applications (VISTA), Toronto, Canada
| | - Ada Le
- York University, Toronto, Canada
- BeWorks, Toronto, Canada
| | - Erez Freud
- York University, Toronto, Canada
- Centre for Vision Research, Toronto, Canada
- Vision Science to Applications (VISTA), Toronto, Canada
| | | | - J. Douglas Crawford
- York University, Toronto, Canada
- Centre for Vision Research, Toronto, Canada
- Vision Science to Applications (VISTA), Toronto, Canada
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Fugattini S, Gulzar U, Andreoli A, Carbone L, Boschetti M, Bernardoni P, Gjestila M, Mangherini G, Camattari R, Li T, Monaco S, Ricci M, Liang S, Giubertoni D, Pepponi G, Bellutti P, Ferroni M, Ortolani L, Morandi V, Vincenzi D, Proietti Zaccaria R. Corrigendum to “Binder-free nanostructured germanium anode for high resilience lithium-ion battery”. Electrochim Acta 2022. [DOI: 10.1016/j.electacta.2022.140462] [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: 11/03/2022]
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Velji-Ibrahim J, Crawford JD, Cattaneo L, Monaco S. Action planning modulates the representation of object features in human fronto-parietal and occipital cortex. Eur J Neurosci 2022; 56:4803-4818. [PMID: 35841138 PMCID: PMC9545676 DOI: 10.1111/ejn.15776] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [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: 11/29/2021] [Revised: 05/19/2022] [Accepted: 06/09/2022] [Indexed: 11/27/2022]
Abstract
The visual cortex has been extensively studied to investigate its role in object recognition but to a lesser degree to determine how action planning influences the representation of objects' features. We used functional MRI and pattern classification methods to determine if during action planning, object features (orientation and location) could be decoded in an action‐dependent way. Sixteen human participants used their right dominant hand to perform movements (Align or Open reach) towards one of two 3D‐real oriented objects that were simultaneously presented and placed on either side of a fixation cross. While both movements required aiming towards target location, Align but not Open reach movements required participants to precisely adjust hand orientation. Therefore, we hypothesized that if the representation of object features is modulated by the upcoming action, pre‐movement activity pattern would allow more accurate dissociation between object features in Align than Open reach tasks. We found such dissociation in the anterior and posterior parietal cortex, as well as in the dorsal premotor cortex, suggesting that visuomotor processing is modulated by the upcoming task. The early visual cortex showed significant decoding accuracy for the dissociation between object features in the Align but not Open reach task. However, there was no significant difference between the decoding accuracy in the two tasks. These results demonstrate that movement‐specific preparatory signals modulate object representation in the frontal and parietal cortex, and to a lesser extent in the early visual cortex, likely through feedback functional connections.
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Affiliation(s)
- Jena Velji-Ibrahim
- CIMeC - Center for Mind/Brain Sciences, University of Trento, Trento, Italy.,Center for Vision Research, York University, Toronto, Ontario, Canada.,School of Kinesiology and Health Science, Toronto, Ontario, Canada
| | - J Douglas Crawford
- Center for Vision Research, York University, Toronto, Ontario, Canada.,School of Kinesiology and Health Science, Toronto, Ontario, Canada.,Departments of Biology and Psychology, York University, Toronto, Ontario, Canada
| | - Luigi Cattaneo
- CIMeC - Center for Mind/Brain Sciences, University of Trento, Trento, Italy
| | - Simona Monaco
- CIMeC - Center for Mind/Brain Sciences, University of Trento, Trento, Italy
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Spoletini R, Fedele F, De Luca R, Vigiliano V, Bolli S, Speziale L, Di Trani M, Renzi A, Monaco S, Scaravelli G. P-492 Characteristics of the psychological care service in Italian ART centres: the point of view of physicians, psychologists and couples. Hum Reprod 2022. [DOI: 10.1093/humrep/deac107.459] [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: 11/14/2022] Open
Abstract
Abstract
Study question
What is the point of view of physicians, psychologists and patients on the characteristics of the psychological assistance offered by Italian ART centres?
Summary answer
Physicians, psychologists and patients alike affirm the importance of specialised psychological support during ART treatment
What is known already
The European Society of Human Reproduction and Embryology (ESHRE) has produced specific recommendations, establishing that all staff members should share the responsibility related to patients’ psychological wellbeing through their treatments. Moreover, when patients show increased risk of negative consequences some specialized services, as psychological counseling or psychotherapy, should be provided. In Italy, the Law 40/2004 regulates ART treatment and also provides the “Guidelines for the application of Assisted Reproductive Technology” (2008, 2015). According to this law, psychological support for women and couples undergoing ART procedures at any step of medical treatment (before, during, after the treatment) should be routinely included.
Study design, size, duration
To explore opinions on the characteristics of the psychological support service in ART centres: An online questionnaire was sent to the physicians in charge of 341 ART centres. 5 focus groups with psychologists working in ART centres were carried out. An online questionnaire for patients was sent to 195 centres and 8 patient associations. The surveys were conducted over a period from January 2020 to October 2021.
Participants/materials, setting, methods
Physicians from 113 centres (37%) responded to questionnaires composed of 20 closed-ended and 6 open-ended questions; 28 psychologists working in ART centres in 3 italian regions participated in focus groups with 3 open-ended questions; and 324 patients responded to questionnaires composed of 19 closed-ended and 8 open-ended questions. The questionnaires were created ad hoc for the surveys starting from the characteristics of the services offered in Italian ART centers.
Main results and the role of chance
Physicians affirm the importance of the psychologist in the ART centre to support their work: managing couples’ emotional difficulties; improving couples’ mood; and reducing couples’ stress (9% of answers). They also ask for an effective psychological intervention protocol to adopt. Concerning the characteristics of psychological services, physicians do not identify priority areas of intervention, but they admit the usefulness of psychological intervention throughout the treatment. Most physicians admit the utility of psychological counseling as defined by the 2015 Guidelines. Psychologists would like more recognition of their function and they affirm the positive contribution of networking among ART psychologists, believing that specific training is needed to work in the field. The psychologists find that multidisciplinary work in the team is functional and improves the quality of service offered in this field. Patients say that ongoing psychological support throughout the treatment could be helpful for them. They believe that psychologists should have specific training in ART and they would like the cost of psychological support to be included in ART treatment. They argue that psychological support should help their relationship with physicians. Despite this, the psychologist is a stable professional figure in only half of the responding ART Centres (47%).
Limitations, reasons for caution
Physicians’ opinions are based on a 37% response rate from ART centres and cannot be considered conclusive. The 5 focus groups were conducted with psychologists working in ART centres located in only three Italian regions. There were few responses from male patients.
Wider implications of the findings
In conclusion, despite the scarce presence of psychological support in ART centres, physicians, psychologists and patients believe that it would be mportant throughout ART treatment. This highlights the importance of further investigation with the aim of sharing information to establish common protocols for psychological interventions in italian ART centres.
Trial registration number
not applicable
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Affiliation(s)
- R Spoletini
- Italian National Institute of Health, ART Italian National Register- National Centre for Diseases Prevention and Health Promotion , Rome, Italy
| | - F Fedele
- Italian National Institute of Health, ART Italian National Register- National Centre for Diseases Prevention and Health Promotion , Rome, Italy
| | - R De Luca
- Italian National Institute of Health, ART Italian National Register- National Centre for Diseases Prevention and Health Promotion , Rome, Italy
| | - V Vigiliano
- Italian National Institute of Health, ART Italian National Register- National Centre for Diseases Prevention and Health Promotion , Rome, Italy
| | - S Bolli
- Italian National Institute of Health, ART Italian National Register- National Centre for Diseases Prevention and Health Promotion , Rome, Italy
| | - L Speziale
- Italian National Institute of Health, ART Italian National Register- National Centre for Diseases Prevention and Health Promotion , Rome, Italy
| | - M Di Trani
- Sapienza University of Rome, Department of Dynamic and Clinical Psychology and Health Studies , Rome, Italy
| | - A Renzi
- Sapienza University of Rome, Department of Dynamic and Clinical Psychology and Health Studies , Rome, Italy
| | - S Monaco
- Sapienza University of Rome, Department of Dynamic and Clinical Psychology and Health Studies , Rome, Italy
| | - G Scaravelli
- Italian National Institute of Health, ART Italian National Register- National Centre for Diseases Prevention and Health Promotion , Rome, Italy
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Romoli M, Jelcic I, Bernard-Valnet R, García Azorín D, Mancinelli L, Akhvlediani T, Monaco S, Taba P, Sellner J. A systematic review of neurological manifestations of SARS-CoV-2 infection: the devil is hidden in the details. Eur J Neurol 2020; 27:1712-1726. [PMID: 32503088 PMCID: PMC7300895 DOI: 10.1111/ene.14382] [Citation(s) in RCA: 80] [Impact Index Per Article: 20.0] [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: 05/30/2020] [Accepted: 06/01/2020] [Indexed: 12/15/2022]
Abstract
Background and purpose We systematically reviewed available evidence for reports of neurological signs and symptoms in patients with COVID‐19 to identify cases with severe acute respiratory syndrome coronavirus (SARS‐CoV)‐2 infection or immune‐mediated reaction in the nervous system. Methods We followed PRISMA guidelines and used the MEDLINE, EMBASE, Google Scholar, MedRxiv and ChinaXiv databases to search for articles on COVID‐19 and nervous system involvement that were published from 1 January to 24 April 2020. Data on design, sample size, neurological assessment and related work‐up were extracted. Biases were assessed with the Newcastle–Ottawa scale. Results We analysed 27 publications on potential neuroinvasive or parainfectious neurological complications of COVID‐19. The reports focused on smell and taste (n = 5) and evaluation of neurological symptoms and signs in cohorts (n = 5). There were cases of Guillain‐Barré syndrome/Miller‐Fisher syndrome/cranial neuropathy (seven cases), meningitis/encephalitis (nine cases) and various other conditions (five cases). The number of patients with examination of cerebrospinal fluid and, in particular, SARS‐CoV‐2 polymerase chain reaction was negligible. Two had a positive SARS‐CoV‐2 polymerase chain reaction examination of cerebrospinal fluid specimen. Study of potential parenchymal involvement with magnetic resonance imaging was rare. Only four reports received a rating of the highest quality standards. Conclusions This systematic review failed to establish comprehensive insights into nervous system manifestations of COVID‐19 beyond immune‐mediated complications in the aftermath of respiratory symptoms. The authors therefore provide guidance for more careful clinical, diagnostic and epidemiological studies to characterize the manifestations and burden of neurological disease caused by SARS‐CoV‐2 on behalf of the Infectious Disease Panel of the European Academy of Neurology.
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Affiliation(s)
- M Romoli
- Neurology Unit, Maurizio Bufalini Hospital, Cesena, Italy.,Neurology Clinic, University of Perugia - S. Maria della Misericordia Hospital, Perugia, Italy
| | - I Jelcic
- Neuroimmunology and Multiple Sclerosis Research Section, Department of Neurology, University Hospital of Zurich, Zurich, Switzerland
| | - R Bernard-Valnet
- Department of Clinical Neurosciences, Lausanne University Hospital (Centre Hospitalier Universitaire Vaudois) and University of Lausanne, Lausanne, Switzerland
| | - D García Azorín
- Department of Neurology, Hospital Clinico de Valladolid, Valladolid, Spain
| | - L Mancinelli
- Neurology Unit, Maurizio Bufalini Hospital, Cesena, Italy
| | - T Akhvlediani
- American MD Program, Faculty of Medicine, Tbilisi State Medical University, Tblisi, Georgia
| | - S Monaco
- Department of Neuroscience, Biomedicine and Movement Sciences, University Hospital of Verona, Verona, Italy
| | - P Taba
- Department of Neurology and Neurosurgery, Institute of Clinical Medicine, University of Tartu, Tartu, Estonia.,Neurology Clinic, Tartu University Hospital, Tartu, Estonia
| | - J Sellner
- Department of Neurology, Landesklinikum Mistelbach-Gänserndorf, Mistelbach, Austria.,Department of Neurology, Christian Doppler Medical Center, Paracelsus Medical University, Salzburg, Austria.,Department of Neurology, Klinikum rechts der Isar, Technische Universität München, München, Germany
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Mattioli F, Bellomi F, Stampatori C, Mariotto S, Ferrari S, Monaco S, Mancinelli C, Capra R. Longitudinal serum neurofilament light chain (sNfL) concentration relates to cognitive function in multiple sclerosis patients. J Neurol 2020; 267:2245-2251. [DOI: 10.1007/s00415-020-09832-1] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/13/2020] [Revised: 04/08/2020] [Accepted: 04/08/2020] [Indexed: 11/28/2022]
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Baltaretu BR, Monaco S, Velji-Ibrahim J, Luabeya GN, Crawford JD. Functional connectivity for updating grasp plans across saccades: An fMRIa study. J Vis 2019. [DOI: 10.1167/19.10.239a] [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: 11/24/2022] Open
Affiliation(s)
- Bianca R. Baltaretu
- Centre for Vision Research, York University, Toronto, ON, CA
- Vision: Science to Applications (VISTA) program, York University, Toronto, ON, CA
- Department of Biology, York University, Toronto, ON, CA
| | - Simona Monaco
- Centre for Vision Research, York University, Toronto, ON, CA
- Center for Mind/Brain Sciences, University of Trento, Trento, IT
| | - Jena Velji-Ibrahim
- Centre for Vision Research, York University, Toronto, ON, CA
- Vision: Science to Applications (VISTA) program, York University, Toronto, ON, CA
- Department of Kinesiology, York University, Toronto, ON, CA
| | - Gaelle N. Luabeya
- Centre for Vision Research, York University, Toronto, ON, CA
- Vision: Science to Applications (VISTA) program, York University, Toronto, ON, CA
- Department of Biology, York University, Toronto, ON, CA
| | - J. D. Crawford
- Centre for Vision Research, York University, Toronto, ON, CA
- Vision: Science to Applications (VISTA) program, York University, Toronto, ON, CA
- Department of Biology, York University, Toronto, ON, CA
- Department of Kinesiology, York University, Toronto, ON, CA
- Department of Psychology, & Neuroscience Diploma Program, York University, Toronto, ON, CA
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12
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Sopo SM, Cerchiara G, Bersani G, Monaco S, Romano A, Poscia A. The unpredictability of seasonal variations in serum vitamin D levels in children with asthma and/or rhinitis. Allergol Immunopathol (Madr) 2019; 47:411-416. [PMID: 30940418 DOI: 10.1016/j.aller.2019.01.002] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/16/2018] [Revised: 01/21/2019] [Accepted: 01/21/2019] [Indexed: 12/11/2022]
Abstract
BACKGROUND Some studies have showed that seasonality is an important determinant of vitamin D (vitD) status. OBJECTIVE We evaluated whether there are differences in individual trends of serum vitD level over one year in asthmatic and rhinitic children. MATERIALS AND METHODS Ninety-two asthmatic and rhinitic paediatric patients were followed up for one year and their serum vitD level was detected at three-month intervals, once in each season. RESULTS We observed higher vitD levels at the end of summer and lower at the end of winter. However, the individual seasonal trend was very variable and unpredictable. If it is true that in a given season the majority of patients followed one direction (increase or decrease of serum vitD levels), nevertheless a substantial percentage behaved differently and unpredictably. For example, at the end of spring, 70% of patients showed an increase in serum vitD levels, but 30% showed a decrease. In addition, five individuals had a value ≥50ng/ml in September and showed serum vitD levels ≥30ng/ml throughout the year; 16 patients presented vitD value ≥40ng/ml in September and always had ≥20ng/ml in the other months. CONCLUSIONS The wide and unpredictable variability of the individual trend of serum vitD levels should be taken into account before deciding whether or not a drug supplementation is appropriate.
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13
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Monaco S, Russo G, Romano A, Liotti L, Verga MC, Miceli Sopo S. Yogurt is tolerated by the majority of children with IgE-mediated cow's milk allergy. Allergol Immunopathol (Madr) 2019; 47:322-327. [PMID: 30573322 DOI: 10.1016/j.aller.2018.10.005] [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] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/16/2018] [Revised: 10/14/2018] [Accepted: 10/26/2018] [Indexed: 01/17/2023]
Abstract
BACKGROUND Children with IgE-mediated cow's milk allergy (IgE-CMA) with gastrointestinal symptoms tolerate yogurt at 100%. Yogurt tolerance in children with IgE-CMA with urticaria and anaphylaxis was 7%. METHODS We enrolled children with IgE-CMA with cutaneous, respiratory, gastrointestinal and anaphylactic symptoms. All performed prick by prick (PbP) and oral food challenge (OFC) with yogurt. Some children performed also an OFC with CM mixed with wheat flour and baked, baked liquid CM, parmesan. RESULTS 34 children were enrolled, 31/34 (91%) with systemic adverse reaction after ingestion of CM (systemic CMA), 3/34 (9%) with isolated contact urticaria (ICU CMA). PbP with yogurt was negative only in one patient. OFC with yogurt was passed (that is, the OFC was negative) by 20/31 (64%) of the children with systemic CMA. 10/11 (91%) of the patients who failed OFC (that is, the OFC was positive) with yogurt were positive to SPT with casein vs. 8/20 (40%) of the patients who passed it (p=0.018). None of the 19 children who passed OFC with yogurt failed all OFC with processed CM forms other than yogurt that tested vs. 4/8 among those who failed OFC with yogurt (p=0.006). The rub test with yogurt was negative in 1/3 (33%) of the patients with ICU CMA. CONCLUSIONS The results of our study are placed alongside others already present in the literature and concerning other methods of processing CM proteins and help to reduce the dietary restrictions of the majority of children with systemic IgE-CMA.
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Affiliation(s)
- S Monaco
- Allergy Unit, Pediatrics Area, Department of Woman and Child Health, Policlinico Gemelli Universitary Foundation IRCCS, Catholic University of Sacre Hearth, Rome, Italy
| | - G Russo
- Allergy Unit, Pediatrics Area, Department of Woman and Child Health, Policlinico Gemelli Universitary Foundation IRCCS, Catholic University of Sacre Hearth, Rome, Italy
| | - A Romano
- Allergy Unit, Pediatrics Area, Department of Woman and Child Health, Policlinico Gemelli Universitary Foundation IRCCS, Catholic University of Sacre Hearth, Rome, Italy
| | - L Liotti
- Allergy Unit, Pediatric Clinic, Civil Hospital, Senigallia, Italy
| | - M C Verga
- Primary Care Pediatrics, ASL Salerno, Italy
| | - S Miceli Sopo
- Allergy Unit, Pediatrics Area, Department of Woman and Child Health, Policlinico Gemelli Universitary Foundation IRCCS, Catholic University of Sacre Hearth, Rome, Italy.
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14
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Miceli Sopo S, Gurnari G, Monaco S, Romano A, Liotti L, Cuomo B, Dello Iacono I, Badina L, Longo G, Calvani M, Giannone A, Calabrò C, Scala G, Verga MC. Predictive value of the number of adverse reaction episodes for the IgE-mediated food allergy diagnosis. Allergol Immunopathol (Madr) 2019; 47:277-281. [PMID: 30573320 DOI: 10.1016/j.aller.2018.10.006] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [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: 07/16/2018] [Revised: 10/02/2018] [Accepted: 10/22/2018] [Indexed: 11/28/2022]
Abstract
INTRODUCTION AND OBJECTIVES The reproducibility of the adverse reaction increases the suggestiveness of a history of food allergy. However, the positive predictive value (PPV) of multiple adverse reaction episodes for the diagnosis of IgE-mediated food allergy is not known. This evaluation was the objective of our study. PATIENTS AND METHODS We retrospectively studied 180 children with a history of non-anaphylactic adverse reactions after the ingestion of a food. All children had the prick test positive for the offending food and performed the oral food challenge (OFC) within 12 months after the last adverse reaction episode (ARE). We have evaluated whether increasing the number of ARE increased the probability that the OFC would be positive (failed). RESULTS 93 patients (52%) presented one ARE, 49 (27%) presented two ARE, 24 (13%) presented three ARE, 14 (8%) patients presented≥four ARE. The OFC was positive in 94/180 (52%). The outcome of the OFC was found to be positively correlated with the number of ARE (OR=1.56; 95% CI=1.16-2.09; p=0.003). A PPV=100% was observed with a number of ARE≥five. CONCLUSIONS The number of ARE is an important predictor of the diagnosis of food allergy, although less than we would have imagined. The number of ARE could be used to increase the predictability of the diagnostic tests currently in use, to define clinical prediction rules alternative to OFC and easy to use in clinical practice.
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Affiliation(s)
- S Miceli Sopo
- Allergy Unit, Pediatrics Area, Department of Woman and Child Health, Policlinico Gemelli Universitary Foundation IRCCS, Catholic University of Sacre Hearth, Rome, Italy.
| | - G Gurnari
- Allergy Unit, Pediatrics Area, Department of Woman and Child Health, Policlinico Gemelli Universitary Foundation IRCCS, Catholic University of Sacre Hearth, Rome, Italy
| | - S Monaco
- Allergy Unit, Pediatrics Area, Department of Woman and Child Health, Policlinico Gemelli Universitary Foundation IRCCS, Catholic University of Sacre Hearth, Rome, Italy
| | - A Romano
- Allergy Unit, Pediatrics Area, Department of Woman and Child Health, Policlinico Gemelli Universitary Foundation IRCCS, Catholic University of Sacre Hearth, Rome, Italy
| | - L Liotti
- Allergy Unit, Pediatric Clinic, Civil Hospital, Senigallia, Italy
| | - B Cuomo
- Allergy Unit, Pediatric Clinic, Belcolle Hospital, Viterbo, Italy
| | - I Dello Iacono
- Allergy Unit, Fatebenefratelli Hospital, Benevento, Italy
| | - L Badina
- Allergy Unit, Institute for Maternal and Child Health, IRCCS "Burlo Garofolo", Trieste, Italy
| | - G Longo
- Allergy Unit, Institute for Maternal and Child Health, IRCCS "Burlo Garofolo", Trieste, Italy
| | - M Calvani
- Pediatric Department, San Camillo de Lellis Hospital, Rome, Italy
| | - A Giannone
- Pediatric Department, San Camillo de Lellis Hospital, Rome, Italy
| | - C Calabrò
- Allergy Unit, Loreto Crispi Hospital, Naples, Italy
| | - G Scala
- Allergy Unit, Loreto Crispi Hospital, Naples, Italy
| | - M C Verga
- Primary Care Pediatrics, ASL Salerno, Italy
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15
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Buonsenso D, Plosnic M, Bersani G, Monaco S, Ferrara P, Chiaretti A. Paroxysmal non-epileptic events in the pediatric emergency department. Eur Rev Med Pharmacol Sci 2019; 23:2188-2193. [PMID: 30915765 DOI: 10.26355/eurrev_201903_17265] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
Paroxysmal non-epileptic events (PNEs), or pseudoseizures (PS) resemble epileptic seizures. They are considered part of a personality disorder and have a higher incidence among adolescents. Patients describe episodes (lasting up to 20 minutes) of loss of consciousness, twitching or jerking and unusual emotional states. Unlike epileptic seizures, they are not associated with electroencephalographic abnormalities. Distinguishing epileptic seizures from PNEs is not easy. 20% of patients with seizures have a final PNEs diagnosis but recognizing them on the first examination is difficult. Due to the severe initial clinical presentation, these patients are often admitted in the Pediatric Intensive Care Unit (PICU) and may be over-treated. We report two cases admitted to our PICU for apparent status epilepticus, in which the final diagnosis was PNEs.
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Affiliation(s)
- D Buonsenso
- Department of Pediatrics, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.
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16
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Miceli Sopo S, Bersani G, Fantacci C, Romano A, Monaco S. Diagnostic criteria for acute food protein-induced enterocolitis syndrome. Is the work in progress? Allergol Immunopathol (Madr) 2018; 46:607-611. [PMID: 29456036 DOI: 10.1016/j.aller.2017.09.033] [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] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/30/2017] [Accepted: 09/14/2017] [Indexed: 11/15/2022]
Abstract
Food protein-induced enterocolitis syndrome (FPIES) is a non IgE-mediated gastrointestinal food allergic disorder. Some diagnostic criteria have been published for acute FPIES. Of course, they are not all the same, so the clinician must choose which ones to adopt for his/her clinical practice. We present here a brief review of these criteria and, through two clinical cases, show how the choice of one or the other can change the diagnostic destiny of a child with suspect FPIES.
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Affiliation(s)
- S Miceli Sopo
- Allergy Unit, Department of Paediatrics, Agostino Gemelli Hospital, Sacred Heart Catholic University, Rome, Italy.
| | - G Bersani
- Allergy Unit, Department of Paediatrics, Agostino Gemelli Hospital, Sacred Heart Catholic University, Rome, Italy
| | - C Fantacci
- Allergy Unit, Department of Paediatrics, Agostino Gemelli Hospital, Sacred Heart Catholic University, Rome, Italy
| | - A Romano
- Allergy Unit, Department of Paediatrics, Agostino Gemelli Hospital, Sacred Heart Catholic University, Rome, Italy
| | - S Monaco
- Allergy Unit, Department of Paediatrics, Agostino Gemelli Hospital, Sacred Heart Catholic University, Rome, Italy
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17
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Monaco S, Malfatti G, Pizzato L, Cattaneo L, Turella L. Decoding action intention from the activity pattern in the Foveal Cortex. J Vis 2018. [DOI: 10.1167/18.10.72] [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: 11/24/2022] Open
Affiliation(s)
- Simona Monaco
- Center for Mind/Brain Sciences (CIMeC), University of Trento, Italy
| | - Giulia Malfatti
- Center for Mind/Brain Sciences (CIMeC), University of Trento, Italy
| | - Laura Pizzato
- Center for Mind/Brain Sciences (CIMeC), University of Trento, Italy
| | - Luigi Cattaneo
- Center for Mind/Brain Sciences (CIMeC), University of Trento, Italy2.Department of Neurological, Neuropsychological, Morphological, and Movement Sciences, University of Verona, Italy
| | - Luca Turella
- Center for Mind/Brain Sciences (CIMeC), University of Trento, Italy
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18
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Miceli Sopo S, Fantacci C, Bersani G, Romano A, Liotti L, Monaco S. Is food protein induced enterocolitis syndrome only a non IgE-mediated food allergy? Allergol Immunopathol (Madr) 2018; 46:499-502. [PMID: 29472022 DOI: 10.1016/j.aller.2017.10.004] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/30/2017] [Accepted: 10/06/2017] [Indexed: 10/18/2022]
Abstract
Food protein induced enterocolitis syndrome (FPIES) is classified as non-IgE-mediated or cell-mediated food allergy, although there is an atypical phenotype so defined for the presence of specific IgEs. All diagnostic criteria for FPIES include the absence of skin or respiratory symptoms of IgE-mediated type. We present four cases that suggest that specific IgEs may have a pathogenic role, resulting in the existence of different FPIES phenotypes. This could be important from a diagnostic and therapeutic point of view.
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19
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Velji-Ibrahim J, Crawford JD, Monaco S. Beyond sensory processing: Human neuroimaging shows task-dependent functional connectivity between V1 and somatomotor areas during action planning. J Vis 2018. [DOI: 10.1167/18.10.70] [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: 11/24/2022] Open
Affiliation(s)
- Jena Velji-Ibrahim
- Centre for Vision Research, York University, Toronto, Ontario, CanadaVision: Science to Applications (VISTA) Program, York University, Toronto, Ontario, Canada
| | - J. Douglas Crawford
- Centre for Vision Research, York University, Toronto, Ontario, CanadaVision: Science to Applications (VISTA) Program, York University, Toronto, Ontario, Canada
| | - Simona Monaco
- Centre for Vision Research, York University, Toronto, Ontario, CanadaCenter for Mind/Brain Science, University of Trento, Trento, Italy
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20
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Miceli Sopo S, Fantacci C, Bersani G, Romano A, Monaco S. Loss of tolerance for fishes previously tolerated in children with fish food protein induced enterocolitis syndrome. Allergol Immunopathol (Madr) 2018; 46:394-396. [PMID: 29338963 DOI: 10.1016/j.aller.2017.09.029] [Citation(s) in RCA: 6] [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: 06/26/2017] [Accepted: 09/13/2017] [Indexed: 11/28/2022]
Abstract
We describe two case reports presenting some novel information on fish FPIES. Fish FPIES to one fish does not always start at the same time to other fish. Additionally, development of tolerance to the index fish do not necessarily imply tolerance to other reactive fish. This reflects on the best management of children with FPIES fish.
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Affiliation(s)
- S Miceli Sopo
- Department of Pediatrics, Agostino Gemelli Hospital, Sacred Heart Catholic University, Rome, Italy.
| | - C Fantacci
- Department of Pediatrics, Agostino Gemelli Hospital, Sacred Heart Catholic University, Rome, Italy
| | - G Bersani
- Department of Pediatrics, Agostino Gemelli Hospital, Sacred Heart Catholic University, Rome, Italy
| | - A Romano
- Department of Pediatrics, Agostino Gemelli Hospital, Sacred Heart Catholic University, Rome, Italy
| | - S Monaco
- Department of Pediatrics, Agostino Gemelli Hospital, Sacred Heart Catholic University, Rome, Italy
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21
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Arru G, Mameli G, Deiana GA, Rassu AL, Piredda R, Sechi E, Caggiu E, Bo M, Nako E, Urso D, Mariotto S, Ferrari S, Zanusso G, Monaco S, Sechi G, Sechi LA. Humoral immunity response to human endogenous retroviruses K/W differentiates between amyotrophic lateral sclerosis and other neurological diseases. Eur J Neurol 2018; 25:1076-e84. [PMID: 29603839 DOI: 10.1111/ene.13648] [Citation(s) in RCA: 32] [Impact Index Per Article: 5.3] [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: 10/24/2017] [Accepted: 03/26/2018] [Indexed: 12/01/2022]
Abstract
BACKGROUND AND PURPOSE Human endogenous retroviruses (HERV) K/W seem to play a role in fostering and exacerbation of some neurological diseases, including amyotrophic lateral sclerosis (ALS). Given these findings, the immunity response against HERV-K and HERV-W envelope surface (env-su) glycoprotein antigens in serum and cerebrospinal fluid (CSF) was investigated for ALS, multiple sclerosis (MS) and Alzheimer's disease patients and in healthy controls. METHODS Four antigenic peptides derived respectively from HERV-K and HERV-W env-su proteins were studied in 21 definite or probable ALS patients, 26 possible or definite relapsing-remitting MS patients, 18 patients with Alzheimer's disease and 39 healthy controls. An indirect enzyme-linked immunosorbent assay was set up to detect specific antibodies (Abs) against env-su peptides. RESULTS Amongst the measured levels of Abs against the four different HERV-K peptide fragments, only HERV-K env-su19-37 was significantly elevated in ALS compared to other groups, both in serum and CSF. Instead, amongst the Abs levels directed against the four different HERV-W peptide fragments, only HERV-W env-su93-108 and HERV-W env-su248-262 were significantly elevated, in the serum and CSF of the MS group compared to other groups. In ALS patients, the HERV-K env-su19-37 Abs levels were significantly correlated with clinical measures of disease severity, both in serum and CSF. CONCLUSIONS Increased circulating levels of Abs directed against the HERV-W env-su93-108 and HERV-W env-su248-262 peptide fragments could serve as possible biomarkers in patients with MS. Similarly, increased circulating levels of Abs directed against the HERV-K env-su19-37 peptide fragment could serve as a possible early novel biomarker in patients with ALS.
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Affiliation(s)
- G Arru
- Department of Clinical, Surgery and Experimental Medicine, University of Sassari, Sassari, Italy
| | - G Mameli
- Department of Biomedical Sciences, University of Sassari, Sassari, Italy
| | - G A Deiana
- Department of Clinical, Surgery and Experimental Medicine, University of Sassari, Sassari, Italy
| | - A L Rassu
- Department of Clinical, Surgery and Experimental Medicine, University of Sassari, Sassari, Italy
| | - R Piredda
- Department of Clinical, Surgery and Experimental Medicine, University of Sassari, Sassari, Italy
| | - E Sechi
- Department of Clinical, Surgery and Experimental Medicine, University of Sassari, Sassari, Italy
| | - E Caggiu
- Department of Biomedical Sciences, University of Sassari, Sassari, Italy
| | - M Bo
- Department of Biomedical Sciences, University of Sassari, Sassari, Italy
| | - E Nako
- Department of Clinical, Surgery and Experimental Medicine, University of Sassari, Sassari, Italy
| | - D Urso
- Department of Clinical, Surgery and Experimental Medicine, University of Sassari, Sassari, Italy
| | - S Mariotto
- Department of Neurosciences, Biomedicine and Movement Sciences, University of Verona, Verona, Italy
| | - S Ferrari
- Department of Neurosciences, Biomedicine and Movement Sciences, University of Verona, Verona, Italy
| | - G Zanusso
- Department of Neurosciences, Biomedicine and Movement Sciences, University of Verona, Verona, Italy
| | - S Monaco
- Department of Neurosciences, Biomedicine and Movement Sciences, University of Verona, Verona, Italy
| | - G Sechi
- Department of Clinical, Surgery and Experimental Medicine, University of Sassari, Sassari, Italy
| | - L A Sechi
- Department of Biomedical Sciences, University of Sassari, Sassari, Italy
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22
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Alò PL, Visca P, Trombetta G, Mangoni A, Lenti L, Monaco S, Botti C, Serpieri DE, Di Tondo U. Fatty Acid Synthase (Fas) Predictive Strength in Poorly Differentiated Early Breast Carcinomas. Tumori 2018; 85:35-40. [PMID: 10228495 DOI: 10.1177/030089169908500108] [Citation(s) in RCA: 89] [Impact Index Per Article: 14.8] [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: 11/16/2022]
Abstract
Aims and background Many normal and human cancer tissues express fatty acid synthase (FAS), the major enzyme required for endogenous fatty acid biosynthesis. Strong expression of FAS seems to be associated with a poor prognosis. This study examines the strength of FAS and other common markers of relapse in poorly differentiated breast carcinoma. Materials and methods Fifty-one patients with poorly differentiated ductal infiltrating breast carcinomas were followed up for more than 10 years. Immunohistochemical detection of FAS was associated with morphological features of the tumors, with immunohistochemical expression of c-erbB-2, cathepsin D, estrogen and progesterone receptor status and with DNA ploidy in order to detect a statistical correlation. Results The chi-square test revealed a correlation between FAS and peritumoral lymphatic vessel invasion (PLVI) (P = 0.001). Univariate analysis showed that FAS was correlated with disease-free survival (DFS) (P = 0.0001). Other prognosticators associated with DFS were PLVI (P = 0.002), estrogen (P = 0.008) and progesterone receptor status (P = 0.007). Bivariate analysis showed that FAS was a further prognostic discriminant of DFS within the ER, PgR and PLVI subsets. Discussion FAS is a reliable prognosticator of recurrence in poorly differentiated early breast carcinomas. Association of FAS with PLVI may be useful to plan a correct follow-up in patients with breast neoplasms.
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Affiliation(s)
- P L Alò
- Dipartimento di Medicina Sperimentale e Patologia, Università di Roma La Sapienza, Italy
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23
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Abstract
Targets for goal-directed action can be encoded in allocentric coordinates (relative to another visual landmark), but it is not known how these are converted into egocentric commands for action. Here, we investigated this using a slow event-related fMRI paradigm, based on our previous behavioural finding that the allocentric-to-egocentric (Allo-Ego) conversion for reach is performed at the first possible opportunity. Participants were asked to remember (and eventually reach towards) the location of a briefly presented target relative to another visual landmark. After a first memory delay, participants were forewarned by a verbal instruction if the landmark would reappear at the same location (potentially allowing them to plan a reach following the auditory cue before the second delay), or at a different location where they had to wait for the final landmark to be presented before response, and then reach towards the remembered target location. As predicted, participants showed landmark-centred directional selectivity in occipital-temporal cortex during the first memory delay, and only developed egocentric directional selectivity in occipital-parietal cortex during the second delay for the 'Same cue' task, and during response for the 'Different cue' task. We then compared cortical activation between these two tasks at the times when the Allo-Ego conversion occurred, and found common activation in right precuneus, right presupplementary area and bilateral dorsal premotor cortex. These results confirm that the brain converts allocentric codes to egocentric plans at the first possible opportunity, and identify the four most likely candidate sites specific to the Allo-Ego transformation for reaches.
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Affiliation(s)
- Ying Chen
- Center for Vision Research, Room 0009, Lassonde Building, 4700 Keele Street, Toronto, ON, M3J 1P3, Canada.,Departments of Psychology, Biology, and Kinesiology and Health Science, York University, Toronto, ON, Canada.,Canadian Action and Perception Network (CAPnet), Toronto, ON, Canada
| | - Simona Monaco
- Center for Mind/Brain Sciences, University of Trento, Trento, Italy
| | - J Douglas Crawford
- Center for Vision Research, Room 0009, Lassonde Building, 4700 Keele Street, Toronto, ON, M3J 1P3, Canada.,Departments of Psychology, Biology, and Kinesiology and Health Science, York University, Toronto, ON, Canada.,Canadian Action and Perception Network (CAPnet), Toronto, ON, Canada.,Vision: Science to Applications (VISTA) Program, York University, Toronto, ON, Canada
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24
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Rossit S, Harvey M, Butler SH, Szymanek L, Morand S, Monaco S, McIntosh RD. Impaired peripheral reaching and on-line corrections in patient DF: Optic ataxia with visual form agnosia. Cortex 2018; 98:84-101. [DOI: 10.1016/j.cortex.2017.04.004] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/27/2016] [Revised: 02/15/2017] [Accepted: 04/07/2017] [Indexed: 11/16/2022]
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25
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Turri G, Calabrese M, Pancheri E, Gajofatto A, Marafioti V, Monaco S. Response to Nagai et al
. Eur J Neurol 2017; 24:e54. [DOI: 10.1111/ene.13362] [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] [Received: 06/02/2017] [Accepted: 06/12/2017] [Indexed: 11/27/2022]
Affiliation(s)
- G. Turri
- Department of Neurosciences, Biomedicine and Movement Sciences; University Hospital of Verona; Verona
| | - M. Calabrese
- Department of Neurosciences, Biomedicine and Movement Sciences; University Hospital of Verona; Verona
| | - E. Pancheri
- Department of Neurosciences, Biomedicine and Movement Sciences; University Hospital of Verona; Verona
| | - A. Gajofatto
- Department of Neurosciences, Biomedicine and Movement Sciences; University Hospital of Verona; Verona
| | - V. Marafioti
- Cardiovascular and Thoracic Department; University Hospital of Verona; Verona Italy
| | - S. Monaco
- Department of Neurosciences, Biomedicine and Movement Sciences; University Hospital of Verona; Verona
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26
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Monaco S, Malfatti G, Culham J, Cattaneo L, Turella L. Decoding real and imagined actions: overlapping but distinct neural representations for planning vs. imagining hand movements. J Vis 2017. [DOI: 10.1167/17.10.458] [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: 11/24/2022] Open
Affiliation(s)
- Simona Monaco
- Center for Mind/Brain Sciences (CIMeC), University of Trento, Italy
| | - Giulia Malfatti
- Center for Mind/Brain Sciences (CIMeC), University of Trento, Italy
| | - Jody Culham
- Center for Mind/Brain Sciences (CIMeC), University of Trento, ItalyBrain and Mind Institute, University of Western Ontario, London, Ontario, Canada
| | - Luigi Cattaneo
- Center for Mind/Brain Sciences (CIMeC), University of Trento, ItalyDepartment of Neurological, Neuropsychological, Morphological, and Movement Sciences, University of Verona, Italy
| | - Luca Turella
- Center for Mind/Brain Sciences (CIMeC), University of Trento, Italy
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27
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Monaco S. The role of the early visual cortex in action. J Vis 2017. [DOI: 10.1167/17.10.380] [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: 11/24/2022] Open
Affiliation(s)
- Simona Monaco
- Center for Mind/Brain Sciences, University of Trento
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28
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Baltaretu B, Monaco S, Le A, Velji-Ibrahim J, Luabeya G, Crawford J. Neural mechanisms for updating grasp plans: An fMRI study. J Vis 2017. [DOI: 10.1167/17.10.457] [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: 11/24/2022] Open
Affiliation(s)
- Bianca Baltaretu
- Centre for Vision Research, York University, Toronto, Ontario, CanadaVision: Science to Applications (VISTA) program, York University, Toronto, Ontario, Canada
| | - Simona Monaco
- Centre for Vision Research, York University, Toronto, Ontario, CanadaCentre for Mind/Brain Science, University of Trento, Trento, Italy
| | - Ada Le
- Centre for Vision Research, York University, Toronto, Ontario, CanadaBEworks, Toronto, Ontario, Canada
| | | | - Gaelle Luabeya
- Centre for Vision Research, York University, Toronto, Ontario, Canada
| | - J. Crawford
- Centre for Vision Research, York University, Toronto, Ontario, CanadaVision: Science to Applications (VISTA) program, York University, Toronto, Ontario, Canada
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29
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Russi S, Sansonno D, Monaco S, Mariotto S, Ferrari S, Pavone F, Lauletta G, Dammacco F. HCV RNA Genomic sequences and HCV-E2 glycoprotein in sural nerve biopsies from HCV-infected patients with peripheral neuropathy. Neuropathol Appl Neurobiol 2017; 44:427-438. [PMID: 28543916 DOI: 10.1111/nan.12413] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [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: 02/16/2017] [Revised: 05/18/2017] [Accepted: 05/24/2017] [Indexed: 12/24/2022]
Abstract
AIMS Peripheral neuropathy (PN), the major neurological complication of chronic HCV infection, is frequently associated with mixed cryoglobulinaemia (MC) and small-vessel systemic vasculitis. While humoral and cell-mediated immune mechanisms are suspected to act together in an aberrant immune response that results in peripheral nerve damage, the role of HCV remains largely speculative. The possible demonstration of HCV in peripheral nerve tissue would obviously assume important pathogenic implications. METHODS We studied sural nerve biopsies from 11 HCV-positive patients with neuropathic symptoms: five with and six without MC. In situ hybridization (ISH) and immunofluorescence studies were carried out to detect genomic and antigenomic HCV RNA sequences and HCV-encoded E2-glycoprotein, respectively. RESULTS Epineurial vascular deposits of E2-glycoprotein were found in four (80%) MC and in two (33.3%) non-MC patients, respectively. These findings were enhanced by the perivascular deposition of positive-, though not negative-strand replicative RNA, as also found in the nerve extracts of all patients. Mild inflammatory cell infiltrates with no deposits of immunoglobulins and/or complement proteins were revealed around small vessels, without distinct vasculitis changes between MC and non-MC patients. CONCLUSIONS These results indicate that nerve vascular HCV RNA/E2 deposits associated to perivascular inflammatory infiltrates were similar in chronically HCV-infected patients, regardless of cryoglobulin occurrence. Given the failure to demonstrate HCV productive infection in the examined sural nerve biopsies, nerve damage is likely to result from virus-triggered immune-mediated mechanisms.
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Affiliation(s)
- S Russi
- Liver Unit, Division of Internal Medicine and Clinical Oncology, Department of Biomedical Sciences and Human Oncology, University of Bari "Aldo Moro", Bari, Italy
| | - D Sansonno
- Liver Unit, Division of Internal Medicine and Clinical Oncology, Department of Biomedical Sciences and Human Oncology, University of Bari "Aldo Moro", Bari, Italy
| | - S Monaco
- Department of Neurosciences, Biomedicine and Movement, University of Verona, Verona, Italy
| | - S Mariotto
- Department of Neurosciences, Biomedicine and Movement, University of Verona, Verona, Italy
| | - S Ferrari
- Department of Neurosciences, Biomedicine and Movement, University of Verona, Verona, Italy
| | - F Pavone
- Liver Unit, Division of Internal Medicine and Clinical Oncology, Department of Biomedical Sciences and Human Oncology, University of Bari "Aldo Moro", Bari, Italy
| | - G Lauletta
- Liver Unit, Division of Internal Medicine and Clinical Oncology, Department of Biomedical Sciences and Human Oncology, University of Bari "Aldo Moro", Bari, Italy
| | - F Dammacco
- Liver Unit, Division of Internal Medicine and Clinical Oncology, Department of Biomedical Sciences and Human Oncology, University of Bari "Aldo Moro", Bari, Italy
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Gobbin F, Marangi A, Orlandi R, Richelli S, Turatti M, Calabrese M, Forgione A, Alessandrini F, Benedetti MD, Monaco S, Gajofatto A. A case of acute fulminant multiple sclerosis treated with alemtuzumab. Mult Scler Relat Disord 2017; 17:9-11. [PMID: 29055482 DOI: 10.1016/j.msard.2017.06.007] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [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: 05/08/2017] [Accepted: 06/19/2017] [Indexed: 11/28/2022]
Abstract
We describe the case of a woman who came to our attention for acute onset and very rapidly worsening left hemiplegia, vision loss and cognitive impairment. MRI, laboratory and clinical investigations were highly suggestive of an active inflammatory demyelinating disease. Following exclusion of other possible etiologies, a diagnosis of Marburg's variant multiple sclerosis was made. After repeated high-dose steroids and plasma-exchange, the patient was treated with a first course of alemtuzumab followed by improvement of the clinical and MRI picture. This is the first reported case of Marburg type multiple sclerosis treated with alemtuzumab.
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Affiliation(s)
- F Gobbin
- Department of Neuroscience, Biomedicine and Movement Sciences, University of Verona, Italy
| | - A Marangi
- Department of Neuroscience, Biomedicine and Movement Sciences, University of Verona, Italy
| | - R Orlandi
- Department of Neuroscience, Biomedicine and Movement Sciences, University of Verona, Italy
| | - S Richelli
- Unit of Intensive Rehabilitation, Ospedale Sacro Cuore, Negrar, Verona, Italy
| | - M Turatti
- Unit of Neurology B, Azienda Ospedaliera Universitaria Integrata, Verona, Italy
| | - M Calabrese
- Department of Neuroscience, Biomedicine and Movement Sciences, University of Verona, Italy
| | - A Forgione
- Unit of Neurology, Casa di Cura Pederzoli, Peschiera del Garda, Verona, Italy
| | - F Alessandrini
- Unit of Neuroradiology, Azienda Ospedaliera Universitaria Integrata, Verona, Italy
| | - M D Benedetti
- Unit of Neurology B, Azienda Ospedaliera Universitaria Integrata, Verona, Italy
| | - S Monaco
- Department of Neuroscience, Biomedicine and Movement Sciences, University of Verona, Italy
| | - A Gajofatto
- Department of Neuroscience, Biomedicine and Movement Sciences, University of Verona, Italy
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Castellaro M, Magliozzi R, Palombit A, Pitteri M, Silvestri E, Camera V, Montemezzi S, Pizzini FB, Bertoldo A, Reynolds R, Monaco S, Calabrese M. Heterogeneity of Cortical Lesion Susceptibility Mapping in Multiple Sclerosis. AJNR Am J Neuroradiol 2017; 38:1087-1095. [PMID: 28408633 DOI: 10.3174/ajnr.a5150] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [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: 06/23/2016] [Accepted: 01/21/2017] [Indexed: 12/30/2022]
Abstract
BACKGROUND AND PURPOSE Quantitative susceptibility mapping has been used to characterize iron and myelin content in the deep gray matter of patients with multiple sclerosis. Our aim was to characterize the susceptibility mapping of cortical lesions in patients with MS and compare it with neuropathologic observations. MATERIALS AND METHODS The pattern of microglial activation was studied in postmortem brain tissues from 16 patients with secondary-progressive MS and 5 age-matched controls. Thirty-six patients with MS underwent 3T MR imaging, including 3D double inversion recovery and 3D-echo-planar SWI. RESULTS Neuropathologic analysis revealed the presence of an intense band of microglia activation close to the pial membrane in subpial cortical lesions or to the WM border of leukocortical cortical lesions. The quantitative susceptibility mapping analysis revealed 131 cortical lesions classified as hyperintense; 33, as isointense; and 84, as hypointense. Quantitative susceptibility mapping hyperintensity edge found in the proximity of the pial surface or at the white matter/gray matter interface in some of the quantitative susceptibility mapping-hyperintense cortical lesions accurately mirrors the microglia activation observed in the neuropathology analysis. CONCLUSIONS Cortical lesion susceptibility maps are highly heterogeneous, even at individual levels. Quantitative susceptibility mapping hyperintensity edge found in proximity to the pial surface might be due to the subpial gradient of microglial activation.
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Affiliation(s)
- M Castellaro
- From the Department of Information Engineering (M. Castellaro, A.P., E.S., A.B.), University of Padova, Padova, Italy
- Neurology B (M. Castellaro, R.M., M.P., V.C., S.M., M. Calabrese), Department of Neurological, Biomedical and Movement Sciences, University of Verona, Verona, Italy
| | - R Magliozzi
- Neurology B (M. Castellaro, R.M., M.P., V.C., S.M., M. Calabrese), Department of Neurological, Biomedical and Movement Sciences, University of Verona, Verona, Italy
- Division of Brain Sciences (R.M., R.R.), Faculty of Medicine, Imperial College London, Hammersmith Hospital, London, UK
| | - A Palombit
- From the Department of Information Engineering (M. Castellaro, A.P., E.S., A.B.), University of Padova, Padova, Italy
| | - M Pitteri
- Neurology B (M. Castellaro, R.M., M.P., V.C., S.M., M. Calabrese), Department of Neurological, Biomedical and Movement Sciences, University of Verona, Verona, Italy
| | - E Silvestri
- From the Department of Information Engineering (M. Castellaro, A.P., E.S., A.B.), University of Padova, Padova, Italy
| | - V Camera
- Neurology B (M. Castellaro, R.M., M.P., V.C., S.M., M. Calabrese), Department of Neurological, Biomedical and Movement Sciences, University of Verona, Verona, Italy
| | - S Montemezzi
- Neurology B (M. Castellaro, R.M., M.P., V.C., S.M., M. Calabrese), Department of Neurological, Biomedical and Movement Sciences, University of Verona, Verona, Italy
- Neuroradiology and Radiology Units (S.M., F.B.P.), Department of Diagnostics and Pathology, Verona University Hospital, Verona, Italy
| | - F B Pizzini
- Neuroradiology and Radiology Units (S.M., F.B.P.), Department of Diagnostics and Pathology, Verona University Hospital, Verona, Italy
| | - A Bertoldo
- From the Department of Information Engineering (M. Castellaro, A.P., E.S., A.B.), University of Padova, Padova, Italy
| | - R Reynolds
- Division of Brain Sciences (R.M., R.R.), Faculty of Medicine, Imperial College London, Hammersmith Hospital, London, UK
| | - S Monaco
- From the Department of Information Engineering (M. Castellaro, A.P., E.S., A.B.), University of Padova, Padova, Italy
| | - M Calabrese
- Neurology B (M. Castellaro, R.M., M.P., V.C., S.M., M. Calabrese), Department of Neurological, Biomedical and Movement Sciences, University of Verona, Verona, Italy
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Miceli Sopo S, Bersani G, Monaco S, Cerchiara G, Lee E, Campbell D, Mehr S. Ondansetron in acute food protein-induced enterocolitis syndrome, a retrospective case-control study. Allergy 2017; 72:545-551. [PMID: 27548842 DOI: 10.1111/all.13033] [Citation(s) in RCA: 37] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/19/2016] [Indexed: 11/29/2022]
Abstract
BACKGROUND Therapy for moderate to severe acute food protein-induced enterocolitis syndrome (FPIES) typically consists of intravenous fluids and corticosteroids (traditional therapy). Ondansetron has been suggested as an adjunctive treatment. We aimed to evaluate the efficacy of the parenteral (intravenous or intramuscular) ondansetron vs traditional therapy to resolve the symptoms of acute FPIES. METHODS Cases of FPIES who had a positive oral food challenge (OFC) were retrospectively examined at two major hospitals over a two-year period (Rome, Italy; and Sydney, Australia). The efficacy of therapy, based on the percentage of cases who stopped vomiting, was compared in cases who received parenteral ondansetron and in cases who received traditional therapy or no pharmacological therapy. RESULTS A total of 66 patients were included: 37 had parenteral ondansetron, 14 were treated with traditional therapy, and 15 did not receive any pharmacological therapy. Nineteen percentage of children treated with ondansetron continued vomiting after the administration of the therapy vs 93% of children who received traditional therapy (P < 0.05, relative risk = 0.2). Children who received ondansetron or no therapy were less likely to require an admission overnight compared with those who received traditional therapy (P < 0.05). CONCLUSIONS Parenteral ondansetron is significantly more effective than traditional therapy in resolving acute symptoms of FPIES. The relative risk = 0.2 greatly reduces the bias linked to the lack of randomization. These findings suggest an effective treatment for vomiting in positive FPIES OFCs and allow for more confidence in performing OFCs.
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Affiliation(s)
- S. Miceli Sopo
- Department of Paediatrics; Allergy Unit; Agostino Gemelli Hospital; Sacred Heart Catholic University; Rome Italy
| | - G. Bersani
- Department of Paediatrics; Allergy Unit; Agostino Gemelli Hospital; Sacred Heart Catholic University; Rome Italy
| | - S. Monaco
- Department of Paediatrics; Allergy Unit; Agostino Gemelli Hospital; Sacred Heart Catholic University; Rome Italy
| | - G. Cerchiara
- Department of Paediatrics; Allergy Unit; Agostino Gemelli Hospital; Sacred Heart Catholic University; Rome Italy
| | - E. Lee
- Department of Allergy and Immunology; Children's Hospital at Westmead; Sydney NSW Australia
| | - D. Campbell
- Department of Allergy and Immunology; Children's Hospital at Westmead; Sydney NSW Australia
| | - S. Mehr
- Department of Allergy and Immunology; Children's Hospital at Westmead; Sydney NSW Australia
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Turri G, Calabrese M, Pancheri E, Monaco S, Gajofatto A, Marafioti V. QTc interval in patients with multiple sclerosis: an inference from the insula of Reil? Eur J Neurol 2017; 24:491-496. [PMID: 28111831 DOI: 10.1111/ene.13229] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [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: 09/03/2016] [Accepted: 11/14/2016] [Indexed: 12/19/2022]
Abstract
BACKGROUND AND PURPOSE The aim of this study was to investigate the correlation between the duration of the QTc interval and the brain lesion load at the level of the structures involved in superior autonomic control (insula, cingulate cortex and amygdala-hippocampus) in multiple sclerosis (MS) patients. METHODS Thirty-one consecutive patients with relapsing-remitting MS were recruited. The QT interval was measured manually in all 12 leads by a single blinded observer, with the longest QT value adjusted for heart rate by using the Bazett's formula. All patients performed a brain magnetic resonance imaging (MRI) scan including three-dimensional double inversion recovery and three volumetric fast-field echo sequences. The following MRI measures were obtained: (i) global and regional cortical thickness (CTh); (ii) white matter lesion load volume; (iii) cortical damage blindly assessed by a trained observer who assigned, on the basis of the number of cortical lesions, a score from 0 to 5 for each of the brain areas analysed. RESULTS In all, 16% of the patients had an increased QTc interval. The QTc interval was correlated with disease duration, cortical insular lesion volume and grey matter lesion volume in the three examined areas and inversely correlated with global and insular CTh. CONCLUSIONS An increased QTc interval in patients with MS may have a cerebral origin possibly driven by involvement of the insular cortex. With the recent introduction in clinical practice of treatments with potential cardiac effects such as fingolimod, the recognition of a long QTc interval could be clinically crucial and should encourage appropriate electrocardiographic monitoring in order to prevent the risk of malignant ventricular pro-arrhythmia and iatrogenic sudden death.
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Affiliation(s)
- G Turri
- Department of Neurosciences, Biomedicine and Movement Sciences, University Hospital of Verona, Verona, Italy
| | - M Calabrese
- Department of Neurosciences, Biomedicine and Movement Sciences, University Hospital of Verona, Verona, Italy
| | - E Pancheri
- Department of Neurosciences, Biomedicine and Movement Sciences, University Hospital of Verona, Verona, Italy
| | - S Monaco
- Department of Neurosciences, Biomedicine and Movement Sciences, University Hospital of Verona, Verona, Italy
| | - A Gajofatto
- Department of Neurosciences, Biomedicine and Movement Sciences, University Hospital of Verona, Verona, Italy
| | - V Marafioti
- Cardiovascular and Thoracic Department, University Hospital of Verona, Verona, Italy
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Miceli Sopo S, Monaco S, Cerchiara G, Bersani G. A very unusual case of food allergy, between FPIES and IgE-mediated food allergy. Eur Ann Allergy Clin Immunol 2017; 49:42-44. [PMID: 28120606] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
Food protein induced enterocolitis syndrome (FPIES) is a food-related gastrointestinal hypersensitivity disorder, probably non-IgE-mediated. Over the years, various diagnostic criteria have been proposed to identify FPIES. In the last few years, there was an increased interest from researchers about FPIES's syndrome, that frequently brought to discover new aspects of this disease. We describe an unusual case of FPIES to egg in a 21-months-old child, because of its clinical characteristics that reflect some aspects of IgE-mediated allergy and other of non IgE-mediated allergy. Although we believe that the most correct diagnosis for our case is FPIES, we think also that this is undoubtedly an atypical form. This is in fact, the first description of a patient who simultaneously has both clinical expressions of IgE-mediated FA that of FPIES. Our case highlights the need to review criteria for FPIES diagnosis.
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Affiliation(s)
- S Miceli Sopo
- Allergy Unit, Department of Paediatrics, Agostino Gemelli Hospital, Sacred Heart Catholic University, Rome, Italy. Phone: +39 06 301 562 83 Fax: +39 06 338 32 11 E-mail: -
| | - S Monaco
- Allergy Unit, Department of Paediatrics, Agostino Gemelli Hospital, Sacred Heart Catholic University, Rome, Italy
| | - G Cerchiara
- Allergy Unit, Department of Paediatrics, Agostino Gemelli Hospital, Sacred Heart Catholic University, Rome, Italy
| | - G Bersani
- Allergy Unit, Department of Paediatrics, Agostino Gemelli Hospital, Sacred Heart Catholic University, Rome, Italy
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Miceli Sopo S, Greco M, Monaco S, Bianchi A, Cuomo B, Liotti L, Iacono I. Matrix effect on baked milk tolerance in children with IgE cow milk allergy. Allergol Immunopathol (Madr) 2016; 44:517-523. [PMID: 27480790 DOI: 10.1016/j.aller.2016.03.005] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/07/2015] [Revised: 02/22/2016] [Accepted: 03/01/2016] [Indexed: 10/21/2022]
Abstract
BACKGROUND Children with IgE-mediated cow's milk allergy (IgE-CMA) often tolerate baked milk within a wheat matrix. In our study we evaluated the impact of wheat matrix and of little standardised cooking procedures on tolerance of baked milk. We also tested tolerance versus parmigiano reggiano (PR) and whey-based partially hydrolysed formula (pHF). METHODS Forty-eight children with IgE-CMA were enrolled. They underwent prick-by-prick (PbP) and open oral food challenge (OFC) with baked cow's milk (CM), both within a wheat matrix (an Italian cake named ciambellone) and without (in a liquid form), with PR and with pHF. After a passed OFC, children continued to eat the food tolerated. In particular, after passed OFC with ciambellone, children were allowed to eat any food containing CM within a wheat matrix, with the only condition that it was baked at 180°C for at least 30min. Three months after, parents were asked to answer a survey. RESULTS 81% of children tolerated ciambellone, 56% liquid baked CM, 78% PR and 82% pHF. Negative predictive value of PbP performed with tested foods was 100%. No IgE-mediated adverse reactions were detected at follow-up carried out by the survey. CONCLUSIONS Wheat matrix effect on tolerance of baked milk was relevant in slightly less than half of cases. If our results are confirmed by larger studies, a negative PbP will allow patients to eat processed CM without undergoing OFC. Moreover, in order to guarantee tolerance towards baked milk, strict standardised cooking procedures do not seem to be necessary.
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Cappadocia DC, Monaco S, Chen Y, Blohm G, Crawford JD. Temporal Evolution of Target Representation, Movement Direction Planning, and Reach Execution in Occipital–Parietal–Frontal Cortex: An fMRI Study. Cereb Cortex 2016; 27:5242-5260. [DOI: 10.1093/cercor/bhw304] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/11/2016] [Accepted: 09/08/2016] [Indexed: 11/14/2022] Open
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Monaco S, Pellencin E, Giulia M, Luca T. Neural coding of action planning: visual processing or visual memory? J Vis 2016. [DOI: 10.1167/16.12.23] [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: 11/24/2022] Open
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Malfatti G, Monaco S, Barchiesi G, Cattaneo L, Turella L. Do dorsolateral and dorsomedial pathways interact? Investigating parieto-frontal connectivity during a prehension task: a TMS-fMRI study. J Vis 2016. [DOI: 10.1167/16.12.676] [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: 11/24/2022] Open
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Bertolasi L, Danese A, Monaco S, Turri M, Borg K, Werhagen L. Polio Patients in Northern Italy, a 50 Year Follow-up. Open Neurol J 2016; 10:77-82. [PMID: 27651845 PMCID: PMC5012079 DOI: 10.2174/1874205x01610010077] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [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: 01/02/2016] [Revised: 05/24/2016] [Accepted: 06/09/2016] [Indexed: 11/29/2022] Open
Abstract
Background: Poliomyelitis was before the immunization an important medical problem. Nowadays polio prior patients (PP) suffer from polio sequelae or have developed post-polio-syndrome (PPS) with increasing paresis, pain and fatigue. Objectives: To analyze the medical situation 50 years after acute polio. The degree of paresis was compared between the recovery 1952-1961 and 2012.The prevalence of patients fulfilling the criteria for PPS was estimated Method: The study was performed in Italy. Included were PP with rehabilitation after acute polio 1952-1961 and in 2012. During the years PP underwent yearly evaluation. A thorough neurological examination was performed in 2012. A telephone interview with questions concerning pain, paresis, fatigue, walking aids and concomitant diseases was performed in 2012. The patients were divided in two groups, if they fulfilled the criteria for PPS or not. Results: Included were 67(94%) patients receiving rehabilitation after acute poliomyelitis and 2012. 78% were walkers, half of the PPS used wheelchair. Eight out of ten suffered from pain. Four out of ten fulfilled the PPS criteria. Pain was slightly more common in PPS. Conclusion: Female gender, fatigue and wheelchair dependency were significantly more common in PPS while pain was common in both groups.
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Affiliation(s)
- L Bertolasi
- Section of Neurology, Department of Neurological, Neurophysiological, Morphological and Motor Sciences, University of Verona, Verona, Italy
| | - A Danese
- Section of Neurology, Department of Neurological, Neurophysiological, Morphological and Motor Sciences, University of Verona, Verona, Italy
| | - S Monaco
- Section of Neurology, Department of Neurological, Neurophysiological, Morphological and Motor Sciences, University of Verona, Verona, Italy
| | - M Turri
- Section of Neurology, Department of Neurological, Neurophysiological, Morphological and Motor Sciences, University of Verona, Verona, Italy
| | - K Borg
- Division of Rehabilitation Medicine, Department of Clinical Sciences, Karolinska Institut at Danderyds Hospital, Stockholm, Sweden
| | - L Werhagen
- Division of Rehabilitation Medicine, Department of Clinical Sciences, Karolinska Institut at Danderyds Hospital, Stockholm, Sweden
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Calabrese M, Castellaro M, Bertoldo A, De Luca A, Pizzini FB, Ricciardi GK, Pitteri M, Zimatore S, Magliozzi R, Benedetti MD, Manganotti P, Montemezzi S, Reynolds R, Gajofatto A, Monaco S. Epilepsy in multiple sclerosis: The role of temporal lobe damage. Mult Scler 2016; 23:473-482. [DOI: 10.1177/1352458516651502] [Citation(s) in RCA: 26] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/06/2023]
Abstract
Background: Although temporal lobe pathology may explain some of the symptoms of multiple sclerosis (MS), its role in the pathogenesis of seizures has not been clarified yet. Objectives: To investigate the role of temporal lobe damage in MS patients suffering from epilepsy, by the application of advanced multimodal 3T magnetic resonance imaging (MRI) analysis. Methods: A total of 23 relapsing remitting MS patients who had epileptic seizures (RRMS/E) and 23 disease duration matched RRMS patients without any history of seizures were enrolled. Each patient underwent advanced 3T MRI protocol specifically conceived to evaluate grey matter (GM) damage. This includes grey matter lesions (GMLs) identification, evaluation of regional cortical thickness and indices derived from the Neurite Orientation Dispersion and Density Imaging model. Results: Regional analysis revealed that in RRMS/E, the regions most affected by GMLs were the hippocampus (14.2%), the lateral temporal lobe (13.5%), the cingulate (10.0%) and the insula (8.4%). Cortical thinning and alteration of diffusion metrics were observed in several regions of temporal lobe, in insular cortex and in cingulate gyrus of RRMS/E compared to RRMS ( p< 0.05 for all comparisons). Conclusions: Compared to RRMS, RRMS/E showed more severe damage of temporal lobe, which exceeds what would be expected on the basis of the global GM damage observed.
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Affiliation(s)
- M Calabrese
- Neurology Section, Department of Neurosciences, Biomedicine and Movement Sciences, University of Verona, Verona, Italy
| | - M Castellaro
- Department of Information Engineering, University of Padova, Padova, Italy
| | - A Bertoldo
- Department of Information Engineering, University of Padova, Padova, Italy
| | - A De Luca
- Department of Information Engineering, University of Padova, Padova, Italy/Scientific Institute, IRCCS “Eugenio Medea”, Neuroimaging Lab, Bosisio Parini, LC, Italy
| | - FB Pizzini
- Neuroradiology and Radiology Units, Department of Diagnostics and Pathology, Verona University Hospital, Verona, Italy
| | - GK Ricciardi
- Neuroradiology and Radiology Units, Department of Diagnostics and Pathology, Verona University Hospital, Verona, Italy
| | - M Pitteri
- Neurology Section, Department of Neurosciences, Biomedicine and Movement Sciences, University of Verona, Verona, Italy
| | - S Zimatore
- Neuroradiology and Radiology Units, Department of Diagnostics and Pathology, Verona University Hospital, Verona, Italy
| | - R Magliozzi
- Neurology Section, Department of Neurosciences, Biomedicine and Movement Sciences, University of Verona, Verona, Italy/Division of Brain Sciences, Faculty of Medicine, Hammersmith Hospital, Imperial College London, London, UK
| | - MD Benedetti
- Neurology Section, Department of Neurosciences, Biomedicine and Movement Sciences, University of Verona, Verona, Italy
| | - P Manganotti
- Neurology Section, University Hospital of Trieste, Trieste, Italy
| | - S Montemezzi
- Neuroradiology and Radiology Units, Department of Diagnostics and Pathology, Verona University Hospital, Verona, Italy
| | - R Reynolds
- Division of Brain Sciences, Faculty of Medicine, Hammersmith Hospital, Imperial College London, London, UK
| | - A Gajofatto
- Neurology Section, Department of Neurosciences, Biomedicine and Movement Sciences, University of Verona, Verona, Italy
| | - S Monaco
- Neurology Section, Department of Neurosciences, Biomedicine and Movement Sciences, University of Verona, Verona, Italy
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Monaco S, Buckingham G, Sperandio I, Crawford JD. Editorial: Perceiving and Acting in the Real World: From Neural Activity to Behavior. Front Hum Neurosci 2016; 10:179. [PMID: 27199703 PMCID: PMC4846649 DOI: 10.3389/fnhum.2016.00179] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/19/2016] [Accepted: 04/08/2016] [Indexed: 12/05/2022] Open
Affiliation(s)
- Simona Monaco
- Center for Mind/Brain Sciences, University of Trento Italy
| | - Gavin Buckingham
- School of Life Sciences, Heriot-Watt UniversityEdinburgh, UK; Sport and Health Sciences, University of ExeterExeter, UK
| | | | - J Doug Crawford
- Centre for Vision Research, York University Toronto, ON, Canada
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Silipo S, Calabrese M, Juergenson I, Tozzi M, Monaco S, Bertolasi L. 11. Visual electrophysiology revealed the diagnosis in an unusual case of bilateral blindness at the multiple sclerosis center. A case of bilateral chronic optic neuropathy related to inverted papilloma of paranasal sinuses. Clin Neurophysiol 2016. [DOI: 10.1016/j.clinph.2015.09.019] [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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Barbieri F, Bongiovanni L, Fondrieschi L, Monaco S. 48. PoTS: Long term follow-up of an Italian cohort. Clin Neurophysiol 2016. [DOI: 10.1016/j.clinph.2015.09.056] [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: 11/17/2022]
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Tocco P, Casula E, Rocchi L, Chieffo R, Monaco S, Bertolasi L, Hannah R, Rothwell J. 57. Cerebellar direct current stimulation does not interfere with motor cortex excitability and transcallosal communication in humans. Clin Neurophysiol 2016. [DOI: 10.1016/j.clinph.2015.09.065] [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: 10/22/2022]
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Tozzi M, Silipo S, Monaco S, Bertolasi L. 10. Visual electrophysiology. A good friend can help you in need. Clin Neurophysiol 2016. [DOI: 10.1016/j.clinph.2015.09.018] [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: 10/22/2022]
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Silipo S, Fabrizi G, Cavallaro T, Tozzi M, Monaco S, Bertolasi L. 35. Vestibular-coclear nerve involvement in Charcot–Marie–Tooth disease: A pilot-study. Clin Neurophysiol 2016. [DOI: 10.1016/j.clinph.2015.09.043] [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: 11/26/2022]
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Bongiovanni L, Barbieri F, Rossini F, Brigo F, Paluani F, Fondrieschi L, Marchi SD, Monaco S. 49. Disrupted autonomic control in spinal cord injury. Clin Neurophysiol 2016. [DOI: 10.1016/j.clinph.2015.09.057] [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: 11/15/2022]
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Gajofatto A, Turatti M, Bianchi MR, Forlivesi S, Gobbin F, Azzarà A, Monaco S, Benedetti MD. Benign multiple sclerosis: physical and cognitive impairment follow distinct evolutions. Acta Neurol Scand 2016; 133:183-91. [PMID: 26009804 DOI: 10.1111/ane.12442] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/04/2015] [Indexed: 11/28/2022]
Abstract
BACKGROUND Benign multiple sclerosis (BMS) definitions rely on physical disability level but do not account sufficiently for cognitive impairment which, however, is not rare. OBJECTIVE To study the evolution of physical disability and cognitive performance of a group of patients with BMS followed at an University Hospital Multiple Sclerosis Center. METHODS A consecutive sample of 24 BMS cases (diagnosis according to 2005 McDonald's criteria, relapsing-remitting course, disease duration ≥ 10 years, and expanded disability status scale [EDSS] score ≤ 2.0) and 13 sex- and age-matched non-BMS patients differing from BMS cases for having EDSS score 2.5-5.5 were included. Main outcome measures were as follows: (i) baseline and 5-year follow-up cognitive impairment defined as failure of at least two tests of the administered neuropsychological battery; (ii) EDSS score worsening defined as confirmed increase ≥ 1 point (or 0.5 point if baseline EDSS score = 5.5). RESULTS At inclusion, BMS subjects were 41 ± 8 years old and had median EDSS score 1.5 (range 0-2), while non-BMS patients were 46 ± 8 years old and had median EDSS score 3.0 (2.5-5.5). At baseline 16% of patients in both groups were cognitively impaired. After 5 years, EDSS score worsened in 8% of BMS and 46% of non-BMS patients (P = 0.008), while the proportion of cognitively impaired subjects increased to 25% in both groups. CONCLUSIONS Patients with BMS had better physical disability outcome at 5 years compared to non-BMS cases. However, cognitive impairment frequency and decline over time appeared similar. Neuropsychological assessment is essential in patients with BMS given the distinct pathways followed by disease progression in cognitive and physical domains.
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Affiliation(s)
- A. Gajofatto
- Department of Neurological and Movement Sciences; University of Verona; Verona Italy
- UOC Neurologia dU; Azienda Ospedaliera Universitaria Integrata; Verona Italy
| | - M. Turatti
- UO Neurologia; Casa di Cura Privata Pederzoli; Peschiera del Garda Italy
| | - M. R. Bianchi
- Department of Neurological and Movement Sciences; University of Verona; Verona Italy
- UOC Neurologia dU; Azienda Ospedaliera Universitaria Integrata; Verona Italy
| | - S. Forlivesi
- Department of Neurological and Movement Sciences; University of Verona; Verona Italy
- UOC Neurologia dU; Azienda Ospedaliera Universitaria Integrata; Verona Italy
| | - F. Gobbin
- Department of Neurological and Movement Sciences; University of Verona; Verona Italy
- UOC Neurologia dU; Azienda Ospedaliera Universitaria Integrata; Verona Italy
| | - A. Azzarà
- Istituto Auxologico Italiano; Milano Italy
| | - S. Monaco
- Department of Neurological and Movement Sciences; University of Verona; Verona Italy
- UOC Neurologia dU; Azienda Ospedaliera Universitaria Integrata; Verona Italy
| | - M. D. Benedetti
- UOC Neurologia dU; Azienda Ospedaliera Universitaria Integrata; Verona Italy
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Miceli Sopo S, Monaco S, Greco M, Onesimo R. Prevalence of adverse reactions following a passed oral food challenge and factors affecting successful re-introduction of foods. A retrospective study of a cohort of 199 children. Allergol Immunopathol (Madr) 2016; 44:54-8. [PMID: 26242568 DOI: 10.1016/j.aller.2015.04.010] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/29/2014] [Revised: 04/16/2015] [Accepted: 04/29/2015] [Indexed: 11/26/2022]
Abstract
BACKGROUND After a passed oral food challenge (OFC), regular and normal food consumption is attended. The main objective of this study is to assess the safety of tested food dietary re-introduction after a passed OFC. PATIENTS AND METHODS In 2014, a telephone survey was submitted to patients who passed OFC and those who failed it only presenting with contact urticaria (we consider these OFC as passed), between 2009 and 2013. Questionnaire items included demographic data, food allergy details, food consumption after the OFC was performed, recurring symptoms and life style changes. RESULTS 249 OFC questionnaires were collected from 199 children, 228 OFC were passed, 21 were failed exclusively due to contact urticaria. The most tested food was cows' milk. In 71% of cases target food was re-introduced in patients diet in normal amounts. We found children >2 years introduced less frequently tested food than infants. In 2% of cases adverse reactions to offending food were reported, but severe reactions never occurred. DISCUSSION The majority of children of this study ate target food regularly and their family's quality of life improved. In our study, adverse reactions frequency in patients who passed OFC was very low and never serious. We highlight the importance of re-assessing proper food consumption in every patient who passed OFC.
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Baltaretu BR, Dunkley B, Monaco S, Chen Y, Crawford J. Space-fixed, retina-fixed, and frame-independent mechanisms of trans-saccadic feature integration: repetition suppression and enhancement in an fMRIa paradigm. J Vis 2015. [DOI: 10.1167/15.12.604] [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: 11/24/2022] Open
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