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Article ; Online: Review on Acute Relapse of Spinal Cord Infarction

Maria Sofia Cotelli / Filippo Manelli

International Journal of Integrated Health Sciences, Vol 9, Iss 2, Pp 73-

A Case Report

2021 Volume 78

Abstract: Objective: To present a case of relapsed spinal cord infarction (SCI) as an acute spinal emergency in an in-patient elderly male patient. Methods: This report presents a case of an in-patient 84 years-old man who was admitted due to acute paraparesis ... ...

Abstract	Objective: To present a case of relapsed spinal cord infarction (SCI) as an acute spinal emergency in an in-patient elderly male patient. Methods: This report presents a case of an in-patient 84 years-old man who was admitted due to acute paraparesis with urge incontinence and sudden worsening after initial improvement. To assess his condition, spine magnetic resonance was performed Results: The spine magnetic resonance confirmed relapse of spinal cord infarction, which also involved the medullar conus. Conclusion: This case report presents a very rare event that is poorly described in literature. A strict follow up of risk factors and regular neurological evaluations during ihospitalization are recommended, especially in older patients.
Keywords	infarction ; magnetic resonance ; relapse ; spinal cord ; Medicine ; R
Language	English
Publishing date	2021-10-01T00:00:00Z
Publisher	Universitas Padjadjaran
Document type	Article ; Online
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Article ; Online: Probable Silodosin-Induced Diplopia.

Cotelli, Maria Sofia / Bandera, Floriana / Bandera, Giuseppe / Bonetti, Stefano / Manelli, Filippo / Turla, Marinella

Neurology India

2022 Volume 70, Issue 3, Page(s) 1285–1286

Abstract: Diplopia, or double vision, is a symptom resulting from the perception of two images of a single object. We report a case of a possible silodosin-induced diplopia never reported before in the literature. We suggest that binocular diplopia should be ... ...

Abstract	Diplopia, or double vision, is a symptom resulting from the perception of two images of a single object. We report a case of a possible silodosin-induced diplopia never reported before in the literature. We suggest that binocular diplopia should be considered in people assuming silodosin even if further studies should be conducted to explore possible pathogenetic mechanisms.
MeSH term(s)	Diplopia/chemically induced ; Diplopia/diagnosis ; Humans ; Indoles ; Vision, Binocular
Chemical Substances	Indoles ; silodosin (CUZ39LUY82)
Language	English
Publishing date	2022-07-21
Publishing country	India
Document type	Case Reports ; Letter
ZDB-ID	415522-1
ISSN	1998-4022 ; 0028-3886
ISSN (online)	1998-4022
ISSN	0028-3886
DOI	10.4103/0028-3886.349650
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Article ; Online: Cerebral microbleeds after COVID-19 infection

Filippo Manelli / Maria Sofia Cotelli / Giovanni Lodoli / Stefano Bonetti / Marinella Turla

Italian Journal of Medicine, Vol 15, Iss

an Italian case report

2021 Volume 3

Abstract: ... Not ... ...

Abstract	Not available
Keywords	COVID-19 ; microbleeds ; critical illness ; corpus callosum ; Medicine ; R
Language	English
Publishing date	2021-09-01T00:00:00Z
Publisher	PAGEPress Publications
Document type	Article ; Online
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Article: Incidence of young-onset dementia in Italy: The Brescia register study.

Alzheimer's & dementia (Amsterdam, Netherlands)

2024 Volume 16, Issue 1, Page(s) e12544

Abstract: Introduction: The goal of the present work was to assess the incidence of dementia with onset before the age of 65 years (i.e., young-onset dementia [YOD]) and define the frequencies of young-onset Alzheimer's disease (AD), frontotemporal lobar ... ...

Abstract	Introduction: The goal of the present work was to assess the incidence of dementia with onset before the age of 65 years (i.e., young-onset dementia [YOD]) and define the frequencies of young-onset Alzheimer's disease (AD), frontotemporal lobar degeneration (FTLD), and dementia with Lewy bodies (DLB) in the general population. Methods: The study was conducted from January 1, 2019 to December 31, 2019 in Brescia province (population: 1,268,455). During the study period, all new YOD cases (incident YOD) were counted, and all patients' records reviewed. The incidence was standardized to the Italian general population in 2019. Results: A total of 29 YOD patients were diagnosed. The age-sex standardized incidence rate was 4.58 (95% confidence interval, 3.07-6.58) per 100,000 person-years. No difference in incidence rate between YOD due to AD or FTLD ( Discussion: Presenting neurodegenerative YOD phenotypes encompasses both AD and FTLD. Improved knowledge on YOD epidemiology is essential to adequately plan and organize health services.
Language	English
Publishing date	2024-02-29
Publishing country	United States
Document type	Journal Article
ZDB-ID	2832898-X
ISSN	2352-8729
ISSN	2352-8729
DOI	10.1002/dad2.12544
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Article ; Online: A low-dimensional cognitive-network space in Alzheimer's disease and frontotemporal dementia.

Pini, Lorenzo / de Lange, Siemon C / Pizzini, Francesca Benedetta / Boscolo Galazzo, Ilaria / Manenti, Rosa / Cotelli, Maria / Galluzzi, Samantha / Cotelli, Maria Sofia / Corbetta, Maurizio / van den Heuvel, Martijn P / Pievani, Michela

Alzheimer's research & therapy

2022 Volume 14, Issue 1, Page(s) 199

Abstract: Background: Alzheimer's disease (AD) and frontotemporal dementia (FTD) show network dysfunctions linked with cognitive deficits. Within this framework, network abnormalities between AD and FTD show both convergent and divergent patterns. However, these ... ...

Abstract	Background: Alzheimer's disease (AD) and frontotemporal dementia (FTD) show network dysfunctions linked with cognitive deficits. Within this framework, network abnormalities between AD and FTD show both convergent and divergent patterns. However, these functional patterns are far from being established and their relevance to cognitive processes remains to be elucidated. Methods: We investigated the relationship between cognition and functional connectivity of major cognitive networks in these diseases. Twenty-three bvFTD (age: 71±10), 22 AD (age: 72±6), and 20 controls (age: 72±6) underwent cognitive evaluation and resting-state functional MRI. Principal component analysis was used to describe cognitive variance across participants. Brain network connectivity was estimated with connectome analysis. Connectivity matrices were created assessing correlations between parcels within each functional network. The following cognitive networks were considered: default mode (DMN), dorsal attention (DAN), ventral attention (VAN), and frontoparietal (FPN) networks. The relationship between cognition and connectivity was assessed using a bootstrapping correlation and interaction analyses. Results: Three principal cognitive components explained more than 80% of the cognitive variance: the first component (cogPC1) loaded on memory, the second component (cogPC2) loaded on emotion and language, and the third component (cogPC3) loaded on the visuo-spatial and attentional domains. Compared to HC, AD and bvFTD showed impairment in all cogPCs (p<0.002), and bvFTD scored worse than AD in cogPC2 (p=0.031). At the network level, the DMN showed a significant association in the whole group with cogPC1 and cogPC2 and the VAN with cogPC2. By contrast, DAN and FPN showed a divergent pattern between diagnosis and connectivity for cogPC2. We confirmed these results by means of a multivariate analysis (canonical correlation). Conclusions: A low-dimensional representation can account for a large variance in cognitive scores in the continuum from normal to pathological aging. Moreover, cognitive components showed both convergent and divergent patterns with connectivity across AD and bvFTD. The convergent pattern was observed across the networks primarily involved in these diseases (i.e., the DMN and VAN), while a divergent FC-cognitive pattern was mainly observed between attention/executive networks and the language/emotion cognitive component, suggesting the co-existence of compensatory and detrimental mechanisms underlying these components.
MeSH term(s)	Humans ; Middle Aged ; Aged ; Aged, 80 and over ; Alzheimer Disease/complications ; Alzheimer Disease/diagnostic imaging ; Frontotemporal Dementia/complications ; Frontotemporal Dementia/diagnostic imaging ; Frontotemporal Dementia/pathology ; Magnetic Resonance Imaging/methods ; Brain/pathology ; Brain Mapping ; Cognition ; Connectome
Language	English
Publishing date	2022-12-29
Publishing country	England
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	2506521-X
ISSN	1758-9193 ; 1758-9193
ISSN (online)	1758-9193
ISSN	1758-9193
DOI	10.1186/s13195-022-01145-x
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Article ; Online: Effortful speech with distortion of prosody following SARS-CoV-2 infection.

Cotelli, Maria Sofia / Cotelli, Maria / Manelli, Filippo / Bonetti, Graziella / Rao, Renata / Padovani, Alessandro / Borroni, Barbara

Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology

2020 Volume 41, Issue 12, Page(s) 3767–3768

Abstract: Coronavirus disease 2019 (COVID-19) infection has the potential for targeting the central nervous system, and several neurological symptoms have been reported in patients with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). We describe a 48- ...

Abstract	Coronavirus disease 2019 (COVID-19) infection has the potential for targeting the central nervous system, and several neurological symptoms have been reported in patients with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). We describe a 48-year-old Caucasian woman with SARS-CoV-2 infection followed by the onset of word finding difficulties, effortful speech along with prosody distortion, in the context of spared semantic and syntactic abilities. The clinical picture, perceived as foreign accent syndrome (FAS), was not associated with structural and functional imaging changes or neurophysiological assessment abnormalities. We suggest that FAS, herein perceived as a regional accent syndrome, should be considered a possible additional neurological manifestation of SARS-CoV-2.
MeSH term(s)	Betacoronavirus ; COVID-19 ; Coronavirus Infections/complications ; Female ; Humans ; Middle Aged ; Pandemics ; Pneumonia, Viral/complications ; SARS-CoV-2 ; Speech Disorders/virology
Keywords	covid19
Language	English
Publishing date	2020-07-27
Publishing country	Italy
Document type	Case Reports ; Journal Article
ZDB-ID	2016546-8
ISSN	1590-3478 ; 1590-1874
ISSN (online)	1590-3478
ISSN	1590-1874
DOI	10.1007/s10072-020-04603-2
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Article ; Online: Cortico-spinal tDCS in amyotrophic lateral sclerosis: A randomized, double-blind, sham-controlled trial followed by an open-label phase.

Benussi, Alberto / Cantoni, Valentina / Grassi, Mario / Libri, Ilenia / Cotelli, Maria Sofia / Tarantino, Barbara / Datta, Abhishek / Thomas, Chris / Huber, Nadine / Kärkkäinen, Sari / Herukka, Sanna-Kaisa / Haapasalo, Annakaisa / Filosto, Massimiliano / Padovani, Alessandro / Borroni, Barbara

Brain stimulation

2023 Volume 16, Issue 6, Page(s) 1666–1676

Abstract: Background: Amyotrophic lateral sclerosis (ALS) is a progressive disease for which no curative treatment is currently available.: Objective: This study aimed to investigate whether cortico-spinal transcranial direct current stimulation (tDCS) could ... ...

Abstract	Background: Amyotrophic lateral sclerosis (ALS) is a progressive disease for which no curative treatment is currently available. Objective: This study aimed to investigate whether cortico-spinal transcranial direct current stimulation (tDCS) could mitigate symptoms in ALS patients via a randomized, double-blind, sham-controlled trial, followed by an open-label phase. Methods: Thirty-one participants were randomized into two groups for the initial controlled phase. At baseline (T0), Group 1 received placebo stimulation (sham tDCS), while Group 2 received cortico-spinal stimulation (real tDCS) for five days/week for two weeks (T1), with an 8-week (T2) follow-up (randomized, double-blind, sham-controlled phase). At the 24-week follow-up (T3), all participants (Groups 1 and 2) received a second treatment of anodal bilateral motor cortex and cathodal spinal stimulation (real tDCS) for five days/week for two weeks (T4). Follow-up evaluations were performed at 32-weeks (T5) and 48-weeks (T6) (open-label phase). At each time point, clinical assessment, blood sampling, and intracortical connectivity measures using transcranial magnetic stimulation (TMS) were evaluated. Additionally, we evaluated survival rates. Results: Compared to sham stimulation, cortico-spinal tDCS significantly improved global strength, caregiver burden, and quality of life scores, which correlated with the restoration of intracortical connectivity measures. Serum neurofilament light levels decreased among patients who underwent real tDCS but not in those receiving sham tDCS. The number of completed 2-week tDCS treatments significantly influenced patient survival. Conclusions: Cortico-spinal tDCS may represent a promising therapeutic and rehabilitative approach for patients with ALS. Further larger-scale studies are necessary to evaluate whether tDCS could potentially impact patient survival. Clinical trial registration: NCT04293484.
MeSH term(s)	Humans ; Transcranial Direct Current Stimulation ; Amyotrophic Lateral Sclerosis/therapy ; Quality of Life ; Transcranial Magnetic Stimulation ; Double-Blind Method
Language	English
Publishing date	2023-11-15
Publishing country	United States
Document type	Randomized Controlled Trial ; Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	2394410-9
ISSN	1876-4754 ; 1935-861X
ISSN (online)	1876-4754
ISSN	1935-861X
DOI	10.1016/j.brs.2023.11.008
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Article ; Online: Outcome predictors of post-COVID conditions in the European Academy of Neurology COVID-19 registry.

Leone, Maurizio Angelo / Helbok, Raimund / Bianchi, Elisa / Yasuda, Clarissa Lin / Konti, Maria / Ramankulov, Dauren / Lolich, Maria / Lovrencic-Huzjan, Arijana / Kovács, Tibor / Armon, Carmel / Cotelli, Maria Sofia / Cavallieri, Francesco / Grosu, Oxana / Kiteva-Trenchevska, Gordana / Rodriguez-Leyva, Ildefonso / Boldingh, Marion / Brola, Waldemar / Maia, Luís F / de Seabra, Mafalda Maria Laracho /

Davidescu, Eugenia Irene / Popescu, Bogdan Ovidiu / Kopishinskaia, Svetlana / Bassetti, Claudio L A / Moro, Elena

Journal of neurology

2024

Abstract: Several neurological manifestations are part of the post-COVID condition. We aimed to: (1) evaluate the 6-month outcome in the cohort of patients with neurological manifestations during the COVID-19 acute phase and surviving the infection, and find ... ...

Abstract	Several neurological manifestations are part of the post-COVID condition. We aimed to: (1) evaluate the 6-month outcome in the cohort of patients with neurological manifestations during the COVID-19 acute phase and surviving the infection, and find outcome predictors; (2) define the prevalence and type of neurological symptoms persistent at six months after the infection. Data source was an international registry of patients with COVID-19 infection and neurological symptoms, signs or diagnoses established by the European Academy of Neurology. Functional status at six-month follow-up was measured with the modified Rankin scale (mRS), and defined as: "stable/improved" if the mRS at six months was equal as or lower than the baseline score; "worse" if it was higher than the baseline score. By October 30, 2022, 1,003 lab-confirmed COVID-19 patients were followed up for a median of 6.5 months. Compared to their pre-morbid status, 522 patients (52%) were stable/improved, whereas 465 (46%) were worse (functional status missing for 16). Age, hospitalization, several pre-COVID-19 comorbidities, and COVID-19 general complications were predictors of a worse status. Amongst neurological manifestations, stroke carried the highest risk for worse outcome (OR 5.96), followed by hyperactive delirium (2.8), and peripheral neuropathies (2.37). On the other hand, hyposmia/hypogeusia (0.38), headache (0.40), myalgia (0.45), and COVID-19 vaccination (0.52) were predictors of a favourable prognosis. Persisting neurological symptoms or signs were reported by 316/1003 patients (31.5%), the commonest being fatigue (n = 133), and impaired memory or concentration (n = 103). Our study identified significant long-term prognostic predictors in patients with COVID-19 and neurological manifestations.
Language	English
Publishing date	2024-03-04
Publishing country	Germany
Document type	Journal Article
ZDB-ID	187050-6
ISSN	1432-1459 ; 0340-5354 ; 0012-1037 ; 0939-1517 ; 1619-800X
ISSN (online)	1432-1459
ISSN	0340-5354 ; 0012-1037 ; 0939-1517 ; 1619-800X
DOI	10.1007/s00415-024-12212-8
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Article ; Online: Transient coma as Percheron’s artery stroke

maria sofia cotelli / Patrizia Civelli / Elisa Tosana / Marinella Turla

Journal of Health Sciences (2019)

2019

Abstract: The artery of Percheron is a rare anatomic variation in the brain vascularization, in which a single arterial trunk arises from the posterior cerebral artery to supply both sides of brain structures, i.e., the thalamus and midbrain. Occlusion of this ... ...

Abstract	The artery of Percheron is a rare anatomic variation in the brain vascularization, in which a single arterial trunk arises from the posterior cerebral artery to supply both sides of brain structures, i.e., the thalamus and midbrain. Occlusion of this uncommon vessel results in a characteristic pattern of bilateral paramedian thalamic infarcts with or without mesencephalic infarctions. We report the case of a Caucasian woman who completely recovers after transient coma due to Percheron artery infarction.
Keywords	Percheron ; stroke ; thalamus ; Medicine (General) ; R5-920
Language	English
Publishing date	2019-04-01T00:00:00Z
Publisher	University of Sarajevo
Document type	Article ; Online
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Article ; Online: Mild symptomatic Wernicke’s Encephalopathy

Maria Sofia Cotelli / Patrizia Civelli / Marinella Turla

Journal of Health Sciences, Vol 8, Iss

a case report

2018 Volume 3

Abstract: Wernicke’s encephalopathy (WE) is an acute, neuropsychiatric syndrome which results from a deficiency in vitamin B1 (thiamine), which in its biologically active form, thiamine pyrophosphate, is an essential coenzyme in several biochemical pathways in the ...

Abstract	Wernicke’s encephalopathy (WE) is an acute, neuropsychiatric syndrome which results from a deficiency in vitamin B1 (thiamine), which in its biologically active form, thiamine pyrophosphate, is an essential coenzyme in several biochemical pathways in the brain, often due to alcohol abuse (alcoholic WE). Non-alcoholic WE variant manifests in many different clinical settings, such as gastrointestinal tumors, hyperemesis gravidarum, chemotherapy, acquired immunodeficiency syndrome, prolonged therapeutic fasting, protracted parenteral nutrition and bariatric surgery, anorexia nervosa and can even be secondary to socioeconomic factors. The classic triad of encephalopathy, oculomotor dysfunction, and gait ataxia is only seen in approximately one-third of patients and is more common in alcoholics; only some of these symptoms are usually present. Here we describe a case of an occasional neuroradiological finding of Wernicke Encephalopathy not related to symptoms or signs.
Keywords	wernicke ; encephalopathy ; non alcoholic ; Medicine (General) ; R5-920
Language	English
Publishing date	2018-12-01T00:00:00Z
Publisher	University of Sarajevo
Document type	Article ; Online
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