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Article: Neurological Manifestations of Long COVID: A Single-Center One-Year Experience [Response to Letter].

Taruffi, Lisa / Muccioli, Lorenzo / Bisulli, Francesca

2023 Volume 19, Page(s) 1985–1986

Language	English
Publishing date	2023-09-18
Publishing country	New Zealand
Document type	Journal Article ; Comment
ZDB-ID	2186503-6
ISSN	1178-2021 ; 1176-6328
ISSN (online)	1178-2021
ISSN	1176-6328
DOI	10.2147/NDT.S428682
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Article ; Online: Pseudohyperkalemia due to cryohydrocytosis in GLUT1 deficiency syndrome. A case report and literature review.

Furia, Alessandro / Muccioli, Lorenzo / Santucci, Margherita / Licchetta, Laura / Bisulli, Francesca

Epileptic disorders : international epilepsy journal with videotape

2023 Volume 25, Issue 3, Page(s) 410–415

Abstract: Cryohydrocytosis is a form of stomatocytosis characterized by the leakage of sodium and potassium from red blood cells at low temperatures, characterized by pseudohyperkalemia. Stomatin-deficient cryohydrocytosis is an extremely rare variant that only ... ...

Abstract	Cryohydrocytosis is a form of stomatocytosis characterized by the leakage of sodium and potassium from red blood cells at low temperatures, characterized by pseudohyperkalemia. Stomatin-deficient cryohydrocytosis is an extremely rare variant that only recently has been related to pathogenic variants in the SLC2A1 gene, encoding the main glucose transporter of the blood-brain barrier and red blood cells, GLUT1. It follows that GLUT1 deficiency syndrome, a rare but significant cause of metabolic epilepsy, may present with stomatin-deficient cryohydrocytosis, although this correlation has only been reported in a few instances. We present the case of a patient carrying a novel de novo SLC2A1 pathogenic variant presenting with GLUT1 deficiency syndrome, pseudohyperkalemia, and splenomegaly consistent with cryohydrocytosis. We also review the previously reported cases of stomatin-deficient cryohydrocytosis in the literature. As highlighted by our case, elevated potassium levels are a cause of concern, and GLUT1 deficiency syndrome patients are thus at risk of being subjected to unnecessary examinations; pseudohyperkalemia may be underrecognized in clinical practice.
MeSH term(s)	Humans ; Hyperkalemia/diagnosis ; Hyperkalemia/etiology ; Epilepsy/genetics ; Potassium/metabolism
Chemical Substances	Potassium (RWP5GA015D)
Language	English
Publishing date	2023-04-27
Publishing country	United States
Document type	Case Reports ; Review ; Journal Article
ZDB-ID	2086797-9
ISSN	1950-6945 ; 1294-9361
ISSN (online)	1950-6945
ISSN	1294-9361
DOI	10.1002/epd2.20039
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Zs.A 5740: Show issues			Location: Je nach Verfügbarkeit (siehe Angabe bei Bestand) bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular Jg. 1995 - 2021: Lesesall (2.OG) ab Jg. 2022: Lesesaal (EG)
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Article: Heart Rate Variability as a Tool for Seizure Prediction: A Scoping Review.

Mason, Federico / Scarabello, Anna / Taruffi, Lisa / Pasini, Elena / Calandra-Buonaura, Giovanna / Vignatelli, Luca / Bisulli, Francesca

Journal of clinical medicine

2024 Volume 13, Issue 3

Abstract: The most critical burden for People with Epilepsy (PwE) is represented by seizures, the unpredictability of which severely impacts quality of life. The design of real-time warning systems that can detect or even predict ictal events would enhance seizure ...

Abstract	The most critical burden for People with Epilepsy (PwE) is represented by seizures, the unpredictability of which severely impacts quality of life. The design of real-time warning systems that can detect or even predict ictal events would enhance seizure management, leading to high benefits for PwE and their caregivers. In the past, various research works highlighted that seizure onset is anticipated by significant changes in autonomic cardiac control, which can be assessed through heart rate variability (HRV). This manuscript conducted a scoping review of the literature analyzing HRV-based methods for detecting or predicting ictal events. An initial search on the PubMed database returned 402 papers, 72 of which met the inclusion criteria and were included in the review. These results suggest that seizure detection is more accurate in neonatal and pediatric patients due to more significant autonomic modifications during the ictal transitions. In addition, conventional metrics are often incapable of capturing cardiac autonomic variations and should be replaced with more advanced methodologies, considering non-linear HRV features and machine learning tools for processing them. Finally, studies investigating wearable systems for heart monitoring denoted how HRV constitutes an efficient biomarker for seizure detection in patients presenting significant alterations in autonomic cardiac control during ictal events.
Language	English
Publishing date	2024-01-27
Publishing country	Switzerland
Document type	Journal Article ; Review
ZDB-ID	2662592-1
ISSN	2077-0383
ISSN	2077-0383
DOI	10.3390/jcm13030747
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Article ; Online: EEG Glossary App: A first bilingual app for EEG terms.

Strigaro, Gionata / Meletti, Stefano / Mecarelli, Oriano / Tassi, Laura / Strigaro, Daniele / Bisulli, Francesca

Epileptic disorders : international epilepsy journal with videotape

2023 Volume 25, Issue 5, Page(s) 799–800

Language	English
Publishing date	2023-07-04
Publishing country	United States
Document type	Letter
ZDB-ID	2086797-9
ISSN	1950-6945 ; 1294-9361
ISSN (online)	1950-6945
ISSN	1294-9361
DOI	10.1002/epd2.20091
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Article ; Online: Did the COVID-19 pandemic silence the needs of people with epilepsy?

Granata, Tiziana / Bisulli, Francesca / Arzimanoglou, Alexis / Rocamora, Rodrigo

Epileptic disorders : international epilepsy journal with videotape

2020 Volume 22, Issue 4, Page(s) 439–442

Abstract: The COVID-19 pandemic shook European healthcare systems, with unavoidable gaps in the management of patients with chronic diseases. We describe the impact of the pandemic on epilepsy care in three tertiary epilepsy centres from Spain and Italy, the most ... ...

Abstract	The COVID-19 pandemic shook European healthcare systems, with unavoidable gaps in the management of patients with chronic diseases. We describe the impact of the pandemic on epilepsy care in three tertiary epilepsy centres from Spain and Italy, the most affected European countries. The three epilepsy centres, members of the European EpiCARE network, manage more than 5,700 people with epilepsy. In Bologna and Barcelona, the hospitals housing the epilepsy centres were fully converted into COVID-19 units. We describe the reorganization of the clinics and report on the frequency of SARS-CoV-2 in people with epilepsy as well as the frequency of seizures in patients admitted to the COVID units. Finally, we elaborate on critical issues regarding the second phase of the pandemic. The activities related to epilepsy care were reduced to less than 10% and were deprioritized. Discharges were expedited and elective epilepsy surgeries, including vagal nerve stimulator implantations, cancelled. Hospitalizations and EEG examinations were limited to emergencies. The outpatient visits for new patients were postponed, and follow-up visits mostly managed by telehealth. Antiseizure medication weaning plans and changes in vagal nerve stimulator settings were halted. Among the 5,700 people with epilepsy managed in our centres, only 14 tested positive for SARS-CoV-2, without obvious impact on their epilepsy. None of the 2,122 patients admitted to COVID units experienced seizures among the early symptoms. Epilepsy care was negatively impacted by the pandemic, irrespective of COVID-19 epidemiology or conversion of the hospital into a COVID-19 centre. The pandemic did not silence the needs of people with epilepsy, and this must be considered in the planning of the second phase.
MeSH term(s)	COVID-19 ; Coronavirus Infections/complications ; Electroencephalography/statistics & numerical data ; Epilepsy/complications ; Epilepsy/surgery ; Epilepsy/therapy ; Europe ; Health Services Needs and Demand/statistics & numerical data ; Health Services Needs and Demand/trends ; Hospital Units/organization & administration ; Hospitalization/statistics & numerical data ; Humans ; Italy ; Neurosurgical Procedures/statistics & numerical data ; Pandemics ; Pneumonia, Viral/complications ; Seizures/epidemiology ; Seizures/etiology ; Spain ; Telemedicine
Keywords	covid19
Language	English
Publishing date	2020-07-29
Publishing country	France
Document type	Journal Article
ZDB-ID	2086797-9
ISSN	1950-6945 ; 1294-9361
ISSN (online)	1950-6945
ISSN	1294-9361
DOI	10.1684/epd.2020.1175
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Article ; Online: MECP2

Cani, Ilaria / Muccioli, Lorenzo / Mignani, Francesco / Licchetta, Laura / Tinuper, Paolo / Provini, Federica / Bisulli, Francesca

Epilepsy & behavior reports

2022 Volume 19, Page(s) 100541

Abstract: MECP2 duplication syndrome (MDS) is a rare and severe neurodevelopmental disorder frequently associated with epilepsy. Different seizure types and electroencephalographic (EEG) patterns were described in patients with MDS, although it lacks a specific ... ...

Abstract	MECP2 duplication syndrome (MDS) is a rare and severe neurodevelopmental disorder frequently associated with epilepsy. Different seizure types and electroencephalographic (EEG) patterns were described in patients with MDS, although it lacks a specific phenotype. We report on an adult patient with long-term epilepsy showing an evolution of the EEG pattern that progressively changed into burst suppression (BS) during sleep. As BS has not been previously reported in MDS, this report expands the neurophysiological phenotype of MDS and further suggest the possible occurrence of a longitudinal spectrum of seizure types and EEG patterns in MDS.
Language	English
Publishing date	2022-04-19
Publishing country	United States
Document type	Case Reports
ISSN	2589-9864
ISSN (online)	2589-9864
DOI	10.1016/j.ebr.2022.100541
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Article ; Online: Clinical characterization of non-ketotic hyperglycemia-related seizures: A systematic review and individual participant data meta-analysis.

Licchetta, Laura / Ferri, Lorenzo / Morsillo, Filomena / Faustini-Fustini, Marco / Toni, Francesco / Pondrelli, Federica / Nonino, Francesco / Bisulli, Francesca / Tinuper, Paolo

Seizure

2023 Volume 106, Page(s) 50–57

Abstract: New-onset epileptic seizures and status epilepticus (SE) are the most frequent neurological manifestations of non-ketotic hyperglycemia (NKH), an acute complication of diabetes mellitus (DM). Treatment consists of the correction of the underlying ... ...

Abstract	New-onset epileptic seizures and status epilepticus (SE) are the most frequent neurological manifestations of non-ketotic hyperglycemia (NKH), an acute complication of diabetes mellitus (DM). Treatment consists of the correction of the underlying metabolic disorder, whereas anti-seizure medications (ASMs) may even worsen seizures. Evidence on NKH-related seizures is currently restricted to case reports and small case-series. We conducted a systematic review of the PubMed, Embase, and Cochrane Library databases to provide a comprehensive description of NKH-related seizures. Statistical analyses were performed to explore possible associations of glycemic and osmolarity levels with clinical variables. We selected 130 publications and 332 patients (186 males, mean age: 61.1 years). DM was newly-diagnosed in 40%. Mean glycemia and osmolarity levels at presentation were 529.7 mg/dL and 309.6 mmol/mol, respectively; 22.6% showed other neurological symptoms besides seizures. Focal motor seizures were the prominent seizure type (49.4%); non-motor focal seizures (23.2%) most commonly manifested as visual symptoms. Reflex seizures occurred in 10.5%. Brain MRI in 48.7% of cases showed focal T2 subcortical hypodensity and/or overlying cortical T2 hyperintensity with DWI restriction. ASMs were administered in 54.2% of cases, achieving seizure control in just 18.3%. Higher osmolarity levels were associated with newly-diagnosed DM (p = 0.002) and other symptoms at presentation (p < 0.001). Glycemic values were higher in patients with focal aware seizures with motor onset compared to those with focal seizures without motor onset (p = 0.0046) or focal seizures with impaired awareness (p = 0.0306). Lower glycemic values were associated with reflex seizures (p = 0.036) and ASM administration (p < 0.001). NKH-related seizures should be suspected in adults with new-onset clustering focal seizures arising from the motor or posterior cortices, even in the absence of a history of DM. Typical focal changes on brain MRI, while not pathognomonic, can drive the clinical diagnosis. Statistical associations suggest a key role of hyperglycemia in the excitability of higher-energy-demanding cortical areas.
MeSH term(s)	Male ; Adult ; Humans ; Middle Aged ; Epilepsy/complications ; Hyperglycemia/complications ; Hyperglycemia/drug therapy ; Epilepsies, Partial/drug therapy ; Status Epilepticus/complications ; Ketosis
Language	English
Publishing date	2023-01-27
Publishing country	England
Document type	Systematic Review ; Meta-Analysis ; Journal Article ; Review
ZDB-ID	1137610-7
ISSN	1532-2688 ; 1059-1311
ISSN (online)	1532-2688
ISSN	1059-1311
DOI	10.1016/j.seizure.2023.01.018
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Article ; Online: Fingerprick volumetric absorptive microsampling for therapeutic drug monitoring of antiseizure medications: Reliability and real-life feasibility in epilepsy patients.

Cancellerini, Chiara / Belotti, Laura Maria Beatrice / Mohamed, Susan / Solda', Martina / Esposito, Erika / Bisulli, Francesca / Mostacci, Barbara / Vignatelli, Luca / Tinuper, Paolo / Contin, Manuela / Licchetta, Laura

Journal of pharmaceutical and biomedical analysis

2024 Volume 242, Page(s) 116065

Abstract: ... Passing-Bablok regression. We enrolled 301 PWE (M: F 42.5%:57.5%; mean age 44±16 years), treated with 13 ...

Abstract	Volumetric absorptive microsampling (VAMS) is increasingly proposed as a clinically reliable therapeutic drug monitoring (TDM) sampling methodology. The study aimed to establish the reliability and real-life feasibility of patient self-collected capillary VAMS for TDM of antiseizure medication (ASMs), using plasma ASMs concentrations from venous blood as a reference standard. Nurses collected venous and capillary blood samples using VAMS. Afterward, persons with epilepsy (PWE) performed VAMS sampling by themselves. All samples were analyzed by UHPLC-MS/MS. We performed a cross-validation study, comparing ASMs concentrations obtained by VAMS nurses and patients' self-collected versus plasma through Bland-Altman analysis and Passing-Bablok regression. We enrolled 301 PWE (M: F 42.5%:57.5%; mean age 44±16 years), treated with 13 ASMs, providing a total of 464 measurements. Statistical analysis comparing VAMS self-collected versus plasma ASMs concentrations showed a bias close to zero and slope and intercept values indicating a good agreement for CBZ, LCS, LEV, LTG, OXC, PB, and PHT, while a systematic difference between the two methods was found for VPA, PMP, TPM and ZNS. This is the first study showing the reliability and feasibility of the real-world application of PWE self-collected VAMS for most of the ASMs considered, giving a promising basis for at-home VAMS applications.
MeSH term(s)	Humans ; Adult ; Middle Aged ; Tandem Mass Spectrometry/methods ; Drug Monitoring/methods ; Reproducibility of Results ; Feasibility Studies ; Blood Specimen Collection/methods ; Dried Blood Spot Testing/methods ; Epilepsy/drug therapy
Language	English
Publishing date	2024-02-21
Publishing country	England
Document type	Journal Article
ZDB-ID	604917-5
ISSN	1873-264X ; 0731-7085
ISSN (online)	1873-264X
ISSN	0731-7085
DOI	10.1016/j.jpba.2024.116065
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Article ; Online: Traduzione e adattamento alla lingua italiana del glossario dei termini più comunemente usati dagli elettroencefalografisti clinici e proposta per il formato del referto EEG (Revisione IFCN 2017).

Strigaro, Gionata / Bisulli, Francesca / Assenza, Giovanni / Mecarelli, Oriano / Grippo, Antonello / Meletti, Stefano

Clinical neurophysiology practice

2022 Volume 7, Page(s) 325–365

Language	English
Publishing date	2022-11-08
Publishing country	Netherlands
Document type	Journal Article ; Review
ISSN	2467-981X
ISSN (online)	2467-981X
DOI	10.1016/j.cnp.2022.09.006
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Article ; Online: Syndrome of inappropriate antidiuresis as a maladaptive stress response shared by coronavirus disease 2019 and other cytokine storm disorders.

Muccioli, Lorenzo / Pensato, Umberto / Guarino, Maria / Bisulli, Francesca / Faustini Fustini, Marco

European journal of internal medicine

2022 Volume 103, Page(s) 113–114

MeSH term(s)	COVID-19 ; Cytokine Release Syndrome ; Humans ; Inappropriate ADH Syndrome ; SARS-CoV-2
Language	English
Publishing date	2022-05-30
Publishing country	Netherlands
Document type	Letter
ZDB-ID	1038679-8
ISSN	1879-0828 ; 0953-6205
ISSN (online)	1879-0828
ISSN	0953-6205
DOI	10.1016/j.ejim.2022.05.031
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