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  1. Article ; Online: Gait Analysis in Idiopathic Normal Pressure Hydrocephalus: A Meta-Analysis.

    Passaretti, Massimiliano / Maranzano, Alessio / Bluett, Brent / Rajalingam, Rajasumi / Fasano, Alfonso

    Movement disorders clinical practice

    2023  Volume 10, Issue 11, Page(s) 1574–1584

    Abstract: Background: Gait analysis objectively quantifies gait impairment in idiopathic normal pressure hydrocephalus (iNPH), may improve diagnosis and evaluation for surgical candidacy.: Objectives: This meta-analysis aims to understand which objective gait ... ...

    Abstract Background: Gait analysis objectively quantifies gait impairment in idiopathic normal pressure hydrocephalus (iNPH), may improve diagnosis and evaluation for surgical candidacy.
    Objectives: This meta-analysis aims to understand which objective gait parameters improve after tap-test (TT) and CSF shunt surgery (CSS), also comparing responders (R) with non-responders (NR) and to assess if gait restores within the range of healthy controls after procedures.
    Methods: Studies enrolling iNPH with at least one instrumented gait measure were selected. Three time points of gait assessment were defined: PRE, POST-TT, and POST-CSS. Gait velocity, cadence, step length, stride length, and double limb support time were evaluated. Patients were categorized based on responsiveness to CSF diversion procedures.
    Results: Seventeen studies including 527 patients were selected. iNPH improved significantly in almost all gait parameters POST-TT, and to a greater extent POST-CSS. Gait parameters consistently discriminated iNPH from healthy controls. Despite the aforementioned improvements, iNPH's gait did not completely normalize after CSF diversion procedures. Meta-regression analysis also revealed that TT's effect on gait velocity plateaus after 24-48 hr and returns to baseline in 90-100 hr.
    Conclusions: Gait analysis is a reliable quantitative instrument to assess gait impairment in iNPH, demarking a net differentiation from healthy controls, according to the notion that the iNPH CSF dynamic alteration also leads to an irreversible damage. Specific gait parameters improve among TT-R, providing an opportunity to select patients that will respond to CSS. Future studies validating a standardized reporting method including criteria of responsiveness, specific gait parameters, and timeframe of assessment are needed.
    Language English
    Publishing date 2023-10-02
    Publishing country United States
    Document type Journal Article ; Review
    ISSN 2330-1619
    ISSN (online) 2330-1619
    DOI 10.1002/mdc3.13816
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  2. Article ; Online: Longitudinal feasibility of the Montreal Cognitive Assessment (MoCA) in non-demented ALS patients.

    Aiello, Edoardo Nicolò / Solca, Federica / Torre, Silvia / Colombo, Eleonora / Maranzano, Alessio / De Lorenzo, Alberto / Patisso, Valerio / Treddenti, Mauro / Curti, Beatrice / Morelli, Claudia / Doretti, Alberto / Verde, Federico / Ferrucci, Roberta / Barbieri, Sergio / Ruggiero, Fabiana / Priori, Alberto / Silani, Vincenzo / Ticozzi, Nicola / Poletti, Barbara

    European neurology

    2024  

    Abstract: Introduction: The present study aimed at testing the longitudinal feasibility of the Montreal Cognitive Assessment (MoCA) in an Italian cohort of non-demented amyotrophic lateral sclerosis (ALS) patients.: Methods: N=39 non-demented ALS patients were ...

    Abstract Introduction: The present study aimed at testing the longitudinal feasibility of the Montreal Cognitive Assessment (MoCA) in an Italian cohort of non-demented amyotrophic lateral sclerosis (ALS) patients.
    Methods: N=39 non-demented ALS patients were followed-up at a 5-to-10-month interval (M=6.8; SD=1.4) with the MoCA and the Edinburgh Cognitive and Behavioral ALS Screen (ECAS). Practice effects, test-retest reliability and predictive validity (against follow-up ECAS scores) were assessed. Reliable change indices (RCIs) were derived via a regression-based approach by accounting for retest interval and baseline confounders (i.e., demographics, disease duration and severity and progression rate).
    Results: At retest, 100% and 69.2% of patients completed the ECAS and the MoCA, respectively. Patients who could not complete the MoCA showed a slightly more severe and fast-progressing disease. The MoCA was not subject to practice effects (t(32)=-.80; p=.429) and was reliable at retest (ICC=.82). Moreover, baseline MoCA scores predicted the ECAS at retest. RCIs were successfully derived - with baseline MoCA scores being the only significant predictor of retest performances (ps<.001).
    Conclusions: As long as motor disabilities do not undermine its applicability, the MoCA appears to be longitudinally feasible at a 5-to-10-month interval in non-demented ALS patients. However, ALS-specific screeners - such as the ECAS - should be preferred whenever possible.
    Language English
    Publishing date 2024-04-20
    Publishing country Switzerland
    Document type News
    ZDB-ID 209426-5
    ISSN 1421-9913 ; 0014-3022
    ISSN (online) 1421-9913
    ISSN 0014-3022
    DOI 10.1159/000538828
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  3. Article ; Online: Coexistence of Amyotrophic Lateral Sclerosis and Alzheimer's Disease: Case Report and Review of the Literature.

    Verde, Federico / Aiello, Edoardo Nicolò / Adobbati, Laura / Poletti, Barbara / Solca, Federica / Tiloca, Cinzia / Sangalli, Davide / Maranzano, Alessio / Muscio, Cristina / Ratti, Antonia / Zago, Stefano / Ticozzi, Nicola / Frisoni, Giovanni Battista / Silani, Vincenzo

    Journal of Alzheimer's disease : JAD

    2023  Volume 95, Issue 4, Page(s) 1383–1399

    Abstract: We describe a case of amyotrophic lateral sclerosis (ALS) associated with Alzheimer's disease (AD) and review the literature about the coexistence of the two entities, highlighting the following: mean age at onset is 63.8 years, with slight female ... ...

    Abstract We describe a case of amyotrophic lateral sclerosis (ALS) associated with Alzheimer's disease (AD) and review the literature about the coexistence of the two entities, highlighting the following: mean age at onset is 63.8 years, with slight female predominance; ALS tends to manifest after cognitive impairment and often begins in the bulbar region; average disease duration is 3 years; cognitive phenotype is mostly amnestic; the pattern of brain involvement is, in most cases, consistent with AD. Our case and the reviewed ones suggest that patients with ALS and dementia lacking unequivocal features of FTD should undergo additional examinations in order to recognize AD.
    MeSH term(s) Humans ; Female ; Male ; Amyotrophic Lateral Sclerosis/complications ; Amyotrophic Lateral Sclerosis/diagnosis ; Amyotrophic Lateral Sclerosis/genetics ; Alzheimer Disease/diagnosis ; Alzheimer Disease/diagnostic imaging ; Cognitive Dysfunction/complications ; Brain/diagnostic imaging ; Frontotemporal Dementia/complications ; Frontotemporal Dementia/diagnostic imaging ; Frontotemporal Dementia/genetics
    Language English
    Publishing date 2023-09-11
    Publishing country Netherlands
    Document type Review ; Case Reports ; Letter ; Research Support, Non-U.S. Gov't
    ZDB-ID 1440127-7
    ISSN 1875-8908 ; 1387-2877
    ISSN (online) 1875-8908
    ISSN 1387-2877
    DOI 10.3233/JAD-230562
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  4. Article ; Online: Regional spreading pattern is associated with clinical phenotype in amyotrophic lateral sclerosis.

    Maranzano, Alessio / Verde, Federico / Colombo, Eleonora / Poletti, Barbara / Doretti, Alberto / Bonetti, Ruggero / Gagliardi, Delia / Meneri, Megi / Maderna, Luca / Messina, Stefano / Corti, Stefania / Morelli, Claudia / Silani, Vincenzo / Ticozzi, Nicola

    Brain : a journal of neurology

    2023  Volume 146, Issue 10, Page(s) 4105–4116

    Abstract: Increasing evidence shows that disease spreading in amyotrophic lateral sclerosis (ALS) follows a preferential pattern with more frequent involvement of contiguous regions from the site of symptom onset. The aim of our study was to assess if: (i) the ... ...

    Abstract Increasing evidence shows that disease spreading in amyotrophic lateral sclerosis (ALS) follows a preferential pattern with more frequent involvement of contiguous regions from the site of symptom onset. The aim of our study was to assess if: (i) the burden of upper (UMN) and lower motor neuron (LMN) involvement influences directionality of disease spreading; (ii) specific patterns of disease progression are associated with motor and neuropsychological features of different ALS subtypes (classic, bulbar, primary lateral sclerosis, UMN-predominant, progressive muscular atrophy, flail arm, flail leg); and (iii) specific clinical features may help identify ALS subtypes, which remain localized to the site of onset for a prolonged time (regionally entrenching ALS). A single-centre, retrospective cohort of 913 Italian ALS patients was evaluated to assess correlations between directionality of the disease process after symptom onset and motor/neuropsychological phenotype. All patients underwent an extensive evaluation including the following clinical scales: Penn Upper Motor Neuron Score (PUMNS), MRC Scale for Muscle Strength and the Edinburgh Cognitive and Behavioural ALS Screen (ECAS). The most frequent initial spreading pattern was that towards adjacent horizontal regions (77.3%), which occurred preferentially in patients with lower MRC scores (P = 0.038), while vertical diffusion (21.1%) was associated with higher PUMNS (P < 0.001) and with reduced survival (P < 0.001). Non-contiguous disease spreading was associated with more severe UMN impairment (P = 0.003), while contiguous disease pattern with lower MRC scores. Furthermore, non-contiguous disease spreading was associated with more severe cognitive impairment in both executive and visuospatial ECAS domains. Individuals with regionally entrenching ALS were more frequently female (45.6% versus 36.9%; P = 0.028) and had higher frequencies of symmetric disease onset (40.3% versus 19.7%; P < 0.001) and bulbar phenotype (38.5% versus 16.4%; P < 0.001). Our study suggests that motor phenotypes characterized by a predominant UMN involvement are associated with a vertical pattern of disease progression reflecting ipsilateral spreading within the motor cortex, while those with predominant LMN involvement display more frequently a horizontal spreading from one side of the spinal cord to the other. These observations raise the hypothesis that one of the mechanisms underlying disease spreading in ALS pathology is represented by diffusion of toxic factors in the neuron microenvironment. Finally, it is possible that in our cohort, regionally entrenching ALS forms are mainly observed in patients with atypical bulbar phenotypes, characterized by a slowly progressive course and relatively benign prognosis.
    MeSH term(s) Humans ; Female ; Amyotrophic Lateral Sclerosis/pathology ; Retrospective Studies ; Motor Neurons/pathology ; Phenotype ; Disease Progression
    Language English
    Publishing date 2023-04-17
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 80072-7
    ISSN 1460-2156 ; 0006-8950
    ISSN (online) 1460-2156
    ISSN 0006-8950
    DOI 10.1093/brain/awad129
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  5. Article: The impact of upper motor neuron involvement on clinical features, disease progression and prognosis in amyotrophic lateral sclerosis.

    Colombo, Eleonora / Gentile, Francesco / Maranzano, Alessio / Doretti, Alberto / Verde, Federico / Olivero, Marco / Gagliardi, Delia / Faré, Matteo / Meneri, Megi / Poletti, Barbara / Maderna, Luca / Corti, Stefania / Corbo, Massimo / Morelli, Claudia / Silani, Vincenzo / Ticozzi, Nicola

    Frontiers in neurology

    2023  Volume 14, Page(s) 1249429

    Language English
    Publishing date 2023-09-26
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2564214-5
    ISSN 1664-2295
    ISSN 1664-2295
    DOI 10.3389/fneur.2023.1249429
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  6. Article ; Online: Influence of kidney function and CSF/serum albumin ratio on plasma Aβ42 and Aβ40 levels measured on a fully automated platform in patients with Alzheimer's disease.

    Verde, Federico / Milone, Ilaria / Dubini, Antonella / Colombrita, Claudia / Perego, Alberto / Solca, Federica / Maranzano, Alessio / Ciusani, Emilio / Poletti, Barbara / Ratti, Antonia / Torresani, Erminio / Silani, Vincenzo / Ticozzi, Nicola

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

    2023  Volume 44, Issue 9, Page(s) 3287–3290

    Abstract: Introduction: Alzheimer's disease  (AD) is characterized by decreased cerebrospinal fluid (CSF) Aβ42 and Aβ42/Aβ40 ratio. Aβ peptides can now be measured also in plasma and are promising peripheral biomarkers for AD. We evaluated the relationships of ... ...

    Abstract Introduction: Alzheimer's disease  (AD) is characterized by decreased cerebrospinal fluid (CSF) Aβ42 and Aβ42/Aβ40 ratio. Aβ peptides can now be measured also in plasma and are promising peripheral biomarkers for AD. We evaluated the relationships of plasma Aβ species with their CSF counterparts, kidney function, and serum/CSF albumin ratio (Q-Alb) in AD patients.
    Materials and methods: We measured plasma Aβ42 and Aβ40, as well as CSF AD biomarkers, with the fully automated Lumipulse platform in a cohort of N = 30 patients with clinical and neurochemical diagnosis of AD.
    Results: The two plasma Aβ peptides correlated strongly with each other (r = 0.7449), as did the corresponding CSF biomarkers (r = 0.7670). On the contrary, the positive correlations of plasma Aβ42, Aβ40, and Aβ42/Aβ40 ratio with their CSF counterparts and the negative correlation of plasma Aβ42/Aβ40 ratio with CSF P-tau181 were not statistically significant. Plasma levels of both Aβ species negatively correlated with estimated glomerular filtration rate (eGFR) (Aβ42: r = -0.4138; Aβ40: r = -0.6015), but plasma Aβ42/Aβ40 ratio did not. Q-Alb did not correlate with any plasma Aβ parameter.
    Discussion: Plasma Aβ42 and Aβ40 are critically influenced by kidney function; however, their ratio is advantageously spared from this effect. The lack of significant correlations between plasma Aβ species and their CSF counterparts is probably mainly due to small sample size and inclusion of only Aβ + individuals. Q-Alb is not a major determinant of plasma Aβ concentrations, highlighting the uncertainties about mechanisms of Aβ transfer between CNS and periphery.
    MeSH term(s) Humans ; Alzheimer Disease/diagnosis ; Serum Albumin ; Amyloid beta-Peptides/cerebrospinal fluid ; Peptide Fragments/cerebrospinal fluid ; Biomarkers ; Kidney
    Chemical Substances amyloid beta-protein (1-42) ; Serum Albumin ; Amyloid beta-Peptides ; Peptide Fragments ; Biomarkers
    Language English
    Publishing date 2023-06-07
    Publishing country Italy
    Document type Journal Article
    ZDB-ID 2016546-8
    ISSN 1590-3478 ; 1590-1874
    ISSN (online) 1590-3478
    ISSN 1590-1874
    DOI 10.1007/s10072-023-06882-x
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  7. Article ; Online: Frontotemporal-spectrum disorders and functional independence in non-demented ALS patients.

    Aiello, Edoardo Nicolò / Solca, Federica / Torre, Silvia / Gentile, Francesco / Scheveger, Francesco / Olivero, Marco / Colombo, Eleonora / Maranzano, Alessio / Manzoni, Martina / Morelli, Claudia / Doretti, Alberto / Verde, Federico / Silani, Vincenzo / Ticozzi, Nicola / Poletti, Barbara

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

    2023  Volume 45, Issue 3, Page(s) 1087–1095

    Abstract: Background: The present study aimed at determining whether, net of motor confounders, neuropsychological features affect functional independence (FI) in activities of daily living (ADLs) in non-demented amyotrophic lateral sclerosis (ALS) patients.: ... ...

    Abstract Background: The present study aimed at determining whether, net of motor confounders, neuropsychological features affect functional independence (FI) in activities of daily living (ADLs) in non-demented amyotrophic lateral sclerosis (ALS) patients.
    Methods: N = 88 ALS patients without frontotemporal dementia were assessed for FI-Katz's Basic ADL Scale (BADL) and Lawton-Brody's Instrumental ADL Scale (IADL)-, cognition-Edinburgh Cognitive and Behavioural ALS Screen (ECAS)-and behaviour-Beaumont Behavioural Inventory and Dimensional Apathy Scale. The association between cognitive and behavioural measures and BADL/IADL scores was assessed by covarying for demographics, anxiety and depression levels, disease duration and motor confounders-i.e. ALS Functional Rating Scale-Revised (ALSFRS-R) scores, progression rate and both King's and Milano-Torino stages.
    Results: Higher scores on the ECAS-Language were associated with higher IADL scores (p = 0.005), whilst higher apathetic features-as measured by the Dimensional Apathy Scale (DAS)-were inversely related to the BADL (p = 0.003). Whilst IADL scores were related to all ECAS-Language tasks, the DAS-Initiation was the only subscale associated with BADL scores. Patients with abnormal ECAS-Language (p = 0.023) and DAS (p = 0.008) scores were more functionally dependent than those without.
    Discussion: Among non-motor features, language changes and apathetic features detrimentally affect FI in non-demented ALS patients.
    MeSH term(s) Humans ; Amyotrophic Lateral Sclerosis ; Activities of Daily Living ; Functional Status ; Neuropsychological Tests ; Frontotemporal Dementia ; Cognition
    Language English
    Publishing date 2023-09-29
    Publishing country Italy
    Document type Journal Article
    ZDB-ID 2016546-8
    ISSN 1590-3478 ; 1590-1874
    ISSN (online) 1590-3478
    ISSN 1590-1874
    DOI 10.1007/s10072-023-07074-3
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  8. Article: Bulbar involvement and cognitive features in amyotrophic lateral sclerosis: a retrospective study on 347 patients.

    Aiello, Edoardo Nicolò / Solca, Federica / Torre, Silvia / Patisso, Valerio / De Lorenzo, Alberto / Treddenti, Mauro / Colombo, Eleonora / Maranzano, Alessio / Morelli, Claudia / Doretti, Alberto / Verde, Federico / Silani, Vincenzo / Ticozzi, Nicola / Poletti, Barbara

    Frontiers in aging neuroscience

    2023  Volume 15, Page(s) 1217080

    Abstract: Background: This study aimed at clarifying the role of bulbar involvement (BI) as a risk factor for cognitive impairment (CI) in non-demented amyotrophic lateral sclerosis (ALS) patients.: Methods: Data on : Results: No predictors yielded ... ...

    Abstract Background: This study aimed at clarifying the role of bulbar involvement (BI) as a risk factor for cognitive impairment (CI) in non-demented amyotrophic lateral sclerosis (ALS) patients.
    Methods: Data on
    Results: No predictors yielded significance either on the ECAS-Total and -ALS-non-specific or on ECAS-Language/-Fluency or -Visuospatial subscales. BI at testing predicted a higher probability of an abnormal performance on the ECAS-ALS-specific (
    Discussion: In ALS, the occurrence of BI itself, while neither its specific features nor its presence at onset, might selectively represent a risk factor for executive impairment, whilst its severity might be associated with memory deficits.
    Language English
    Publishing date 2023-07-20
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2558898-9
    ISSN 1663-4365
    ISSN 1663-4365
    DOI 10.3389/fnagi.2023.1217080
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  9. Article ; Online: Correction to: Motor, cognitive and behavioural profiles of C9orf72 expansion-related amyotrophic lateral sclerosis.

    Colombo, Eleonora / Poletti, Barbara / Maranzano, Alessio / Peverelli, Silvia / Solca, Federica / Colombrita, Claudia / Torre, Silvia / Tiloca, Cinzia / Verde, Federico / Bonetti, Ruggero / Carelli, Laura / Morelli, Claudia / Ratti, Antonia / Silani, Vincenzo / Ticozzi, Nicola

    Journal of neurology

    2023  Volume 270, Issue 6, Page(s) 3284–3285

    Language English
    Publishing date 2023-03-13
    Publishing country Germany
    Document type Published Erratum
    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/s00415-023-11651-z
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  10. Article ; Online: Correction to: Correlation between clinical phenotype and electromyographic parameters in amyotrophic lateral sclerosis.

    Colombo, Eleonora / Doretti, Alberto / Scheveger, Francesco / Maranzano, Alessio / Pata, Giulia / Gagliardi, Delia / Meneri, Megi / Messina, Stefano / Verde, Federico / Morelli, Claudia / Corti, Stefania / Maderna, Luca / Silani, Vincenzo / Ticozzi, Nicola

    Journal of neurology

    2023  Volume 270, Issue 6, Page(s) 3286–3287

    Language English
    Publishing date 2023-03-13
    Publishing country Germany
    Document type Published Erratum
    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/s00415-023-11652-y
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