Article
Clinical Neurology
Julia Bungenberg, Karen Humkamp, Christian Hohenfeld, Marcus Immanuel Rust, Ummehan Ermis, Michael Dreher, Niels-Ulrik Korbinian Hartmann, Gernot Marx, Ferdinand Binkofski, Carsten Finke, Joerg B. Schulz, Ana Sofia Costa, Kathrin Reetz
Summary: This study aimed to compare persisting self-reported symptoms in initially hospitalized and non-hospitalized patients after SARS-CoV-2 infection. The results showed that patients in both groups may experience mild deficits in cognitive and memory functions, and fatigue severity was associated with reduced performance in attention and quality of life, as well as more persisting symptoms. MRI examination revealed microbleeds exclusively in hospitalized patients.
ANNALS OF CLINICAL AND TRANSLATIONAL NEUROLOGY
(2022)
Article
Biochemistry & Molecular Biology
Paola Ortelli, Angelica Quercia, Antonio Cerasa, Sabrina Dezi, Davide Ferrazzoli, Luca Sebastianelli, Leopold Saltuari, Viviana Versace, Angelo Quartarone, Marco Marino
Summary: This study investigates the brain source activity in post-COVID-19 syndrome (PCS) patients and finds that PCS patients exhibit alterations in neurocognitive symptoms and fatigue. The results suggest a dysfunction in the neuronal networks involved in executive functions in PCS patients, which may contribute to their complaints of fatigue and cognitive impairment.
Article
Radiology, Nuclear Medicine & Medical Imaging
Rafael Heiss, Lina Tan, Sandy Schmidt, Adrian P. Regensburger, Franziska Ewert, Dilbar Mammadova, Adrian Buehler, Jens Vogel-Claussen, Andreas Voskrebenzev, Manfred Rauh, Oliver Rompel, Armin M. Nagel, Simon Levy, Sebastian Bickelhaupt, Matthias S. May, Michael Uder, Markus Metzler, Regina Trollmann, Joachim Woelfle, Alexandra L. Wagner, Ferdinand Knieling
Summary: This study used low-field-strength MRI to characterize the morphologic and functional changes in lung tissue of children and adolescents with long COVID. The results suggest that low-field-strength MRI can help identify persistent pulmonary manifestations in this population.
Article
Clinical Neurology
Caterina Pistarini, Elena Fiabane, Elise Houdayer, Claudio Vassallo, Marina Rita Manera, Federica Alemanno
Summary: This study aimed to evaluate cognitive deficits and emotional distress among COVID-19 and post-COVID-19 patients requiring functional rehabilitation. Post-COVID-19 patients showed better cognitive performance in certain aspects but higher levels of emotional distress. Therefore, tailored rehabilitation focusing on cognitive training and psychological support is essential for COVID-19 patients during the recovery process.
FRONTIERS IN NEUROLOGY
(2021)
Article
Clinical Neurology
Giovanni Furlanis, Alex Buoite Stella, Francesco Biaduzzini, Giulia Bellavita, Nicolo Arjuna Frezza, Sasha Olivo, Alina Menichelli, Alberta Lunardelli, Milos Ajcevic, Paolo Manganotti
Summary: This study aimed to investigate EEG alterations in individuals with self-reported cognitive deficit after COVID-19. Among 90 patients attending a post-COVID neurology service, 20 patients with brain fog 4 weeks after non-severe COVID-19 infection were studied. EEG analysis revealed abnormalities in 65% of the sample, with 69% showing slowing activity and 31% presenting epileptic discharges in frontal areas. None of the patients exhibited DWI MRI lesions.
NEUROLOGICAL SCIENCES
(2023)
Article
Medicine, Research & Experimental
Tian Tian, Jinfeng Wu, Tao Chen, Jia Li, Su Yan, Yiran Zhou, Xiaolong Peng, Yuanhao Li, Ning Zheng, Aoling Cai, Qin Ning, Hongbing Xiang, Fuqiang Xu, Yuanyuan Qin, Wenzhen Zhu, Jie Wang
Summary: This study investigates the long-term effects of COVID-19 on the brain in discharged patients. The findings show both recoverable and long-term unrecovered changes in the brain, highlighting the importance of understanding long COVID and providing early clinical guidance for complete recovery.
Review
Clinical Neurology
Bruno Biagianti, Davide Bigoni, Eleonora Maggioni, Paolo Brambilla
Summary: Cognitive Remediation (CR) has varying effects on patients with major psychotic disorders (MPD), and neuroimaging-based biomarkers can predict treatment response. Auditory mismatch negativity, auditory steady-state response, gray matter morphology, white matter microstructure, and task-based fMRI can predict response to CR, while other biomarkers require further research.
JOURNAL OF AFFECTIVE DISORDERS
(2022)
Article
Clinical Neurology
Zhitao Li, Zhen Zhang, Zhuoya Zhang, Zhiyong Wang, Hao Li
Summary: COVID-19 may lead to cognitive impairment, including memory and attention deficits as well as sleep disturbances, which are associated with brain damage, neuroinflammation, and mitochondrial dysfunction. Large-scale follow-up studies are necessary to understand the impact of COVID-19 on cognitive function and provide evidence for clinical treatment and rehabilitation practices.
FRONTIERS IN NEUROLOGY
(2023)
Article
Clinical Neurology
Min Lang, Yuh-Shin Chang, William A. Mehan, Sandra P. Rincon, Karen Buch
Summary: Long-term neurological manifestations of COVID-19 are increasingly being reported, with COVID-19-related leukoencephalopathy potentially leading to chronic deficits, irreversible white matter damage, and poor prognostication of neurologic recovery.
Editorial Material
Medicine, General & Internal
Varun Venkataramani, Frank Winkler
Summary: A study on the neural effects of brain fog after mild SARS-CoV-2 infection reveals neuroinflammation in a mouse model, identifies a potential biomarker, and offers a framework for further investigation.
NEW ENGLAND JOURNAL OF MEDICINE
(2022)
Article
Medicine, General & Internal
Virginie Lambrecq, Aurelie Hanin, Esteban Munoz-Musat, Lydia Chougar, Salimata Gassama, Cecile Delorme, Louis Cousyn, Alaina Borden, Maria Damiano, Valerio Frazzini, Gilles Huberfeld, Frank Landgraf, Vi-Huong Nguyen-Michel, Phintip Pichit, Aude Sangare, Mario Chavez, Capucine Morelot-Panzini, Elise Morawiec, Mathieu Raux, Charles-Edouard Luyt, Pierre Rufat, Damien Galanaud, Jean-Christophe Corvol, Catherine Lubetzki, Benjamin Rohaut, Sophie Demeret, Nadya Pyatigorskaya, Lionel Naccache, Vincent Navarro
Summary: This retrospective cohort study in France investigated clinical, biological, and brain MRI findings in relation to EEG features for hospitalized adults with COVID-19, identifying patterns that could help guide treatment strategies for COVID-19-related encephalopathy.
Article
Clinical Neurology
Mohammad Ali Salehinejad, Anita Azarkolah, Elham Ghanavati, Michael A. Nitsche
Summary: The COVID-19 pandemic has brought extraordinary and unpredictable changes to our lifestyle, negatively affecting core aspects of wellbeing including behavior, emotion, cognition, and social interactions. Sleep difficulties and circadian misalignment are common consequences of the pandemic, requiring interventions for different populations.
Article
Critical Care Medicine
Henriikka Ollila, Riikka Pihlaja, Sanna Koskinen, Annamari Tuulio-Henriksson, Viljami Salmela, Marjaana Tiainen, Laura Hokkanen, Johanna Hastbacka
Summary: This study found that cognitive impairment is a common post-acute sequela of COVID-19, with the most severe impairment observed in patients admitted to the ICU. Among patients with more than 12 years of education, attention and executive functions were particularly affected, especially in male patients.
Article
Clinical Neurology
Andrea Pilotto, Viviana Cristillo, Stefano Cotti Piccinelli, Nicola Zoppi, Giulio Bonzi, Davide Sattin, Silvia Schiavolin, Alberto Raggi, Antonio Canale, Stefano Gipponi, Ilenia Libri, Martina Frigerio, Michela Bezzi, Matilde Leonardi, Alessandro Padovani
Summary: Long-term neurological manifestations have been observed in both hospitalised and non-hospitalised COVID-19 patients. Factors such as age, comorbidities, and severity of SARS-CoV-2 infection are independent predictors of long-term neurological symptoms in survivors after 6 months of hospitalisation.
NEUROLOGICAL SCIENCES
(2021)
Article
Cardiac & Cardiovascular Systems
Enrico Ammirati, Laura Lupi, Matteo Palazzini, Nicholas S. Hendren, Justin L. Grodin, Carlo Cannistraci, Matthieu Schmidt, Guillaume Hekimian, Giovanni Peretto, Thomas Bochaton, Ahmad Hayek, Nicolas Piriou, Sergio Leonardi, Stefania Guida, Annalisa Turco, Simone Sala, Aitor Uribarri, Caroline M. Van de Heyning, Massimo Mapelli, Jeness Campodonico, Patrizia Pedrotti, Maria Isabel Barrionuevo Sanchez, Albert Ariza Sole, Marco Marini, Maria Vittoria Matassini, Mickael Vourc'h, Antonio Cannata, Daniel Bromage, Daniele Briguglia, Jorge Salamanca, Pablo Diez-Villanueva, Jukka Lehtonen, Florent Huang, Stephanie Russel, Francesco Soriano, Fabrizio Turrini, Manlio Cipriani, Manuela Bramerio, Mattia Di Pasquale, Aurelia Grosu, Michele Senni, Davide Farina, Piergiuseppe Agostoni, Stefania Rizzo, Monica De Gaspari, Francesca Marzo, Jason M. Duran, Eric D. Adler, Cristina Giannattasio, Cristina Basso, Theresa McDonagh, Mathieu Kerneis, Alain Combes, Paolo G. Camici, James A. de Lemos, Marco Metra
Summary: The prevalence of acute myocarditis (AM) in COVID-19 patients is estimated to be between 2.4 and 4.1 per 1000 hospitalized patients. Most cases of AM occur in the absence of pneumonia and are often complicated by hemodynamic instability.
Article
Clinical Neurology
Michela Leocadi, Elisa Canu, Camilla Cividini, Tommaso Russo, Giordano Cecchetti, Claudia Celico, Rosalinda Cardamone, Valeria Barcella, Giuseppe Magnani, Federica Agosta, Massimo Filippi
Summary: We describe the brain structural damage and cognitive profile evolution of an adult patient with 17q21.31 microduplication, a rare genetic condition associated with psychomotor delay and behavioral disturbances. The patient displayed obsessive and repetitive behaviors, memory loss, and poor social interaction. MRI scans revealed greater gray matter atrophy in the right hemisphere compared to controls. The patient's condition rapidly progressed and led to a diagnosis of early onset dementia. This study highlights the complex interaction between genetic substrate and clinical phenotypes.
JOURNAL OF NEUROLOGY
(2023)
Review
Clinical Neurology
Massimo Filippi, Edoardo Gioele Spinelli, Camilla Cividini, Alma Ghirelli, Silvia Basaia, Federica Agosta
Summary: By using mathematical models applied to functional resting-state MRI, the brain can be organized into nodes and edges to form the functional brain connectome. This has significant implications for the clinical diagnosis, follow-up, prediction of progression, patient stratification, and treatment response recording in neurodegenerative diseases.
EXPERT REVIEW OF NEUROTHERAPEUTICS
(2023)
Article
Clinical Neurology
Andrea Gardoni, Federica Agosta, Elisabetta Sarasso, Silvia Basaia, Elisa Canu, Michela Leocadi, Veronica Castelnovo, Andrea Tettamanti, Maria Antonietta Volonte, Massimo Filippi
Summary: This study aimed to assess cerebellar atrophy and activity alterations during functional MRI (fMRI) gait-simulating motor- and dual-tasks in Parkinson's disease patients with postural instability and gait disorders (PD-PIGD). The results showed that PD-PIGD patients had reduced volumes of cerebellar motor and non-motor areas and increased activity of cognitive areas during fMRI tasks. These findings suggest that the increased activity of non-motor cerebellar areas may be a compensatory mechanism in response to cerebellar motor dysfunction in PD-PIGD.
JOURNAL OF NEUROLOGY
(2023)
Article
Clinical Neurology
Elisabetta Sarasso, Massimo Filippi, Federica Agosta
Summary: Gait and balance disorders are common in various neurodegenerative diseases and their characteristics depend on the specific disease and the changes in the brain. This review summarizes the clinical characteristics of gait and balance disorders in major neurodegenerative conditions and discusses the structural and functional brain changes underlying these deficits. The role of neurorehabilitation strategies in promoting brain plasticity and improving gait/balance is also examined.
JOURNAL OF NEUROLOGY
(2023)
Review
Clinical Neurology
Michela Leocadi, Elisa Canu, Angela Paldino, Federica Agosta, Massimo Filippi
Summary: This review aims to define awareness impairment and related disturbances in neurodegenerative diseases and provides an update on the use of MRI in studying awareness in these disorders. It highlights the importance of awareness impairment in AD and FTLD and discusses the application of MRI in investigating different aspects of awareness in these populations.
JOURNAL OF NEUROLOGY
(2023)
Article
Biology
Federica Agosta, Pietro Cozzini
Summary: Non-covalent intramolecular interactions are crucial for protein folding. Changes in amino acids, pH, or temperature can lead to misfolding or unfolding of proteins, resulting in functional impairment and pathological conditions. The recently implemented HINT scoring function is proposed as a rapid and sensitive method to evaluate destabilization processes. This study evaluates the stability of Transthyretin by generating mutated models under different pH conditions and comparing with experimental data, suggesting that the HINT scoring function can accurately and rapidly predict the effects of structural changes on protein systems.
COMPUTERS IN BIOLOGY AND MEDICINE
(2023)
Article
Clinical Neurology
Sonia Francesca Calloni, Paolo Quintiliano Vezzulli, Antonella Castellano, Riccardo Leone, Silvia Basaia, Almar von Loon, Edoardo Gioele Spinelli, Giuseppe Magnani, Francesca Caso, Federica Agosta, Massimo Filippi, Andrea Falini
Summary: The study aimed to evaluate the diagnostic value of combined semiquantitative and quantitative assessment of brain atrophy in the diagnosis of bvFTD. The results showed that combining the two assessment methods can improve the evaluation of brain atrophy and reduce diagnostic discrepancies among different readers.
Review
Clinical Neurology
Massimo Filippi, Giordano Cecchetti, Federica Agosta
Summary: Currently, three antibeta amyloid (Aβ) monoclonal antibodies (mAbs) are being used for the treatment of early Alzheimer's disease. This review highlights the importance of MRI in the diagnostic process of dementia care, including patient selection, safety monitoring, and potential therapeutic efficacy markers. MRI findings can support an Alzheimer's disease diagnosis or indicate alternative conditions, and specific neuroimaging classification systems have been developed to assess amyloid-related imaging abnormalities (ARIA). However, the results of using MRI measures as therapeutic efficacy markers are still controversial and require further clarification.
CURRENT OPINION IN NEUROLOGY
(2023)
Article
Clinical Neurology
Elisabetta Sarasso, Andrea Gardoni, Lucia Zenere, Elisa Canu, Silvia Basaia, Elisa Pelosin, Maria Antonietta Volonte, Massimo Filippi, Federica Agosta
Summary: This study aimed to assess the effects of action observation and MI training (AOT-MI) on MI abilities and brain function in PD-PIGD patients. The results showed that AOT-MI improved MI skills in PD-PIGD patients and promoted the functional plasticity of brain areas involved in MI processes and gait/balance control.
PARKINSONISM & RELATED DISORDERS
(2023)
Review
Clinical Neurology
Gianni Cutillo, Raffaello Bonacchi, Giordano Cecchetti, Anna Bellini, Marco Vabanesi, Alberto Zambon, Maria Grazia Natali Sora, Cristina Baldoli, Ubaldo Del Carro, Fabio Minicucci, Giovanna F. Fanelli, Massimo Filippi
Summary: Interstitial 6q deletions are associated with rare genetic syndromes characterized by developmental delay, dysmorphisms, and Prader-Willi (PWS)-like features. Drug-resistant epilepsy is a challenge in therapeutic approach. This study presents a new case of interstitial 6q deletion and conducts a systematic review of literature on the neurophysiological and clinical traits of afflicted individuals.
SEIZURE-EUROPEAN JOURNAL OF EPILEPSY
(2023)
Article
Neuroimaging
Anna Nigri, Manera Umberto, Mario Stanziano, Stefania Ferraro, Davide Fedeli, Jean Paul Medina Carrion, Sara Palermo, Laura Lequio, Federica Denegri, Federica Agosta, Massimo Filippi, Maria Consuelo Valentini, Antonio Canosa, Andrea Calvo, Adriano Chio, Maria Grazia Bruzzone, Cristina Moglia
Summary: C9orf72 mutation carriers with different neurological phenotypes show cortical and subcortical atrophy in multiple brain regions, even in pre-symptomatic phases. This study found disease-specific patterns of thalamo-cortico-striatal atrophy and functional alterations in ALS patients with C9orf72 mutation. Importance rating: 8/10.
NEUROIMAGE-CLINICAL
(2023)
Article
Clinical Neurology
Aleksandra Tomic, Elisabetta Sarasso, Silvia Basaia, Natasa Dragasevic-Miskovic, Marina Svetel, Vladimir S. Kostic, Massimo Filippi, Federica Agosta
Summary: The study found that DYT-S patients have thinning in the frontal and motor cortical regions, putaminal atrophy, and subcortical microstructural WM damage. DYT-A patients, on the other hand, show cortical thickening in middle frontal areas and WM damage in the corona radiata.
JOURNAL OF NEUROLOGY
(2023)
Meeting Abstract
Clinical Neurology
Giordano Cecchetti, Federica Agosta, Silvia Basaia, Edoardo Spinelli, Camilla Cividini, Marco Cursi, Elisa Canu, Michela Leocadi, Roberto Santangelo, Francesca Caso, Giovanna Fanelli, Fabio Minicucci, Giuseppe Magnani, Massimo Filippi