4 results on '"Massimiliano Braga"'
Search Results
2. Long-term outcome of cervical artery dissection
- Author
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Carlo Gandolfo, Maurizia Rasura, Alessandro Padovani, Maurizio Paciaroni, Marina Mannino, Sandro Sanguigni, Maurizio Melis, Maria Sessa, Giorgio Silvestrelli, Massimo Del Sette, Sonia Bonacina, Mauro Magoni, Paolo Cerrato, Alessandro Adami, Andrea Morotti, Maria Vittoria Calloni, Alessandro Pezzini, Carla Zanferrari, Patrizia Nencini, Giuseppe Micieli, Manuel Cappellari, Mario Grassi, Martina Locatelli, Marialuisa Zedde, Giuseppina Calabrese, Valeria Bignamini, Claudio Baracchini, Simona Marcheselli, Valeria Terruso, Anna Bersano, Paolo La Spina, Rita Bella, Eugenio Magni, Elisa Giorli, Corrado Lodigiani, Andrea Zini, Rocco Salvatore Calabrò, Enrico Maria Lotti, Fabio Melis, Anna Cavallini, Cristiano Azzini, Maria Luisa DeLodovici, Carlo Dallocchio, Rossana Tassi, Massimiliano Braga, and Mauro Gentile
- Subjects
Pediatrics ,medicine.medical_specialty ,Longitudinal study ,Subarachnoid hemorrhage ,Cervical Artery ,Dermatology ,Cervical artery dissection ,arteries ,03 medical and health sciences ,Stroke in young adults ,0302 clinical medicine ,cohort studies ,multicenter studies as topic ,risk factors ,Medicine ,030212 general & internal medicine ,cervical artery dissection ,outcome ,stroke in young adults ,adolescent ,dissection ,female ,humans ,Italy ,stroke ,vertebral artery dissection ,Risk factor ,Stroke ,Outcome ,Neuroradiology ,business.industry ,General Medicine ,medicine.disease ,Psychiatry and Mental health ,Dissection ,Neurology (clinical) ,business ,030217 neurology & neurosurgery ,Cohort study - Abstract
Long-term consequences of cervical artery dissection (CeAD), a major cause of ischemic stroke in young people, have been poorly investigated. The Italian Project on Stroke at Young Age - Cervical Artery Dissection (IPSYS CeAD) project is a multicenter, hospital-based, consecutively recruiting, observational, cohort study aimed to address clinically important questions about long-term outcome of CeAD patients, which are not covered by other large-scale registries. Patients with radiologically diagnosed CeAD were consecutively included in the registry. Baseline demographic and clinical variables, as well as information on risk factors, were systematically collected for each eligible patient. Follow-up evaluations were conducted between 3 and 6 months after the initial event (t1) and then annually (t2 at 1 year, t3 at 2 years , and so on), in order to assess outcome events (long-term recurrent CeAD, any fatal/nonfatal ischemic stroke, transient ischemic attack (TIA), or other arterial thrombotic event, and death from any cause). Between 2000 and 2019, data from 1530 patients (age at diagnosis, 47.2 ± 11.5 years; women, 660 [43.1%]) have been collected at 39 Italian neurological centers. Dissection involved a single vessel in 1308 (85.5%) cases and caused brain ischemia in 1303 (85.1%) (190 TIA/1113 ischemic stroke). Longitudinal data are available for 1414 (92.4%) patients (median follow-up time in patients who did not experience recurrent events, 36.0 months [25th to 75th percentile, 63.0]). The collaborative IPSYS CeAD effort will provide novel information on the long-term outcome of CeAD patients. This could allow for tailored treatment approaches based on patients' individual characteristics.
- Published
- 2020
3. Italian symptomatic intracranial atherosclerosis study (ISIDE)
- Author
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Stefano Ricci, Agnese Tonon, Claudio Baracchini, Rita Bella, Massimo Del Sette, Gian Paolo Anzola, Massimiliano Braga, Carla Zanferrari, Marialuisa Zedde, Pietro Caliandro, Marina Diomedi, Giorgio Meneghetti, Silvia Cenciarelli, and Carlo Gandolfo
- Subjects
Male ,medicine.medical_specialty ,Symptomatic intracranial atherosclerosis ,Ultrasonography, Doppler, Transcranial ,Dermatology ,030204 cardiovascular system & hematology ,Magnetic resonance angiography ,03 medical and health sciences ,0302 clinical medicine ,Ultrasound ,medicine ,Humans ,Longitudinal Studies ,ICAS ,Stroke ,Aged ,Neuroradiology ,Computed tomography angiography ,Aged, 80 and over ,medicine.diagnostic_test ,Cerebral infarction ,business.industry ,General Medicine ,Odds ratio ,Middle Aged ,Intracranial Arteriosclerosis ,medicine.disease ,Transcranial Doppler ,Psychiatry and Mental health ,Stenosis ,Italy ,Multivariate Analysis ,cardiovascular system ,Settore MED/26 - Neurologia ,Female ,Neurology (clinical) ,Radiology ,business ,030217 neurology & neurosurgery - Abstract
There are currently no data available on the prevalence of symptomatic intracranial atherosclerosis (ICAS) in Italy. The aim of this prospective, multicenter, hospital-based, transcranial ultrasound study was to establish the prevalence of ICAS among patients hospitalized with acute ischemic stroke. At 11 stroke centers across Italy, patients consecutively admitted for their first ever acute ischemic stroke were assessed prospectively over a 24-month period either with transcranial color-coded Doppler sonography (TCCS) or transcranial Doppler (TCD) according to validated criteria. ICAS was diagnosed when there was an evidence of a cerebral infarction in the territory of a ≥50 % stenosis detected by TCCS/TCD and confirmed by magnetic resonance angiography or computed tomography angiography. A total of 1134 patients were enrolled, 665 of them (58.6 %) men, with a mean age of 71.2 ± 13.3 years. ICAS was recorded in 99 patients (8.7 % of the whole sample, 8.9 % among Caucasians), most commonly located in the anterior circulation (63 of 99, 5.5 %). After adjusting for potential confounders, multivariate analysis identified carotid/vertebral ≥50 % stenosis [odds ratio (OR) 2.59, 95 % (confidence interval) CI 1.77-6.33; P = 0.02] and hypercholesterolemia (OR 1.38, 95 % CI 1.02-1.89; P = 0.02) as being independently associated with ICAS. ICAS is a surprisingly relevant cause of ischemic stroke in Italy, identified in almost 9 % of first-ever stroke patients. It is more prevalent in the anterior circulation and independently associated with hemodynamically significant cervical vessel atherosclerosis and hypercholesterolemia. These findings support the systematic use of transcranial ultrasound to identify ICAS in patients presenting with acute ischemic stroke and in cases with ≥50 % cervical vessel stenoses.
- Published
- 2016
4. A practical definition of minor stroke
- Author
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Simona Sacco, Massimiliano Braga, Angelo A. Bignamini, Vittorio Crespi, Sandro Beretta, and Antonio Carolei
- Subjects
medicine.medical_specialty ,Neurology ,Databases, Factual ,business.industry ,MEDLINE ,Minor stroke ,Dermatology ,General Medicine ,medicine.disease ,Patient Discharge ,Stroke ,Psychiatry and Mental health ,Patient Admission ,Modified Rankin Scale ,Physical therapy ,Humans ,Medicine ,Observational study ,Neurology (clinical) ,Neurosurgery ,business ,Neuroradiology - Abstract
It is generally assumed that minor stroke (MS) is an ischemic stroke with a short-term, good functional outcome. However, no clear definition of MS exists. Modified Rankin Scale (mRS) and National Institute of Health Stroke Scale (NIHSS) are still the most accredited standards, but scores and timing of the assessment are not homogeneous. As suggested by a qualified sample of Italian neurologists, the index parameter chosen in our analysis was mRS at the time of hospital discharge. The database of the SIRIO study (a large observational study of 2,573 patients with stroke admitted in Italian hospitals in 2005) was used to identify an mRS threshold to define MS. Reference was made to outcome markers such as rate of discharge to home, 1-year disability and 1-year mortality. The rate of discharge progressively decreased with increase in mRS, while the rates of 1-year mortality and disability progressively increased. Our proposal is one of defining a stroke "minor" when the rate of discharge to home is above the SIRIO database overall value and the 1-year mortality and disability is below the respective overall values. This definition is consistent with a score ≤2 on the mRS.
- Published
- 2012
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