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Your search keyword '"Arianna Camilli"' showing total 5 results
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5 results on '"Arianna Camilli"'

1. Preoperative Direct Puncture Embolization of Castleman Disease of the Parotid Gland: A Case Report

Author

Alessandro Pedicelli, Pietro Trombatore, Andrea Bartolo, Arianna Camilli, Esther Diana Rossi, Luca Scarcia, and Andrea M. Alexandre

Subjects
Castleman, parotid, tumor, embolization, squid, Neoplasms. Tumors. Oncology. Including cancer and carcinogens, RC254-282
Abstract

Background: Castleman disease (CD) is an uncommon benign lymphoproliferative disease characterized by hypervascular lymphoid hyperplasia. We present a unique case of unicentric CD of the parotid gland treated by preoperative direct puncture embolization. Case presentation: A 27-year-old female patient was admitted for a right neck mass. Ultrasound examination and MRI scan documented a hypervascular mass within the right parotid gland. Preoperative embolization was performed by direct puncture technique: a needle was inserted into the core of the mass under both ultrasound and fluoroscopic guidance and SQUID 12 was injected into the mass under fluoroscopic control, achieving a total devascularization. Conclusion: Preoperative direct puncture embolization was safe and effective and provides excellent hemostatic control during the surgical operation, limiting the amount of intraoperative bleeding.

Published
2024
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2. Giant Congenital Hemangioma of the Skull: Prenatal Diagnosis and Multimodal Endovascular and Surgical Management

Author

Andrea M. Alexandre, Andrea Romi, Simona Gaudino, Marco Gessi, Paolo Frassanito, Arianna Camilli, Scarcia Luca, and Alessandro Pedicelli

Subjects
congenital intraosseous hemangioma, endovascular treatment, fetal MR, neonatal neurosurgery, personalized medicine, Medicine (General), R5-920
Abstract

Introduction: calvarial capillary hemangiomas are vascular tumors rarely seen in newborns. Differential diagnosis may be not straightforward on imaging studies and the management depends on patient and lesion characteristics. Case report: we present the case of a large congenital intracranial extra-axial lesion detected by routine prenatal US screening, a giant calvarial congenital hemangioma, treated with a multimodal strategy. Neonatal MR showed a hemorrhagic solid lesion, causing compression of brain tissue. Conservative treatment was attempted, but a one-month follow-up MR showed growth of the lesion with increased mass effect. Pre-operative endovascular embolization and surgical resection were performed. The pathology was consistent with intraosseous capillary hemangioma. The post-operative course was uneventful. At the 8-month follow-up, the patient had no clinical deficits and MR showed complete resection of the lesion. At the 13-month follow-up, the patient was asymptomatic, showing normal neurological examination and psychophysical development. Conclusions: although wait-and-see policy is feasible for small and asymptomatic lesions, radical resection is indicated when the mass is large, thus causing severe mass effect on the brain. Hypervascularization of the tumor may be responsible for hemorrhagic complications and severe anemia. On these grounds, endovascular treatment is feasible and effective to reduce hemorrhagic complications.

Published
2024
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3. Degenerative Disc Disease of the Spine: From Anatomy to Pathophysiology and Radiological Appearance, with Morphological and Functional Considerations

Author

Luca Scarcia, Marco Pileggi, Arianna Camilli, Andrea Romi, Andrea Bartolo, Francesca Giubbolini, Iacopo Valente, Giuseppe Garignano, Francesco D’Argento, Alessandro Pedicelli, and Andrea Maria Alexandre

Subjects
Medicine (miscellaneous)
Abstract

Degenerative disc disease is a common manifestation in routine imaging of the spine; this finding is partly attributable to physiological aging and partly to a pathological condition, and sometimes this distinction is simply not clear. In this review, we start focusing on disc anatomy and pathophysiology and try to correlate them with radiological aspects. Furthermore, there is a special focus on degenerative disc disease terminology, and, finally, some considerations regarding disc morphology and its specific function, as well as the way in which these aspects change in degenerative disease. Radiologists, clinicians and spine surgeons should be familiar with these aspects since they have an impact on everyday clinical practice.

Published
2022

4. Early neurological deterioration in patients with minor stroke due to isolated M2 occlusion undergoing medical management: a retrospective multicenter study

Author

Broccolini, Aldobrando, Brunetti, Valerio, Colò, Francesca, M Alexandre, Andrea, Valente, Iacopo, Falcou, Anne, Frisullo, Giovanni, Pedicelli, Alessandro, Scarcia, Luca, Scala, Irene, Rizzo, Pier Andrea, Bellavia, Simone, Camilli, Arianna, Milonia, Luca, Piano, Mariangela, Macera, Antonio, Commodaro, Christian, Ruggiero, Maria, Da Ros, Valerio, Bellini, Luigi, A Lazzarotti, Guido, Cosottini, Mirco, A Caragliano, Armando, L Vinci, Sergio, D Gabrieli, Joseph, Causin, Francesco, Panni, Pietro, Roveri, Luisa, Limbucci, Nicola, Arba, Francesco, Pileggi, Marco, Bianco, Giovanni, G Romano, Daniele, Frauenfelder, Giulia, Semeraro, Vittorio, P Ganimede, Maria, Lozupone, Emilio, Fasano, Antonio, Lafe, Elvi, Cavallini, Anna, Russo, Riccardo, Bergui, Mauro, Calabresi, Paolo, Della Marca, Giacomo, Aldobrando Broccolini (ORCID:0000-0001-8295-9271), Valerio Brunetti, Iacopo Valente, Giovanni Frisullo, Alessandro Pedicelli (ORCID:0000-0002-2558-8838), Irene Scala, Pier Andrea Rizzo, Simone Bellavia, Arianna Camilli, Emilio Lozupone, Paolo Calabresi (ORCID:0000-0003-0326-5509), Giacomo Della Marca (ORCID:0000-0001-6914-799X), Broccolini, Aldobrando, Brunetti, Valerio, Colò, Francesca, M Alexandre, Andrea, Valente, Iacopo, Falcou, Anne, Frisullo, Giovanni, Pedicelli, Alessandro, Scarcia, Luca, Scala, Irene, Rizzo, Pier Andrea, Bellavia, Simone, Camilli, Arianna, Milonia, Luca, Piano, Mariangela, Macera, Antonio, Commodaro, Christian, Ruggiero, Maria, Da Ros, Valerio, Bellini, Luigi, A Lazzarotti, Guido, Cosottini, Mirco, A Caragliano, Armando, L Vinci, Sergio, D Gabrieli, Joseph, Causin, Francesco, Panni, Pietro, Roveri, Luisa, Limbucci, Nicola, Arba, Francesco, Pileggi, Marco, Bianco, Giovanni, G Romano, Daniele, Frauenfelder, Giulia, Semeraro, Vittorio, P Ganimede, Maria, Lozupone, Emilio, Fasano, Antonio, Lafe, Elvi, Cavallini, Anna, Russo, Riccardo, Bergui, Mauro, Calabresi, Paolo, Della Marca, Giacomo, Aldobrando Broccolini (ORCID:0000-0001-8295-9271), Valerio Brunetti, Iacopo Valente, Giovanni Frisullo, Alessandro Pedicelli (ORCID:0000-0002-2558-8838), Irene Scala, Pier Andrea Rizzo, Simone Bellavia, Arianna Camilli, Emilio Lozupone, Paolo Calabresi (ORCID:0000-0003-0326-5509), and Giacomo Della Marca (ORCID:0000-0001-6914-799X)

Abstract

Background: Patients with minor stroke and M2 occlusion undergoing best medical management (BMM) may face early neurological deterioration (END) that can lead to poor long-term outcome. In case of END, rescue mechanical thrombectomy (rMT) seems beneficial. Our study aimed to define factors relevant to clinical outcome in patients undergoing BMM with the possibility of rMT on END, and find predictors of END. Methods: Patients with M2 occlusion and a baseline National Institutes of Health Stroke Scale (NIHSS) score≤5 that received either BMM only or rMT on END after BMM were extracted from the databases of 16 comprehensive stroke centers. Clinical outcome measures were a 90-day modified Rankin Scale (mRS) score of 0-1 or 0-2, and occurrence of END. Results: Among 10 169 consecutive patients with large vessel occlusion admitted between 2016 and 2021, 208 patients were available for analysis. END was reported in 87 patients that were therefore all subjected to rMT. In a logistic regression model, END (OR 3.386, 95% CI 1.428 to 8.032), baseline NIHSS score (OR 1.362, 95% CI 1.004 to 1.848) and a pre-event mRS score=1 (OR 3.226, 95% CI 1.229 to 8.465) were associated with unfavorable outcome. In patients with END, successful rMT was associated with favorable outcome (OR 4.549, 95% CI 1.098 to 18.851). Among baseline clinical and neuroradiological features, presence of atrial fibrillation was a predictor of END (OR 3.547, 95% CI 1.014 to 12.406). Conclusion: Patients with minor stroke due to M2 occlusion and atrial fibrillation should be closely monitored for possible worsening during BMM and, in this case, promptly considered for rMT.

Published
2022

5. Early neurological deterioration in patients with minor stroke due to isolated M2 occlusion undergoing medical management: a retrospective multicenter study

Author

Aldobrando Broccolini, Valerio Brunetti, Francesca Colò, Andrea M Alexandre, Iacopo Valente, Anne Falcou, Giovanni Frisullo, Alessandro Pedicelli, Luca Scarcia, Irene Scala, Pier Andrea Rizzo, Simone Bellavia, Arianna Camilli, Luca Milonia, Mariangela Piano, Antonio Macera, Christian Commodaro, Maria Ruggiero, Valerio Da Ros, Luigi Bellini, Guido A Lazzarotti, Mirco Cosottini, Armando A Caragliano, Sergio L Vinci, Joseph D Gabrieli, Francesco Causin, Pietro Panni, Luisa Roveri, Nicola Limbucci, Francesco Arba, Marco Pileggi, Giovanni Bianco, Daniele G Romano, Giulia Frauenfelder, Vittorio Semeraro, Maria P Ganimede, Emilio Lozupone, Antonio Fasano, Elvis Lafe, Anna Cavallini, Riccardo Russo, Mauro Bergui, Paolo Calabresi, and Giacomo Della Marca

Subjects
Stroke, thrombolysis, Settore MED/26 - NEUROLOGIA, Settore MED/36, thrombectomy, Surgery, Neurology (clinical), General Medicine
Abstract

BackgroundPatients with minor stroke and M2 occlusion undergoing best medical management (BMM) may face early neurological deterioration (END) that can lead to poor long-term outcome. In case of END, rescue mechanical thrombectomy (rMT) seems beneficial. Our study aimed to define factors relevant to clinical outcome in patients undergoing BMM with the possibility of rMT on END, and find predictors of END.MethodsPatients with M2 occlusion and a baseline National Institutes of Health Stroke Scale (NIHSS) score≤5 that received either BMM only or rMT on END after BMM were extracted from the databases of 16 comprehensive stroke centers. Clinical outcome measures were a 90-day modified Rankin Scale (mRS) score of 0–1 or 0–2, and occurrence of END.ResultsAmong 10 169 consecutive patients with large vessel occlusion admitted between 2016 and 2021, 208 patients were available for analysis. END was reported in 87 patients that were therefore all subjected to rMT. In a logistic regression model, END (OR 3.386, 95% CI 1.428 to 8.032), baseline NIHSS score (OR 1.362, 95% CI 1.004 to 1.848) and a pre-event mRS score=1 (OR 3.226, 95% CI 1.229 to 8.465) were associated with unfavorable outcome. In patients with END, successful rMT was associated with favorable outcome (OR 4.549, 95% CI 1.098 to 18.851). Among baseline clinical and neuroradiological features, presence of atrial fibrillation was a predictor of END (OR 3.547, 95% CI 1.014 to 12.406).ConclusionPatients with minor stroke due to M2 occlusion and atrial fibrillation should be closely monitored for possible worsening during BMM and, in this case, promptly considered for rMT.

Published
2023
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