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1. A critical role of action-related functional networks in Gilles de la Tourette syndrome

Author

Baldermann, Juan Carlos, Petry-Schmelzer, Jan Niklas, Schüller, Thomas, Mahfoud, Lin, Brandt, Gregor A., Dembek, Till A., van der Linden, Christina, Krauss, Joachim K., Szejko, Natalia, Müller-Vahl, Kirsten R., Ganos, Christos, Al-Fatly, Bassam, Heiden, Petra, Servello, Domenico, Galbiati, Tommaso, Johnson, Kara A., Butson, Christopher R., Okun, Michael S., Andrade, Pablo, Domschke, Katharina, Fink, Gereon R., Fox, Michael D., Horn, Andreas, Kuhn, Jens, Visser-Vandewalle, Veerle, and Barbe, Michael T.

Published
2024
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4. Image-based analysis and long-term clinical outcomes of deep brain stimulation for Tourette syndrome: a multisite study

Author

Johnson, Kara A, Fletcher, P Thomas, Servello, Domenico, Bona, Alberto, Porta, Mauro, Ostrem, Jill L, Bardinet, Eric, Welter, Marie-Laure, Lozano, Andres M, Baldermann, Juan Carlos, Kuhn, Jens, Huys, Daniel, Foltynie, Thomas, Hariz, Marwan, Joyce, Eileen M, Zrinzo, Ludvic, Kefalopoulou, Zinovia, Zhang, Jian-guo, Meng, Fan-gang, Zhang, ChenCheng, Ling, Zhipei, Xu, Xin, Yu, Xinguang, Smeets, Anouk YJM, Ackermans, Linda, Visser-Vandewalle, Veerle, Mogilner, Alon Y, Pourfar, Michael H, Almeida, Leonardo, Gunduz, Aysegul, Hu, Wei, Foote, Kelly D, Okun, Michael S, and Butson, Christopher R

Subjects
Biomedical and Clinical Sciences, Neurosciences, Clinical Sciences, Rehabilitation, Assistive Technology, Brain Disorders, Clinical Research, Tourette Syndrome, Neurodegenerative, Bioengineering, Adolescent, Adult, Atlases as Topic, Cohort Studies, Compulsive Behavior, Deep Brain Stimulation, Female, Globus Pallidus, Humans, Internal Capsule, Intralaminar Thalamic Nuclei, Magnetic Resonance Imaging, Male, Middle Aged, Nucleus Accumbens, Obsessive Behavior, Retrospective Studies, Severity of Illness Index, Thalamus, Tomography, X-Ray Computed, Treatment Outcome, Young Adult, globus pallidus, neuromodulation, obsessive-compulsive behavior, thalamus, tics, Medical and Health Sciences, Psychology and Cognitive Sciences, Neurology & Neurosurgery, Clinical sciences
Abstract

BackgroundDeep brain stimulation (DBS) can be an effective therapy for tics and comorbidities in select cases of severe, treatment-refractory Tourette syndrome (TS). Clinical responses remain variable across patients, which may be attributed to differences in the location of the neuroanatomical regions being stimulated. We evaluated active contact locations and regions of stimulation across a large cohort of patients with TS in an effort to guide future targeting.MethodsWe collected retrospective clinical data and imaging from 13 international sites on 123 patients. We assessed the effects of DBS over time in 110 patients who were implanted in the centromedial (CM) thalamus (n=51), globus pallidus internus (GPi) (n=47), nucleus accumbens/anterior limb of the internal capsule (n=4) or a combination of targets (n=8). Contact locations (n=70 patients) and volumes of tissue activated (n=63 patients) were coregistered to create probabilistic stimulation atlases.ResultsTics and obsessive-compulsive behaviour (OCB) significantly improved over time (p0.05). The median time was 13 months to reach a 40% improvement in tics, and there were no significant differences across targets (p=0.84), presence of OCB (p=0.09) or age at implantation (p=0.08). Active contacts were generally clustered near the target nuclei, with some variability that may reflect differences in targeting protocols, lead models and contact configurations. There were regions within and surrounding GPi and CM thalamus that improved tics for some patients but were ineffective for others. Regions within, superior or medial to GPi were associated with a greater improvement in OCB than regions inferior to GPi.ConclusionThe results collectively indicate that DBS may improve tics and OCB, the effects may develop over several months, and stimulation locations relative to structural anatomy alone may not predict response. This study was the first to visualise and evaluate the regions of stimulation across a large cohort of patients with TS to generate new hypotheses about potential targets for improving tics and comorbidities.

Published
2019

14. Towards a common language in neurosurgical outcome evaluation: the NEON (NEurosurgical Outcome Network) proposal

Author

Ferroli, Paolo, Schiavolin, Silvia, Mariniello, Arianna, Acerbi, Francesco, Restelli, Francesco, Schiariti, Marco, LA Corte, Emanuele, Falco, Jacopo, Levi, Vincenzo, Dimeco, Francesco, Assietti, Roberto, Bongetta, Daniele, V Colombo, Elena, Bellocchi, Silvio, Sangiorgi, Simone, Bistazzoni, Simona, Polosa, Maria, I Orru, Maria, Spena, Giannantonio, Bernucci, Claudio, M Sicignano, Angelo, Fanti, Andrea, Brembilla, Carlo, Resmini, Bruno, Costi, Emanuele, Cenzato, Marco, Talamonti, Giuseppe, Bottini, Gabriella, Scarpa, Pina, Bollani, Alessandra, Querzola, Matteo, Palmas, Giulio, DE Gonda, Federico, Bosio, Lorenzo, Egidi, Marcello, Tardivo, Valentina, Fioravanti, Antonio, Subacchi, Sara, Fontanella, Marco, Biroli, Antonio, Cereda, Claudio, Paolo Panciani, Pier, Bergomi, Riccardo, Pertichetti, Marta, Tancioni, Flavio, Bona, Alberto, A Tartara, Fulvio, Fornari, Maurizio, Pessina, Federico, Lasio, Giovanni, Cardia, Andrea, Servadei, Franco, Riva, Marco, Casarotti, Alessandra, Giussani, Carlo, Fiori, Leonardo, Mazzoleni, Fabio, Vaiani, Simona, Carrabba, Giorgio, DI Cristofori, Andrea, P Sganzerla, Erik, Vimercati, Alberto, Isella, Valeria, Mauri, Ilaria, Incerti, Michele, Sicuri, Giovanni, Miramonti, Valentina, Stefini, Roberto, Spagnoli, Diego, Piparo, Maurizio, Grimod, Gianluca, Regazzoni, Rossana, Vismara, Daniela, Mazzeo, Lucio, Monti, Emanuele, Franzin, Alberto, Vivaldi, Oscar, Maietti, Alessandra, Pini, Elisa, Servello, Domenico, Zekaj, Edvin, DE Michele, Sara, Locatelli, Marco, Borsa, Stefano, Grimoldi, Nadia, Caroli, Manuela, Tariciotti, Leonardo, Abete-Fornara, Giorgia, Vitale, Mario, Leonardi, Matilde, Broggi, Morgan, Paolo Ferroli, Silvia Schiavolin, Arianna Mariniello, Francesco Acerbi, Francesco Restelli, Marco Schiariti, Emanuele LA Corte, Jacopo Falco, Vincenzo Levi, Francesco Dimeco, Roberto Assietti, Daniele Bongetta, Elena V Colombo, Silvio Bellocchi, Simone Sangiorgi, Simona Bistazzoni, Maria Polosa, Maria I Orru, Giannantonio Spena, Claudio Bernucci, Angelo M Sicignano, Andrea Fanti, Carlo Brembilla, Bruno Resmini, Emanuele Costi, Marco Cenzato, Giuseppe Talamonti, Gabriella Bottini, Pina Scarpa, Alessandra Bollani, Matteo Querzola, Giulio Palmas, Federico DE Gonda, Lorenzo Bosio, Marcello Egidi, Valentina Tardivo, Antonio Fioravanti, Sara Subacchi, Marco Fontanella, Antonio Biroli, Claudio Cereda, Pier Paolo Panciani, Riccardo Bergomi, Marta Pertichetti, Flavio Tancioni, Alberto Bona, Fulvio A Tartara, Maurizio Fornari, Federico Pessina, Giovanni Lasio, Andrea Cardia, Franco Servadei, Marco Riva, Alessandra Casarotti, Carlo Giussani, Leonardo Fiori, Fabio Mazzoleni, Simona Vaiani, Giorgio Carrabba, Andrea DI Cristofori, Erik P Sganzerla, Alberto Vimercati, Valeria Isella, Ilaria Mauri, Michele Incerti, Giovanni Sicuri, Valentina Miramonti, Roberto Stefini, Diego Spagnoli, Maurizio Piparo, Gianluca Grimod, Rossana Regazzoni, Daniela Vismara, Lucio Mazzeo, Emanuele Monti, Alberto Franzin, Oscar Vivaldi, Alessandra Maietti (ORCID:0000-0002-9819-7037), Elisa Pini, Domenico Servello, Edvin Zekaj, Sara DE Michele, Marco Locatelli, Stefano Borsa, Nadia Grimoldi, Manuela Caroli, Leonardo Tariciotti, Giorgia Abete-Fornara, Mario Vitale, Matilde Leonardi, Morgan Broggi, Ferroli, Paolo, Schiavolin, Silvia, Mariniello, Arianna, Acerbi, Francesco, Restelli, Francesco, Schiariti, Marco, LA Corte, Emanuele, Falco, Jacopo, Levi, Vincenzo, Dimeco, Francesco, Assietti, Roberto, Bongetta, Daniele, V Colombo, Elena, Bellocchi, Silvio, Sangiorgi, Simone, Bistazzoni, Simona, Polosa, Maria, I Orru, Maria, Spena, Giannantonio, Bernucci, Claudio, M Sicignano, Angelo, Fanti, Andrea, Brembilla, Carlo, Resmini, Bruno, Costi, Emanuele, Cenzato, Marco, Talamonti, Giuseppe, Bottini, Gabriella, Scarpa, Pina, Bollani, Alessandra, Querzola, Matteo, Palmas, Giulio, DE Gonda, Federico, Bosio, Lorenzo, Egidi, Marcello, Tardivo, Valentina, Fioravanti, Antonio, Subacchi, Sara, Fontanella, Marco, Biroli, Antonio, Cereda, Claudio, Paolo Panciani, Pier, Bergomi, Riccardo, Pertichetti, Marta, Tancioni, Flavio, Bona, Alberto, A Tartara, Fulvio, Fornari, Maurizio, Pessina, Federico, Lasio, Giovanni, Cardia, Andrea, Servadei, Franco, Riva, Marco, Casarotti, Alessandra, Giussani, Carlo, Fiori, Leonardo, Mazzoleni, Fabio, Vaiani, Simona, Carrabba, Giorgio, DI Cristofori, Andrea, P Sganzerla, Erik, Vimercati, Alberto, Isella, Valeria, Mauri, Ilaria, Incerti, Michele, Sicuri, Giovanni, Miramonti, Valentina, Stefini, Roberto, Spagnoli, Diego, Piparo, Maurizio, Grimod, Gianluca, Regazzoni, Rossana, Vismara, Daniela, Mazzeo, Lucio, Monti, Emanuele, Franzin, Alberto, Vivaldi, Oscar, Maietti, Alessandra, Pini, Elisa, Servello, Domenico, Zekaj, Edvin, DE Michele, Sara, Locatelli, Marco, Borsa, Stefano, Grimoldi, Nadia, Caroli, Manuela, Tariciotti, Leonardo, Abete-Fornara, Giorgia, Vitale, Mario, Leonardi, Matilde, Broggi, Morgan, Paolo Ferroli, Silvia Schiavolin, Arianna Mariniello, Francesco Acerbi, Francesco Restelli, Marco Schiariti, Emanuele LA Corte, Jacopo Falco, Vincenzo Levi, Francesco Dimeco, Roberto Assietti, Daniele Bongetta, Elena V Colombo, Silvio Bellocchi, Simone Sangiorgi, Simona Bistazzoni, Maria Polosa, Maria I Orru, Giannantonio Spena, Claudio Bernucci, Angelo M Sicignano, Andrea Fanti, Carlo Brembilla, Bruno Resmini, Emanuele Costi, Marco Cenzato, Giuseppe Talamonti, Gabriella Bottini, Pina Scarpa, Alessandra Bollani, Matteo Querzola, Giulio Palmas, Federico DE Gonda, Lorenzo Bosio, Marcello Egidi, Valentina Tardivo, Antonio Fioravanti, Sara Subacchi, Marco Fontanella, Antonio Biroli, Claudio Cereda, Pier Paolo Panciani, Riccardo Bergomi, Marta Pertichetti, Flavio Tancioni, Alberto Bona, Fulvio A Tartara, Maurizio Fornari, Federico Pessina, Giovanni Lasio, Andrea Cardia, Franco Servadei, Marco Riva, Alessandra Casarotti, Carlo Giussani, Leonardo Fiori, Fabio Mazzoleni, Simona Vaiani, Giorgio Carrabba, Andrea DI Cristofori, Erik P Sganzerla, Alberto Vimercati, Valeria Isella, Ilaria Mauri, Michele Incerti, Giovanni Sicuri, Valentina Miramonti, Roberto Stefini, Diego Spagnoli, Maurizio Piparo, Gianluca Grimod, Rossana Regazzoni, Daniela Vismara, Lucio Mazzeo, Emanuele Monti, Alberto Franzin, Oscar Vivaldi, Alessandra Maietti (ORCID:0000-0002-9819-7037), Elisa Pini, Domenico Servello, Edvin Zekaj, Sara DE Michele, Marco Locatelli, Stefano Borsa, Nadia Grimoldi, Manuela Caroli, Leonardo Tariciotti, Giorgia Abete-Fornara, Mario Vitale, Matilde Leonardi, and Morgan Broggi

Abstract

BACKGROUNDː To achieve a consensus on the minimum set of outcome measures and predictors to be used in the neurosurgical practice and on the timing of outcome assessment. METHODSː A consensus building approach was employed. All neurosurgical departments in Lombardy (Italy) were invited to participate by the Fondazione IRCCS Istituto Neurologico Carlo Besta. Three workshops were organized during which a multidisciplinary group called Neurosurgical Outcome Network (NEON) was created and the methodology to select outcome measures, predictors, and timing of outcome assessment was established. Eight working groups were created for the different neurosurgical diseases (neuro-oncological, skull base, vascular, traumatic, spinal, peripheral nervous system, malformation, functional) and 8 workshops were organized to identify the outcome measures and predictors specific for each of the neurosurgical diseases based on the experts’ clinical practice and the existing literature. RESULTSː A total of 20 neurosurgical departments participated in this study. Specific outcome measures, predictors and the timing of outcome assessment were identified for each of the 8 neurosurgical diseases. Moreover, a list of variables common to all pathologies were identified by the NEON group as further data to be collected. CONCLUSIONSː A consensus on the minimum set of outcome measures and predictors and the timing of outcome assessments for 8 neurosurgical diseases was achieved by a group of neurosurgeons of the Lombardy region, called NEON. These sets could be used in future studies for a more homogeneous data collection and as a starting point to reach further agreement also at national and international level.

Published
2023

15. Towards a common language in neurosurgical outcome evaluation: the NEON (NEurosurgical Outcome Network) proposal

Author

Ferroli, P, Schiavolin, S, Mariniello, A, Acerbi, F, Restelli, F, Schiariti, M, LA Corte, E, Falco, J, Levi, V, Dimeco, F, Assietti, R, Bongetta, D, Colombo, E, Bellocchi, S, Sangiorgi, S, Bistazzoni, S, Polosa, M, Orru, M, Spena, G, Bernucci, C, Sicignano, A, Fanti, A, Brembilla, C, Resmini, B, Costi, E, Cenzato, M, Talamonti, G, Bottini, G, Scarpa, P, Bollani, A, Querzola, M, Palmas, G, DE Gonda, F, Bosio, L, Egidi, M, Tardivo, V, Fioravanti, A, Subacchi, S, Fontanella, M, Biroli, A, Cereda, C, Panciani, P, Bergomi, R, Pertichetti, M, Tancioni, F, Bona, A, Tartara, F, Fornari, M, Pessina, F, Lasio, G, Cardia, A, Servadei, F, Riva, M, Casarotti, A, Giussani, C, Fiori, L, Mazzoleni, F, Vaiani, S, Carrabba, G, DI Cristofori, A, Sganzerla, E, Vimercati, A, Isella, V, Mauri, I, Incerti, M, Sicuri, G, Miramonti, V, Stefini, R, Spagnoli, D, Piparo, M, Grimod, G, Regazzoni, R, Vismara, D, Mazzeo, L, Monti, E, Franzin, A, Vivaldi, O, Maietti, A, Pini, E, Servello, D, Zekaj, E, DE Michele, S, Locatelli, M, Borsa, S, Grimoldi, N, Caroli, M, Tariciotti, L, Abete-Fornara, G, Vitale, M, Leonardi, M, Broggi, M, Ferroli, Paolo, Schiavolin, Silvia, Mariniello, Arianna, Acerbi, Francesco, Restelli, Francesco, Schiariti, Marco, LA Corte, Emanuele, Falco, Jacopo, Levi, Vincenzo, Dimeco, Francesco, Assietti, Roberto, Bongetta, Daniele, Colombo, Elena V, Bellocchi, Silvio, Sangiorgi, Simone, Bistazzoni, Simona, Polosa, Maria, Orru, Maria I, Spena, Giannantonio, Bernucci, Claudio, Sicignano, Angelo M, Fanti, Andrea, Brembilla, Carlo, Resmini, Bruno, Costi, Emanuele, Cenzato, Marco, Talamonti, Giuseppe, Bottini, Gabriella, Scarpa, Pina, Bollani, Alessandra, Querzola, Matteo, Palmas, Giulio, DE Gonda, Federico, Bosio, Lorenzo, Egidi, Marcello, Tardivo, Valentina, Fioravanti, Antonio, Subacchi, Sara, Fontanella, Marco, Biroli, Antonio, Cereda, Claudio, Panciani, Pier Paolo, Bergomi, Riccardo, Pertichetti, Marta, Tancioni, Flavio, Bona, Alberto, Tartara, Fulvio A, Fornari, Maurizio, Pessina, Federico, Lasio, Giovanni, Cardia, Andrea, Servadei, Franco, Riva, Marco, Casarotti, Alessandra, Giussani, Carlo, Fiori, Leonardo, Mazzoleni, Fabio, Vaiani, Simona, Carrabba, Giorgio, DI Cristofori, Andrea, Sganzerla, Erik P, Vimercati, Alberto, Isella, Valeria, Mauri, Ilaria, Incerti, Michele, Sicuri, Giovanni, Miramonti, Valentina, Stefini, Roberto, Spagnoli, Diego, Piparo, Maurizio, Grimod, Gianluca, Regazzoni, Rossana, Vismara, Daniela, Mazzeo, Lucio, Monti, Emanuele, Franzin, Alberto, Vivaldi, Oscar, Maietti, Alessandra, Pini, Elisa, Servello, Domenico, Zekaj, Edvin, DE Michele, Sara, Locatelli, Marco, Borsa, Stefano, Grimoldi, Nadia, Caroli, Manuela, Tariciotti, Leonardo, Abete-Fornara, Giorgia, Vitale, Mario, Leonardi, Matilde, Broggi, Morgan, Ferroli, P, Schiavolin, S, Mariniello, A, Acerbi, F, Restelli, F, Schiariti, M, LA Corte, E, Falco, J, Levi, V, Dimeco, F, Assietti, R, Bongetta, D, Colombo, E, Bellocchi, S, Sangiorgi, S, Bistazzoni, S, Polosa, M, Orru, M, Spena, G, Bernucci, C, Sicignano, A, Fanti, A, Brembilla, C, Resmini, B, Costi, E, Cenzato, M, Talamonti, G, Bottini, G, Scarpa, P, Bollani, A, Querzola, M, Palmas, G, DE Gonda, F, Bosio, L, Egidi, M, Tardivo, V, Fioravanti, A, Subacchi, S, Fontanella, M, Biroli, A, Cereda, C, Panciani, P, Bergomi, R, Pertichetti, M, Tancioni, F, Bona, A, Tartara, F, Fornari, M, Pessina, F, Lasio, G, Cardia, A, Servadei, F, Riva, M, Casarotti, A, Giussani, C, Fiori, L, Mazzoleni, F, Vaiani, S, Carrabba, G, DI Cristofori, A, Sganzerla, E, Vimercati, A, Isella, V, Mauri, I, Incerti, M, Sicuri, G, Miramonti, V, Stefini, R, Spagnoli, D, Piparo, M, Grimod, G, Regazzoni, R, Vismara, D, Mazzeo, L, Monti, E, Franzin, A, Vivaldi, O, Maietti, A, Pini, E, Servello, D, Zekaj, E, DE Michele, S, Locatelli, M, Borsa, S, Grimoldi, N, Caroli, M, Tariciotti, L, Abete-Fornara, G, Vitale, M, Leonardi, M, Broggi, M, Ferroli, Paolo, Schiavolin, Silvia, Mariniello, Arianna, Acerbi, Francesco, Restelli, Francesco, Schiariti, Marco, LA Corte, Emanuele, Falco, Jacopo, Levi, Vincenzo, Dimeco, Francesco, Assietti, Roberto, Bongetta, Daniele, Colombo, Elena V, Bellocchi, Silvio, Sangiorgi, Simone, Bistazzoni, Simona, Polosa, Maria, Orru, Maria I, Spena, Giannantonio, Bernucci, Claudio, Sicignano, Angelo M, Fanti, Andrea, Brembilla, Carlo, Resmini, Bruno, Costi, Emanuele, Cenzato, Marco, Talamonti, Giuseppe, Bottini, Gabriella, Scarpa, Pina, Bollani, Alessandra, Querzola, Matteo, Palmas, Giulio, DE Gonda, Federico, Bosio, Lorenzo, Egidi, Marcello, Tardivo, Valentina, Fioravanti, Antonio, Subacchi, Sara, Fontanella, Marco, Biroli, Antonio, Cereda, Claudio, Panciani, Pier Paolo, Bergomi, Riccardo, Pertichetti, Marta, Tancioni, Flavio, Bona, Alberto, Tartara, Fulvio A, Fornari, Maurizio, Pessina, Federico, Lasio, Giovanni, Cardia, Andrea, Servadei, Franco, Riva, Marco, Casarotti, Alessandra, Giussani, Carlo, Fiori, Leonardo, Mazzoleni, Fabio, Vaiani, Simona, Carrabba, Giorgio, DI Cristofori, Andrea, Sganzerla, Erik P, Vimercati, Alberto, Isella, Valeria, Mauri, Ilaria, Incerti, Michele, Sicuri, Giovanni, Miramonti, Valentina, Stefini, Roberto, Spagnoli, Diego, Piparo, Maurizio, Grimod, Gianluca, Regazzoni, Rossana, Vismara, Daniela, Mazzeo, Lucio, Monti, Emanuele, Franzin, Alberto, Vivaldi, Oscar, Maietti, Alessandra, Pini, Elisa, Servello, Domenico, Zekaj, Edvin, DE Michele, Sara, Locatelli, Marco, Borsa, Stefano, Grimoldi, Nadia, Caroli, Manuela, Tariciotti, Leonardo, Abete-Fornara, Giorgia, Vitale, Mario, Leonardi, Matilde, and Broggi, Morgan

Abstract

Background: The aim of this study was to achieve a consensus on the minimum set of outcome measures and predictors to be used in the neurosurgical practice and on the timing of outcome assessment. Methods: A consensus building approach was employed. All neurosurgical departments in Lombardy (Italy) were invited to participate by the Carlo Besta Neurologic Institute IRCCS Foundation. Three workshops were organized during which a multidisciplinary group called Neurosurgical Outcome Network (NEON) was created and the methodology to select outcome measures, predictors, and timing of outcome assessment was established. Eight working groups were created for the different neurosurgical diseases (neuro-oncological, skull base, vascular, traumatic, spinal, peripheral nervous system, malformation, functional) and 8 workshops were organized to identify the outcome measures and predictors specific for each of the neurosurgical diseases based on the experts' clinical practice and the existing literature. Results: A total of 20 neurosurgical departments participated in this study. Specific outcome measures, predictors and the timing of outcome assessment were identified for each of the 8 neurosurgical diseases. Moreover, a list of variables common to all pathologies were identified by the NEON group as further data to be collected. Conclusions: A consensus on the minimum set of outcome measures and predictors and the timing of outcome assessments for 8 neurosurgical diseases was achieved by a group of neurosurgeons of the Lombardy region, called NEON. These sets could be used in future studies for a more homogeneous data collection and as a starting point to reach further agreement also at national and international level.

Published
2023

16. Towards a common language in neurosurgical outcome evaluation: the NEON (NEurosurgical Outcome Network) proposal

Author

FERROLI, Paolo, primary, SCHIAVOLIN, Silvia, additional, MARINIELLO, Arianna, additional, ACERBI, Francesco, additional, RESTELLI, Francesco, additional, SCHIARITI, Marco, additional, LA CORTE, Emanuele, additional, FALCO, Jacopo, additional, LEVI, Vincenzo, additional, DIMECO, Francesco, additional, ASSIETTI, Roberto, additional, BONGETTA, Daniele, additional, COLOMBO, Elena V., additional, BELLOCCHI, Silvio, additional, SANGIORGI, Simone, additional, BISTAZZONI, Simona, additional, POLOSA, Maria, additional, ORRU, Maria I., additional, SPENA, Giannantonio, additional, BERNUCCI, Claudio, additional, SICIGNANO, Angelo M., additional, FANTI, Andrea, additional, BREMBILLA, Carlo, additional, RESMINI, Bruno, additional, COSTI, Emanuele, additional, CENZATO, Marco, additional, TALAMONTI, Giuseppe, additional, BOTTINI, Gabriella, additional, SCARPA, Pina, additional, BOLLANI, Alessandra, additional, QUERZOLA, Matteo, additional, PALMAS, Giulio, additional, DE GONDA, Federico, additional, BOSIO, Lorenzo, additional, EGIDI, Marcello, additional, TARDIVO, Valentina, additional, FIORAVANTI, Antonio, additional, SUBACCHI, Sara, additional, FONTANELLA, Marco, additional, BIROLI, Antonio, additional, CEREDA, Claudio, additional, PANCIANI, Pier Paolo, additional, BERGOMI, Riccardo, additional, PERTICHETTI, Marta, additional, TANCIONI, Flavio, additional, BONA, Alberto, additional, TARTARA, Fulvio A., additional, FORNARI, Maurizio, additional, PESSINA, Federico, additional, LASIO, Giovanni, additional, CARDIA, Andrea, additional, SERVADEI, Franco, additional, RIVA, Marco, additional, CASAROTTI, Alessandra, additional, GIUSSANI, Carlo, additional, FIORI, Leonardo, additional, MAZZOLENI, Fabio, additional, VAIANI, Simona, additional, CARRABBA, Giorgio, additional, DI CRISTOFORI, Andrea, additional, SGANZERLA, Erik P., additional, VIMERCATI, Alberto, additional, ISELLA, Valeria, additional, MAURI, Ilaria, additional, INCERTI, Michele, additional, SICURI, Giovanni, additional, MIRAMONTI, Valentina, additional, STEFINI, Roberto, additional, SPAGNOLI, Diego, additional, PIPARO, Maurizio, additional, GRIMOD, Gianluca, additional, REGAZZONI, Rossana, additional, VISMARA, Daniela, additional, MAZZEO, Lucio, additional, MONTI, Emanuele, additional, FRANZIN, Alberto, additional, VIVALDI, Oscar, additional, MAIETTI, Alessandra, additional, PINI, Elisa, additional, SERVELLO, Domenico, additional, ZEKAJ, Edvin, additional, DE MICHELE, Sara, additional, LOCATELLI, Marco, additional, BORSA, Stefano, additional, GRIMOLDI, Nadia, additional, CAROLI, Manuela, additional, TARICIOTTI, Leonardo, additional, ABETE-FORNARA, Giorgia, additional, VITALE, Mario, additional, LEONARDI, Matilde, additional, and BROGGI, Morgan, additional

Published
2023
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17. Multiple-source current steering in subthalamic nucleus deep brain stimulation for Parkinson's disease (the VANTAGE study): a non-randomised, prospective, multicentre, open-label study

Author

Timmermann, Lars, Jain, Roshini, Chen, Lilly, Maarouf, Mohamed, Barbe, Michael T, Allert, Niels, Brücke, Thomas, Kaiser, Iris, Beirer, Sebastian, Sejio, Fernando, Suarez, Esther, Lozano, Beatriz, Haegelen, Claire, Vérin, Marc, Porta, Mauro, Servello, Domenico, Gill, Steven, Whone, Alan, Van Dyck, Nic, and Alesch, Francois

Published
2015
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20. Efficacy and Safety of Deep Brain Stimulation in Tourette Syndrome: The International Tourette Syndrome Deep Brain Stimulation Public Database and Registry

Author

Martinez-Ramirez, Daniel, Jimenez-Shahed, Joohi, Leckman, James Frederick, Porta, Mauro, Servello, Domenico, Meng, Fan-Gang, Kuhn, Jens, Huys, Daniel, Baldermann, Juan Carlos, Foltynie, Thomas, Hariz, Marwan I., Joyce, Eileen M., Zrinzo, Ludvic, Kefalopoulou, Zinovia, Silburn, Peter, Coyne, Terry, Mogilner, Alon Y., Pourfar, Michael H., Khandhar, Suketu M., Auyeung, Man, Ostrem, Jill Louise, Visser-Vandewalle, Veerle, Welter, Marie-Laure, Mallet, Luc, Karachi, Carine, Houeto, Jean Luc, Klassen, Bryan Timothy, Ackermans, Linda, Kaido, Takanobu, Temel, Yasin, Gross, Robert E., Walker, Harrison C., Lozano, Andres M., Walter, Benjamin L., Mari, Zoltan, Anderson, William S., Changizi, Barbara Kelly, Moro, Elena, Zauber, Sarah Elizabeth, Schrock, Lauren E., Zhang, Jian-Guo, Hu, Wei, Rizer, Kyle, Monari, Erin H., Foote, Kelly D., Malaty, Irene A., Deeb, Wissam, Gunduz, Aysegul, and Okun, Michael S.

Published
2018
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22. Deep brain stimulation for Parkinson's disease in practice: results of the survey by the Italian Neurosurgery Society

Author

MANCINI, Fabrizio, primary, GUZZI, Giusy, additional, CASTRIOTO, Corrado F., additional, CAVALLO, Michele A., additional, CONTI, Alfredo, additional, CONTI, Carlo, additional, DELLA TORRE, Attilio, additional, ESPOSITO, Felice, additional, IORIO, Giuseppina, additional, LANDI, Andrea, additional, LANOTTE, Michele, additional, LAVANO, Angelo, additional, LOCATELLI, Marco, additional, LONGHI, Michele, additional, MARRUZZO, Daniele, additional, MONDANI, Massimo, additional, MORACE, Roberta, additional, PELLIZZARI, Manuel, additional, PIACENTINO, Massimo, additional, PICOZZI, Piero, additional, ROMEO, Francesco, additional, SARRUBBO, Silvio, additional, SERVELLO, Domenico, additional, SOMMA, Teresa, additional, TREZZA, Andrea, additional, TRINGALI, Giovanni, additional, TUFO, Tommaso, additional, and RICCIUTI, Riccardo A., additional

Published
2022
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26. Fluorescein sodium-guided resection of a cerebellar lymphoma: case report and literature review.

Author

Franzini, Andrea, Zekaj, Edvin, Bona, Alberto, Ciuffi, Andrea, Porta, Mauro, and Servello, Domenico

Subjects
FLUORESCEIN, CENTRAL nervous system, LYMPHOMAS, CENTRAL nervous system tumors, SURGICAL excision, CEREBELLAR tumors
Abstract

We report on a patient, who underwent the resection of a cerebellar primary central nervous system lymphoma and was administered intraoperative fluorescein sodium to improve the visualization of the tumor and guide surgery. Low-dosage fluorescein was administered prior to opening the dura so to distinguish contrast-enhanced lymphomatous tissue from the surrounding unenhanced brain cerebellar parenchyma. Intraoperatively, the tumor was indistinguishable from cerebellar parenchyma under the white light, however, after the administration of low-dose intravenous fluorescein, it appeared brightly fluorescent under yellow light, and was safely resected. Our protocol of administration allowed for the sampling of the pathological tissue while at the same time avoiding neurological damage. The fluorescein-guided technique for the resection of primary central nervous system lymphomas has only been rarely described, as surgical excision of such tumors is rarely indicated. Starting from our case, we review and discuss the pertinent literature. Furthermore, an intraoperative video detail is provided. [ABSTRACT FROM AUTHOR]

Published
2023
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27. MER and increased operative time are not risk factors for the formation of pneumocephalus during DBS.

Author

Iess, Guglielmo, Bonomo, Giulio, Levi, Vincenzo, Aquino, Domenico, Zekaj, Edvin, Mezza, Federica, and Servello, Domenico

Subjects
PNEUMOCEPHALUS, DEEP brain stimulation, MANN Whitney U Test, NEUROLOGICAL disorders, ARACHNOID cysts
Abstract

Although only recently directional leads have proven their potential to compensate for sub-optimally placed electrodes, optimal lead positioning remains the most critical factor in determining Deep Brain Stimulation (DBS) outcome. Pneumocephalus is a recognized source of error, but the factors that contribute to its formation are still a matter of debate. Among these, operative time is one of the most controversial. Because cases of DBS performed with Microelectrode Recordings (MER) are affected by an increase in surgical length, it is useful to analyze whether MER places patients at risk for increased intracranial air entry. Data of 94 patients from two different institutes who underwent DBS for different neurologic and psychiatric conditions were analyzed for the presence of postoperative pneumocephalus. Operative time and use of MER, as well as other potential risk factors for pneumocephalus (age, awake vs. asleep surgery, number of MER passages, burr hole size, target and unilateral vs. bilateral implants) were examined. Mann-Whitney U and Kruskal-Wallis tests were utilized to compare intracranial air distributions across groups of categorical variables. Partial correlations were used to assess the association between time and volume. A generalized linear model was created to predict the effects of time and MER on the volume of intracranial air, controlling for other potential risk factors identified: age, number of MER passages, awake vs. asleep surgery, burr hole size, target, unilateral vs. bilateral surgery. Significantly different distributions of air volume were noted between different targets, unilateral vs. bilateral implants, and number of MER trajectories. Patients undergoing DBS with MER did not present a significant increase in pneumocephalus compared to patients operated without (p = 0.067). No significant correlation was found between pneumocephalus and time. Using multivariate analysis, unilateral implants exhibited lower volumes of pneumocephalus (p = 0.002). Two specific targets exhibited significantly different volumes of pneumocephalus: the bed nucleus of the stria terminalis with lower volumes (p < 0.001) and the posterior hypothalamus with higher volumes (p = 0.011). MER, time, and other parameters analyzed failed to reach statistical significance. Operative time and use of intraoperative MER are not significant predictors of pneumocephalus during DBS. Air entry is greater for bilateral surgeries and may be also influenced by the specific stimulated target. [ABSTRACT FROM AUTHOR]

Published
2023
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40. Assessing response, remission, and treatment resistance in patients with obsessive–compulsive disorder with and without tic disorders: results from a multicenter study

Author

Benatti, Beatrice, primary, Girone, Nicolaja, additional, Conti, Dario, additional, Cafaro, Rita, additional, Viganò, Caterina, additional, Briguglio, Matteo, additional, Marazziti, Donatella, additional, Mucci, Federico, additional, Gambini, Orsola, additional, Demartini, Benedetta, additional, Tundo, Antonio, additional, Necci, Roberta, additional, De Berardis, Domenico, additional, Galentino, Roberta, additional, De Michele, Sara, additional, Balestrino, Roberta, additional, Albert, Umberto, additional, Rigardetto, Sylvia, additional, Maina, Giuseppe, additional, Grassi, Giacomo, additional, Pallanti, Stefano, additional, Amerio, Andrea, additional, Aguglia, Andrea, additional, Prestia, Davide, additional, Amore, Mario, additional, Priori, Alberto, additional, Servello, Domenico, additional, Porta, Mauro, additional, and Dell’Osso, Bernardo, additional

Published
2021
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