Thalamic infarcts in young adults: relationship between clinical-topographic features and pathogenesisAlessandro Pezzini
Department of Neurology, University of Brescia, Italy
Eur Neurol 47:30-6. 2002
..Moreover, most series have included mainly elderly stroke patients, whereas scarce information is available about the etiology of thalamic infarcts in the young...
Arterial hypertension as risk factor for spontaneous cervical artery dissection. A case-control studyA Pezzini
Clinica Neurologica, Universita degli Studi di Brescia, P le Spedali Civili, 1, 25100 Brescia, Italia
J Neurol Neurosurg Psychiatry 77:95-7. 2006
..20 to 6.04; p = 0.017). These findings might help define the spectrum of pathogenic conditions predisposing to sCAD and provide information to help investigate the combined effect of such susceptibility factors in future studies...
From genetics to epigenetics in platelet researchKathleen Freson
Center for Molecular and Vascular Biology, University of Leuven, Leuven, Belgium
Thromb Res 129:325-9. 2012
..This review is a brief introduction to these different aspects in epigenomics with a focus on DNA methylation in CVD and platelet research...
Genetic determinants of juvenile strokeAlessandro Pezzini
Dipartimento di Scienze Mediche e Chirurgiche, Clinica Neurologica, Universita degli Studi di Brescia, Brescia, Italia
Thromb Res 129:330-5. 2012
..This approach will contribute to the identification of additional genes, novel pathways, and eventually novel therapeutic approaches to cerebrovascular disorders...
Large middle cerebral artery and panhemispheric infarctionAlessia Giossi
Dipartimento di Scienze Mediche e Chirurgiche, Clinica Neurologica, Universita degli Studi di Brescia, Brescia, Italy
Front Neurol Neurosci 30:154-7. 2012
..Surgical intervention can reduce that mortality compared to medical therapy alone, but necessitates a careful exploration of patient characteristics for acceptable outcomes...
Interaction between proatherosclerotic factors and right-to-left shunt on the risk of cryptogenic stroke: the Italian Project on Stroke in Young AdultsAlessandro Pezzini
Dipartimento di Scienze Mediche e Chirurgiche, Clinica Neurologica, Universita degli Studi di Brescia, P le Spedali Civili, 1, 25100 Brescia, Italia
Heart 98:485-9. 2012
..To explore the interaction effects between cardiac interatrial right-to-left shunt (RLS) and proatherosclerotic factors on the risk of brain ischaemia...
Transforming growth factor β signaling perturbation in the Loeys-Dietz syndromeA Pezzini
Dipartimento di Scienze Mediche e Chirurgiche, Clinica Neurologica, Universita degli Studi di Brescia, P le Spedali Civili, 1, 25100 Brescia, Italia
Curr Med Chem 19:454-60. 2012
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Thyroid autoimmunity and spontaneous cervical artery dissectionAlessandro Pezzini
Dipartimento di Scienze Mediche e Chirurgiche, Stroke Unit, Neurologia Vascolare, Spedali Civili di Brescia, Brescia, Italia
Stroke 37:2375-7. 2006
..The possibility that a disorder of immunity might have a role in the mechanism of local inflammatory alterations leading to spontaneous cervical artery dissection (sCAD) has been recently advocated...
Common genetic markers and prediction of recurrent events after ischemic stroke in young adultsA Pezzini
Clinica Neurologica, Universita degli Studi di Brescia, P le Spedali Civili, 1, 25100 Brescia, Italia
Neurology 73:717-23. 2009
..Scarce information is available on the usefulness of new prediction markers for identifying young ischemic stroke patients at highest risk of recurrence...
Interaction of homocysteine and conventional predisposing factors on risk of ischaemic stroke in young people: consistency in phenotype-disease analysis and genotype-disease analysisA Pezzini
Clinica Neurologica, Universita degli Studi di Brescia, Ple Spedali Civili, 1, 25100 Brescia, Italy
J Neurol Neurosurg Psychiatry 77:1150-6. 2006
..Whether the association between mild hyperhomocysteinaemia and ischaemic stroke is the consequence of a predisposing genetic background or is due to the confounding influence of established predisposing factors remains to be determined...
Inherited thrombophilia and stratification of ischaemic stroke risk among users of oral contraceptivesA Pezzini
Dipartimento di Scienze Mediche e Chirurgiche, Stroke Unit, Neurologia Vascolare, Spedali Civili di Brescia, P le Spedali Civili, 1, 25100 Brescia, Italy
J Neurol Neurosurg Psychiatry 78:271-6. 2007
..In particular, few data are available on what criteria should be adopted to establish an individual profile of risk before the start of oral contraceptives...
Cerebral amyloid angiopathy: a common cause of cerebral hemorrhageA Pezzini
Department of Medical and Surgical Sciences, Neurology Clinic, University of Brescia, Brescia, Italy
Curr Med Chem 16:2498-513. 2009
..The present paper summarizes epidemiologic and clinical aspects of CAA, and highlights the presumed pathomechanisms of amyloid deposition in both sporadic and hereditary forms...
Homocysteine and cerebral ischemia: pathogenic and therapeutical implicationsAlessandro Pezzini
Dipartimento di Scienze Mediche e Chirurgiche, Stroke Unit, Neurologia Vascolare, Spedali Civili di Brescia, Brescia, Italia
Curr Med Chem 14:249-63. 2007
..Some of these randomized controlled trials are currently ongoing. Their results should hopefully resolve the issue in the next future...
Migraine mediates the influence of C677T MTHFR genotypes on ischemic stroke risk with a stroke-subtype effectAlessandro Pezzini
Dipartimento di Scienze Mediche e Chirurgiche, Stroke Unit, Neurologia Vascolare, Spedali Civili di Brescia, P le Spedali Civili, 1, 25100 Brescia, Italia
Stroke 38:3145-51. 2007
..The objective was to investigate the role of C677T MTHFR polymorphism in migraine pathogenesis and in the migraine-ischemic stroke pathway...
Do common prothrombotic mutations influence the risk of cerebral ischaemia in patients with patent foramen ovale? Systematic review and meta-analysisAlessandro Pezzini
Clinica Neurologica, Università degli Studi di Brescia P le Spedali Civili, 1 25100 Brescia, Italia
Thromb Haemost 101:813-7. 2009
..Addition of common prothrombotic genetic variants to standard initial screening may contribute to stratifying PFO-associated stroke patients at different risk of ischaemic events and targeting secondary prevention strategies...
The migraine-ischemic stroke connection: potential pathogenic mechanismsAlessandro Pezzini
Dipartimento di Scienze Mediche e Chirurgiche, Clinica Neurologica, Universita degli Studi di Brescia, Brescia, Italia
Curr Mol Med 9:215-26. 2009
..How to identify those migraineurs at highest risk of ischemic stroke and whether stroke can be prevented by specific therapeutic strategies are the goals of future research...
Cerebral amyloid angiopathy-related hemorrhagesAlessandro Pezzini
Dipartimento di Scienze Mediche e Chirurgiche, Clinica Neurologica Università degli Studi di Brescia, p le Spedali Civili 1, 25123, Brescia, Italy
Neurol Sci 29:S260-3. 2008
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Influence of acute blood pressure on short- and mid-term outcome of ischemic and hemorrhagic strokeAlessandro Pezzini
Dipartimento di Scienze Mediche e Chirurgiche, Clinica Neurologica, Universita degli Studi di Brescia, P le Spedali Civili, 1, 25100 Brescia, Italy
J Neurol 258:634-40. 2011
..289; 95% CI +0.010 to +0.571], and (3) no significant effect on 90-day mortality. The influence of acute BP values on mid-term stroke outcome varies depending on the stroke subtype...
History of migraine and the risk of spontaneous cervical artery dissectionA Pezzini
Clinica Neurologica, Universita degli Studi di Brescia, Brescia, Italy
Cephalalgia 25:575-80. 2005
..84; 95% CI 3.85-25.16). Similar results were observed when the frequencies of family history of migraine were compared. These findings are consistent with the hypothesis that migraine may represent a predisposing condition for sCAD...
Plasma homocysteine concentration, C677T MTHFR genotype, and 844ins68bp CBS genotype in young adults with spontaneous cervical artery dissection and atherothrombotic strokeAlessandro Pezzini
Clinica Neurologica, Universita degli Studi di Brescia, Brescia, Italia
Stroke 33:664-9. 2002
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Alpha-1-antitrypsin deficiency-associated cervical artery dissection: report of three casesAlessandro Pezzini
Clinica Neurologica, Universita degli Studi di Brescia, Italia
Eur Neurol 47:201-4. 2002
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New insights into the pleiotropic effects of statins for stroke preventionAlessandro Pezzini
Clinica Neurologica, Universita degli Studi di Brescia, P le Spedali Civili, 1, 25100 Brescia, Italia
Mini Rev Med Chem 9:794-804. 2009
..In this review, the non-lipid-mediated - "pleiotropic" - effects of statins as well as their potential implication in developing new treatment strategies for stroke prevention will be discussed...
Hyperhomocysteinemia: a potential risk factor for cervical artery dissection following chiropractic manipulation of the cervical spineAlessandro Pezzini
Clinica Neurologica, Universita degli Studi di Brescia, P le Spedali Civili, 1, 25125 Brescia, Italia
J Neurol 249:1401-3. 2002
..Hyperhomocysteinemia may represent a potential risk factor for manipulation-related CAD, leading to structural abnormalities of the arterial wall and increasing the susceptibility to mechanical stress...
Inherited thrombophilic disorders in young adults with ischemic stroke and patent foramen ovaleAlessandro Pezzini
Clinica Neurologica, Universita degli Studi di Brescia, Brescia, Italia
Stroke 34:28-33. 2003
..We investigated the association between inherited thrombophilic disorders and PFO-related strokes in a series of young adults in the setting of a case-control study...
Predictors of migraine subtypes in young adults with ischemic stroke: the italian project on stroke in young adultsAlessandro Pezzini
Dipartimento di Scienze Mediche e Chirurgiche, Clinica Neurologica, Universita degli Studi di Brescia, P le Spedali Civili, 1, 25100 Brescia, Italia
Stroke 42:17-21. 2011
..The aim of the present study was to investigate the predictive value of major cardiovascular risk factors, cardiac interatrial abnormalities, and additional biological markers on migraine subtypes in young adults with ischemic stroke...
Synergistic effect of apolipoprotein E polymorphisms and cigarette smoking on risk of ischemic stroke in young adultsAlessandro Pezzini
Clinica Neurologica, Universita degli Studi di Brescia, P le Spedali Civili, 1, 25100 Brescia, Italia
Stroke 35:438-42. 2004
..We explored the interactions of APOE genotypes and conventional risk factors in a case-control study of young adults with cerebral infarct...
Mutations in TGFBR2 gene cause spontaneous cervical artery dissectionAlessandro Pezzini
Dipartimento di Scienze Mediche e Chirurgiche, Clinica Neurologica, Universita degli Studi di Brescia, P le Spedali Civili, 1, 25100 Brescia, Italia
J Neurol Neurosurg Psychiatry 82:1372-4. 2011
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Cumulative effect of predisposing genotypes and their interaction with modifiable factors on the risk of ischemic stroke in young adultsAlessandro Pezzini
Clinica Neurologica, Universita degli Studi di Brescia, P le Spedali Civili, 1, 25100 Brescia, Italia
Stroke 36:533-9. 2005
..These mechanisms are more likely to play a relevant role in younger individuals...
Volume reduction in cerebral blood flow in patients with Alzheimer's disease: a sonographic studyN Maalikjy Akkawi
Department of Neurology, Civil Hospital of Brescia, Brescia, Italy
Dement Geriatr Cogn Disord 16:163-9. 2003
..The ability of ultrasonography to characterize flow decreases makes such a technique an attractive tool for the study of AD, for the evaluation of pharmacological therapies and, possibly, for early diagnosis...
Weather conditions and transient global amnesia. A six-year studyN Maalikjy Akkawi
Dept of Neurology, Piazzale Spedali Civili, Brescia, Italy
J Neurol 253:194-8. 2006
..This prompted us to evaluate the influence of climatic parameters, and their variation on the incidence of TGA...
Volume cerebral blood flow reduction in pre-clinical stage of Alzheimer disease: evidence from an ultrasonographic studyNabil Maalikjy Akkawi
Dept of Neurological Sciences, University of Brescia, P za Spedali Civili, 1, 25100 Brescia, Italy
J Neurol 252:559-63. 2005
..4%) within a two year follow-up. Ultrasonography of the cervical arteries is a simple, non invasive and widespread technique useful in detecting CBF decline during the MCI stage, thus identifying patients who later will convert to AD...
Perfusion CT in patients with acute ischemic stroke treated with intra-arterial thrombolysis: predictive value of infarct core size on clinical outcomeR Gasparotti
Dipartimento di Diagnostica per Immagini, Neuroradiologia, Universita di Brescia, Brescia, Italy
AJNR Am J Neuroradiol 30:722-7. 2009
..The purpose of the study was to assess the reliability of PCT in predicting clinical outcome of patients with acute ischemic stroke treated with intra-arterial thrombolysis (IAT)...
Role of COL4A1 in basement-membrane integrity and cerebral small-vessel disease. The COL4A1 stroke syndromeI Volonghi
Dipartimento di Scienze Mediche e Chirurgiche, Clinica Neurologica, Universita degli Studi di Brescia, P le Spedali Civili, 1, 25123 Brescia Italy
Curr Med Chem 17:1317-24. 2010
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Advances in antiplatelet therapy for stroke prevention: the new P2Y12 antagonistsA Giossi
Department of Medical and Surgical Sciences, Neurology Clinic, University of Brescia, Brescia, Italy
Curr Drug Targets 11:380-91. 2010
..Whether the promising pharmacological profile of these drugs will be translated into clinical benefit for stroke patients will be determined by the results of clinical trials...
Determinants of early-onset cardiovascular disease: a case-control study of young myocardial infarction patientsDeodato Assanelli
University of Brescia, Brescia, Italy
Ital Heart J 5:604-11. 2004
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Transient global amnesia: a clinical and sonographic studyN Maalikjy Akkawi
Department of Neurology, Civil Hospital of Brescia, I 25100 Brescia, Italy
Eur Neurol 49:67-71. 2003
..The aetiology of transient global amnesia (TGA) is still unknown. The aim of this study was to identify potential risk factors for TGA, vascular risk factors, the role of patent foramen ovale (PFO) and of retrograde jugular venous flow...
Folic acid and vitamin E supplementation effects on homocysteinemia, endothelial function and plasma antioxidant capacity in young myocardial-infarction patientsDeodato Assanelli
Institute of Internal Medicine, University of Brescia, Brescia, Italy
Pharmacol Res 49:79-84. 2004
..Confirming previous reports, the effects of Vitamin E are still equivocal...
Prevalence of patent foramen ovale in a large series of patients with migraine with aura, migraine without aura and cluster headache, and relationship with clinical phenotypeGiorgio Dalla Volta
Neurologia, Istituto Clinico Città di Brescia, Brescia, Italy
J Headache Pain 6:328-30. 2005
..They also suggest that such an association is independent on migraine clinical phenotype and is probably unrelated to the pathogenic mechanism of paradoxical embolism...
Holmes' tremor following midbrain Toxoplasma abscess: clinical features and treatment of a caseA Pezzini
Department of Neurology, University of Brescia, Brescia, Italy
Parkinsonism Relat Disord 8:177-80. 2002
..We describe the case of a patient with Holmes' tremor due to a presumed Toxoplasma abscess of the midbrain. The positive response to a combined therapy with levodopa and isoniazid is also reported...
Is mild vascular cognitive impairment reversible? Evidence from a study on the effect of carotid endarterectomyBarbara Borroni
Department of Medical Sciences, Neurological Clinic, University of Brescia, Italy
Neurol Res 26:594-7. 2004
..These findings support that mVCI represents a heterogeneous, in some cases reversible condition. CEA might be considered a therapeutic option to treat and prevent cognitive decline in mVCI patients...
Migraine and ischemic stroke: a debated questionElisabetta Del Zotto
Dipartimento di Scienze Biomediche e Biotecnologie, Universita degli Studi di Brescia, Brescia, Italy
J Cereb Blood Flow Metab 28:1399-421. 2008
..In this paper, we will review contemporary epidemiologic studies, discuss potential mechanisms of migraine-induced stroke and comorbid ischemic stroke, and pose new research questions...
Genetic analysis of familial connective tissue alterations associated with cervical artery dissections suggests locus heterogeneityTina Wiest
Department of Neurology, University of Heidelberg, Germany
Stroke 37:1697-702. 2006
..Sequence analysis did not lead to the identification of a mutated candidate gene in 1 of these loci. The study of 2 additional pedigrees indicated locus heterogeneity for the connective tissue phenotype of CAD patients...
Genetic approaches in the study of risk factors for cervical artery dissectionCaspar Grond-Ginsbach
Neurologische Klinik der Universität Heidelberg, Heidelberg, Deutschland
Front Neurol Neurosci 20:30-43. 2005
..However, the results of the association studies published so far must be interpreted cautiously because of the small sample sizes...
Evidence of major genes effects on serum homocysteine and fibrinogen levels, and premature ischemic heart disease in Italian extended familiesMario Grassi
Dipartimento di Scienze Sanitarie Applicate, Sezione di Statistica Medica and Epidemiologia, Universita di Pavia, Pavia, Italy
Hum Hered 66:50-60. 2008
..As tHcy and FIB have been consistently associated to increased risk of ischemic heart disease (IHD) and acute myocardial infarction (MI) also genes-trait-MI mediational effects were tested...
Risk of ischemic cerebrovascular disease in alpha1-antitrypsin deficiencyAlessandro Pezzini
Circulation 108:e62-3; author reply e62-3. 2003
Diagnostic flow chart for targeted detection of alpha1-antitrypsin deficiencyLuciano Corda
Prima Divisione di Medicina, Spedali Civili, P le Spedali Civili no 1, 25123 Brescia, Italy
Respir Med 100:463-70. 2006
..Alpha1-antitrypsin (AAT) deficiency is under-recognized, probably because many individuals affected show no clinical impairment. The targeted detection is a tool to increase its recognition...
Antiplatelets versus anticoagulation in cervical artery dissectionStefan T Engelter
Neurological Clinic and Stroke Unit, University Hospital Basel, Petersgraben 4, Basel, Switzerland
Stroke 38:2605-11. 2007
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Different types of connective tissue alterations associated with cervical artery dissectionsIngrid Hausser
Department of Dermatology, University of Heidelberg, Heidelberg, Germany
Acta Neuropathol (Berl) 107:509-14. 2004
..The segregation of the connective tissue phenotype in three families suggested an autosomal dominant pattern of inheritance...
Direct, reverse or reciprocal causation in the relation between homocysteine and ischemic heart diseaseMario Grassi
Dipartimento di Scienze Sanitarie Applicate, Sezione di Statistica Medica ed Epidemiologia, Universita degli Studi di Pavia, Pavia, Italia
Thromb Res 120:61-9. 2007
..We tested the alternative hypotheses that the Hcy-IHD relation is due to direct, reversal or reciprocal causality...
Internal carotid artery dissection after French horn playing. Spontaneous or traumatic event?Alessandro Pezzini
J Neurol 250:1004-5. 2003