Publications by authors named "C Charley Monaca"

Excessive daytime sleepiness (EDS) is frequent among patients with obstructive sleep apnea hypopnea syndrome (OSAHS) and can persist despite the optimal correction of respiratory events (apnea, hypopnea and respiratory efforts), using continuous positive airway pressure (CPAP) or mandibular advancement device. Symptoms like apathy and fatigue may be mistaken for EDS. In addition, EDS has multi-factorial origin, which makes its evaluation complex.

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NPC1 encodes a lysosomal protein involved in cholesterol transport. Biallelic mutations in this gene may lead to Niemann-Pick disease type C (NPC), a lysosomal storage disorder. The role of NPC1 in alpha synucleinopathies is still unclear, as different genetic, clinical, and pathological studies have reported contradictory results.

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Article Synopsis
  • * A genome-wide association study identified five genetic risk loci for RBD near specific genes (SNCA, GBA, TMEM175, INPP5F, and SCARB2), suggesting a genetic basis for the disorder.
  • * Further analysis indicates that certain genes, like SNCA-AS1, show different expression levels in various brain regions affected by RBD, paving the way for recognizing RBD as a distinct subtype of alpha-synucleinopathy for potential early interventions.
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Background: Insomnia is a frequent complaint of patients with Parkinson's disease, and it negatively affects quality of life. Drugs that improve both sleep and parkinsonism would be of major benefit to patients with Parkinson's disease-related insomnia. We aimed to test the safety and efficacy of subcutaneous night-time only apomorphine infusion in patients with Parkinson's disease and insomnia.

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