Publications by authors named "Casoni F"

Growing evidence supports sleep-wake disruption as a mechanism involved in mood disorders pathogenesis. Duration of depressive episodes varies widely, and longer depressive episodes have been connected to worse outcomes. We aimed to explore if the length of depressive episodes is related to objective modifications of sleep features.

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  • This study investigates how K-complexes (KC), a specific type of brainwave, relate to the effectiveness of Cognitive-Behavioral Therapy for Insomnia (CBT-I), which is the main treatment for chronic insomnia.
  • Researchers conducted a multicenter study with 98 insomnia patients undergoing a 6-8 week CBT-I program, evaluating their sleep using polysomnography and an insomnia severity index before and after treatment.
  • The results indicate that KC density, particularly its change after treatment, can predict how well patients respond to CBT-I and significantly correlates with improved sleep pressure, suggesting KC is an important biomarker for insomnia treatment.
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Friedreich's ataxia (FRDA) is a neurodegenerative disorder characterized by severe neurological signs, affecting the peripheral and central nervous system, caused by reduced frataxin protein (FXN) levels. Although several studies have highlighted cellular dysfunctions in neurons, there is limited information on the effects of FXN depletion in astrocytes and on the potential non-cell autonomous mechanisms affecting neurons in FRDA. In this study, we generated a model of FRDA cerebellar astrocytes to unveil phenotypic alterations that might contribute to cerebellar atrophy.

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  • The COVID-19 pandemic highlighted the benefits of telemedicine in Italy, leading to a focus on tele-visit services, particularly for type 1 diabetes patients in Modena.
  • A case study was conducted to assess the implementation of these tele-visits over the first year, from May 2023 to April 2024, detailing the activities and challenges faced by the Local Health Authority.
  • In the initial year, 72 patients participated with 103 tele-visits conducted, mostly involving women aged 30-49, with nearly half of the Diabetology specialists engaged in the service.
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  • Researchers explored the differences between "brain-first" and "body-first" types of Parkinson's disease by studying patients with isolated REM sleep behavior disorder (iRBD) and their periodic limb movements during sleep (PLMS).
  • Out of the 191 patients examined, 48.2% had a high PLMS index (PLMSi > 15), which was linked to better performance in executive functions despite poorer sleep quality.
  • The study suggests that higher PLMSi correlates with increased wakefulness and decreased overall sleep efficiency, indicating a potential connection between sleep disruptions and cognitive status in these patients.
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  • - The study investigates Sleep State Misperception (SSM) in Insomnia Disorder (ID) patients, who tend to misjudge their sleep latency (how long it takes to fall asleep) and total sleep time compared to healthy individuals.
  • - The research involved twenty ID patients and eighteen healthy controls undergoing polysomnography (PSG) and analyzing their sleep diaries, with a focus on alterations in brain wave patterns during sleep onset and throughout the night.
  • - Results indicated significant differences in brain wave activity, with ID patients showing a low delta/beta ratio and distinctive power changes in certain brain regions, suggesting a relationship between sleep misperception and altered sleep EEG topography.
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The nuclei are the main output structures of the cerebellum. Each and every cerebellar cortical computation reaches several areas of the brain by means of cerebellar nuclei processing and integration. Nevertheless, our knowledge of these structures is still limited compared to the cerebellar cortex.

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Most patients with idiopathic REM sleep behavior disorder (iRBD) present peculiar repetitive leg jerks during sleep in their clinical spectrum, called periodic leg movements (PLMS). The clinical differentiation of iRBD patients with and without PLMS is challenging, without polysomnographic confirmation. The aim of this study is to develop a new Machine Learning (ML) approach to distinguish between iRBD phenotypes.

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  • - Obstructive sleep apnea (OSA) is a common sleep disorder with low diagnosis and treatment rates, and Continuous Positive Airway Pressure (CPAP/PAP) is the main therapy, although many patients struggle to stick with it.
  • - A network meta-analysis of 50 randomized control trials explored how different types of interventions—Behavioral, Educational, Supportive, and Mixed—impact adherence to CPAP/PAP therapy among OSA patients.
  • - The findings indicate that Supportive interventions are the most effective for improving CPAP adherence, highlighting the need for collaboration among clinicians and a multidisciplinary approach to OSA treatment using a biopsychological framework.
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  • Sleep state misperception (SSM) is a common issue in insomnia disorder, leading to differences between perceived and actual sleep times, which can worsen daytime functioning.
  • The study examined how various sleep measurements (like brain activity patterns) relate to misperceptions of sleep latency (the time taken to fall asleep) and total sleep time in patients with insomnia.
  • Results showed that increased alpha brain activity during sleep onset correlates with misperceptions about sleep duration, reinforcing the idea that heightened brain arousal contributes to SSM difficulties in insomnia patients.
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  • Diagnostic manuals describe insomnia disorder (ID) as leading to daytime fatigue and sleepiness, but patients rarely report sleepiness in clinical settings.
  • A study assessed subjective sleepiness in ID using the Epworth Sleepiness Scale (ESS) and evaluated the impact of cognitive behavioural therapy for insomnia (CBT-I) on daytime functioning and fatigue.
  • Results showed that ID patients had similar sleepiness levels to healthy controls and significantly less than those with excessive daytime sleepiness, indicating a disconnect between daytime functioning and sleepiness in ID, while insomnia severity correlated with fatigue.
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Amyotrophic lateral sclerosis (ALS) is a progressive, lethal neurodegenerative disease mostly affecting people around 50-60 years of age. TDP-43, an RNA-binding protein involved in pre-mRNA splicing and controlling mRNA stability and translation, forms neuronal cytoplasmic inclusions in an overwhelming majority of ALS patients, a phenomenon referred to as TDP-43 proteinopathy. These cytoplasmic aggregates disrupt mRNA transport and localization.

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Purpose: To describe a sign that takes the form of a continuous hyperreflective band within the thickness of the ganglion cell layer (GCL), thus dubbed the "hyperreflective ganglion cell layer band" (HGB), which the authors detected in a fraction of patients affected by retinitis pigmentosa (RP).

Methods: Retrospective, cross-sectional, observational study. Optical coherence tomography (OCT) images of patients with RP examined between May 2015 and June 2021 were retrospectively reviewed for the presence of HGB, epiretinal membrane (ERM), macular hole, and cystoid macular edema (CME).

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Sleep plays a key role in the pathogenesis and clinical presentation of mood disorders. However, only a few studies have investigated sleep architecture during the manic episodes of Bipolar Disorder (BD) and changes in sleep parameters that follow clinical variations. Twenty-one patients (8 males, 13 females) affected by BD, manic phase, underwent polysomnographic recordings (PSG) at the beginning of the admission in our ward (T) and after three weeks of hospital treatment (T).

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  • * A study of 55 iRBD patients explored how cognitive reserve (CR) impacts their cognitive performance, revealing that those with higher CR levels had less mild cognitive impairment and performed better on memory tests.
  • * The findings suggest that CR could serve as a protective factor against cognitive decline in iRBD patients, laying the groundwork for future research on CR's role in disease progression and cognitive deterioration.
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Owing to the high risk of recurrence, identifying indicators of carotid plaque vulnerability in atherothrombotic ischemic stroke is essential. In this study, we aimed to identify modified LDLs and antioxidant enzymes associated with plaque vulnerability in plasma from patients with a recent ischemic stroke and carotid atherosclerosis. Patients underwent an ultrasound, a CT-angiography, and an F-FDG PET.

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The cerebellum is a key player in many brain functions and a major topic of neuroscience research. However, the cerebellar nuclei (CN), the main output structures of the cerebellum, are often overlooked. This neglect is because research on the cerebellum typically focuses on the cortex and tends to treat the CN as relatively simple output nuclei conveying an inverted signal from the cerebellar cortex to the rest of the brain.

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The aim of this meta-analysis is twofold: (a) to assess cognitive impairments in isolated rapid eye movement (REM) sleep behavior disorder (iRBD) patients compared to healthy controls (HC); (b) to quantitatively estimate the risk of developing a neurodegenerative disease in iRBD patients according to baseline cognitive assessment. To address the first aim, cross-sectional studies including polysomnography-confirmed iRBD patients, HC, and reporting neuropsychological testing were included. To address the second aim, longitudinal studies including polysomnography-confirmed iRBD patients, reporting baseline neuropsychological testing for converted and still isolated patients separately were included.

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Recent evidence demonstrated that neuropsychological assessment may be considered a valid marker of neurodegeneration in idiopathic REM sleep behaviour disorder (iRBD). However, little is known about the possible neuropsychological heterogeneity within the iRBD population. This retrospective study aimed to identify and describe different neuropsychological phenotypes in iRBD patients by means of a data-driven approach using latent class analysis.

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Underlying neural mechanisms and cognitive implications of non-Rapid Eye Movement (NREM) sleep in isolated Rapid Eye Movement (REM) sleep behavior disorder (iRBD) are not yet fully elucidated. This study aims to evaluate brain metabolic connectivity of the anterior default mode network (ADMN) underlying a waveform that is an hallmark of NREM sleep, namely K-complex (KC) and their implication for neuropsychological functioning in iRBD patients. Combining polysomnographic and multivariate molecular imaging (FDG-PET) approaches may provide crucial insights regarding KCs role in the prodromal stages of synucleinopathies.

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Propriospinal myoclonus (PSM) consists of paroxysmal and sudden jerks involving axial flexion trunk and hip muscles, conditioning sudden myoclonias of the trunk and arms/limbs, both spontaneous and triggered by sensory stimulations, emerging in relaxed wakefulness typically during the transition between wake and sleep. Generally, PSM originates from a thoracic myelomere and spreads caudally and rostrally, provoking flexion and/or extension movements, leading to jumps or trunk jerks. They appear triggered by the lying-down position and disappear when the subject stands up.

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Background: Insomnia Disorder is characterized by high degree of phenotypic heterogeneity, that might influence treatment response.

Methods: 123 of 294 insomnia patients initially recruited (66.7% females, age=40.

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Lysosomal acid phosphatase 2 () mutant mice (naked-ataxia, ) have a severe cerebellar cortex defect with a striking reduction in the number of granule cells. Using a combination of in vivo and in vitro immunohistochemistry, Western blotting, BrdU assays, and RT-qPCR, we show downregulation of MYCN and dysregulation of the SHH signaling pathway in the cerebellum. MYCN protein expression is significantly reduced at P10, but not at the peak of proliferation at around P6 when the number of granule cells is strikingly reduced in the cerebellum.

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