THE ITALIAN DATA BASE Associazione Italiana per la Sindrome di Emiplegia Alternante U.O.di...
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THE ITALIAN DATA BASE
Associazione Italiana per la Sindrome
di Emiplegia Alternante
A.I .S.EA On lus
U.O.di Neuropsichiatria InfantileOspedale Maggiore “C.A. Pizzardi”
Bologna
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The Italian Data Base
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The Italian Data Base
Questionnaire for child neuropsychiatrist:Word,
Access.
Consultation of clinical documentation
Parents’ Interview
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The Italian Data Base- The Questionnaire (1)
PATIENTName-surname
BirthdatePlace of birth
AddressPhone number
NEUROPSYCHIATRIST Name-SurnameAddress
Phone numberE-mail
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The Italian Data Base- The Questionnaire (2)
PHYSIOLOGICAL HISTORY
PREGNANCY
DELIVERY
CONSANGUINEITY
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The Italian Data Base- The Questionnaire (3)
PAROXYSMAL MANIFESTATIONS
COLOR OR TEMPERATURE CHANGETONIC/DYSTONIC ATTACK
HEMIPLEGIA OR LIMPNESS ON ONE SIDEBREATHING DIFFICULTIES
EYE MOVEMENT ABNORMALITIES
Y/N ANSWER
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The Italian Data Base- The Questionnaire (3)
Age of onsetFrequency
LengthLast observation
SemeiologyTriggers
Age of disappearance
HEMIPLEGIADYSTONIAABNORMAL OCULAR MOVEMENTSEPILEPSYEPILEPTIC STATUS
PAROXYSMAL MANIFESTATION
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The Italian Data Base- The Questionnaire (4)
NON PAROXYSMAL DISORDERS
Age of onsetLast observation
SemeiologyFollow up(Improved.
Unchanged.Worsened)
Any variation With attacks
POSTURAL DYSTONIACHOREOATHETOSISTREMORHYPOTONIACOGNITIVE IMPAIRMENTLEARNING DISABILITIESBEHAVIOURAL DISORDERSDEVELOPMENTAL DELAY
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The Italian Data Base- The Questionnaire (5)
COGNITIVE FUNCTIONLEARNING DISABILITIES
BEHAVIOURAL DISORDERS
HAVE BEEN EXAMINED IN DETAIL BY PROF. VIANELLO AND DR. MOALLI
FROM PADOVA
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The Italian Data Base- The Questionnaire (6)
SOMATIC FEATURES
WILL BE EXAMINED IN DETAIL BY PROF. NERI
FROM ROME
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The Italian Data Base- The Questionnaire (7)
DIAGNOSTIC ASSESSMENT
EEGPOLYGRAPHIC EEG
VEPAEPABR
TACMRIfMRIINTERICTAL SPECTICTAL SPECT
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The Italian Data Base- The Questionnaire (8)
DIAGNOSTIC METHABOLIC ASSESSMENT
CARYOTYPEVLFA
LYSOSOMAL ENZYME
MUSCLE BIOPSYSKIN BIOPSYAMINOACIDOGRAMORGANIC ACIDSLACTATEPYRUVATE
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The Italian Data Base- The Questionnaire (9)
THERAPY
NAME OF DRUGAGE OF ONSET
EFFICACY
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The Italian Data Base- The Questionnaire (10)
DISCUSSION
IS THE QUESTIONNAIRE COMPLETE?
DO WE NEED FURTHER INFORMATION?
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The Italian Data Base- The Questionnaire (11)
Is there a history of MIGRAINE in your family?Are any other family members affected with AHC?Which is the main clinical symptom/sign at the moment?Has your child ever had an ictal EEG or a VIDEO (ictal) EEG?
OTHER SUGGESTIONS?
SUGGESTIONS
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The Italian Data Base Results
29 Italian patients affected with AHC1 patient refused to take part in the data base1 patient (from Bologna) is still under investigation1 patient (from Pisa) we are going to contact
26 patients whose data are already in the data base(22/26) patients are members of the Italian AHC association (AISEA)
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The Italian Data Base- Results
PAROXYSMAL ATTACKS
TYPE OF ATTACK
AFFECTED STILL AFFECTED
HEMIPLEGIA 26/26 24/26
TETRAPLEGIA 19/26 19/26
DYSTONIA 22/26 15/26
OCULAR ABNORMALITIES 23/25 13/25
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The Italian Data Base- Results
NON PAROXYSMAL DISORDER
TYPE OF DISTURB AFFECTED STILL
AFFECTED
DYSTONIA 12/26 11/26
CHOREOATETOSIS 13/26 12/26
SPASTICITY 11/26 11/26
EPILEPSY 12/26 7/26
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The Italian Data Base- Results
COGNITIVE FUNCTION
MENTAL RETARDATION
PATIENTS
AFFECTED
ABSENT 5/26
MILD 10/26
MODERATE 5/26
SEVERE 6/26
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The Italian Data Base- Results
COGNITIVE FUNCTION
TYPE NORMAL DEFECTIVE
ATTENTION 13/26 13/26
GROSS MOTOR SKILLS
3/26 23/26
LANGUAGE 8/26 18/26
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The Italian Data Base- Results
THERAPY
DRUG N° PATIENTS
EFFICACY
NIAPRAZINE 8/26 3/8
FLUNARIZINE 24/26 14/24
TRIPT-OH 3/26 2/3
ACETAZOLAMIDE 5/26 3/5
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The Italian Data Base
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The Italian Data Base
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The Italian Data Base
Dott.ssa Antonelli-FirenzeDr Cardona-RomeDr Cotrufo-NapoliProf Dalla Bernardina-VeronaDr De Vito, Dr Cioni-PisaDott.ssa Faggioli-FerraraDr Galeone-Bari Dr Gambardella-CatanzaroDr Giacanelli- RomeDr Gobbi- Bologna Dott.ssa Granata- Milan
Prof Laverda-PadovaDr Pelliccia-RomeDr Piccinelli- VareseProf.Ricci-RomeDott.ssa Santucci- BolognaDott.ssa Tedesi- MagentaProf Veneselli- Genova Prof Vigevano –RomeDr Zucca- Bosisio Parini
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Thanks
Italian AHC Association – AISEADr. Giuseppe Gobbi
and Dott.ssa Dora Suglia