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Dott. Andrea Naldi

Research activities

My research projects are focused on two specific topics:

1] Role of transorbital sonography for the non-invasive evaluation of intracranial pressure.

Transorbital sonography is a promising tool for the evaluation of intracranial pressure. The basis of the method reside in the variation of intracranial vascular parameters or in the optic nerve sheath diameter (ONSD) that occur during alteration of intracranial pressure. The advantages of using ultrasonography include the non-invasivity of the technique, the ready availability of ultrasonographic machines, rapid performances, relatively low costs, high accuracy and reproducibility of the measurements.

There are crescent evidences of the role of the ONSD for detecting and monitoring elevated intracranial hypertension. Scope of my research project on this issue is to translate the sonographic data in the clinical practice, evaluating the reliability of these methods in patients with intracranial hypertension.

 

2] Endovascular treatments in acute ischaemic stroke: translation from the benefit of randomised trials to the real life experience

In 2015, the results of five randomised trials comparing medical therapy with mechanical thrombectomy in acute ischaemic stroke have demonstrated the efficacy of endovascular treatment; nowadays, this therapy has been accepted as the standard care in case of large vessel occlusions of the proximal anterior circulation. However, the populations enrolled in trials are more selected than those treated in real world practise and discrepancies in results may be observed. The purpose of my research project is to verify how generalizable are the recent trial findings in the real population through the comparison of the published data with the real life experience. I work as a Neurologist and I have the opportunity to follow the patients admitted to our hospital for acute stroke and I strictly cooperate with radiologists, interventional neuroradiologists, anaesthesiologists, cardiologists, vascular surgeons and other referring figures on stroke network to ensure the best care both in the acute and subacute phase of stroke.

If confirmed, the translation of benefit of endovascular procedures on real life patients could be useful to identify the best therapeutic strategies basing on patients’ characteristics; moreover, positive data could be used for the organization of new regional networks for the acute ischaemic stroke management and pathway.

 

 

 

  • Asynchronous bithalamic infarction in presence of artery of Percheron. Naldi A, Mirandola L, Di Liberto A, Cavallo R, Boghi A. Neurol Sci. 2021 Jul 4. doi: 10.1007/s10072-021-05454-1

 

  • Anxiety, Post-Traumatic Stress, and Burnout in Health Professionals during the COVID-19 Pandemic: Comparing Mental Health Professionals and Other Healthcare Workers. Franzoi IG, Granieri A, Sauta MD, Agnesone M, Gonella M, Cavallo R, Lochner P, Bragazzi NL, Naldi A. Healthcare (Basel). 2021 May 27;9(6):635. doi: 10.3390/healthcare9060635.

 

  • Clinical Features of Patients With Cervical Artery Dissection and Fibromuscular Dysplasia. Bonacina S, Grassi M, Zedde M, et al. Stroke. 2021 Mar;52(3):821-829. doi: 10.1161/STROKEAHA.120.031579. Among collaborators: Naldi A

 

  • COVID-19 pandemic-related anxiety, distress and burnout: prevalence and associated factors in healthcare workers of North-West Italy. Naldi A, Vallelonga F, Di Liberto A, Cavallo R, Agnesone M, Gonella M, Sauta MD, Lochner P, Tondo G, Bragazzi NL, Botto R, Leombruni P. BJPsych Open. 2021 Jan 7;7(1):e27. doi: 10.1192/bjo.2020.161.

 

  • Mechanical Thrombectomy for Acute Intracranial Carotid Occlusion with Patent Intracranial Arteries : The Italian Registry of Endovascular Treatment in Acute Stroke. Sallustio F, Saia V, Marrama F, et al. Clin Neuroradiol. 2021 Mar;31(1):21-29. doi: 10.1007/s00062-020-00980-5. Among authors: Naldi A

 

  • Complications of mechanical thrombectomy for acute ischemic stroke: Incidence, risk factors, and clinical relevance in the Italian Registry of Endovascular Treatment in acute stroke. Salsano G, Pracucci G, Mavilio N, et al. Int J Stroke. 2020 Dec 6:1747493020976681. doi: 10.1177/1747493020976681. Among authors: Naldi A

 

  • Perfusion-computed tomography for simultaneous bilateral middle cerebral artery occlusion. Naldi A, Di Liberto A, Duc E, Rapellino A, Vaudano GP, Cavallo R, Boghi A.Neurol Sci. 2021 Apr;42(4):1541-1544. doi: 10.1007/s10072-020-04918-0. Epub 2020 Nov 21. PMID: 33219868.

 

  • Reduced Admissions for Cerebrovascular Events During COVID-19 Outbreak in Italy. Sacco S, Ricci S, Ornello R, Eusebi P, Petraglia L, Toni D; Italian Stroke Organization.Stroke. 2020 Dec;51(12):3746-3750. doi: 10.1161/STROKEAHA.120.031293. Epub 2020 Oct 16. Among authors: Naldi A

 

  • Posterior reversible encephalopathy syndrome: role of transorbital ultrasound. Lochner P, Lesmeister M, Nardone R, Orioli A, Siniscalchi A, Naldi A. Neurol Sci. 2021 Mar;42(3):1171-1174. doi: 10.1007/s10072-020-04719-5. Epub 2020 Sep 22. PMID: 32959184; PMCID: PMC7870592.

 

  • Direct thrombectomy for stroke in the presence of absolute exclusion criteria for thrombolysis [published online ahead of print, 2020 Jul 25]. Cappellari M, Pracucci G, Forlivesi S, et al. J Neurol. 2020;10.1007/s00415-020-10098-w. doi:10.1007/s00415-020-10098-w. Among authors: Naldi A

 

  • Endovascular Thrombectomy for Acute Ischemic Stroke Beyond 6 Hours From Onset: A Real-World Experience. Casetta I, Fainardi E, Saia V, et al. Stroke. 2020;51(7):2051-2057. doi:10.1161/STROKEAHA.119.027974. Among authors: Naldi A

 

  • Automatic Optic Nerve Measurement: A New Tool to Standardize Optic Nerve Assessment in Ultrasound B-Mode Images. Meiburger KM, Naldi A, Michielli N, et al.  Ultrasound Med Biol. 2020;46(6):1533-1544. doi:10.1016/j.ultrasmedbio.2020.01.034

 

  • Optic nerve sheath diameter asymmetry in healthy subjects and patients with intracranial hypertension. Naldi A, Provero P, Vercelli A, Bergui M, Mazzeo AT, Cantello R, Tondo G, Lochner P.  Neurol Sci. 2019 Oct 5. doi:10.1007/s10072-019-04076-y

 

  • Optic nerve sheath diameter: present and future perspective for neurologists and critical care physicians. Lochner P, Czosnyka M, Naldi A, Lyros E, Pelosi P, Mathur S, Fassbender K, Robba C. Neurol Sci. 2019 Dec;40(12):2447-2457. doi: 10.1007/s10072-019-04015-x

 

  • IER-SICH Nomogram to Predict Symptomatic Intracerebral Hemorrhage After Thrombectomy for Stroke. Cappellari M, Mangiafico S, Saia V, et al. Stroke. 2019;50(4):909-916. doi:10.1161/STROKEAHA.118.023316. Among collaborators: Naldi A

 

  • Ultrasonography Monitoring of Optic nerve Sheath Diameter and Retinal Vessels in Patients with Cerebral Hemorrhage. Naldi A, Pivetta E, Coppo L, Cantello R, Comi C, Stecco A, Cerrato P, Lesmeister M, Lochner P. J Neuroimaging. 2019 Feb 3. doi: 10.111/jon.12606

 

  • Transcranial Color-Coded Sonography for Monitoring Idiopathic Intracranial Hypertension. Naldi A, Lochner P, Canu P, Alessi S, Settembre R, Sanguigni S. Ultraschall Med. 2018 Nov 20.  doi: 10.1055/a-0783-2541

 

  • Longitudinal assessment of transorbital sonography, visual acuity, and biomarkers for inflammation and axonal injury in optic neuritis. Lochner P, Cantello R, Fassbender K, Lesmeister M, Nardone R, Siniscalchi A, Clemente N, Naldi A, Coppo L, Brigo F, Comi C. Dis Markers. 2017;2017:5434310

 

  • The measuring of substantia nigra hyperechogenicity in an Italian cohort of Parkinson disease patients: a case/control study (NOBIS Study). Prati P, Bignamini A, Coppo L, Naldi A, Comi C, Cantello R, Gusmaroli G, Walter U. J Neural Transm (2017) 124:869-879

 

  • Can neuroimaging differentiate PFO and AF-related cardioembolic stroke from the other embolic sources? Clinical-radiological correlation on a retrospective study. Stecco A, Quagliozzi M, Soligo E, Naldi A, Cassarà A, Coppo L, Rosso R, Bongo AS, Amatuzzo P, Buemi E, Carriero A. Radiol Med. 2017 Feb 21

 

  • Feasibility and usefulness of ultrasonography in idiopathic intracranial hypertension or secondary intracranial hypertension. Lochner P, Brigo F, Zedde ML, Sanguigni S, Coppo L, Nardone R, Naldi A, Sola D, Stolz E. BMC Neurol 2016 Jun 2;16:85

 

  • Intra- and interobserver reliability of transorbital sonographic assessment of the optic nerve sheath diameter and optic nerve diameter in healthy adults. Lochner P, Coppo L, Cantello R, Nardone R, Naldi A, Leone MA, Brigo F. J Ultrasound 2014 Nov 20;19(1):41-5

 

  • Central neurophatic itch as the presenting symptom of an intramedullary cavernous hemangioma: case report and review of literature. Lanotte M, Panciani PP, Magistrello M, Naldi A, Fontanella M, Ducati A, Giordana MT. Clin Neurol Neurosurg 2013 Apr;115(4):454-6

 

  • Dementia and cognitive impairment in amyotrophic lateral sclerosis: a review. Giordana MT, Ferrero P, Grifoni S, Pellerino A, Naldi A, Montuschi A. Neurol Sci 2011 Feb; 32(1):9-16.
 
 
 
 
  • European Stroke Organization Conference 2021 (ESOC). Congresso Europeo Stroke, 1-3 settembre 2021 (virtuale).
  • Seminari webinar - Dr. Cerrato. 18/3/21: Approccio clinico diagnostico e terapeutico al paziente con forame ovale pervio. 24/3/21: Miastenia e sindromi miasteniformi: clinica, diagnosi e terapia. 31/3/21: Quadri clinici, neuroradiologici e terapia nell'ictus da occlusione carotidea e trombosi basilare. 7/4/21: Linee guida nella prevenzione delle complicanze emboliche e neurologiche nell'endocardite. 16/3/21: Angiopatia amiloide cerebrale: quadri clinici, aspetti neuroradiologici e risvolti terapeutici. 27/3/21: Encefaliti autoimmuni. 6/5/21: Approccio diagnostico terapeutico all'ictus al risveglio e ad esordio oltre la 6a ora. 12/5/21: Neuropatie infiammatorie acute e croniche. 19/5/21: Terapia medica e trombolitica in condizioni particolari: minor stroke. 10/6/21: Emorragie cerebrali e subaracnoidee con presentazione clinica e neuroradiologica inusuale. 15/6/21: Modelli organizzativi per l'ictus cerebrale, il modello Emilia Romagna e Parigi.
  • Corso FAD – COVID-19. Maggio-Giugno 2020. Webinar.
  • Malattia di Parkinson: percorsi terapeutici nelle terapie di fase avanzata. 22/10/2019 e 12/11/2019, Dipartimento di Neuroscienze, Università di Torino.
  • Urgenze Neuroradiologiche. 10/10/2019, Ospedale San Giovanni Bosco, Torino.
  • Urgenze ed emergenze 2019: istruzioni per l'uso. 13/05/2019, Ospedale San Giovanni Bosco, Torino.
  • Antibiotico terapia: linee guida e real life, clinica e laboratorio. ASL TO5, Moncalieri, 27/3/2019
  • Riunione del Registro Endovascolare Ictus - 19/01/2019 c/o Hotel Ambasciatori, Firenze.
  • Diabete ieri, oggi e domani: esperienze da condividere. Relatore in: Decadimento cognitivo nel diabete. Hotel Cavalieri - Bra, 6/12/2018.
  • PFO Focus: gestione delle sindromi PFO correlate alla luce dei nuovi trials randomizzati e del documento di posizione europeo. Relatore in: casi clinici interattivi. Double Tree Hotel - Torino, 9/11/2018
  • Teaching activities from 26/9/2018 to 16/12/2018: Corso di formazione aziendale ed interaziendale sulla terapia trombolitica endovenosa e intraarteriosa nell'ictus ischemico c/o A.O.U. Città della Salute e della Scienza di Torino (total amount of 45 hours training).
 
 
Book chapters:
 
- Brain US in the neurological settings (in Echography and Doppler of the Brain, Springer). Piergiorgio Lochner and Andrea Naldi
 
 
PDTA (Percorsi Diagnostici Terapeutici Assistenziali):
 
- PDTA per il sospetto ictus cerebri ischemico acuto nel pronto soccorso dell'ospedale San Giovanni Bosco (Torino). Ruolo di redattore.
 
 
 
 
2021 Projects
 
Working on
 
Book chapters:
 
- Neuroimaging in Multiple System Atrophy (for Springer)
 
- Ecografia del Nervo Ottico (for the SINV, Società Interdisciplinare NeuroVascolare)
 
 

Publications

All of my research products
Last update: 27/08/2021 11:09
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