Pisa Syndrome in Parkinson's Disease: Clinical, Electromyographic, and Radiological Characterization
Identifieur interne : 001026 ( Main/Exploration ); précédent : 001025; suivant : 001027Pisa Syndrome in Parkinson's Disease: Clinical, Electromyographic, and Radiological Characterization
Auteurs : Cristina Tassorelli [Italie] ; Anna Furnari [Italie] ; Simona Buscone [Italie] ; Enrico Alfonsi [Italie] ; Claudio Pacchetti [Italie] ; Roberta Zangaglia [Italie] ; Anna Pichiecchio [Italie] ; Stefano Bastianello [Italie] ; Alessandro Lozza [Italie] ; Marta Allena [Italie] ; Monica Bolla [Italie] ; Giorgio Sandrini [Italie] ; Giuseppe Nappi [Italie] ; Emilia Martignoni [Italie]Source :
- Movement disorders [ 0885-3185 ] ; 2012.
Descripteurs français
- Pascal (Inist)
English descriptors
- KwdEn :
Abstract
Abnormal postures of the trunk are a typical feature of Parkinson's disease (PD). These include Pisa syndrome (PS), a tonic lateral flexion of the trunk associated with slight rotation along the sagittal plane. In this study we describe clinical, electromyographic (EMG), and radiological features of PS in a group of 20 PD patients. All patients with trunk deviation underwent EMG and radiological (RX and CT scan) investigation. Clinical characteristics of patients with PS were compared with a control group of PD patients without trunk deviation. PD patients with PS showed a significantly higher score of disease asymmetry compared with the control group. In the majority of patients with PS, trunk bending was contralateral to the side of symptom onset. EMG showed abnormal tonic hyperactivity on the side of the deviation in the paravertebral thoracic muscles and in the abdominal oblique muscles. CT of the lumbar paraspinal muscles showed muscular atrophy more marked on the side of the deviation, with a craniocaudal gradient. PS may represent a complication of advanced PD in a subgroup of patients who show more marked asymmetry of disease and who have detectable hyperactivity of the dorsal paravertebral muscles on the less affected side. This postural abnormality deserves attention and proper early treatment to prevent comorbidities and pain.
Affiliations:
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Mondino" Foundation</wicri:noRegion></affiliation></author><author><name sortKey="Bolla, Monica" sort="Bolla, Monica" uniqKey="Bolla M" first="Monica" last="Bolla">Monica Bolla</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>IRCCS "National Neurological Institute C. Mondino" Foundation</s1><s2>Pavia</s2><s3>ITA</s3><sZ>1 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ><sZ>9 aut.</sZ><sZ>10 aut.</sZ><sZ>11 aut.</sZ><sZ>12 aut.</sZ><sZ>13 aut.</sZ></inist:fA14><country>Italie</country><wicri:noRegion>IRCCS "National Neurological Institute C. Mondino" Foundation</wicri:noRegion></affiliation></author><author><name sortKey="Sandrini, Giorgio" sort="Sandrini, Giorgio" uniqKey="Sandrini G" first="Giorgio" last="Sandrini">Giorgio Sandrini</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>IRCCS "National Neurological Institute C. Mondino" Foundation</s1><s2>Pavia</s2><s3>ITA</s3><sZ>1 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ><sZ>9 aut.</sZ><sZ>10 aut.</sZ><sZ>11 aut.</sZ><sZ>12 aut.</sZ><sZ>13 aut.</sZ></inist:fA14><country>Italie</country><wicri:noRegion>IRCCS "National Neurological Institute C. Mondino" Foundation</wicri:noRegion></affiliation><affiliation wicri:level="1"><inist:fA14 i1="03"><s1>Department of Public Health and Neurosciences, University of Pavia</s1><s2>Pavia</s2><s3>ITA</s3><sZ>1 aut.</sZ><sZ>12 aut.</sZ></inist:fA14><country>Italie</country><wicri:noRegion>Pavia</wicri:noRegion></affiliation></author><author><name sortKey="Nappi, Giuseppe" sort="Nappi, Giuseppe" uniqKey="Nappi G" first="Giuseppe" last="Nappi">Giuseppe Nappi</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>IRCCS "National Neurological Institute C. Mondino" Foundation</s1><s2>Pavia</s2><s3>ITA</s3><sZ>1 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ><sZ>9 aut.</sZ><sZ>10 aut.</sZ><sZ>11 aut.</sZ><sZ>12 aut.</sZ><sZ>13 aut.</sZ></inist:fA14><country>Italie</country><wicri:noRegion>IRCCS "National Neurological Institute C. Mondino" Foundation</wicri:noRegion></affiliation></author><author><name sortKey="Martignoni, Emilia" sort="Martignoni, Emilia" uniqKey="Martignoni E" first="Emilia" last="Martignoni">Emilia Martignoni</name><affiliation wicri:level="1"><inist:fA14 i1="04"><s1>Unit of Neurorehabilitation and Movement Disorders, IRCCS S. Maugeri Foundation, Scientific Institute of Tradate and Department of Medical Sciences, University of Insubria</s1><s2>Varese</s2><s3>ITA</s3><sZ>14 aut.</sZ></inist:fA14><country>Italie</country><wicri:noRegion>Varese</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">INIST</idno><idno type="inist">12-0113826</idno><date when="2012">2012</date><idno type="stanalyst">PASCAL 12-0113826 INIST</idno><idno type="RBID">Pascal:12-0113826</idno><idno type="wicri:Area/PascalFrancis/Corpus">000264</idno><idno type="wicri:Area/PascalFrancis/Curation">002A50</idno><idno type="wicri:Area/PascalFrancis/Checkpoint">000099</idno><idno type="wicri:doubleKey">0885-3185:2012:Tassorelli C:pisa:syndrome:in</idno><idno type="wicri:Area/Main/Merge">001078</idno><idno type="wicri:Area/Main/Curation">001026</idno><idno type="wicri:Area/Main/Exploration">001026</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a">Pisa Syndrome in Parkinson's Disease: Clinical, Electromyographic, and Radiological Characterization</title><author><name sortKey="Tassorelli, Cristina" sort="Tassorelli, Cristina" uniqKey="Tassorelli C" first="Cristina" last="Tassorelli">Cristina Tassorelli</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>IRCCS "National Neurological Institute C. Mondino" Foundation</s1><s2>Pavia</s2><s3>ITA</s3><sZ>1 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ><sZ>9 aut.</sZ><sZ>10 aut.</sZ><sZ>11 aut.</sZ><sZ>12 aut.</sZ><sZ>13 aut.</sZ></inist:fA14><country>Italie</country><wicri:noRegion>IRCCS "National Neurological Institute C. Mondino" Foundation</wicri:noRegion></affiliation><affiliation wicri:level="1"><inist:fA14 i1="03"><s1>Department of Public Health and Neurosciences, University of Pavia</s1><s2>Pavia</s2><s3>ITA</s3><sZ>1 aut.</sZ><sZ>12 aut.</sZ></inist:fA14><country>Italie</country><wicri:noRegion>Pavia</wicri:noRegion></affiliation></author><author><name sortKey="Furnari, Anna" sort="Furnari, Anna" uniqKey="Furnari A" first="Anna" last="Furnari">Anna Furnari</name><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>IRCCS Centro Neurolesi "Bonino-Pulejo</s1><s2>Messina</s2><s3>ITA</s3><sZ>2 aut.</sZ></inist:fA14><country>Italie</country><wicri:noRegion>IRCCS Centro Neurolesi "Bonino-Pulejo</wicri:noRegion></affiliation></author><author><name sortKey="Buscone, Simona" sort="Buscone, Simona" uniqKey="Buscone S" first="Simona" last="Buscone">Simona Buscone</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>IRCCS "National Neurological Institute C. Mondino" Foundation</s1><s2>Pavia</s2><s3>ITA</s3><sZ>1 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ><sZ>9 aut.</sZ><sZ>10 aut.</sZ><sZ>11 aut.</sZ><sZ>12 aut.</sZ><sZ>13 aut.</sZ></inist:fA14><country>Italie</country><wicri:noRegion>IRCCS "National Neurological Institute C. Mondino" Foundation</wicri:noRegion></affiliation></author><author><name sortKey="Alfonsi, Enrico" sort="Alfonsi, Enrico" uniqKey="Alfonsi E" first="Enrico" last="Alfonsi">Enrico Alfonsi</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>IRCCS "National Neurological Institute C. Mondino" Foundation</s1><s2>Pavia</s2><s3>ITA</s3><sZ>1 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ><sZ>9 aut.</sZ><sZ>10 aut.</sZ><sZ>11 aut.</sZ><sZ>12 aut.</sZ><sZ>13 aut.</sZ></inist:fA14><country>Italie</country><wicri:noRegion>IRCCS "National Neurological Institute C. Mondino" Foundation</wicri:noRegion></affiliation></author><author><name sortKey="Pacchetti, Claudio" sort="Pacchetti, Claudio" uniqKey="Pacchetti C" first="Claudio" last="Pacchetti">Claudio Pacchetti</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>IRCCS "National Neurological Institute C. Mondino" Foundation</s1><s2>Pavia</s2><s3>ITA</s3><sZ>1 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ><sZ>9 aut.</sZ><sZ>10 aut.</sZ><sZ>11 aut.</sZ><sZ>12 aut.</sZ><sZ>13 aut.</sZ></inist:fA14><country>Italie</country><wicri:noRegion>IRCCS "National Neurological Institute C. Mondino" Foundation</wicri:noRegion></affiliation></author><author><name sortKey="Zangaglia, Roberta" sort="Zangaglia, Roberta" uniqKey="Zangaglia R" first="Roberta" last="Zangaglia">Roberta Zangaglia</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>IRCCS "National Neurological Institute C. Mondino" Foundation</s1><s2>Pavia</s2><s3>ITA</s3><sZ>1 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ><sZ>9 aut.</sZ><sZ>10 aut.</sZ><sZ>11 aut.</sZ><sZ>12 aut.</sZ><sZ>13 aut.</sZ></inist:fA14><country>Italie</country><wicri:noRegion>IRCCS "National Neurological Institute C. Mondino" Foundation</wicri:noRegion></affiliation></author><author><name sortKey="Pichiecchio, Anna" sort="Pichiecchio, Anna" uniqKey="Pichiecchio A" first="Anna" last="Pichiecchio">Anna Pichiecchio</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>IRCCS "National Neurological Institute C. Mondino" Foundation</s1><s2>Pavia</s2><s3>ITA</s3><sZ>1 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ><sZ>9 aut.</sZ><sZ>10 aut.</sZ><sZ>11 aut.</sZ><sZ>12 aut.</sZ><sZ>13 aut.</sZ></inist:fA14><country>Italie</country><wicri:noRegion>IRCCS "National Neurological Institute C. Mondino" Foundation</wicri:noRegion></affiliation></author><author><name sortKey="Bastianello, Stefano" sort="Bastianello, Stefano" uniqKey="Bastianello S" first="Stefano" last="Bastianello">Stefano Bastianello</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>IRCCS "National Neurological Institute C. Mondino" Foundation</s1><s2>Pavia</s2><s3>ITA</s3><sZ>1 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ><sZ>9 aut.</sZ><sZ>10 aut.</sZ><sZ>11 aut.</sZ><sZ>12 aut.</sZ><sZ>13 aut.</sZ></inist:fA14><country>Italie</country><wicri:noRegion>IRCCS "National Neurological Institute C. Mondino" Foundation</wicri:noRegion></affiliation></author><author><name sortKey="Lozza, Alessandro" sort="Lozza, Alessandro" uniqKey="Lozza A" first="Alessandro" last="Lozza">Alessandro Lozza</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>IRCCS "National Neurological Institute C. Mondino" Foundation</s1><s2>Pavia</s2><s3>ITA</s3><sZ>1 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ><sZ>9 aut.</sZ><sZ>10 aut.</sZ><sZ>11 aut.</sZ><sZ>12 aut.</sZ><sZ>13 aut.</sZ></inist:fA14><country>Italie</country><wicri:noRegion>IRCCS "National Neurological Institute C. Mondino" Foundation</wicri:noRegion></affiliation></author><author><name sortKey="Allena, Marta" sort="Allena, Marta" uniqKey="Allena M" first="Marta" last="Allena">Marta Allena</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>IRCCS "National Neurological Institute C. Mondino" Foundation</s1><s2>Pavia</s2><s3>ITA</s3><sZ>1 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ><sZ>9 aut.</sZ><sZ>10 aut.</sZ><sZ>11 aut.</sZ><sZ>12 aut.</sZ><sZ>13 aut.</sZ></inist:fA14><country>Italie</country><wicri:noRegion>IRCCS "National Neurological Institute C. Mondino" Foundation</wicri:noRegion></affiliation></author><author><name sortKey="Bolla, Monica" sort="Bolla, Monica" uniqKey="Bolla M" first="Monica" last="Bolla">Monica Bolla</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>IRCCS "National Neurological Institute C. Mondino" Foundation</s1><s2>Pavia</s2><s3>ITA</s3><sZ>1 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ><sZ>9 aut.</sZ><sZ>10 aut.</sZ><sZ>11 aut.</sZ><sZ>12 aut.</sZ><sZ>13 aut.</sZ></inist:fA14><country>Italie</country><wicri:noRegion>IRCCS "National Neurological Institute C. Mondino" Foundation</wicri:noRegion></affiliation></author><author><name sortKey="Sandrini, Giorgio" sort="Sandrini, Giorgio" uniqKey="Sandrini G" first="Giorgio" last="Sandrini">Giorgio Sandrini</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>IRCCS "National Neurological Institute C. Mondino" Foundation</s1><s2>Pavia</s2><s3>ITA</s3><sZ>1 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ><sZ>9 aut.</sZ><sZ>10 aut.</sZ><sZ>11 aut.</sZ><sZ>12 aut.</sZ><sZ>13 aut.</sZ></inist:fA14><country>Italie</country><wicri:noRegion>IRCCS "National Neurological Institute C. Mondino" Foundation</wicri:noRegion></affiliation><affiliation wicri:level="1"><inist:fA14 i1="03"><s1>Department of Public Health and Neurosciences, University of Pavia</s1><s2>Pavia</s2><s3>ITA</s3><sZ>1 aut.</sZ><sZ>12 aut.</sZ></inist:fA14><country>Italie</country><wicri:noRegion>Pavia</wicri:noRegion></affiliation></author><author><name sortKey="Nappi, Giuseppe" sort="Nappi, Giuseppe" uniqKey="Nappi G" first="Giuseppe" last="Nappi">Giuseppe Nappi</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>IRCCS "National Neurological Institute C. Mondino" Foundation</s1><s2>Pavia</s2><s3>ITA</s3><sZ>1 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ><sZ>9 aut.</sZ><sZ>10 aut.</sZ><sZ>11 aut.</sZ><sZ>12 aut.</sZ><sZ>13 aut.</sZ></inist:fA14><country>Italie</country><wicri:noRegion>IRCCS "National Neurological Institute C. Mondino" Foundation</wicri:noRegion></affiliation></author><author><name sortKey="Martignoni, Emilia" sort="Martignoni, Emilia" uniqKey="Martignoni E" first="Emilia" last="Martignoni">Emilia Martignoni</name><affiliation wicri:level="1"><inist:fA14 i1="04"><s1>Unit of Neurorehabilitation and Movement Disorders, IRCCS S. Maugeri Foundation, Scientific Institute of Tradate and Department of Medical Sciences, University of Insubria</s1><s2>Varese</s2><s3>ITA</s3><sZ>14 aut.</sZ></inist:fA14><country>Italie</country><wicri:noRegion>Varese</wicri:noRegion></affiliation></author></analytic><series><title level="j" type="main">Movement disorders</title><title level="j" type="abbreviated">Mov. disord.</title><idno type="ISSN">0885-3185</idno><imprint><date when="2012">2012</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">Movement disorders</title><title level="j" type="abbreviated">Mov. disord.</title><idno type="ISSN">0885-3185</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Dystonia</term><term>Nervous system diseases</term><term>Pain</term><term>Parkinson disease</term><term>Scoliosis</term><term>Spine</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Maladie de Parkinson</term><term>Dystonie</term><term>Scoliose</term><term>Pathologie du système nerveux</term><term>Douleur</term><term>Rachis</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Abnormal postures of the trunk are a typical feature of Parkinson's disease (PD). These include Pisa syndrome (PS), a tonic lateral flexion of the trunk associated with slight rotation along the sagittal plane. In this study we describe clinical, electromyographic (EMG), and radiological features of PS in a group of 20 PD patients. All patients with trunk deviation underwent EMG and radiological (RX and CT scan) investigation. Clinical characteristics of patients with PS were compared with a control group of PD patients without trunk deviation. PD patients with PS showed a significantly higher score of disease asymmetry compared with the control group. In the majority of patients with PS, trunk bending was contralateral to the side of symptom onset. EMG showed abnormal tonic hyperactivity on the side of the deviation in the paravertebral thoracic muscles and in the abdominal oblique muscles. CT of the lumbar paraspinal muscles showed muscular atrophy more marked on the side of the deviation, with a craniocaudal gradient. PS may represent a complication of advanced PD in a subgroup of patients who show more marked asymmetry of disease and who have detectable hyperactivity of the dorsal paravertebral muscles on the less affected side. This postural abnormality deserves attention and proper early treatment to prevent comorbidities and pain.</div></front></TEI><affiliations><list><country><li>Italie</li></country></list><tree><country name="Italie"><noRegion><name sortKey="Tassorelli, Cristina" sort="Tassorelli, Cristina" uniqKey="Tassorelli C" first="Cristina" last="Tassorelli">Cristina Tassorelli</name></noRegion><name sortKey="Alfonsi, Enrico" sort="Alfonsi, Enrico" uniqKey="Alfonsi E" first="Enrico" last="Alfonsi">Enrico Alfonsi</name><name sortKey="Allena, Marta" sort="Allena, Marta" uniqKey="Allena M" first="Marta" last="Allena">Marta Allena</name><name sortKey="Bastianello, Stefano" sort="Bastianello, Stefano" uniqKey="Bastianello S" first="Stefano" last="Bastianello">Stefano Bastianello</name><name sortKey="Bolla, Monica" sort="Bolla, Monica" uniqKey="Bolla M" first="Monica" last="Bolla">Monica Bolla</name><name sortKey="Buscone, Simona" sort="Buscone, Simona" uniqKey="Buscone S" first="Simona" last="Buscone">Simona Buscone</name><name sortKey="Furnari, Anna" sort="Furnari, Anna" uniqKey="Furnari A" first="Anna" last="Furnari">Anna Furnari</name><name sortKey="Lozza, Alessandro" sort="Lozza, Alessandro" uniqKey="Lozza A" first="Alessandro" last="Lozza">Alessandro Lozza</name><name sortKey="Martignoni, Emilia" sort="Martignoni, Emilia" uniqKey="Martignoni E" first="Emilia" last="Martignoni">Emilia Martignoni</name><name sortKey="Nappi, Giuseppe" sort="Nappi, Giuseppe" uniqKey="Nappi G" first="Giuseppe" last="Nappi">Giuseppe Nappi</name><name sortKey="Pacchetti, Claudio" sort="Pacchetti, Claudio" uniqKey="Pacchetti C" first="Claudio" last="Pacchetti">Claudio Pacchetti</name><name sortKey="Pichiecchio, Anna" sort="Pichiecchio, Anna" uniqKey="Pichiecchio A" first="Anna" last="Pichiecchio">Anna Pichiecchio</name><name sortKey="Sandrini, Giorgio" sort="Sandrini, Giorgio" uniqKey="Sandrini G" first="Giorgio" last="Sandrini">Giorgio Sandrini</name><name sortKey="Sandrini, Giorgio" sort="Sandrini, Giorgio" uniqKey="Sandrini G" first="Giorgio" last="Sandrini">Giorgio Sandrini</name><name sortKey="Tassorelli, Cristina" sort="Tassorelli, Cristina" uniqKey="Tassorelli C" first="Cristina" last="Tassorelli">Cristina Tassorelli</name><name sortKey="Zangaglia, Roberta" sort="Zangaglia, Roberta" uniqKey="Zangaglia R" first="Roberta" last="Zangaglia">Roberta Zangaglia</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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