Gender differences in patients with Parkinson's disease treated with subthalamic deep brain stimulation
Identifieur interne : 001662 ( PascalFrancis/Checkpoint ); précédent : 001661; suivant : 001663Gender differences in patients with Parkinson's disease treated with subthalamic deep brain stimulation
Auteurs : Ettore Accolla [Italie] ; Elena Caputo [Italie] ; Filippo Cogiamanian [Italie] ; Filippo Tamma [Italie] ; Simona Mrakic-Sposta [Italie] ; Sara Marceglia [Italie] ; Marcello Egidi [Italie] ; Paolo Rampini [Italie] ; Marco Locatelli [Italie] ; Alberto Priori [Italie]Source :
- Movement disorders [ 0885-3185 ] ; 2007.
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Abstract
We investigated gender-differences in clinical phenomenology and response to deep brain stimulation (DBS) of the subthalamic nucleus (STN) in a group of patients with advanced Parkinson's disease (PD). Thirty-eight consecutive patients with PD (22 men and 16 women), bilaterally implanted for DBS of the STN, were evaluated 1 month before and 11 to 14 months after surgery. Gender differences in severity of the disease (HY and UPDRS), ability in the activities of daily living (ADL, UPDRS II), tremor and rigidity (UPDRS III), bradykinesia (UPDRS III and hand tapping test), levodopa-induced dyskinesias (LIDs, UPDRS IV), and levodopa equivalent daily dosage (LEDD) were analyzed before and after intervention. We found a predominantly male population, with no gender-related differences in age at onset, disease progression rate, or severity of disease. Nevertheless, women had more severe LIDs than men, only before the intervention. Bradykinesia was significantly less responsive to any kind of treatment (pharmacologic and neurosurgical) in women than in men. Finally, although STN-DBS induced similar total benefits in both genders, postoperative assessment suggested that the ADL improved more in women than in men. Women and men with advanced PD appear to differ in some clinical features and in response to dopaminergic and STN-DBS treatment.
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en" level="a">Gender differences in patients with Parkinson's disease treated with subthalamic deep brain stimulation</title><author><name sortKey="Accolla, Ettore" sort="Accolla, Ettore" uniqKey="Accolla E" first="Ettore" last="Accolla">Ettore Accolla</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Dipartimento di Science Neurologiche, Universita di Milano, Fondazione IRCCS Ospedale</s1><s2>Policlinico, Milano</s2><s3>ITA</s3><sZ>1 aut.</sZ><sZ>3 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></inist:fA14><country>Italie</country><wicri:noRegion>Policlinico, Milano</wicri:noRegion></affiliation></author><author><name sortKey="Caputo, Elena" sort="Caputo, Elena" uniqKey="Caputo E" first="Elena" last="Caputo">Elena Caputo</name><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Dipartimento di Neurologia Clinica, Ospedale San 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Fondazione IRCCS Ospedale</s1><s2>Policlinico, Milano</s2><s3>ITA</s3><sZ>1 aut.</sZ><sZ>3 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></inist:fA14><country>Italie</country><wicri:noRegion>Policlinico, Milano</wicri:noRegion></affiliation></author><author><name sortKey="Egidi, Marcello" sort="Egidi, Marcello" uniqKey="Egidi M" first="Marcello" last="Egidi">Marcello Egidi</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Dipartimento di Science Neurologiche, Universita di Milano, Fondazione IRCCS Ospedale</s1><s2>Policlinico, Milano</s2><s3>ITA</s3><sZ>1 aut.</sZ><sZ>3 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></inist:fA14><country>Italie</country><wicri:noRegion>Policlinico, Milano</wicri:noRegion></affiliation></author><author><name sortKey="Rampini, Paolo" sort="Rampini, Paolo" uniqKey="Rampini P" first="Paolo" last="Rampini">Paolo Rampini</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Dipartimento di Science Neurologiche, Universita di Milano, Fondazione IRCCS Ospedale</s1><s2>Policlinico, Milano</s2><s3>ITA</s3><sZ>1 aut.</sZ><sZ>3 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></inist:fA14><country>Italie</country><wicri:noRegion>Policlinico, Milano</wicri:noRegion></affiliation></author><author><name sortKey="Locatelli, Marco" sort="Locatelli, Marco" uniqKey="Locatelli M" first="Marco" last="Locatelli">Marco Locatelli</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Dipartimento di Science Neurologiche, Universita di Milano, Fondazione IRCCS Ospedale</s1><s2>Policlinico, Milano</s2><s3>ITA</s3><sZ>1 aut.</sZ><sZ>3 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></inist:fA14><country>Italie</country><wicri:noRegion>Policlinico, Milano</wicri:noRegion></affiliation></author><author><name sortKey="Priori, Alberto" sort="Priori, Alberto" uniqKey="Priori A" first="Alberto" last="Priori">Alberto Priori</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Dipartimento di Science Neurologiche, Universita di Milano, Fondazione IRCCS Ospedale</s1><s2>Policlinico, Milano</s2><s3>ITA</s3><sZ>1 aut.</sZ><sZ>3 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></inist:fA14><country>Italie</country><wicri:noRegion>Policlinico, Milano</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">INIST</idno><idno type="inist">07-0349119</idno><date when="2007">2007</date><idno type="stanalyst">PASCAL 07-0349119 INIST</idno><idno type="RBID">Pascal:07-0349119</idno><idno type="wicri:Area/PascalFrancis/Corpus">001640</idno><idno type="wicri:Area/PascalFrancis/Curation">001681</idno><idno type="wicri:Area/PascalFrancis/Checkpoint">001662</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a">Gender differences in patients with Parkinson's disease treated with subthalamic deep brain stimulation</title><author><name sortKey="Accolla, Ettore" sort="Accolla, Ettore" uniqKey="Accolla E" first="Ettore" last="Accolla">Ettore Accolla</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Dipartimento di Science Neurologiche, Universita di Milano, Fondazione IRCCS Ospedale</s1><s2>Policlinico, Milano</s2><s3>ITA</s3><sZ>1 aut.</sZ><sZ>3 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></inist:fA14><country>Italie</country><wicri:noRegion>Policlinico, Milano</wicri:noRegion></affiliation></author><author><name sortKey="Caputo, Elena" sort="Caputo, Elena" uniqKey="Caputo E" first="Elena" last="Caputo">Elena Caputo</name><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Dipartimento di Neurologia Clinica, Ospedale San Paolo</s1><s2>Milano</s2><s3>ITA</s3><sZ>2 aut.</sZ><sZ>4 aut.</sZ></inist:fA14><country>Italie</country><wicri:noRegion>Milano</wicri:noRegion></affiliation></author><author><name sortKey="Cogiamanian, Filippo" sort="Cogiamanian, Filippo" uniqKey="Cogiamanian F" first="Filippo" last="Cogiamanian">Filippo Cogiamanian</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Dipartimento di Science Neurologiche, Universita di Milano, Fondazione IRCCS Ospedale</s1><s2>Policlinico, Milano</s2><s3>ITA</s3><sZ>1 aut.</sZ><sZ>3 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></inist:fA14><country>Italie</country><wicri:noRegion>Policlinico, Milano</wicri:noRegion></affiliation></author><author><name sortKey="Tamma, Filippo" sort="Tamma, Filippo" uniqKey="Tamma F" first="Filippo" last="Tamma">Filippo Tamma</name><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Dipartimento di Neurologia Clinica, Ospedale San Paolo</s1><s2>Milano</s2><s3>ITA</s3><sZ>2 aut.</sZ><sZ>4 aut.</sZ></inist:fA14><country>Italie</country><wicri:noRegion>Milano</wicri:noRegion></affiliation></author><author><name sortKey="Mrakic Sposta, Simona" sort="Mrakic Sposta, Simona" uniqKey="Mrakic Sposta S" first="Simona" last="Mrakic-Sposta">Simona Mrakic-Sposta</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Dipartimento di Science Neurologiche, Universita di Milano, Fondazione IRCCS Ospedale</s1><s2>Policlinico, Milano</s2><s3>ITA</s3><sZ>1 aut.</sZ><sZ>3 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></inist:fA14><country>Italie</country><wicri:noRegion>Policlinico, Milano</wicri:noRegion></affiliation></author><author><name sortKey="Marceglia, Sara" sort="Marceglia, Sara" uniqKey="Marceglia S" first="Sara" last="Marceglia">Sara Marceglia</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Dipartimento di Science Neurologiche, Universita di Milano, Fondazione IRCCS Ospedale</s1><s2>Policlinico, Milano</s2><s3>ITA</s3><sZ>1 aut.</sZ><sZ>3 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></inist:fA14><country>Italie</country><wicri:noRegion>Policlinico, Milano</wicri:noRegion></affiliation></author><author><name sortKey="Egidi, Marcello" sort="Egidi, Marcello" uniqKey="Egidi M" first="Marcello" last="Egidi">Marcello Egidi</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Dipartimento di Science Neurologiche, Universita di Milano, Fondazione IRCCS Ospedale</s1><s2>Policlinico, Milano</s2><s3>ITA</s3><sZ>1 aut.</sZ><sZ>3 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></inist:fA14><country>Italie</country><wicri:noRegion>Policlinico, Milano</wicri:noRegion></affiliation></author><author><name sortKey="Rampini, Paolo" sort="Rampini, Paolo" uniqKey="Rampini P" first="Paolo" last="Rampini">Paolo Rampini</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Dipartimento di Science Neurologiche, Universita di Milano, Fondazione IRCCS Ospedale</s1><s2>Policlinico, Milano</s2><s3>ITA</s3><sZ>1 aut.</sZ><sZ>3 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></inist:fA14><country>Italie</country><wicri:noRegion>Policlinico, Milano</wicri:noRegion></affiliation></author><author><name sortKey="Locatelli, Marco" sort="Locatelli, Marco" uniqKey="Locatelli M" first="Marco" last="Locatelli">Marco Locatelli</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Dipartimento di Science Neurologiche, Universita di Milano, Fondazione IRCCS Ospedale</s1><s2>Policlinico, Milano</s2><s3>ITA</s3><sZ>1 aut.</sZ><sZ>3 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></inist:fA14><country>Italie</country><wicri:noRegion>Policlinico, Milano</wicri:noRegion></affiliation></author><author><name sortKey="Priori, Alberto" sort="Priori, Alberto" uniqKey="Priori A" first="Alberto" last="Priori">Alberto Priori</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Dipartimento di Science Neurologiche, Universita di Milano, Fondazione IRCCS Ospedale</s1><s2>Policlinico, Milano</s2><s3>ITA</s3><sZ>1 aut.</sZ><sZ>3 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></inist:fA14><country>Italie</country><wicri:noRegion>Policlinico, Milano</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="2007">2007</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>Deep brain stimulation</term><term>Human</term><term>Nervous system diseases</term><term>Parkinson disease</term><term>Sex</term><term>Subthalamic nucleus</term><term>Treatment</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Système nerveux pathologie</term><term>Parkinson maladie</term><term>Sexe</term><term>Homme</term><term>Traitement</term><term>Noyau sousthalamique</term><term>Stimulation cérébrale profonde</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Homme</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">We investigated gender-differences in clinical phenomenology and response to deep brain stimulation (DBS) of the subthalamic nucleus (STN) in a group of patients with advanced Parkinson's disease (PD). Thirty-eight consecutive patients with PD (22 men and 16 women), bilaterally implanted for DBS of the STN, were evaluated 1 month before and 11 to 14 months after surgery. Gender differences in severity of the disease (HY and UPDRS), ability in the activities of daily living (ADL, UPDRS II), tremor and rigidity (UPDRS III), bradykinesia (UPDRS III and hand tapping test), levodopa-induced dyskinesias (LIDs, UPDRS IV), and levodopa equivalent daily dosage (LEDD) were analyzed before and after intervention. We found a predominantly male population, with no gender-related differences in age at onset, disease progression rate, or severity of disease. Nevertheless, women had more severe LIDs than men, only before the intervention. Bradykinesia was significantly less responsive to any kind of treatment (pharmacologic and neurosurgical) in women than in men. Finally, although STN-DBS induced similar total benefits in both genders, postoperative assessment suggested that the ADL improved more in women than in men. Women and men with advanced PD appear to differ in some clinical features and in response to dopaminergic and STN-DBS treatment.</div></front></TEI><inist><standard h6="B"><pA><fA01 i1="01" i2="1"><s0>0885-3185</s0></fA01><fA03 i2="1"><s0>Mov. disord.</s0></fA03><fA05><s2>22</s2></fA05><fA06><s2>8</s2></fA06><fA08 i1="01" i2="1" l="ENG"><s1>Gender differences in patients with Parkinson's disease treated with subthalamic deep brain stimulation</s1></fA08><fA11 i1="01" i2="1"><s1>ACCOLLA (Ettore)</s1></fA11><fA11 i1="02" i2="1"><s1>CAPUTO (Elena)</s1></fA11><fA11 i1="03" i2="1"><s1>COGIAMANIAN (Filippo)</s1></fA11><fA11 i1="04" i2="1"><s1>TAMMA (Filippo)</s1></fA11><fA11 i1="05" i2="1"><s1>MRAKIC-SPOSTA (Simona)</s1></fA11><fA11 i1="06" i2="1"><s1>MARCEGLIA (Sara)</s1></fA11><fA11 i1="07" i2="1"><s1>EGIDI (Marcello)</s1></fA11><fA11 i1="08" i2="1"><s1>RAMPINI (Paolo)</s1></fA11><fA11 i1="09" i2="1"><s1>LOCATELLI (Marco)</s1></fA11><fA11 i1="10" i2="1"><s1>PRIORI (Alberto)</s1></fA11><fA14 i1="01"><s1>Dipartimento di Science Neurologiche, Universita di Milano, Fondazione IRCCS Ospedale</s1><s2>Policlinico, Milano</s2><s3>ITA</s3><sZ>1 aut.</sZ><sZ>3 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></fA14><fA14 i1="02"><s1>Dipartimento di Neurologia Clinica, Ospedale San Paolo</s1><s2>Milano</s2><s3>ITA</s3><sZ>2 aut.</sZ><sZ>4 aut.</sZ></fA14><fA20><s1>1150-1156</s1></fA20><fA21><s1>2007</s1></fA21><fA23 i1="01"><s0>ENG</s0></fA23><fA43 i1="01"><s1>INIST</s1><s2>20953</s2><s5>354000159429990140</s5></fA43><fA44><s0>0000</s0><s1>© 2007 INIST-CNRS. All rights reserved.</s1></fA44><fA45><s0>21 ref.</s0></fA45><fA47 i1="01" i2="1"><s0>07-0349119</s0></fA47><fA60><s1>P</s1></fA60><fA61><s0>A</s0></fA61><fA64 i1="01" i2="1"><s0>Movement disorders</s0></fA64><fA66 i1="01"><s0>USA</s0></fA66><fC01 i1="01" l="ENG"><s0>We investigated gender-differences in clinical phenomenology and response to deep brain stimulation (DBS) of the subthalamic nucleus (STN) in a group of patients with advanced Parkinson's disease (PD). Thirty-eight consecutive patients with PD (22 men and 16 women), bilaterally implanted for DBS of the STN, were evaluated 1 month before and 11 to 14 months after surgery. Gender differences in severity of the disease (HY and UPDRS), ability in the activities of daily living (ADL, UPDRS II), tremor and rigidity (UPDRS III), bradykinesia (UPDRS III and hand tapping test), levodopa-induced dyskinesias (LIDs, UPDRS IV), and levodopa equivalent daily dosage (LEDD) were analyzed before and after intervention. We found a predominantly male population, with no gender-related differences in age at onset, disease progression rate, or severity of disease. Nevertheless, women had more severe LIDs than men, only before the intervention. Bradykinesia was significantly less responsive to any kind of treatment (pharmacologic and neurosurgical) in women than in men. Finally, although STN-DBS induced similar total benefits in both genders, postoperative assessment suggested that the ADL improved more in women than in men. Women and men with advanced PD appear to differ in some clinical features and in response to dopaminergic and STN-DBS treatment.</s0></fC01><fC02 i1="01" i2="X"><s0>002B17</s0></fC02><fC02 i1="02" i2="X"><s0>002B17G</s0></fC02><fC02 i1="03" i2="X"><s0>002B17F</s0></fC02><fC03 i1="01" i2="X" l="FRE"><s0>Système nerveux pathologie</s0><s5>01</s5></fC03><fC03 i1="01" i2="X" l="ENG"><s0>Nervous system diseases</s0><s5>01</s5></fC03><fC03 i1="01" i2="X" l="SPA"><s0>Sistema nervioso patología</s0><s5>01</s5></fC03><fC03 i1="02" i2="X" l="FRE"><s0>Parkinson maladie</s0><s5>02</s5></fC03><fC03 i1="02" i2="X" l="ENG"><s0>Parkinson disease</s0><s5>02</s5></fC03><fC03 i1="02" i2="X" l="SPA"><s0>Parkinson enfermedad</s0><s5>02</s5></fC03><fC03 i1="03" i2="X" l="FRE"><s0>Sexe</s0><s5>09</s5></fC03><fC03 i1="03" i2="X" l="ENG"><s0>Sex</s0><s5>09</s5></fC03><fC03 i1="03" i2="X" l="SPA"><s0>Sexo</s0><s5>09</s5></fC03><fC03 i1="04" i2="X" l="FRE"><s0>Homme</s0><s5>10</s5></fC03><fC03 i1="04" i2="X" l="ENG"><s0>Human</s0><s5>10</s5></fC03><fC03 i1="04" i2="X" l="SPA"><s0>Hombre</s0><s5>10</s5></fC03><fC03 i1="05" i2="X" l="FRE"><s0>Traitement</s0><s5>11</s5></fC03><fC03 i1="05" i2="X" l="ENG"><s0>Treatment</s0><s5>11</s5></fC03><fC03 i1="05" i2="X" l="SPA"><s0>Tratamiento</s0><s5>11</s5></fC03><fC03 i1="06" i2="X" l="FRE"><s0>Noyau sousthalamique</s0><s5>12</s5></fC03><fC03 i1="06" i2="X" l="ENG"><s0>Subthalamic nucleus</s0><s5>12</s5></fC03><fC03 i1="06" i2="X" l="SPA"><s0>Núcleo subtalámico</s0><s5>12</s5></fC03><fC03 i1="07" i2="X" l="FRE"><s0>Stimulation cérébrale profonde</s0><s4>CD</s4><s5>96</s5></fC03><fC03 i1="07" i2="X" l="ENG"><s0>Deep brain stimulation</s0><s4>CD</s4><s5>96</s5></fC03><fC07 i1="01" i2="X" l="FRE"><s0>Encéphale pathologie</s0><s5>37</s5></fC07><fC07 i1="01" i2="X" l="ENG"><s0>Cerebral disorder</s0><s5>37</s5></fC07><fC07 i1="01" i2="X" l="SPA"><s0>Encéfalo patología</s0><s5>37</s5></fC07><fC07 i1="02" i2="X" l="FRE"><s0>Extrapyramidal syndrome</s0><s5>38</s5></fC07><fC07 i1="02" i2="X" l="ENG"><s0>Extrapyramidal syndrome</s0><s5>38</s5></fC07><fC07 i1="02" i2="X" l="SPA"><s0>Extrapiramidal síndrome</s0><s5>38</s5></fC07><fC07 i1="03" i2="X" l="FRE"><s0>Maladie dégénérative</s0><s5>39</s5></fC07><fC07 i1="03" i2="X" l="ENG"><s0>Degenerative disease</s0><s5>39</s5></fC07><fC07 i1="03" i2="X" l="SPA"><s0>Enfermedad degenerativa</s0><s5>39</s5></fC07><fC07 i1="04" i2="X" l="FRE"><s0>Système nerveux central pathologie</s0><s5>40</s5></fC07><fC07 i1="04" i2="X" l="ENG"><s0>Central nervous system disease</s0><s5>40</s5></fC07><fC07 i1="04" i2="X" l="SPA"><s0>Sistema nervosio central patología</s0><s5>40</s5></fC07><fC07 i1="05" i2="X" l="FRE"><s0>Système nerveux central</s0><s5>41</s5></fC07><fC07 i1="05" i2="X" l="ENG"><s0>Central nervous system</s0><s5>41</s5></fC07><fC07 i1="05" i2="X" l="SPA"><s0>Sistema nervioso central</s0><s5>41</s5></fC07><fN21><s1>225</s1></fN21><fN44 i1="01"><s1>OTO</s1></fN44><fN82><s1>OTO</s1></fN82></pA></standard></inist><affiliations><list><country><li>Italie</li></country></list><tree><country name="Italie"><noRegion><name sortKey="Accolla, Ettore" sort="Accolla, Ettore" uniqKey="Accolla E" first="Ettore" last="Accolla">Ettore Accolla</name></noRegion><name sortKey="Caputo, Elena" sort="Caputo, Elena" uniqKey="Caputo E" first="Elena" last="Caputo">Elena Caputo</name><name sortKey="Cogiamanian, Filippo" sort="Cogiamanian, Filippo" uniqKey="Cogiamanian F" first="Filippo" last="Cogiamanian">Filippo Cogiamanian</name><name sortKey="Egidi, Marcello" sort="Egidi, Marcello" uniqKey="Egidi M" first="Marcello" last="Egidi">Marcello Egidi</name><name sortKey="Locatelli, Marco" sort="Locatelli, Marco" uniqKey="Locatelli M" first="Marco" last="Locatelli">Marco Locatelli</name><name sortKey="Marceglia, Sara" sort="Marceglia, Sara" uniqKey="Marceglia S" first="Sara" last="Marceglia">Sara Marceglia</name><name sortKey="Mrakic Sposta, Simona" sort="Mrakic Sposta, Simona" uniqKey="Mrakic Sposta S" first="Simona" last="Mrakic-Sposta">Simona Mrakic-Sposta</name><name sortKey="Priori, Alberto" sort="Priori, Alberto" uniqKey="Priori A" first="Alberto" last="Priori">Alberto Priori</name><name sortKey="Rampini, Paolo" sort="Rampini, Paolo" uniqKey="Rampini P" first="Paolo" last="Rampini">Paolo Rampini</name><name sortKey="Tamma, Filippo" sort="Tamma, Filippo" uniqKey="Tamma F" first="Filippo" last="Tamma">Filippo Tamma</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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