Approach to residual dizziness after successfully treated benign paroxysmal positional vertigo: effect of a polyphenol compound supplementation.
Identifieur interne : 000309 ( Main/Exploration ); précédent : 000308; suivant : 000310Approach to residual dizziness after successfully treated benign paroxysmal positional vertigo: effect of a polyphenol compound supplementation.
Auteurs : Augusto Pietro Casani [Italie] ; Elena Navari [Italie] ; Roberto Albera [Italie] ; Giuseppe Agus [Italie] ; Giacinto Asprella Libonati [Italie] ; Giuseppe Chiarella [Italie] ; Nicola Lombardo [Italie] ; Vincenzo Marcelli [Italie] ; Giovanni Ralli [Italie] ; Leonardo Scotto Di Santillo [Italie] ; Roberto Teggi [Italie] ; Pasquale Viola [Italie] ; Luigi Califano [Italie]Source :
- Clinical pharmacology : advances and applications [ 1179-1438 ] ; 2019.
Abstract
Purpose
To assess if a polyphenol compound supplementation (Vertigoval
Methods
In this prospective, multicentric study, 127 patients were randomized in the treatment group (TG), who received a 60-day supplementation, while 131 patients were randomized in the control group (CG), who did not receive any medication. The dizziness handicap inventory (DHI) score, static posturography, and the visual analog scale (VAS) for both dizziness (D-VAS) and nausea/vomit (N/V-VAS) were used as measures of outcome at baseline and after 30 and 60 days. Patients were asked about efficacy and tolerance to the treatment. Side effects were examined.
Results
A statistically significant greater decrease was established in the TG for DHI, D-VAS, and N/V-VAS compared to the CG. On the other hand, static posturography did not show statistical differences between the two groups, though a better clinical improvement after 60-day supplementation was shown in the TG in comparison to the CG. We counted mild side effects in only 2 patients. Most patients reported an excellent or good efficacy and tolerance to the treatment.
Conclusion
Residual dizziness is a frequent condition of unknown origin that manifests as persistent disabling imbalance after successful repositioning maneuvers for BPPV. The decreasing postural control can affect the quality of life, contributing to falling and psychological problems. The supplementation with the polyphenol compound used in our study is safe, manageable, and appeared to be able to reduce subjective symptoms and improve instability earlier, decreasing the risk of potential complications.
DOI: 10.2147/CPAA.S210763
PubMed: 31534374
PubMed Central: PMC6681902
Affiliations:
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Mater Domini University, Catanzaro, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Otorhinolaryngology Section, Mater Domini University, Catanzaro</wicri:regionArea><wicri:noRegion>Catanzaro</wicri:noRegion></affiliation></author><author><name sortKey="Marcelli, Vincenzo" sort="Marcelli, Vincenzo" uniqKey="Marcelli V" first="Vincenzo" last="Marcelli">Vincenzo Marcelli</name><affiliation wicri:level="1"><nlm:affiliation>Department of Neuroscience, Vestibular and Audiology Unit, University of Naples "Federico II", Naples, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Neuroscience, Vestibular and Audiology Unit, University of Naples "Federico II", Naples</wicri:regionArea><wicri:noRegion>Naples</wicri:noRegion></affiliation></author><author><name sortKey="Ralli, Giovanni" sort="Ralli, Giovanni" uniqKey="Ralli G" first="Giovanni" last="Ralli">Giovanni Ralli</name><affiliation wicri:level="3"><nlm:affiliation>Department of Sense Organs, Sapienza University of Rome, Rome, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Sense Organs, Sapienza University of Rome, Rome</wicri:regionArea><placeName><settlement type="city">Rome</settlement><region nuts="2">Latium</region></placeName></affiliation></author><author><name sortKey="Scotto Di Santillo, Leonardo" sort="Scotto Di Santillo, Leonardo" uniqKey="Scotto Di Santillo L" first="Leonardo" last="Scotto Di Santillo">Leonardo Scotto Di Santillo</name><affiliation wicri:level="1"><nlm:affiliation>Vestibology and Vestibular Rehabilitation Unit, Antero Micone Hospital, Genoa, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Vestibology and Vestibular Rehabilitation Unit, Antero Micone Hospital, Genoa</wicri:regionArea><wicri:noRegion>Genoa</wicri:noRegion></affiliation></author><author><name sortKey="Teggi, Roberto" sort="Teggi, Roberto" uniqKey="Teggi R" first="Roberto" last="Teggi">Roberto Teggi</name><affiliation wicri:level="3"><nlm:affiliation>Ear, Nose and Throat Department, San Raffaele Scientific Hospital, Milan, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Ear, Nose and Throat Department, San Raffaele Scientific Hospital, Milan</wicri:regionArea><placeName><settlement type="city">Milan</settlement><region nuts="2">Lombardie</region></placeName></affiliation></author><author><name sortKey="Viola, Pasquale" sort="Viola, Pasquale" uniqKey="Viola P" first="Pasquale" last="Viola">Pasquale Viola</name><affiliation wicri:level="1"><nlm:affiliation>Department of Experimental and Clinical Medicine, Unit of Audiology and Phoniatrics, Magna Græcia University, Catanzaro, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Experimental and Clinical Medicine, Unit of Audiology and Phoniatrics, Magna Græcia University, 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Rummo Hospital, Benevento, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Audiovestibology Unit, G. 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uniqKey="Casani A" first="Augusto Pietro" last="Casani">Augusto Pietro Casani</name><affiliation wicri:level="3"><nlm:affiliation>Department of Medical and Surgical Pathology, Otorhinolaryngology Section, Pisa University, Pisa, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Medical and Surgical Pathology, Otorhinolaryngology Section, Pisa University, Pisa</wicri:regionArea><placeName><settlement type="city">Pise</settlement><region nuts="2">Toscane</region></placeName></affiliation></author><author><name sortKey="Navari, Elena" sort="Navari, Elena" uniqKey="Navari E" first="Elena" last="Navari">Elena Navari</name><affiliation wicri:level="3"><nlm:affiliation>Department of Medical and Surgical Pathology, Otorhinolaryngology Section, Pisa University, Pisa, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Medical and Surgical Pathology, Otorhinolaryngology Section, Pisa University, Pisa</wicri:regionArea><placeName><settlement type="city">Pise</settlement><region nuts="2">Toscane</region></placeName></affiliation></author><author><name sortKey="Albera, Roberto" sort="Albera, Roberto" uniqKey="Albera R" first="Roberto" last="Albera">Roberto Albera</name><affiliation wicri:level="3"><nlm:affiliation>Division of Otorhinolaryngology, Department of Surgical Sciences, University of Turin School of Medicine, Turin, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Division of Otorhinolaryngology, Department of Surgical Sciences, University of Turin School of Medicine, Turin</wicri:regionArea><placeName><settlement type="city">Turin</settlement><region type="région" nuts="2">Piémont</region></placeName></affiliation></author><author><name sortKey="Agus, Giuseppe" sort="Agus, Giuseppe" uniqKey="Agus G" first="Giuseppe" last="Agus">Giuseppe Agus</name><affiliation wicri:level="1"><nlm:affiliation>Otorhinolaryngology, Private Practice, Cagliari, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Otorhinolaryngology, Private Practice, Cagliari</wicri:regionArea><wicri:noRegion>Cagliari</wicri:noRegion></affiliation></author><author><name sortKey="Asprella Libonati, Giacinto" sort="Asprella Libonati, Giacinto" uniqKey="Asprella Libonati G" first="Giacinto" last="Asprella Libonati">Giacinto Asprella Libonati</name><affiliation wicri:level="1"><nlm:affiliation>Ear, Nose and Throat Department, Unit of Audiology, Vestibology and Phoniatry, Madonna delle Grazie Hospital, Matera, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Ear, Nose and Throat Department, Unit of Audiology, Vestibology and Phoniatry, Madonna delle Grazie Hospital, Matera</wicri:regionArea><wicri:noRegion>Matera</wicri:noRegion></affiliation></author><author><name sortKey="Chiarella, Giuseppe" sort="Chiarella, Giuseppe" uniqKey="Chiarella G" first="Giuseppe" last="Chiarella">Giuseppe Chiarella</name><affiliation wicri:level="1"><nlm:affiliation>Department of Experimental and Clinical Medicine, Unit of Audiology and Phoniatrics, Magna Græcia University, Catanzaro, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Experimental and Clinical Medicine, Unit of Audiology and Phoniatrics, Magna Græcia University, Catanzaro</wicri:regionArea><wicri:noRegion>Catanzaro</wicri:noRegion></affiliation></author><author><name sortKey="Lombardo, Nicola" sort="Lombardo, Nicola" uniqKey="Lombardo N" first="Nicola" last="Lombardo">Nicola Lombardo</name><affiliation wicri:level="1"><nlm:affiliation>Otorhinolaryngology Section, Mater Domini University, Catanzaro, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Otorhinolaryngology Section, Mater Domini University, Catanzaro</wicri:regionArea><wicri:noRegion>Catanzaro</wicri:noRegion></affiliation></author><author><name sortKey="Marcelli, Vincenzo" sort="Marcelli, Vincenzo" uniqKey="Marcelli V" first="Vincenzo" last="Marcelli">Vincenzo Marcelli</name><affiliation wicri:level="1"><nlm:affiliation>Department of Neuroscience, Vestibular and Audiology Unit, University of Naples "Federico II", Naples, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Neuroscience, Vestibular and Audiology Unit, University of Naples "Federico II", Naples</wicri:regionArea><wicri:noRegion>Naples</wicri:noRegion></affiliation></author><author><name sortKey="Ralli, Giovanni" sort="Ralli, Giovanni" uniqKey="Ralli G" first="Giovanni" last="Ralli">Giovanni Ralli</name><affiliation wicri:level="3"><nlm:affiliation>Department of Sense Organs, Sapienza University of Rome, Rome, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Sense Organs, Sapienza University of Rome, Rome</wicri:regionArea><placeName><settlement type="city">Rome</settlement><region nuts="2">Latium</region></placeName></affiliation></author><author><name sortKey="Scotto Di Santillo, Leonardo" sort="Scotto Di Santillo, Leonardo" uniqKey="Scotto Di Santillo L" first="Leonardo" last="Scotto Di Santillo">Leonardo Scotto Di Santillo</name><affiliation wicri:level="1"><nlm:affiliation>Vestibology and Vestibular Rehabilitation Unit, Antero Micone Hospital, Genoa, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Vestibology and Vestibular Rehabilitation Unit, Antero Micone Hospital, Genoa</wicri:regionArea><wicri:noRegion>Genoa</wicri:noRegion></affiliation></author><author><name sortKey="Teggi, Roberto" sort="Teggi, Roberto" uniqKey="Teggi R" first="Roberto" last="Teggi">Roberto Teggi</name><affiliation wicri:level="3"><nlm:affiliation>Ear, Nose and Throat Department, San Raffaele Scientific Hospital, Milan, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Ear, Nose and Throat Department, San Raffaele Scientific Hospital, Milan</wicri:regionArea><placeName><settlement type="city">Milan</settlement><region nuts="2">Lombardie</region></placeName></affiliation></author><author><name sortKey="Viola, Pasquale" sort="Viola, Pasquale" uniqKey="Viola P" first="Pasquale" last="Viola">Pasquale Viola</name><affiliation wicri:level="1"><nlm:affiliation>Department of Experimental and Clinical Medicine, Unit of Audiology and Phoniatrics, Magna Græcia University, Catanzaro, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Experimental and Clinical Medicine, Unit of Audiology and Phoniatrics, Magna Græcia University, Catanzaro</wicri:regionArea><wicri:noRegion>Catanzaro</wicri:noRegion></affiliation></author><author><name sortKey="Califano, Luigi" sort="Califano, Luigi" uniqKey="Califano L" first="Luigi" last="Califano">Luigi Califano</name><affiliation wicri:level="1"><nlm:affiliation>Audiovestibology Unit, G. Rummo Hospital, Benevento, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Audiovestibology Unit, G. Rummo Hospital, Benevento</wicri:regionArea><wicri:noRegion>Benevento</wicri:noRegion></affiliation></author></analytic><series><title level="j">Clinical pharmacology : advances and applications</title><idno type="ISSN">1179-1438</idno><imprint><date when="2019" type="published">2019</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>Purpose</b></p><p>To assess if a polyphenol compound supplementation (Vertigoval</p></div><div type="abstract" xml:lang="en"><p><b>Methods</b></p><p>In this prospective, multicentric study, 127 patients were randomized in the treatment group (TG), who received a 60-day supplementation, while 131 patients were randomized in the control group (CG), who did not receive any medication. The dizziness handicap inventory (DHI) score, static posturography, and the visual analog scale (VAS) for both dizziness (D-VAS) and nausea/vomit (N/V-VAS) were used as measures of outcome at baseline and after 30 and 60 days. Patients were asked about efficacy and tolerance to the treatment. Side effects were examined.</p></div><div type="abstract" xml:lang="en"><p><b>Results</b></p><p>A statistically significant greater decrease was established in the TG for DHI, D-VAS, and N/V-VAS compared to the CG. On the other hand, static posturography did not show statistical differences between the two groups, though a better clinical improvement after 60-day supplementation was shown in the TG in comparison to the CG. We counted mild side effects in only 2 patients. Most patients reported an excellent or good efficacy and tolerance to the treatment.</p></div><div type="abstract" xml:lang="en"><p><b>Conclusion</b></p><p>Residual dizziness is a frequent condition of unknown origin that manifests as persistent disabling imbalance after successful repositioning maneuvers for BPPV. The decreasing postural control can affect the quality of life, contributing to falling and psychological problems. The supplementation with the polyphenol compound used in our study is safe, manageable, and appeared to be able to reduce subjective symptoms and improve instability earlier, decreasing the risk of potential complications.</p></div></front></TEI><pubmed><MedlineCitation Status="PubMed-not-MEDLINE" Owner="NLM"><PMID Version="1">31534374</PMID><DateRevised><Year>2020</Year><Month>09</Month><Day>30</Day></DateRevised><Article PubModel="Electronic-eCollection"><Journal><ISSN IssnType="Print">1179-1438</ISSN><JournalIssue CitedMedium="Print"><Volume>11</Volume><PubDate><Year>2019</Year></PubDate></JournalIssue><Title>Clinical pharmacology : advances and applications</Title><ISOAbbreviation>Clin Pharmacol</ISOAbbreviation></Journal><ArticleTitle>Approach to residual dizziness after successfully treated benign paroxysmal positional vertigo: effect of a polyphenol compound supplementation.</ArticleTitle><Pagination><MedlinePgn>117-125</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.2147/CPAA.S210763</ELocationID><Abstract><AbstractText Label="Purpose" NlmCategory="UNASSIGNED">To assess if a polyphenol compound supplementation (Vertigoval<sup>®</sup>) could improve residual dizziness earlier after benign paroxysmal positional vertigo (BPPV) and relieve patients from this disabling symptomatology.</AbstractText><AbstractText Label="Methods" NlmCategory="UNASSIGNED">In this prospective, multicentric study, 127 patients were randomized in the treatment group (TG), who received a 60-day supplementation, while 131 patients were randomized in the control group (CG), who did not receive any medication. The dizziness handicap inventory (DHI) score, static posturography, and the visual analog scale (VAS) for both dizziness (D-VAS) and nausea/vomit (N/V-VAS) were used as measures of outcome at baseline and after 30 and 60 days. Patients were asked about efficacy and tolerance to the treatment. Side effects were examined.</AbstractText><AbstractText Label="Results" NlmCategory="UNASSIGNED">A statistically significant greater decrease was established in the TG for DHI, D-VAS, and N/V-VAS compared to the CG. On the other hand, static posturography did not show statistical differences between the two groups, though a better clinical improvement after 60-day supplementation was shown in the TG in comparison to the CG. We counted mild side effects in only 2 patients. Most patients reported an excellent or good efficacy and tolerance to the treatment.</AbstractText><AbstractText Label="Conclusion" NlmCategory="UNASSIGNED">Residual dizziness is a frequent condition of unknown origin that manifests as persistent disabling imbalance after successful repositioning maneuvers for BPPV. The decreasing postural control can affect the quality of life, contributing to falling and psychological problems. The supplementation with the polyphenol compound used in our study is safe, manageable, and appeared to be able to reduce subjective symptoms and improve instability earlier, decreasing the risk of potential complications.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Casani</LastName><ForeName>Augusto Pietro</ForeName><Initials>AP</Initials><AffiliationInfo><Affiliation>Department of Medical and Surgical Pathology, Otorhinolaryngology Section, Pisa University, Pisa, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Navari</LastName><ForeName>Elena</ForeName><Initials>E</Initials><AffiliationInfo><Affiliation>Department of Medical and Surgical Pathology, Otorhinolaryngology Section, Pisa University, Pisa, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Albera</LastName><ForeName>Roberto</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>Division of Otorhinolaryngology, Department of Surgical Sciences, University of Turin School of Medicine, Turin, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Agus</LastName><ForeName>Giuseppe</ForeName><Initials>G</Initials><AffiliationInfo><Affiliation>Otorhinolaryngology, Private Practice, Cagliari, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Asprella Libonati</LastName><ForeName>Giacinto</ForeName><Initials>G</Initials><AffiliationInfo><Affiliation>Ear, Nose and Throat Department, Unit of Audiology, Vestibology and Phoniatry, Madonna delle Grazie Hospital, Matera, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Chiarella</LastName><ForeName>Giuseppe</ForeName><Initials>G</Initials><AffiliationInfo><Affiliation>Department of Experimental and Clinical Medicine, Unit of Audiology and Phoniatrics, Magna Græcia University, Catanzaro, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Lombardo</LastName><ForeName>Nicola</ForeName><Initials>N</Initials><AffiliationInfo><Affiliation>Otorhinolaryngology Section, Mater Domini University, Catanzaro, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Marcelli</LastName><ForeName>Vincenzo</ForeName><Initials>V</Initials><AffiliationInfo><Affiliation>Department of Neuroscience, Vestibular and Audiology Unit, University of Naples "Federico II", Naples, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Ralli</LastName><ForeName>Giovanni</ForeName><Initials>G</Initials><AffiliationInfo><Affiliation>Department of Sense Organs, Sapienza University of Rome, Rome, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Scotto di Santillo</LastName><ForeName>Leonardo</ForeName><Initials>L</Initials><AffiliationInfo><Affiliation>Vestibology and Vestibular Rehabilitation Unit, Antero Micone Hospital, Genoa, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Teggi</LastName><ForeName>Roberto</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>Ear, Nose and Throat Department, San Raffaele Scientific Hospital, Milan, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Viola</LastName><ForeName>Pasquale</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>Department of Experimental and Clinical Medicine, Unit of Audiology and Phoniatrics, Magna Græcia University, Catanzaro, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Califano</LastName><ForeName>Luigi</ForeName><Initials>L</Initials><AffiliationInfo><Affiliation>Audiovestibology Unit, G. Rummo Hospital, Benevento, Italy.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2019</Year><Month>08</Month><Day>01</Day></ArticleDate></Article><MedlineJournalInfo><Country>New Zealand</Country><MedlineTA>Clin Pharmacol</MedlineTA><NlmUniqueID>101564865</NlmUniqueID><ISSNLinking>1179-1438</ISSNLinking></MedlineJournalInfo><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">BPPV</Keyword><Keyword MajorTopicYN="N">Vertigoval®</Keyword><Keyword MajorTopicYN="N">benign</Keyword><Keyword MajorTopicYN="N">paroxysmal positional vertigo</Keyword><Keyword MajorTopicYN="N">residual dizziness</Keyword></KeywordList><CoiStatement>The authors declare no conflicts of interest regarding this article.</CoiStatement></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2019</Year><Month>04</Month><Day>10</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2019</Year><Month>06</Month><Day>25</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2019</Year><Month>9</Month><Day>20</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2019</Year><Month>9</Month><Day>20</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2019</Year><Month>9</Month><Day>20</Day><Hour>6</Hour><Minute>1</Minute></PubMedPubDate></History><PublicationStatus>epublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">31534374</ArticleId><ArticleId IdType="doi">10.2147/CPAA.S210763</ArticleId><ArticleId IdType="pii">210763</ArticleId><ArticleId IdType="pmc">PMC6681902</ArticleId></ArticleIdList><ReferenceList><Reference><Citation>J Neurol Neurosurg Psychiatry. 2007 Jul;78(7):710-5</Citation><ArticleIdList><ArticleId 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Libonati, Giacinto" uniqKey="Asprella Libonati G" first="Giacinto" last="Asprella Libonati">Giacinto Asprella Libonati</name><name sortKey="Califano, Luigi" sort="Califano, Luigi" uniqKey="Califano L" first="Luigi" last="Califano">Luigi Califano</name><name sortKey="Chiarella, Giuseppe" sort="Chiarella, Giuseppe" uniqKey="Chiarella G" first="Giuseppe" last="Chiarella">Giuseppe Chiarella</name><name sortKey="Lombardo, Nicola" sort="Lombardo, Nicola" uniqKey="Lombardo N" first="Nicola" last="Lombardo">Nicola Lombardo</name><name sortKey="Marcelli, Vincenzo" sort="Marcelli, Vincenzo" uniqKey="Marcelli V" first="Vincenzo" last="Marcelli">Vincenzo Marcelli</name><name sortKey="Navari, Elena" sort="Navari, Elena" uniqKey="Navari E" first="Elena" last="Navari">Elena Navari</name><name sortKey="Ralli, Giovanni" sort="Ralli, Giovanni" uniqKey="Ralli G" first="Giovanni" last="Ralli">Giovanni Ralli</name><name sortKey="Scotto Di Santillo, Leonardo" sort="Scotto Di Santillo, Leonardo" uniqKey="Scotto Di Santillo L" first="Leonardo" last="Scotto Di Santillo">Leonardo Scotto Di Santillo</name><name sortKey="Teggi, Roberto" sort="Teggi, Roberto" uniqKey="Teggi R" first="Roberto" last="Teggi">Roberto Teggi</name><name sortKey="Viola, Pasquale" sort="Viola, Pasquale" uniqKey="Viola P" first="Pasquale" last="Viola">Pasquale Viola</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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