Consequently,
Civic neurology becomes reference center:
The complex operating unit of neurology with Stroke Unit of the Civic Hospital of Cristina Benfratelli. Therefore, directed by Salvatore Cottone, is now the regional reference center for MiaStenia Gravis and Lambert Eaton syndrome. Meanwhile, The inclusion of the Center among those dedicated to the treatment of these rare pathologies was sanctioned by the. Meanwhile, Regional Health Department (Department for Strategic Planning Service 4).
“A recognition – notes the strategic management – which rewards the efforts of our professionals. In addition, attests to the very high quality and organizational standards of assistance also on the front of rare patients. Meanwhile, It is a range of population that evidently will be able to find the avant -garde responses. Furthermore, specialist skills on the territory for these specific health needs, characterized by remarkable clinical complexity, as well as the need for civic neurology becomes reference center access to paths to paths advanced diagnostic-therapy “.
“MiaStenia Gravis – explains Cottone – is the most important. Moreover, defined as a neurological autoimmune disease, after multiple sclerosis, whose evolution has changed thanks to the modern therapeutic, clinically heterogeneous garrisons as regards the debut symptoms, the allegedly associated pitched anomalies (Timoma, Typerplasia) and the distribution of the muscle territories involved”. Moreover,
Civic neurology is an avant -garde reality on this front: a specific clinic for MiaStenia Gravis is active. which is carried out every two weeks which can be accessed by booking the cup. “The MiaStenica syndrome of Lambert Eaton (Lems) – says Cotton – is a rare autoimmune disease that affects the neuromuscular joint. determines, in some cases, in some cases, dysfunction of the system. autonomous nervous is often associated with small cell lung cancer, but can also occur independently. BUA, Simona Maccora, Valentina Perini “.
Neurology civic neurology becomes reference center with Stroke Unit. which is overall equipped with 12 sub -intensive therapy beds and 12 ordinary hospital beds, has a room dedicated to patient infusional therapies (intravenous immunoglobulins, monoclonal antibodies). “In particular – notes Cottone – the immunotransfusional service guarantees. also in urgency, the plasma -execange procedures and the clinical pathology laboratory is able to carry out the immunological diagnostics with the search for anti -ceremonary anti -cether and anti -musk anti -cecattors, in addition to the virological and immunological study preparatory to the use of the most recent monoclonal antibodies used for the treatment of the refractory forms of MiaStenia Gravis “.
The high specialization that characterizes the structure allows you to focus on a multidisciplinary organizational model: strength for the. treatment of some forms of MiaStenia which are candidates for surgical therapy associated with the medical one. Such as Timoma. or the Timic Hyperplasia, cases in which timectomy civic neurology becomes reference center (surgical intervention) allows the remission of MiaStenia Gravis in 13-51% of cases, at five years. The functional connection with medical oncology. the radiotherapy service allow the most appropriate treatment of patients with invasive Timoma, which need post-surgical radiotherapy or chemotherapy treatment.
“It is – concludes Cottone – rare pathologies that require multidisciplinary involvement in the care path: from neurologists. to neurophysiologists, to pneumologists, to resuscitators, to chest surgeons. This is why they can be properly managed only in highly specialized centers that have precisely. as in our case, all requirements expressly provided by the legislator”.
In Sicily. the regional network of rare diseases is established: organized according to an integrated model, through collaboration procedures between the reference centers (hub), centers belonging to the European reference networks (ERN) and other specialist structures that collaborate in the diagnosis and treatment of the clinical aspects of relevance (spoke).
Civic neurology becomes reference center
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