Alberto Priori Explained

Alberto Priori
Birth Date:19 November 1962
Birth Place:Turin, Italy
Nationality:Italian
Occupation:Neurologist, academic, and author
Education:Degree in Medicine and Surgery
Specialization in Neurology
Doctor of Philosophy (PhD)
Alma Mater:University of Rome “La Sapienza”
Workplaces:University of Milan

Alberto Priori (born November 19, 1962) is an Italian neurologist, academic, and author. He is a Professor of Neurology at the University of Milan, Director of Neurology 1 Unit at San Paolo Hospital,[1] and the Founder and Coordinator of Aldo Ravelli Center (Coordinated Research Center) of the University of Milan. He also serves as President of the Neurophysiopatology Techniques Course, and Professor of Postgraduate Schools - Medicine, Healthcare, Dental Medicine at the same University.[2]

Priori is internationally recognized for his wide-ranging research on the pathophysiological mechanisms that underlie diseases of the brain and of the peripheral nervous system. He developed innovative technologies for the treatment of neuropsychiatric disorders, and has also pioneered the implementation of several neuromodulation techniques.[3] In 2008, he founded the Newronika SpA a spin-off company of the University of Milan and Fondazione IRCCS Ca’ Granda in Milan, Italy. The company is dedicated to the development of neurotechnological devices for the treatment of neurological disorders.[4]

Early life and education

Priori was born in Turin, Italy in 1962. He studied at the University of Rome "La Sapienza", and got his Degree in Medicine and Surgery in 1987, specialization in Neurology in 1991, and a Doctoral degree in 1995. His dissertation on the non-invasive study of the inhibitory mechanisms in the human cerebral cortex, was supervised by Alfredo Berardelli and Mario Manfredi.[5] From 1997 till 1998, Priori was a Postdoctoral fellow at the University of Rome "La Sapienza."[2]

Career

Priori began his career in 1990, with an appointment as a Research Registrar of Human Movement and Balance Unit dell’ Institute of Neurology at the University of London in the period 1989-1991. From 1992 till 1998, he was appointed as an Attending physician in the Department of Neurology of Ospedale Mellino Mellini di Chiari (BS). Following this, he joined Fondazione IRCCS Cà Granda - Ospedale Maggiore Policlinico of Milan, and served there as a Neurologist from 1998 till 2015, and as a Director from 2008 till 2015. During this time period, he also held a concurrent appointment as an Army Medical Corps Captain.[6]

Research

Priori's research spans the fields of clinical and experimental neurosciences with particular attention on movement disorders and their pathophysiology, clinical and experimental neurophysiology,[7] [8] behavioral neurology, and neuromodulation. With collaboration of clinical neuroscientists, he works extensively to develop technologies for the treatment of neuropsychiatric disorders. He has published over 300 papers.[9] For his research in the field, he has also received several competitive research grants provided by national and international institutes.[10]

Adaptive deep brain stimulation (aDBS)

Priori led the group who developed, in 2004, and eventually patented, the adaptive Deep Brain Stimulation technique. This technology has been licensed to Newonika.[11] Along with discussing the efficacy of deep brain stimulation (DBS) in terms of treating neurological disorders, Priori has presented a review on the evidences regarding the advantages of neurosignal-controlled aDBS that uses local field potentials (LFPs) as a control variable. His research highlighted how DBS systems automatically adjust stimulation by analyzing the individual patient's condition, and then improve control over parkinsonian disturbances.[12] In 2017, he presented a report on the possible pathways for the clinical translation of aDBS with its benefits, limitations and unsolved issues.[13] He also developed and validated an external portable aDBS system prototype with an application to promote clinical investigations in Parkinson's Disease.[14] Moreover, he discussed the implications of aDBS in the context of providing effective treatment method for the management of clinical fluctuations,[15] as well as controlling levodopa‐induced side effects in Parkinsonian patients.[16]

In 2021, he conducted a comparative analysis of the impacts occurred on motor symptoms as a result of conventional deep brain stimulation (cDBS) and closed-loop adaptive deep brain stimulation (aDBS) in patients with Parkinson's Disease.[17] He also presented an implantable closed-loop clinical neural interface, and described its first application in Parkinson's disease.[18]

Low intensity transcranial electrical stimulation (TES)

Priori is the first to describe a technique now known as transcranial direct current stimulation (tDCS). Lately, he has implemented this technique by developing the methodology for stimulating with non-invasive DC, the cerebellum and the spinal cord. In 2008, he provided the state of the art for tDCS, while highlighting the applications of tDCS in terms of inducing beneficial effects in brain disorders. He regarded brain stimulation with weak direct currents as a promising tool in the context of human neuroscience and neurobehavioral research.[19] In a later study, he presented a comprehensive review to discuss the key challenges that occur in the process of conducting clinical research with transcranial direct current stimulation (tDCS).[20] Having discussed the challenges, he described the evidence-based guidelines on the therapeutic use of transcranial direct current stimulation (tDCS),[21] [22] and low intensity transcranial electric stimulation (TES).[23]

Neuropsychiatric impact of COVID-19 pandemic

Priori focused his study to explore the long-lasting cognitive abnormalities that can occur in the COVID-19 patients in the months after hospital discharge.[24] [25] In 2020, he provided justifications regarding "The international European Academy of Neurology survey on neurological symptoms in patients with COVID-19 infection." He is of the view that the survey serves to set up a prospective registry to better capture the prevalence of patients with neuro COVID-19, neurological disease characteristics and the contribution of neurological manifestations to outcome.[26] While discussing the psychological implications of the first outbreak of COVID-19 in the context of Italy, he offered several ways to minimize the impact in daily life activities, such as sexuality and nutrition.[27] [28]

Bibliography

Monographs

Selected articles

Notes and References

  1. Talan . Jamie . COVID-19: Neurologists in Italy to Colleagues in US: Look for Poorly-Defined Neurologic Conditions in Patients with the Coronavirus . Neurology Today . 27 March 2020 .
  2. Web site: Priori Alberto - Università degli Studi di Milano.
  3. Web site: Alberto Priori – ResearchGate Profile.
  4. Web site: 2019-11-12 - Alberto Priori. NIMET: Nanoscience Institute for Medical & Engineering Technology.
  5. Web site: Alberto Priori – IEEE Xplore.
  6. Web site: Prof. Alberto Priori. www.asst-santipaolocarlo.it.
  7. Priori . Alberto . Berardelli . Alfredo . Rona . Sabine . Accornero . Neri . Manfredi . Mario . Polarization of the human motor cortex through the scalp . NeuroReport . July 1998 . 9 . 10 . 2257–2260 . 10.1097/00001756-199807130-00020 . 9694210 . 36460106 .
  8. Ferbert . A . Priori . A . Rothwell . J C . Day . B L . Colebatch . J G . Marsden . C D . Interhemispheric inhibition of the human motor cortex. . The Journal of Physiology . July 1992 . 453 . 1 . 525–546 . 10.1113/jphysiol.1992.sp019243 . 1464843 . 1175572 .
  9. Web site: Alberto Priori. scholar.google.it.
  10. Web site: Loop | Alberto Priori. loop.frontiersin.org.
  11. Web site: Newronika Interview .
  12. Priori . Alberto . Foffani . Guglielmo . Rossi . Lorenzo . Marceglia . Sara . Adaptive deep brain stimulation (aDBS) controlled by local field potential oscillations . Experimental Neurology . July 2013 . 245 . 77–86 . 10.1016/j.expneurol.2012.09.013 . 23022916 . 37560257 .
  13. Arlotti . Mattia . Rosa . Manuela . Marceglia . Sara . Barbieri . Sergio . Priori . Alberto . The adaptive deep brain stimulation challenge . Parkinsonism & Related Disorders . July 2016 . 28 . 12–17 . 10.1016/j.parkreldis.2016.03.020 . 27079257 . 11585/570018 .
  14. Arlotti . Mattia . Rossi . Lorenzo . Rosa . Manuela . Marceglia . Sara . Priori . Alberto . An external portable device for adaptive deep brain stimulation (aDBS) clinical research in advanced Parkinson's Disease . Medical Engineering & Physics . May 2016 . 38 . 5 . 498–505 . 10.1016/j.medengphy.2016.02.007 . 27029510 . 11585/570013 . free .
  15. Arlotti . Mattia . Marceglia . Sara . Foffani . Guglielmo . Volkmann . Jens . Lozano . Andres M. . Moro . Elena . Cogiamanian . Filippo . Prenassi . Marco . Bocci . Tommaso . Cortese . Francesca . Rampini . Paolo . Barbieri . Sergio . Priori . Alberto . Eight-hours adaptive deep brain stimulation in patients with Parkinson disease . Neurology . 13 March 2018 . 90 . 11 . e971–e976 . 10.1212/WNL.0000000000005121 . 29444973 . 5858949 .
  16. Rosa . Manuela . Arlotti . Mattia . Marceglia . Sara . Cogiamanian . Filippo . Ardolino . Gianluca . Fonzo . Alessio Di . Lopiano . Leonardo . Scelzo . Emma . Merola . Aristide . Locatelli . Marco . Rampini . Paolo M. . Priori . Alberto . A daptive deep brain stimulation controls levodopa-induced side effects in P arkinsonian patients . Movement Disorders . April 2017 . 32 . 4 . 628–629 . 10.1002/mds.26953 . 28211585 . 5412843 .
  17. Eight-hours conventional versus adaptive deep brain stimulation of the subthalamic nucleus in Parkinson's disease - PMC. 2021 . 8478873 . Bocci . T. . Prenassi . M. . Arlotti . M. . Cogiamanian . F. M. . Borellini . L. . Moro . E. . Lozano . A. M. . Volkmann . J. . Barbieri . S. . Priori . A. . Marceglia . S. . npj Parkinson's Disease . 7 . 1 . 88 . 10.1038/s41531-021-00229-z . 34584095 .
  18. Arlotti . Mattia . Colombo . Matteo . Bonfanti . Andrea . Mandat . Tomasz . Lanotte . Michele Maria . Pirola . Elena . Borellini . Linda . Rampini . Paolo . Eleopra . Roberto . Rinaldo . Sara . Romito . Luigi . Janssen . Marcus L. F. . Priori . Alberto . Marceglia . Sara . A New Implantable Closed-Loop Clinical Neural Interface: First Application in Parkinson's Disease . Frontiers in Neuroscience . 7 December 2021 . 15 . 10.3389/fnins.2021.763235 . 34949982 . 8689059 . free .
  19. Nitsche . Michael A. . Cohen . Leonardo G. . Wassermann . Eric M. . Priori . Alberto . Lang . Nicolas . Antal . Andrea . Paulus . Walter . Hummel . Friedhelm . Boggio . Paulo S. . Fregni . Felipe . Pascual-Leone . Alvaro . Transcranial direct current stimulation: State of the art 2008 . Brain Stimulation . July 2008 . 1 . 3 . 206–223 . 10.1016/j.brs.2008.06.004 . 20633386 . 16352598 .
  20. Brunoni . Andre Russowsky . Nitsche . Michael A. . Bolognini . Nadia . Bikson . Marom . Wagner . Tim . Merabet . Lotfi . Edwards . Dylan J. . Valero-Cabre . Antoni . Rotenberg . Alexander . Pascual-Leone . Alvaro . Ferrucci . Roberta . Priori . Alberto . Boggio . Paulo Sergio . Fregni . Felipe . Clinical research with transcranial direct current stimulation (tDCS): Challenges and future directions . Brain Stimulation . July 2012 . 5 . 3 . 175–195 . 10.1016/j.brs.2011.03.002 . 22037126 . 3270156 .
  21. Lefaucheur . Jean-Pascal . Antal . Andrea . Ayache . Samar S. . Benninger . David H. . Brunelin . Jérôme . Cogiamanian . Filippo . Cotelli . Maria . De Ridder . Dirk . Ferrucci . Roberta . Langguth . Berthold . Marangolo . Paola . Mylius . Veit . Nitsche . Michael A. . Padberg . Frank . Palm . Ulrich . Poulet . Emmanuel . Priori . Alberto . Rossi . Simone . Schecklmann . Martin . Vanneste . Sven . Ziemann . Ulf . Garcia-Larrea . Luis . Paulus . Walter . Evidence-based guidelines on the therapeutic use of transcranial direct current stimulation (tDCS) . Clinical Neurophysiology . January 2017 . 128 . 1 . 56–92 . 10.1016/j.clinph.2016.10.087 . 27866120 . 10067/1420300151162165141 . 4837447 . free.
  22. Woods . A.J. . Antal . A. . Bikson . M. . Boggio . P.S. . Brunoni . A.R. . Celnik . P. . Cohen . L.G. . Fregni . F. . Herrmann . C.S. . Kappenman . E.S. . Knotkova . H. . Liebetanz . D. . Miniussi . C. . Miranda . P.C. . Paulus . W. . Priori . A. . Reato . D. . Stagg . C. . Wenderoth . N. . Nitsche . M.A. . A technical guide to tDCS, and related non-invasive brain stimulation tools . Clinical Neurophysiology . February 2016 . 127 . 2 . 1031–1048 . 10.1016/j.clinph.2015.11.012 . 26652115 . 4747791 .
  23. Antal . A. . Alekseichuk . I. . Bikson . M. . Brockmöller . J. . Brunoni . A.R. . Chen . R. . Cohen . L.G. . Dowthwaite . G. . Ellrich . J. . Flöel . A. . Fregni . F. . George . M.S. . Hamilton . R. . Haueisen . J. . Herrmann . C.S. . Hummel . F.C. . Lefaucheur . J.P. . Liebetanz . D. . Loo . C.K. . McCaig . C.D. . Miniussi . C. . Miranda . P.C. . Moliadze . V. . Nitsche . M.A. . Nowak . R. . Padberg . F. . Pascual-Leone . A. . Poppendieck . W. . Priori . A. . Rossi . S. . Rossini . P.M. . Rothwell . J. . Rueger . M.A. . Ruffini . G. . Schellhorn . K. . Siebner . H.R. . Ugawa . Y. . Wexler . A. . Ziemann . U. . Hallett . M. . Paulus . W. . Low intensity transcranial electric stimulation: Safety, ethical, legal regulatory and application guidelines . Clinical Neurophysiology . September 2017 . 128 . 9 . 1774–1809 . 10.1016/j.clinph.2017.06.001 . 28709880 . 5985830 .
  24. Ferrucci . Roberta . Dini . Michelangelo . Groppo . Elisabetta . Rosci . Chiara . Reitano . Maria Rita . Bai . Francesca . Poletti . Barbara . Brugnera . Agostino . Silani . Vincenzo . D’Arminio Monforte . Antonella . Priori . Alberto . Long-Lasting Cognitive Abnormalities after COVID-19 . Brain Sciences . 13 February 2021 . 11 . 2 . 235 . 10.3390/brainsci11020235 . 33668456 . 7917789 . free .
  25. Book: 10.54103/milanoup.57 . Neurology of COVID-19 . 2021 . 35507705 . 979-12-80325-35-8 . Priori . Alberto . Priori . A. .
  26. Moro . E. . Priori . A. . Beghi . E. . Helbok . R. . Campiglio . L. . Bassetti . C. L. . Bianchi . E. . Maia . L. F. . Ozturk . S. . Cavallieri . F. . Zedde . M. . Sellner . J. . Bereczki . D. . Rakusa . M. . Di Liberto . G. . Sauerbier . A. . Pisani . A. . Macerollo . A. . Soffietti . R. . Taba . P. . Crean . M. . Twardzik . A. . Oreja-Guevara . C. . Bodini . B. . Jenkins . T. M. . von Oertzen . T. J. . EAN core COVID-19 Task . Force . The international European Academy of Neurology survey on neurological symptoms in patients with COVID-19 infection . European Journal of Neurology . September 2020 . 27 . 9 . 1727–1737 . 10.1111/ene.14407 . 32558002 . 7323212 .
  27. Ferrucci . Roberta . Averna . Alberto . Marino . Daniela . Reitano . Maria Rita . Ruggiero . Fabiana . Mameli . Francesca . Dini . Michelangelo . Poletti . Barbara . Barbieri . Sergio . Priori . Alberto . Pravettoni . Gabriella . Psychological Impact During the First Outbreak of COVID-19 in Italy . Frontiers in Psychiatry . 2 November 2020 . 11 . 10.3389/fpsyt.2020.559266 . 33240119 . 7667038 . free .
  28. Ferrarese . Carlo . Silani . Vincenzo . Priori . Alberto . Galimberti . Stefania . Agostoni . Elio . Monaco . Salvatore . Padovani . Alessandro . Tedeschi . Gioacchino . Italian Society of Neurology . An Italian multicenter retrospective-prospective observational study on neurological manifestations of COVID-19 (NEUROCOVID) . Neurological Sciences . June 2020 . 41 . 6 . 1355–1359 . 10.1007/s10072-020-04450-1 . 32430621 . 7235538 .

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