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Lombardia GENS: a collaborative registry for monogenic diseases associated with stroke
Anna Bersano1, Pierluigi Baron, Silvia Lanfranconi
1Maggiore Policlinico Hospital, IRCCS, University of Milan, Italy. anna.bersano@gmail.com
Insights
The Lombardia GENS project established a network to diagnose six monogenic stroke-associated diseases in Lombardy, Italy. This initiative aims to collect data from over 200 patients to understand disease burden and improve characterization.
Area of Science:
- Neurology
- Genetics
- Public Health
Background:
- Monogenic diseases are increasingly recognized as a cause of stroke.
- Establishing a dedicated network is crucial for accurate diagnosis and research.
- Lombardy, Italy, offers a suitable environment with existing infrastructure for such a study.
Purpose of the Study:
- To create a regional network for diagnosing six specific monogenic stroke-associated diseases.
- To collect comprehensive data on patients with suspected monogenic stroke conditions.
- To evaluate the regional burden and enhance the phenotype characterization of these diseases.
Main Methods:
- Formation of a network linking 36 stroke centers with 7 high-technology laboratories.
- Inclusion of all stroke/transient ischemic attack (TIA) patients meeting clinical criteria for monogenic diseases.
- Standardized collection of demographic, clinical, family data, and diagnostic criteria.
Main Results:
- The Lombardia GENS project has successfully established a regional diagnostic network.
- The study is actively enrolling stroke/TIA patients suspected of monogenic conditions.
- Anticipated collection of datasets and DNA samples from over 200 patients.
Conclusions:
- The established network facilitates the diagnosis of monogenic stroke-associated diseases.
- The project is expected to provide valuable insights into the regional prevalence and characteristics of these conditions.
- This initiative will improve understanding and management of monogenic stroke.
Abstract:
The Italian region of Lombardy, with its existing stroke centers and high-technology laboratories, provides a favorable context for studying monogenic diseases associated with stroke. The Lombardia GENS project was set up to create a regional network for the diagnosis of six monogenic diseases associated with stroke: CADASIL, Fabry disease, MELAS, familial and sporadic hemiplegic migraine, hereditary cerebral amyloid angiopathy and Marfan syndrome. The network comprises 36 stroke centers and seven high-technology laboratories, performing molecular analysis. In this context, all stroke/TIA patients fulfilling clinical criteria for monogenic diseases are currently being included in an ongoing study. Demographic, clinical and family data and diagnostic criteria are collected using standardized forms. On the basis of stroke incidence in Lombardy and the reported prevalence of the diseases considered, we expect, during the course of the study, to collect datasets and DNA samples from more than 200 stroke patients suspected of having monogenic diseases. This will allow evaluation of the regional burden and better phenotype characterization of monogenic diseases associated with stroke.
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