Spatial epidemiology of amyotrophic lateral sclerosis in Piedmont and Aosta Valley, Italy: a population-based cluster analysis.
Rosario VastaA CalvoC MogliaS CammarosanoU ManeraAntonio CanosaFabrizio D'OvidioL MazziniA ChiòPublished in: European journal of neurology (2018)
Our study showed a substantial homogeneous distribution of ALS cases in Piedmont and Aosta Valley. The population-based setting and the adoption of proper statistical analyses strengthen the validity of our results. Such a finding further suggests the involvement of multiple environmental and genetic factors in ALS pathogenesis.