First the choice of return (with an air ambulance paid for by his private insurance), then the transfer by helicopter. Finally, the decision to hospitalize Alessandro Di Battista again in the hospital in Havana and to proceed with the surgery. In short, the return of the former early member of the Five Star Movement, Alessandro Di Battista from Cuba, from where he was supposed to leave last night to arrive in Rome in the afternoon, “has been postponed.”
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RETURN POSTPONED
The announcement came with a post on Facebook from the association Schierarsi, of which the former M5S member is vice president. The association asks “everyone to maintain the utmost discretion and caution in the dissemination of information, pending further updates.” So apart from the messages of solidarity coming from Giuseppe Conte and Luigi Di Maio, comrades from the first political battles – very little official information is known about the health status of the combative politician. What is certain is that Di Battista was hospitalized in a hospital in Santa Clara (an islet off Cuba) last Friday following a malaise and then transferred by helicopter to a healthcare facility in Havana.
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The controversies over the State flight, which had been made available by the Meloni government in the first hours after the malaise as had already happened in the last year for about 60 Italian citizens who needed medical assistance while abroad, have been calmed down. It was Di Battista himself, who remained alert, who declined the offer of transfer with the plane of the 31st Wing. In recent days the political figure had explained that the return from Cuba would take place on a flight paid for by insurance taken out before departure. “I will leave Cuba on September 4 with an air ambulance whose costs will be covered by the insurance company with which I took out a policy before departure,” he had written on social media.
Obviously, the health conditions must have changed to postpone the flight. On the Caribbean island, two Italian doctors from the Gemelli Polyclinic, Giuseppe Della Pepa and Isabella Melchionda, have been present for days to support the team of doctors at the Cuban hospital. From the specialization of the doctors, one can hypothesize something about the ailments suffered by Di Battista. Della Pepa is considered an excellence in the field of Italian neurosurgery as well as being recognized internationally. Since 2015 at Gemelli he has specialized in neurosurgery.
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Isabella Melchionda, a 46-year-old Roman, is also a medical director at the Gemelli hospital. An anesthetist and resuscitator, graduated and specialized also in the Capital, she is on the staff of the Neurointensive Care Unit of the Roman hospital, which is part of the Emergency Sciences Department directed by Professor Massimo Antonelli.
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SENTINEL HEADACHE HYPOTHESIS
From what Di Battista reported (“a very violent headache that made him lose consciousness”), what he might have had is hypothesized by Piero Barbanti to Adnkronos Health, director of the Headache and Pain Unit of the Irccs San Raffaele in Rome and professor of Neurology, “he could have had a sentinel headache, followed by a thunderclap headache which is characterized by going from zero to maximum intensity in one minute. It is not common and the main cause of this thunderclap headache is generally a subarachnoid hemorrhage (SAH), due to aneurysm rupture. It is not the only cause, but the most frequent.”
As for the anticipation of the surgery, the neurologist tries to diagnose, “there could have been a hemorrhage inside the brain, a subarachnoid hemorrhage or a neoplasm. If a subject is operated on after a severe headache it is to intervene on the hemorrhage which in 85% of cases is caused by an aneurysm, less frequently by a tumor.” Sahra Lahouasnia, Di Battista’s partner and mother of his two children, the former parliamentarian’s sister, and Luca Di Giuseppe, president of the association he founded, “Schierarsi,” have also arrived on the Caribbean island.
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