265 results on '"G. Rancurel"'
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2. Asomatognosie et troubles de l'oralité. Une lecture psychanalytique
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C. Morin, E. Durand, R. Manai, Serge Timsit, Pascale Pradat-Diehl, F. Marchal, and G. Rancurel
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Philosophy ,Rehabilitation ,Orthopedics and Sports Medicine ,General Medicine ,Humanities - Abstract
Resume Objectifs : Du point de vue de la psychanalyse, l'acquisition de l’image du corps lors de la phase du miroir joue un role primordial pour inscrire le sujet dans le langage et l'echange. Cette acquisition suppose la neutralisation des extensions corporelles engagees dans l'echange mere-enfant, que designe le terme d'« objet » en psychanalyse. A la condition de cette perte, le sujet humain se trouve dote d'une « image speculaire », c'est-a-dire qu'il se reconnait dans la forme nommee de son corps. Notre hypothese est que l'asomatognosie, pathologie du schema corporel, peut mettre en cause l'image du corps et la neutralisation de l'objet. Dans cet article, les troubles subjectifs de l'asomatognosie sont envisages de ce point de vue. Materiel : Nous presentons deux patients de moins de 50 ans ayant presente un premier accident ischemique constitue dans le territoire de l'artere cerebrale moyenne droite avec une asomatognosie. Methodes : Chez ces patients, le protocole de Bisiach fut utilise pour mesurer le deficit sensitivomoteur, l'hemianopsie, l'heminegligence et l'anosognosie et adapte pour coter l'asomatognosie. Ces donnees furent confrontees avec celles recueillies au cours d'un entretien semi-directif et d'une epreuve d'autoportrait. Resultats : Chez ces deux patients, l'asomatognosie s'accompagnait d'un morcellement de l'image du corps et de manifestations aberrantes de l’oralite mettant en jeu la main paralysee. Discussion – Conclusion : Les phenomenes psychologiques productifs qui accompagnent l’asomatognosie pourraient correspondre a l’intrusion dans la realite psychique des patients, du fait de l’alteration du schema corporel et de l’image du corps, de l’objet normalement neutralise.
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- 2003
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3. Prediction of Malignant Middle Cerebral Artery Infarction by Diffusion-Weighted Imaging
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R Manaï, A. Srour, T. Lalam, Didier Dormont, Yves Samson, Sophie Crozier, G. Rancurel, Claude Marsault, X. Vandamme, Catherine Oppenheim, and Philippe Cornu
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Adult ,Male ,medicine.medical_specialty ,Time Factors ,Infarction ,Sensitivity and Specificity ,Magnetic resonance angiography ,medicine.artery ,Humans ,Medicine ,Effective diffusion coefficient ,cardiovascular diseases ,Stroke ,Aged ,Aged, 80 and over ,Advanced and Specialized Nursing ,Univariate analysis ,medicine.diagnostic_test ,business.industry ,Cerebral infarction ,Discriminant Analysis ,Infarction, Middle Cerebral Artery ,Middle Aged ,Prognosis ,medicine.disease ,Surgery ,Middle cerebral artery ,Female ,Neurology (clinical) ,Cardiology and Cardiovascular Medicine ,business ,Nuclear medicine ,Magnetic Resonance Angiography ,Diffusion MRI - Abstract
Background and Purpose —This study was designed to analyze whether early diffusion-weighted imaging (DWI) provides reliable quantitative information for the prediction of stroke patients at risk of malignant brain infarct. Methods —We selected 28 patients with a middle cerebral artery (MCA) infarct and proven MCA or carotid T occlusion on DWI and MRI angiography performed within 14 hours after onset (mean 6.5±3.5 hours, median 5.2 hours). Of these, 10 patients developed malignant MCA infarct, whereas 18 did not. For the 2 groups, we compared the National Institutes of Health Stroke Scale (NIHSS) score at admission, site of arterial occlusion, standardized visual analysis of DWI abnormalities, quantitative volume measurement of DWI abnormalities (volume DWI ), and apparent diffusion coefficient values. Univariate and multivariate discriminant analysis was used to determine the most accurate predictors of malignant MCA infarct. Results —Univariate analysis showed that an admission NIHSS score >20, total versus partial MCA infarct, and volume DWI >145 cm 3 were highly significant predictors of malignant infarct. The best predictor was volume DWI >145 cm 3 , which achieved 100% sensitivity and 94% specificity. Prediction was further improved by bivariate models combining volume DWI and apparent diffusion coefficient measurements, which reached 100% sensitivity and specificity in this series of patients. Conclusions —Quantitative measurement of infarct volume on DWI is an accurate method for the prediction of malignant MCA infarct in patients with persistent arterial occlusion imaged within 14 hours of onset. This may be of importance for early management of severe stroke patients.
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- 2000
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4. Diagnosis of acute ischaemic stroke with fluid-attenuated inversion recovery and diffusion-weighted sequences
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Catherine Oppenheim, R Manaï, M. Logak, Stéphane Lehéricy, Didier Dormont, Yves Samson, Claude Marsault, and G. Rancurel
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Adult ,Male ,medicine.medical_specialty ,Neurology ,Fluid-attenuated inversion recovery ,Brain Ischemia ,Central nervous system disease ,Internal medicine ,medicine ,Humans ,Radiology, Nuclear Medicine and imaging ,cardiovascular diseases ,Stroke ,Aged ,Neuroradiology ,Aged, 80 and over ,medicine.diagnostic_test ,business.industry ,Vascular disease ,Magnetic resonance imaging ,Middle Aged ,medicine.disease ,Magnetic Resonance Imaging ,Surgery ,Cardiology ,Feasibility Studies ,Female ,Neurology (clinical) ,Neurosurgery ,Cardiology and Cardiovascular Medicine ,business - Abstract
We evaluated the feasibility and use of diffusion-weighted and fluid-attenuated inversion-recovery pulse sequences performed as an emergency for patients with acute ischaemic stroke. A 5-min MRI session was designed as an emergency diagnostic procedure for patients admitted with suspected acute ischaemic stroke. We reviewed routine clinical implementation of the procedure, and its sensitivity and specificity for acute ischaemic stroke over the first 8 months. We imaged 91 patients (80 min to 48 h following the onset of stroke). Clinical deficit had resolved in less than 3 h in 15 patients, and the remaining 76 were classified as stroke (59) or stroke-like (17) after hospital discharge. Sensitivity of MRI for acute ischaemic stroke was 98 %, specificity 100 %. MRI provided an immediate and accurate picture of the number, site, size and age of ischaemic lesions in stroke and simplified diagnosis in stroke-like episodes. The feasibility and high diagnostic accuracy of emergency MRI in acute stroke strongly support its routine use in a stroke centre.
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- 2000
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5. Frontal dysfunction in neurologically normal chronic alcoholic subjects: metabolic and neuropsychological findings
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D Barrucand, L. Feldman, M. H. Dao-Castellana, G. Rancurel, F. Legault, A. Feline, Yves Samson, Henri-Jean Aubin, Christian Crouzel, André Syrota, and Jean-Luc Martinot
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Adult ,Male ,medicine.medical_specialty ,Alcohol Drinking ,Central nervous system ,Prefrontal Cortex ,Neuropathology ,Neuropsychological Tests ,Audiology ,behavioral disciplines and activities ,Fluorodeoxyglucose F18 ,medicine ,Humans ,Verbal fluency test ,Applied Psychology ,Alcoholic Beverages ,Neuropsychology ,Cognition ,Middle Aged ,Magnetic Resonance Imaging ,Frontal Lobe ,Alcoholism ,Psychiatry and Mental health ,Glucose ,medicine.anatomical_structure ,Frontal lobe ,Female ,Orbitofrontal cortex ,Psychology ,Neuroscience ,psychological phenomena and processes ,Tomography, Emission-Computed ,Stroop effect - Abstract
Background. Neuropsychological and imaging studies suggest that frontal dysfunction may occur in apparently normal chronic alcoholic subjects.Methods. To investigate this issue further, we performed neuropsychological and fluorodeoxy-glucose-PET studies in 17 chronic alcoholics without patent neurological and psychiatric complications.Results. Metabolic abnormalities were found in the mediofrontal and in the left dorsolateral prefrontal cortex, but not in the orbitofrontal cortex. Neuropsychological testing revealed significantly reduced verbal fluency and impaired performance on the Stroop test. The mediofrontal hypometabolism correlated with the reduction in verbal fluency and the time necessary to perform the interference condition of the Stroop test. The left dorsolateral prefrontal hypometabolism correlated with the number of errors on the Stroop test.Conclusion. These data indicate that circumscribed frontal dysfunctions may occur in chronic alcoholic subjects before clinically obvious neurological complications, and may account for some of the alcohol-related neuropsychological and behavioural impairments.
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- 1998
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6. Clinicometabolic dissociation of cognitive functions and social behavior in frontal lobe lesions
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Bruno Dubois, Marie Sarazin, G. Rancurel, Yves Samson, Bernard Pillon, and Panteleimon Giannakopoulos
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Adult ,Working memory ,Mental Disorders ,Contrast Media ,Prefrontal Cortex ,Deoxyglucose ,Middle Aged ,Executive functions ,Dorsolateral prefrontal cortex ,medicine.anatomical_structure ,Frontal lobe ,medicine ,Humans ,Orbitofrontal cortex ,Neurology (clinical) ,Cognition Disorders ,Mental Status Schedule ,Social Behavior ,Prefrontal cortex ,Consumer neuroscience ,Psychology ,Neuroscience ,Anterior cingulate cortex ,Aged ,Tomography, Emission-Computed - Abstract
Objective/background: Case studies suggest a dissociation between cognitive functions that have been impaired after damage to the dorsolateral prefrontal cortex and social skills disturbed when the ventromedial prefrontal areas are affected. Because this dissociation had not been confirmed in a clinical setting, clinicometabolic correlations were sought in 13 patients with various lesions of the prefrontal cortex. Design/methods: The clinical assessment included extensive testing of executive functions and evaluation of behavioral abnormalities based on an informant questionnaire. Regional cerebral glucose metabolism (rCMRGlu) was measured with [ 18 F] fluorodeoxyglucose ([ 18 F] FDG) and 31-slide high-resolution PET. Results: Executive-function test performance was significantly correlated with rCMRGlu in the dorsolateral prefrontal cortex (Brodmann9s areas 8, 9, 45, 46, and 47) and anterior cingulate cortex (Brodmann9s areas 24 and 32). Behavioral scores were significantly correlated with rCMRGlu in the frontopolar (Brodmann9s area 10) and orbitofrontal cortex (Brodmann9s areas 11, 12, 13, and 14). Conclusion: These results show that impaired executive functions and serial skill deficits are associated with distinct metabolic patterns in patients with frontal lobe pathology. In agreement with activation studies in normal subjects, our data suggest the existence of a modular organization of the frontal cortex in humans, as previously reported in nonhuman primates.
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- 1998
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7. Evolving isolated hand palsy: a parietal lobe syndrome associated with carotid artery disease
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R Manaï, Serge Timsit, M. Logak, and G Rancurel
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Carotid Artery Diseases ,Male ,Wrist Joint ,Posture ,Angular gyrus ,Parietal Lobe ,medicine.artery ,Carotid artery disease ,medicine ,Humans ,Paralysis ,Aged ,Aged, 80 and over ,Brain Diseases ,Palsy ,Pyramidal tracts ,business.industry ,Parietal lobe ,Brain ,Cerebral Infarction ,Syndrome ,Anatomy ,Middle Aged ,Hand ,medicine.disease ,Magnetic Resonance Imaging ,medicine.anatomical_structure ,Ischemic Attack, Transient ,Corticospinal tract ,Neurology (clinical) ,Internal carotid artery ,Tomography, X-Ray Computed ,business ,Motor Deficit - Abstract
Six patients with cerebral ischaemia who presented evolving isolated hand palsy were studied, five prospectively and one retrospectively. The motor deficit involved only the hand and the wrist in some cases. In almost all cases the motor deficit was pseudo-ulnar. None of them had a Babinski sign, all had mild sensory symptoms or signs in the affected hand. CT and MRI disclosed recent infarctions contralateral to the affected hand, in the white matter of the angular gyrus, in a vascular borderzone. Five had a tight stenosis of the internal carotid artery. The pyramidal tract was anatomically spared in three cases, even considering its parietal origin. Consistent with previous data, our study suggests that the parietal lobe is involved in the control of the motor function of the hand. We propose the existence of a new entity, characterized by an evolving non-pyramidal motor deficit in the hand following infarction of the angular gyrus of the inferior parietal lobe.
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- 1997
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8. Recovery from nonfluent aphasia after melodic intonation therapy: A PET study
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P, Belin, P, Van Eeckhout, M, Zilbovicius, P, Remy, C, François, S, Guillaume, F, Chain, G, Rancurel, and Y, Samson
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Adult ,medicine.medical_specialty ,Neurology ,Repetition (rhetorical device) ,Brain ,Melodic intonation therapy ,Contrast (music) ,Middle Aged ,medicine.disease ,Lateralization of brain function ,Cerebral blood flow ,Aphasia ,medicine ,Humans ,Language disorder ,Neurology (clinical) ,medicine.symptom ,Psychology ,Music Therapy ,Neuroscience ,Tomography, Emission-Computed - Abstract
We examined mechanisms of recovery from aphasia in seven nonfluent aphasic patients, who were successfully treated with melodic intonation therapy (MIT) after a lengthy absence of spontaneous recovery.We measured changes in relative cerebral blood flow (CBF) with positron emission tomography (PET) during hearing and repetition of simple words, and during repetition of MIT-loaded words. Without MIT, language tasks abnormally activated right hemisphere regions, homotopic to those activated in the normal subject, and deactivated left hemisphere language zones. In contrast, repeating words with MIT reactivated Broca9s area and the left prefrontal cortex, while deactivating the counterpart of Wernicke9s area in the right hemisphere. The recovery process induced by MIT in these patients probably coincides with this reactivation of left prefrontal structures. In contrast, the right hemisphere regions abnormally activated during simple language tasks seem to be associated with the initial persistence of the aphasia. This study supports the idea that abnormal activation patterns in the lesioned brain are not necessarily related to the recovery process. NEUROLOGY 1996;47: 1504-1511
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- 1996
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9. Schizophreniform Catatonia on 6 Cases Secondary to Hydrocephalus with Subthalamic Mesencephalic Tumor Associated with Hypodopaminergia
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François Boller, Yves Lecrubier, Denis Fohanno, Eric Neuman, and G. Rancurel
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Adult ,Male ,Psychosis ,Catatonia ,Dopamine ,Central nervous system disease ,Lateral ventricles ,Thalamus ,medicine ,Humans ,Schizophreniform disorder ,Biological Psychiatry ,Intracranial pressure ,Brain Neoplasms ,business.industry ,medicine.disease ,Hydrocephalus ,Psychiatry and Mental health ,Neuropsychology and Physiological Psychology ,Schizophrenia ,Female ,business ,Neuroscience - Abstract
This paper presents 6 patients with catatonia and subthalamic mesencephalic tumors with hydrocephalus involving the third and the lateral ventricles. This anatomic and psychiatric anomaly is investigated on the basis of personal observations and a review of the literature. These cases allow an interesting parallel to be traced between neurological clinical signs and psychiatric signs. Various anatomic and physiological models are discussed which emphasize specialized neuronal circuits (somewhat similar to those involved in Parkinson's disease) and certain specific neurotransmitters such as dopamine, together with the reactivity of these circuits to intracranial pressure variations. Once more, clinical and laboratory data on schizophrenia concur to suggest that organic etiology is the causal factor in a known psychiatric pathology.
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- 1996
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10. Aphasia and infarction of the posterior cerebral artery territory
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J. Servan, A Yakovleff, P Verstichel, G. Rancurel, and M. Catala
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Adult ,Male ,medicine.medical_specialty ,Transcortical sensory aphasia ,Anomia ,Infarction ,Posterior cerebral artery ,Neuropsychological Tests ,Temporal lobe ,Aphasia, Wernicke ,Thalamus ,Internal medicine ,medicine.artery ,Aphasia ,medicine ,Humans ,Language disorder ,Stroke ,Aged ,Retrospective Studies ,Aged, 80 and over ,business.industry ,Cerebral Infarction ,Cerebral Arteries ,Middle Aged ,medicine.disease ,Temporal Lobe ,Surgery ,Neurology ,Middle cerebral artery ,Cardiology ,Female ,Neurology (clinical) ,medicine.symptom ,business - Abstract
Spoken language disorders are rarely mentioned in superficial infarction of the posterior cerebral (PCA) territory. Two clinical types have been reported: transcortical sensory and amnesic aphasia. Between 1979 and 1990, we studied retrospectively 76 patients suffering from an occipitotemporal infarction located in the superficial territory of the posterior cerebral artery, all well documented by CT. Aphasia was one of the first and prominent signs in 18 cases. Middle cerebral artery concomitant infarction could have been the cause of language impairment in 10. In 8 patients aphasia was only explained by a PCA territory infarct. Three patients showed features of transcortical sensory aphasia. CT localization showed internal lobe and thalamic involvement of the dominant hemisphere. Five patients exhibited word finding impairment with various degrees of amnestic syndrome. The dominant internal temporal lobe was always affected. Dominant thalamus involvement was found in one case only. Some correlations between clinical features and anatomical support (vascular supply and anatomical structure) might be suggested in our 8 cases of aphasic disorders due to PCA infarcts. They are discussed and compared with data in the literature.
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- 1995
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11. Poussée hypertensive a la phase aiguë des accidents vasculaires cérébraux : attitude pratique
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G. Rancurel and B. Mercier
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Gynecology ,medicine.medical_specialty ,business.industry ,medicine ,Critical Care and Intensive Care Medicine ,business - Abstract
Resume Une hypertension arterielle (HTA) transitoire apparait precocement apres 80 p. 100 des accidents vasculaires cerebraux (AVC) ischemiques ou hemorragiques, et regresse spontanement le plus souvent en une dizaine de jours. Cette HTA n'entraine generalement pas d'aggravation neurologique ; en revanche des complications ischemiques iatrogenes sont frequemment decrites en cas de traitement systematique de cette poussee hypertensive : ischemie irreversible de la zone de penombre, infarctus hemodynamique dans les zones de jonction ou les territoires arteriels distaux, baisse de la perfusion autour de l'hematome. En l'absence de consensus, la plupart des auteurs recommandent de respecter cette HTA. Les indications formelles du traitement antihypertenseur sont les complications cardiaques ou renales de l'HTA prolongee. Si l'on decide de traiter, il vaut mieux utiliser un medicament de demi-vie breve par voie veineuse continue, avec une surveillance neurologique rigoureuse.
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- 1995
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12. Fourth meeting of the European Neurological Society 25–29 June 1994 Barcelona, Spain
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H. Hattig, C. Delli Pizzi, M. C. Addonizio, Michelle Davis, A. R. Giovagnoli, L. Florensa, M. Roth, J. de Kruijk, Francisco Lacruz, Ph. Dewailly, A. Toygar, C. Avendano, P.P. De Deyn, J. F. Hurtevent, F. Lomeila, T. W. Wong, Gordon T. Plant, M. Bud, H. J. Willison, DH Miller, D. W. Langdon, R. Cioni, J. Servan, A. Kaygisiz, E. Racadot, D. B. Schens, E. Picciola, L. Falip, C. Bouchard, J. Jotova, A. Jorge-Santamaria, P. Misra, A. Dufour, C. P. Panagopoulos, A. Venneri, B. Sredni, B. Angelard, M. Janelidze, M. Carreno, J. Obenberger, J. Pouget, H. W. Moser, R. Kaufmann, J. A. Molina, D. Linden, A. Martin Urda, E. Uvestad, A. Krone, J. P. Cochin, J. Mallecourt, A. Cambon-Thomsen, K. Violleau, P. Osschmann, A. M. Durocher, E. Bussaglia, D. M. Danielle, H. Efendi, C. Van Broeckhoven, K. G. Jordan, W. Rautenberg, C. Iniguez, J. M. Delgado, Graham Watson, M. Lawden, Gareth J. Barker, K. Stiasny, James T. Becker, G. Campanella, E. Peghi, A. Poli, A. Haddad, T. Yamawaki, Giacomo P. Comi, S. Sotgiu, B. Ersmark, A. Pomes, M. Ziegler, P. Ferrante, P. Ruppi, H. KuÇukoglu, R. Bouton, U. K. Rinne, P. Vieregge, M. Dary, P. Giunti, Peter J. Goadsby, S. Jung, E. Secor, A. Steinberg, N. Vila, M. A. Hernandez, M. Cursi, A. Enqelhardt, A. Engelhardt, J. Veitch, F. Di Silverio, F. Arnaud, B. Neundörfer, R. Brucher, Dominique Caparros-Lefebvre, B. Meyer, Marianne Dieterich, M. H. Snidaro, R. Gomez, R. Cerbo, M. Ragno, J. M. Vance, S. Nemni, A. Caliskan, F. Barros, I. Velcheva, D. Ceballos-Baumann, V. Barak, A. Avila, N. Antonova, F. Resche, S. Pappata, L. Varela, S. R. Silveira Santos, A. Cammarota, L. Naccache, Y. Nara, E. Tournier-Lasserves, R. Mobner, T. Chase, A. Ensenyat, J. Ulrich, G. Giegerich, M. Rother, M. Revilla, N. Nitschke, K. Honczarenko, E. Basart Tarrats, J. Blin, B. Jacob, J. Santamaria, S. Knezevic, J. L. Castillo, M. Antem, J. Colomer, O. Busse, Didier Hannequin, S. Carrier, J. B. Ruidavets, C. Rozman, J. Bogoussslavsky, J. Pascual Calvet, E. Monros, J. M. Polo, M. Zucconl, Javier Muruzabal, R. R. Allen, R. Rivolta, K. Haugaard, A. Nespolo, K. Hoang-Xuang, G. Bussone, T. Avramidis, E. Corsini, Christiana Franke, T. Vinogradova, H. Boot, K. Vestergaard, G. H. Jansen, N. Argentino, M. Raltzig, W. Linssen, Mark B. Pepys, P. Roblot, L. Lauritzen, E. Fainardi, D. Morin, T. X. Arbizu Urdiain, J. Wollenhaupt, S. Bostantjopoulou, G. Pavesi, A. D. Forman, Giovanni Fabbrini, D. Jean, J. J. Archelos, M. I. Blanchs, M. Del Gobbo, Anna Carla Turconi, Ch. Derouesné, Elio Scarpini, A. Visbeck, P. Castejon, J. P. Renou, F. Mounier-Vehier, G. Potagas, Ch. Duyckaerts, A. Filla, R. Schneider, G. Ronen, K. Nagata, J. P. Vedel, A. Henneberg, G. van Melle, C. Baratti, H. Knott, M. C. Prevett, A. Bes, B. Metin, Jos V. Reempts, L. Martorell, Mefkure Eraksoy, H. O. Handwerker, D. S. Younger, O. Oktem, D. Frongillo, C. Soriano-Soriano, L. Niehaus, F. Zipp, A. Tartaro, S Newman, R. H. Browne, P. Davous, R. Sanchez, M. Muros, M. E. Kornhuber, A. Lavarone, M. Mohr, M. R. Garcia, S. Russell, H. Kellar-Wood, M. R. Tola, B. Ostermeyer, Ch. Tzekov, K. Sartor, E. B. Ringelstein, P. P. Gazzaniga, Paul Krack, H. Fidaner, H. Rico, T. Dbaiss, F. Alameda, E. Torchiana, L. Rumbach, I. Charques, J. M. Bogaard, C. D. Frith, L. J. Rappelle, R. Brenner, A. Joutel, K. Fuxe, G. HÄcker, M. J. Blaser, J. Valls-SolÇ, G. Ulm, M. Alberdi, A. Bock, F. W. Bertelsmann, U. Wieshmann, J. Visa, J. R. Lupski, D. D'Amico, L. M. P. Ramos, A. A. Vanderbark, R. Horn, M. Warmuth, Dietmar Kühne, Mark S. Palmer, C. Ehrenheim, E. Canga, S. Viola, O. Scarpino, P. Naldi, R. Almeida, A. A. Raymond, J. Gamez, Stephan Arnold, A. DiGiovanni, J. Dalmau, C. C. Chari, H. F. Beer, J. C. Koetsier, J. Iriarte, E. Yunis, J. Casadevall, E. Le Guern, E. Stenager, S. R. Benbadis, J. M. Warter, F. Burklin, I. Theodorou, L. Johannesen, G. A. Graveland, X. Leclerc, I. Vecchio, L. Ozelius, G. Nicoletti, R. K. Gherardi, E. Esperet, M. L. Delodovici, F. Cattin, F. Paiau, Giorgio Sacilotto, C. A. J. Broere, D. Chavdarov, J. P. Willmer, C. H. Hawkes, Th. Naegele, E. Ellie, E. Dartigues, M. J. Guardiola, S. Hesse, Z. Levic, Marco Rovaris, P. Saugeir-Veber, B. A. Yaqub, H. F. Durwen, R. Larumbe, J. Ballabrina, M. Sendtner, J. Röther, M. Horstink, C. Kluglein, M.P. Montesi, H. Apaydin, J. Montoya, E. Waubant, Ch. Verellen-Dunoulin, A. Nicolai, J. Lopez-Delval, R. Lemon, G. Cantinho, E. Granieri, A. Zeviani, Wolfgang H. Oertel, U. Ficola, V. Di Piero, V. Fragola, K. Sabev, M. V. Guitera, I. Turki, F. Bolgert, P. Ingrand, J. M. Gobernado, L. M. E. Grimaldi, S. Baybas, B. Eymard, Y. Rolland, Y. Robitaille, Ta. Pampols, P. J. Koehler, A. Carroacedo, J. Vilchez, S. Di Vittorio, I. R. Rise, T. Nagy, M. Kuffner, E. Palazzini, A. Ott, J. Pruim, T. X. Arbizu, E. Manetti, C. Cervera, S. Felber, G. Gursoy, J. Scholz, G. A. Buscaino, M. S. Chen, A. Pascual, J. Hazan, J. U. Gajda, J. G. Cea, G. Bottini, G. Damalik, F. Le Doze, G. Bonaldi, J. M. Hew, C. Messina, A. M. Kennedy, J. M. Carney, N. M. F. Murray, M. Parent, M. Koepp, V. Dimova, D. De Leo, K. Jellinger, G. Salemi, S. Mientus, M. L. Hansen, F. Mazzucchelli, J. Vieth, M. Mauri, E. Bartels, L. Johannsen, C. Humphreys, J. Emile, D. N. Landon, E. Kansu, R. Sanchez-Pernaute, Rsj Frackowiak, M. Gonzalez Torres, L. Oller, C. Machedo, J. Kother, M. Billiard, H. Durak, T. Schindler, A. Frank, A. Uncini, A. Sbriccoli, C. Farinas, D. W. Paty, N. Fast, A. T. Zangaladze, A. Kerkhofs, J. M. Pino Garcia, I. De la Fuente, B. Marini, L. Gomez, I. Rubio, Alessandra Bardoni, C. Brodie, P. Acin, U. Sliwka, S. A. Hawkins, S. Tardieu, F. Vitullo, J. M. Pereira Monteino, R. Gagliardi, T. Jezewski, A. Cano, T. Lempert, F. Abad Alegria, G. Rotondo, D. Ince, C. Martinez Parra, Y. Huang, H. Luders, Y. Steinvil, F. G. A. Van Der Meche, R. Bianchi, A. Sanchez, T. Sevilla, J. M. Ketelslegers, A. Domzal-Stryga, M. Pandolfo, M. O. Josse, K. W. Neff, I. Blanco, G. W. Bruyn, O. W. Witte, J. L. Thibault, G. Andersen, J. Pariset, A. Marcone, R. J. M. Lane, A. Hofman, M. Verin, T. Matilla, P. Bedoucha, J. Roche, M. Lai, M. Collard, A. Ugarte, F. Gallecho, D. Silbersweig, C. Kennard, J. P. Azulay, T. W. Ho, P. L. I. Dellemijn, R. Girardello, F. Baas, B. Voss, F. Rozenberg, E. M. Brocker, V. Stanev, A. A. J. Soeterboek, A. Marra, A. Rey, E. Ertem, M. Sawradewicz-Rybak, J. De Keyser, P. Cavallari, F. Proust, Y. Chevalier, H. C. Hansen, D. Leys, C. A. Davie, K. Hoang-Xuan, C. Bairati, H. van Crevel, Thomas T. Warner, B. Bompais, A. Dobbeleir, T Campbell, C. Macko, C. J. M. Klijn, M. Dussallant, T. P. Berlit, W. Rozenbaum, M. J. van den Bent, W. A. Rocca, M. Muller, H. Hundemer, U. Zifko, M. Campera, F. Drislane, D. Ranoux, T. M. Kloss, Anil Kumar, I. Ruolt, C. Bargnani, B. Marescau, N. A. Losseff, S. Notermans, B. Kint, E. T. Burke, C. Aykut, J. Matias Guiu, P. Maquet, T. Drogendijk, M. Leone, K. von Ammon, M. Pepeliarska, C. Prados, L. DiGiamberardino, T. Logtenberg, G. Lenoir, I. Castaldo, Damhaut, M. Radionova, G. Sirabian, R. 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Frigo, Leif Østergaard, J. L. Munoz Blanco, A. Cruz-Matinez, J. De Reuck, C. Theillet, T. Barroso, V. Oikonen, Florence Lebert, M. Kilinc, C. Cordon-Cardon, G. Stoll, E. Thiery, F. Pulcinelli, J. Solski, M. Schmiegelow, L. J. Polman, P. Fernandez-Calle, C. Wikkelso, M. Ben Hamida, M. Laska, E. Kott, W. Sulkowski, C. Lucas, N. M. Bornstein, D. Schmitz, M. W. Lammers, A. de Louw, R. J. S. Wise, P. A. van Darn, C. Antozzi, P. Villanueva, P. H. E. Hilkens, C. Constantin, W. Ricart, A. Wolf, M. Gamba, P. Maguire, Alessandro Padovani, B. M. Patten, Marie Sarazin, H. Ackermann, L. Durelli, S. Timsit, Sebastian Jander, B. W. Scheithauer, G. Demir, J. P. Neau, P. Barbanti, A. Brand, N. AraÇ, V. Fischer-Gagnepain, R. Marchioli, G. Serratrice, C. Maugard-Louboutin, G. T. Spencer, D. Lücke, G. Mainardi, K. Harmant Van Rijckevorsel, G. B. Creel, R. Manzanares, Francesco Fortunato, A. May, J. Workman, K. Johkura, E. Fernandez, Carlo Colosimo, L. Calliauw, L. Bet, Félix F. Cruz-Sánchez, M. Dhib, H. Meinardi, F. Carrara, J. Kuehnen, C. Peiro, H. Lassmann, K. Skovgaard Olsen, A. McDonald, L. Sciulli, A. Cobo, A. Monticelli, B. Conrad, J. Bagunya, J. Benitez, V. Desnizza, B. Dupont, O. Delrieu, D. Moraes, J. J. Heimans, F. Garcia Rio, M. Matsumto, A. Fernandez, R. Nermni, R. Chalmers, M. J. Marchau, F. Aguado, P. Velupillai, P. J. Martin, P. Tassan, V. Demarin, A. Engelien, T. Gerriets, Comar, J. L. Carrasco, J. P. Pruvo, A. Lopez de Munain, D. Pavitt, J. Alarcon, Chris H. Polman, B. Guldin, N. Yeni, Hartmut Brückmann, N. Wilczak, H. Szwed, R. Causaran, G. Kyriazis, M. E. Westarp, M. Gasparini, N. Pecora, J. M. Roda, E. Lang, V. Scaioli, David R. Fish, D. Caputo, O. Gratzl, R. Mercelis, A. Perretti, G. Steimetz, I. Link, C. Rigoletto, A. Catafau, G. Lucotte, M. Buti, G. Fagiolari, A. Piqueras, C. Godinot, J. C. Meurice, Erodriguez J. Dominigo, F. Lionnet, H. Grzelec, David J. Brooks, P. M. G. Munro, F. X. Weilbach, M. Maiwald, W. Split, B. Widjaja-Cramer, V. Ozturk, J. Colas, E. Brizioli, J. Calleja, L. Publio, M. Desi, R. Soffietti, P. Cortinovis-Tourniaire, E. F. Gonano, G. Cavaletti, S. Uselli, K. Westerlind, H. Betuel, C. O. Dhiver, H. Guggenheim, M. Hamon, R. Fazio, P. Lehikoinen, A. Esser, B. Sadzot, G. Fink, Angelo Antonini, D. Bendahan, V. Di Carlo, G. Galardi, A. F. Boller, M. Aksenova, Del Fiore, V. de la Sayette, H. Chabriat, A. Nicoletti, A. Dilouya, M. L. Harpin, E. Rouillet, J. Stam, A. Wolters, M. R. Delgado, Eduardo Tolosa, G. Said, A. J. Lees, L. Rinaldi, A. Schulze-Bonhage, MA Ron, C. Lefebvre, E. W. Radü, R. Alvarez, M. L. Bots, P. Reganati, S. Palazzi, A. Poggi, N. J. Scolding, V. Sazdovitch, T. Moreau, E. Maes, M. A. Estelies, P. Petkova, Jose-Felix Marti-Masso, G De La Meilleure, N. Mullatti, M. Rodegher, N. C. Notermans, T. A. T. Warner, S. Aktan, J. P. Louboutin, L. Volpe, C. Scheidt, W. Aust, C. M. Wiles, U. Schneider, S. K. Braekken, W. R. Willems, K. Usuku, Peter M. Rothwell, C. Talamon, M. L. Sacchetti, A. Codina, M. H. Marion, A. Santoro, J. Roda, A. Bordoni, D. J. Taylor, S. Ertas, H. H. Emmen, J. Vichez, V. BesanÇon, R. E. Passingham, M. L. Malosio, A. Vérier, M. Bamberg, A. W. Hansen, E. Mostacero, G. Gaudriault, Marie Vidailhet, B. Birebent, K. Strijckmans, F. Giannini, T. Kammer, I. Araujo, J. Nowicki, E. Nikolov, A. Hutzelmann, R. Gherardi, J. Verroust, L. Austoni, A. Scheller, A. Vazquez, S. Matheron, H. Holthausen, J. M. Gerard, M. Bataillard, S. Dethy, V. H. Patterson, V. Ivanez, N. P. Hirsch, F. Ozer, M. Sutter, C. Jacomet, M. Mora, Bruno Colombo, A. Sarropoulos, T. H. Papapetropoulos, M. Schwarz, D. S. Dinner, N. Acarin, B. Iandolo, J. O. Riis, P. R. J. Barnes, F. Taroni, J. Kazenwadel, L. Torre, A. Lugaresi, I. L. Henriques, S. Pauli, S. Alfonso, Pedro Quesada, A. S. T. Planting, J. M. Castilla, Thomas Gasser, M. Van der Linden, A. Alfaro, E. Nobile-Orazio, G. Popova, W. Vaalburg, F. G. A. van der Mech, L. Williams, F. Medina, J. P. Vernant, J. Yaouanq, B. Storch-Hagenlocher, A. Potemkowski, R. Riva, M. H. Mahagne, M. Ozturk, Ve. Drory, N. Konic, C. Jungreis, A. Pou Serradell, J. L. Gauvrit, G. J. Chelune, S. Hermandez, T. Dingus, L. Hewer, Ch. Koch, M. N. Metz-Lutz, G. Parlato, M. Sinaki, Charles Pierrot-Deseilligny, H. C. Diener, J. Broeckx, J. Weill-Fulazza, M. L. Villar, M. Rizzo, O. Ganslandt, C. Duran, N. A. Fletcher, G. Di Giovacchino, Susan T. Iannaccone, C. Kolig, N. Fabre, H. A. Crockard, Rita Bella, M. Tazir, E. Papagiannuli, K. Overgaard, Emma Ciafaloni, I. Lorenzetti, F. Viader, P. A. H. Millac, I. Montiel, L. H. Visser, M. Palomar, P. L. Murgia, H. Pedersen, Rafael Blesa, S. Seddigh, W. O. Renier, I. Lemahieu, H. M. L. Jansen, L. Rosin, J. Galofre, K. Mattos, M. Pondal, G. M. Hadjigeorgiou, D. Francis, L. Cantin, D. Stegeman, M. Rango, A. B. M. F. Karim, S. Schraff, B. Castellotti, I. Iriarte, E. Laborde, T. J. Tjan, R. Mutani, D. Toni, B. Bergaasco, J. G. Young, C. Klotzsch, A. Zincone, X. Ducrocq, M. Uchuya, O. J. Kolar, A. Quattrone, T. Bauermann, Nereo Bresolin, J. Vallée, B. C. Jacobs, A. Campos, Werner Poewe, J. A. Villanueva, A. W. Kornhuber, A. Malafosse, E. Diez-Tejedor, G. Jungreia, M. J. A. Puchner, A. Komiyama, O. Saribas, V. Volpini, L. Geremia, S. Bressi, A. Nibbio, Timothy E. Bates, T. z. Tzonev, E. Ideman, G. A. Damlacik, G. Martino, G. Crepaldi, T. Martino, Kjell Någren, E. Idiman, D. Samuel, J. M. Perez Trullen, Y. van der Graaf, J. O. Thorell, M. J. M. Dupuis, E. Sieber, R. D'Alessandro, C. Cazzaniga, J. Faiss, A. Tanguy, A. Schick, I. Hoksergen, A. Cardozo, R. Shakarishvili, G. K. Wennlng, J. L. Marti-Vilalta, J. Weissenbach, I. L. Simone, Amalia C. Bruni, Darius J. Adams, C. Weiller, A. Pietrangeli, F. Croria, C. Vigo-Pelfrey, Patricia Limousin, A. Ducros, G. Conti, O. Lindvall, E. Richter, M. Zuffi, A. Nappo, T. Riise, J. Wijdenes, M. J. Fernandez, J. Rosell, P. Vermersh, S. Servidei, M. S. C. Verdugo, F. Gouttiere, W. Solbach, M. Malbezin, I. S. Watanabe, A. Tumac, W. I. McDonald, D. A. Butterfield, P. P. Costa, F. deRino, F. Bamonti, J. M. Cesar, C. H. Lahoz, I. Mosely, M. Starck, M. H. Lemaitre, K. M. Stephan, S. Tex, R. Bokonjic, I. Mollee, L. Pastena, M. Gutierrez, F. Boiler, M. C. Martinez-Para, M. Velicogna, O. Obuz, A. Grinspan, M. Guarino, L. M. Cartier, E. Ruiz, D. Gambi, S. Messina, M. Villa, Michael G. Hanna, J. Valk, Leone Pascual, M. Clanet, Z. Argov, B. Ryniewicz, E. Magni, B. Berlanga, K. S. Wong, C. Gellera, C. Prevost, F. Gonzalez-Huix, R. Petraroli, J. E. G. Benedikz, I. Kojder, C. Bommelaer, L. Perusse, M. R. Bangioanni, Guy M. McKhann, A. Molina, C. Fresquet, E. Sindern, Florence Pasquier, M. J. Rosas, M. Altieri, O. Simoncini, M. Koutroumanidis, C. A. F. Tulleken, M. Dary-Auriol, S. Oueslati, H. Kruyer, I. Nishisho, C. R. Horning, A. Vital, G. V. Czettritz, J. Ph. Neau, B. Mihout, A. Ameri, M. Francis, S. Quasthoff, D. Taussig, S. Blunt, P. Valentin, C. Y. Gao, O. Heinzlef, H. d'Allens, C. Coudero, M. Erfas, G. Borghero, P. J. Modrego Pardo, M. C. Patrosso, N. L. Gershfeld, P. A. J. M. Boon, O. Sabouraud, M. Lara, J. Svennevig, G. L. Lenzi, A. Barrio, H. Villaroya, JosÇ M. Manubens, O. Boespflug-Tanguy, M. Carreras, D. A. Costiga, J. P. Breux, S. Lynn, C. Oliveras Ley, A. G. Herbaut, J. Nos, C. Tornali, Y. A. Hekster, J. L. Chopard, J. M. Manubens, P. Chemouilli, A. Jovicic, F. Dworzak, S. Smirne, S. E. Soudain, B. Gallano, D. Lubach, G. Masullo, G. Izquierdo, A. Pascual Leone Pascual, A. Sessa, V. Freitas, O. Crambes, L. Ouss, G. W. Van Dijk, P. Marchettini, P. Confalonieri, M. Donaghy, A. Munnich, M. Corbo, and M. E. L. van der Burg
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Neurology ,business.industry ,Media studies ,Library science ,Medicine ,Neurology (clinical) ,business - Published
- 1994
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13. Dementia in two histologically confirmed cases of multiple sclerosis: one case with isolated dementia and one case associated with psychiatric symptoms
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Olivier Lyon-Caen, Jean-Jacques Hauw, N. Benoit, C Daumas-Duport, G. Rancurel, Charles Duyckaerts, B Devaux, Bertrand Fontaine, A Tourbah, and Danielle Seilhean
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Adult ,medicine.medical_specialty ,Multiple Sclerosis ,Hallucinations ,Corpus callosum ,Hippocampus ,Corpus Callosum ,White matter ,Atrophy ,medicine ,Humans ,Dementia ,Psychiatry ,Multiple sclerosis ,Fornix ,Brain ,Middle Aged ,medicine.disease ,Magnetic Resonance Imaging ,Frontal Lobe ,Psychiatry and Mental health ,medicine.anatomical_structure ,Frontal lobe ,Visual Perception ,Female ,Surgery ,Occipital Lobe ,Neurology (clinical) ,Cognition Disorders ,Psychology ,Occipital lobe ,Research Article - Abstract
During the past 10 years, considerable attention has been devoted to cognitive impairment in multiple sclerosis. Occasionally this impairment may be so severe that multiple sclerosis presents as a dementia associated with only minor neurological signs and symptoms. The cases of two women affected by multiple sclerosis who presented with a pure dementia are reported. In the first patient, a progressive apragmatic behavioural disturbance with reduced short term memory and learning abilities were the main clinical features. Neuropathological examination of the brain disclosed numerous plaques in the periventricular white matter, with severe atrophy of the corpus callosum. Plaques were also seen in the white matter of both hippocampus and in the columns of the fornix. The impairment of short term memory could be linked to these lesions. Behavioural changes were probably related to the bilateral lesions of the long associative bundles that disconnected the frontal lobes from other parts of the cerebral hemispheres. In the second patient, visual hallucinations were associated with cognitive dysfunction. MRI showed large plaques in the white matter of both left frontal and temporal lobes. Smaller plaques were also present in the periventricular white matter of the occipital lobes, the nature of which were confirmed by a stereotactic biopsy.
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- 1994
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14. Fluidité verbale et cohérence EEG dans la maladie d'Alzheimer
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K Le Roc'h, G. Rancurel, C. Sebban, P Bourgin, and J. Poitrenaud
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Neurology ,Physiology (medical) ,Neurology (clinical) ,General Medicine - Abstract
Resume La coherence des signaux EEG de 16 derivations et la performance a un test de fluidite verbale ont ete evaluees chez 25 patients ambulatoires souffrant d'une maladie d'Alzheimer (âge: 74 ± 5,7). Le but de l'etude etait d'analyser les variations des taux de coherence des differentes zones corticales en fonction de la performance au test. Les taux de coherence de chaque derivation avec les autres ont ete calcules pour quatre bandes de frequence allant de 0,5 a 13,5 Hz. Les moyennes arithmetiques de ces taux ont ensuite ete calculees afin d'obtenir des taux de coherence moyens sur le scalp. Les patients ont ete soumis a un test de fluidite verbale et d'apres leur performance au test et en se referant a des donnees normatives etablies anterieurement, divises en deux groupes: deficitaire (n = 10) et non deficitaire (n = 15). Les resultats ont montre que les taux de coherence moyens de la bande theta et alphal etaient significativement diminues dans le groupe deficitaire par rapport a ceux du groupe non deficitaire. Deux zones corticales sont apparues concernees par cette difference, les zones temporo-occipitale gauche et frontale et cela de facon independante chez un meme sujet. D'autre part, on a constate que chez les malades qui presentaient un deficit de la fluidite verbale, l'apparition clinique de la maladie d'Alzheimer etait plus ancienne que chez ceux qui ne presentaient pas un tel deficit.
- Published
- 1993
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15. Ischemic Stroke due to Spontaneous Extracranial Vertebral Giant Aneurysm
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F. Koskas, G. Rancurel, E. Martin-Delassalle, M. Catala, and E. Kieffer
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medicine.medical_specialty ,business.industry ,Vertebral artery ,medicine.disease ,nervous system diseases ,body regions ,Aneurysm ,Hematoma ,Neurology ,Spinal cord compression ,Internal medicine ,medicine.artery ,Ischemic stroke ,cardiovascular system ,medicine ,Cardiology ,cardiovascular diseases ,Neurology (clinical) ,Radiology ,Arteritis ,Vertebrobasilar insufficiency ,Cardiology and Cardiovascular Medicine ,business ,Stroke - Abstract
Spontaneous extracranial vertebral aneurysms are very rare, presenting with varying clinical features such as laterocervical mass, cervicobrachial neuralgia, spinal cord compression or vertebrobasilar ischemic events. These aneurysms may be due to arteritis, parietal dissecting hematoma or atherosclerosis. We report a case of spontaneous atherosclerotic extracranial vertebral aneurysm characterized by vertebrobasilar transient ischemic attacks and stroke.
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- 1993
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16. [Asomatognosia and oral drive: a psychoanalytical perspective]
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C, Morin, E, Durand, F, Marchal, S, Timsit, R, Manai, P, Pradat-Diehl, and G, Rancurel
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Interviews as Topic ,Male ,Stroke ,Psychoanalytic Theory ,Agnosia ,Body Image ,Humans ,Hemiplegia ,Awareness ,Middle Aged ,Magnetic Resonance Imaging - Abstract
The psychoanalytic concept of specular image refers to the complex construction that associates the body image with the language coordinates of the individual, thus making him/her a human subject. The acquisition of this specular image implies the loss of corporeal exchanges between mother and child, i.e., the "neutralization" of those body parts or extensions where these exchanges take place. These conceptions of body image and subjectivity lead to the hypothesis that neurological disturbances of body schema may alter the patients' subjectivity and their relation to the lost "object" insofar as they alter body image.In the present paper, we present two patients aged under 50, with a unique first ever stroke due to ischemia in the right middle cerebral artery territory and asomatognosia.On one hand, Bisiach's protocol was used to assess hemiplegia, sensory troubles, visual troubles, hemineglect and anosognosia, and adapted to assess asomatognosia. On the other hand, subjective data were gathered during a semistructured interview and a self-portrait test.This showed that asomatognosia was accompanied by a destructuration of body image and aberrant oral manifestations involving the paralyzed hand.The psychological positive phenomena accompanying asomatognosia might correspond to the intrusion of the lost object in the patients' psychic reality, due to the alteration of body schema and body image.
- Published
- 2003
17. Unusual origin of the artery of Adamkiewicz from the fourth lumbar artery
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Laurent Spelle, G. Rancurel, Daouda Lo, Jacques Chiras, Saillant G, Jean-Noël Vallée, and Evelyne Cormier
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Adult ,Male ,medicine.medical_specialty ,Anterior spinal artery ,Central nervous system disease ,medicine.artery ,medicine ,Humans ,Radiology, Nuclear Medicine and imaging ,Lumbar Vertebrae ,business.industry ,Abdominal aorta ,Anatomy ,Arteries ,Middle Aged ,Spinal cord ,medicine.disease ,Magnetic Resonance Imaging ,Surgery ,Conus medullaris ,Radiography ,medicine.anatomical_structure ,Spinal Cord ,Female ,Neurology (clinical) ,Artery of Adamkiewicz ,Cardiology and Cardiovascular Medicine ,business ,Lumbar arteries ,Artery - Abstract
The main arterial supply of the dorso-lumbar spinal cord is usually derived from a single anterior radiculo-medullary artery called the artery of Adamkiewicz and referred to as having a middle or low location. In some cases, the artery origin is higher, and a vessel which arises in the lower part of the region supplements the supply of the anterior spinal artery. In the literature, those arteries have been described as arising from L3 upwards, and have never been previously described angiographically, to our knowledge, below this level, although Suh and Alexander and Gililan have mentioned this eventuality. Of the 4,000 spinal cord angiographies performed in our institution, we report three cases in which the fourth lumbar artery flows into the anterior spinal artery of the conus medullaris. This anatomical variant may explain the sometimes devastating post-operative neurological complications from a spinal cord infarction on surgery of the lumbar spine or the abdominal aorta below L3.
- Published
- 2002
18. [Recommendations for the creation of neuro-vascular units]
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F, Woimant, M, Hommel, C, Adnet Bonte, E, Baldauf, F, Chedru, A, Cohen, T, de Broucker, J P, Devailly, H, Duclos, A, Gaston, S, Grobuis, P, Kassiotis, M, Levasseur, J J, Merland, F, Mounier Vehier, A, Nibbio, J M, Orgogozo, H, Outin, F, Pinel, J P, Pruvo, G, Rancurel, D, Saudeau, C, Scart-Gres, M, Sévène, P J, Touboul, P, Vassel, M, Zuber, C, Arquizan, J C, Baron, F, Becker, A, Bes, J, Boulliat, M G, Bousser, S, Bracard, A, Branchereau, J P, Castel, J P, Caussanel, J, Civit, M, Collard, P, Davoine, L, Deroudille, R, Dumas, P, Frerebeau, M, Giroud, P, Goldstein, J, Lagarrigue, J P, Lejeune, P, Lestavel, D, Leys, M H, Mahagne, C, Manelfe, J L, Mas, M, Masson, D, Michel, T, Moulin, J, Perret, H, Petit, B, Proust, F, Rouanet, D, Rougemont, F X, Roux, Y, Samson, and P, Trouillas
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Stroke ,Quality Assurance, Health Care ,Humans ,France ,Brain Ischemia - Published
- 2002
19. Incidence and predictive factors of cerebrovascular events in 8,846 elderly treated hypertensive patients during a 3-year follow-up: the PRESAGE study
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F. Weber, M. Collard, G. Rancurel, and M. de Champvallins
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Male ,medicine.medical_specialty ,Central nervous system disease ,Risk Factors ,Internal medicine ,Epidemiology ,medicine ,Humans ,cardiovascular diseases ,Risk factor ,Stroke ,Life Style ,Antihypertensive Agents ,Aged ,Aged, 80 and over ,business.industry ,Incidence (epidemiology) ,Incidence ,Follow up studies ,medicine.disease ,Surgery ,Cross-Sectional Studies ,Neurology ,Ischemic Attack, Transient ,Hypertension ,Female ,Neurology (clinical) ,France ,business ,Family Practice ,Follow-Up Studies - Abstract
This epidemiological study was carried out as a 3-year follow-up project to assess the incidence of transient ischemic attacks (TIAs) and strokes; 8,846 treated hypertensive patients (mean BP, 149/84 mm Hg) aged 65 years or over (mean age, 73.7 ± 6.3 years), devoid of symptoms of dementia and with documented vascular risk factors were recruited from January 1994 to August 1995, by 1,598 general practitioners in connection with 36 referral university neurology units throughout metropolitan France. Among these patients, 506 (5.7%) had at least one cerebrovascular event during the follow-up period: 309 (3.5%) experienced one or more isolated TIAs, and 197 (2.2%) had a stroke with or without a preceding TIA. A total of 510 TIAs were reported. The stroke subtypes were ischemia, hemorrhage, and unclassified in 70, 16, and 15% of the cases, respectively. The estimated annual stroke incidence was 7.42‰. Of the 197 patients who developed strokes, 51 (26%) died. This case-fatality rate should be compared with the 4.5% mortality rate observed in the whole population during the study period. The 3 subgroups (with isolated TIAs, strokes, or no events during the study) were found to differ regarding age, sedentary lifestyle, past history of cardiovascular events, duration of hypertension, and evidence of complicated hypertension (univariate analysis). The factors identified as predictive of a stroke (multivariate analysis) were: the patient’s age; sedentary lifestyle; pulse pressure (SBP-DBP); identification of TIA at baseline, and presence of arrhythmias.
- Published
- 2001
20. Manifestations neurologiques des infections herpétiques
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G. Rancurel
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business.industry ,Gastroenterology ,Internal Medicine ,Medicine ,business - Published
- 1992
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21. Vertebro-basilar ischaemic disease: one or more entities? 460 Cases
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E. Kieffer, A. Arzimanoglou, and G. Rancurel
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Male ,medicine.medical_specialty ,Time Factors ,medicine.diagnostic_test ,business.industry ,General Medicine ,Disease ,Middle Aged ,Cerebral Angiography ,Text mining ,Neurology ,Ischemic Attack, Transient ,Internal medicine ,Angiography ,Vertebrobasilar Insufficiency ,medicine ,Cardiology ,Humans ,Female ,Prospective Studies ,Neurology (clinical) ,Radiology ,business ,Follow-Up Studies - Published
- 1992
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22. Cerebellar dysfunctions of temporal processing in the seconds range in humans
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Bruno Dubois, G Rancurel, Chara Malapani, and J Gibbon
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Male ,Cerebellum ,Time Factors ,Central nervous system ,Neuropsychological Tests ,Basal Ganglia ,Lesion ,Basal ganglia ,medicine ,Humans ,Analysis of Variance ,Memory Disorders ,medicine.diagnostic_test ,General Neuroscience ,Reproducibility of Results ,Magnetic resonance imaging ,Anatomy ,Time perception ,Middle Aged ,Cerebellar Dysfunctions ,Magnetic Resonance Imaging ,medicine.anatomical_structure ,nervous system ,Cerebellar cortex ,Female ,medicine.symptom ,Psychology ,Neuroscience - Abstract
The roles of the basal ganglia and cerebellum in timing remain subject to debate. It has been suggested that temporal range may dissociate them, since cerebellar research has focused on intervals of < 1 s, compared with many seconds used in much basal ganglia research. Here we show increased but scalar variability of time estimates in patients with focal lesions of the lateral cerebellar cortex and nuclei when trained to remember durations in the seconds range, compared with patients with lesions of the mesial cerebellum and vermis. This distortion is discussed on the basis of previously reported cerebellar deficits in different time ranges and contrasted to distortions occurring in patients with basal ganglia lesions performing similar tasks over similar time ranges.
- Published
- 1999
23. Effects of anterior cingulate cortex lesions on ocular saccades in humans
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Charles Pierrot-Deseilligny, J. F. Cassarini, Bertrand Gaymard, G. Rancurel, Yves Agid, T. Dubard, and S. Rivaud
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Cingulate cortex ,Adult ,Male ,Brain Mapping ,General Neuroscience ,Eye movement ,Motor control ,Middle Aged ,Gyrus Cinguli ,Saccadic masking ,Statistics, Nonparametric ,medicine.anatomical_structure ,Memory ,Case-Control Studies ,medicine ,Saccades ,Humans ,Brainstem ,Latency (engineering) ,Antisaccade task ,Psychology ,Neuroscience ,Anterior cingulate cortex ,Follow-Up Studies - Abstract
Cerebral blood flow studies in humans suggest that the anterior cingulate cortex (ACC) could be involved in eye movement control. In two patients with a small infarction affecting the posterior part of this area (on the right side) and in ten control subjects, we studied several paradigms of saccadic eye movements: gap task, overlap task, antisaccades (using either a 5 degrees or 25 degrees lateral target), memory-guided saccades with a short (1 s) or long (7 s) delay, and sequences of memory-guided saccades. Compared with controls, patients had normal latency in the gap task but increased latency in the other tasks. The gain of memory-guided saccades was markedly decreased, bilaterally, whatever the duration of the delay. Patients made more errors than controls in the antisaccade task when the 5 degrees lateral target was used, and a higher percentage of chronological errors in the sequences of saccades. These results show that the posterior part of the right ACC plays an important role in eye movement control and suggest that this area could correspond to a "cingulate eye field" (CEF). The role of this hypothetical CEF could be an early activation exerted on the frontal ocular motor areas involved in intentional saccades and also a direct action on brainstem ocular premotor structures.
- Published
- 1998
24. [Treatment of cerebral vascular complications. What future for thrombolysis?]
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J, Bogousslavsky, M G, Bousser, V, Larrue, and G, Rancurel
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Cerebrovascular Disorders ,Humans ,Thrombolytic Therapy - Published
- 1997
25. [Spontaneous dissection of the internal carotid artery in ophthalmological milieu. Apropos of 10 cases]
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P, Andre-Sereys, E, Petit, R, Benrabah, A, Abanouh, G, Rancurel, and J, Haut
- Subjects
Adult ,Carotid Artery Diseases ,Male ,Horner Syndrome ,Eye Diseases ,Ischemic Attack, Transient ,Humans ,Female ,Magnetic Resonance Imaging ,Carotid Artery, Internal ,Magnetic Resonance Angiography ,Retrospective Studies ,Ultrasonography - Abstract
Spontaneous dissection of the internal carotid artery is a rare vascular emergency, but represents the first cause of cerebral ischaemia of young patients. Neuro-ophthalmologic symptoms often reveals the pathology.Ten cases of spontaneous dissection of the internal artery are reported. The Claude Bernard Horner syndrome is the most frequent symptom typically associated with hemicranial headache. The headache involves the ipsilateral forequarter of the head and the neck. Other ophthalmologic symptoms may also reveal the carotid dissection.At first, the diagnosis is strongly suspected during Doppler ultrasonographic examination. During the acute phase, MRI and MRA replaces advantagiously arteriography, confirming this affection in a non invasive way, and permits investigation of associated vascular pathology like fibromuscular dysplasia (15% of the cases). The patients received anticoagulants in order to prevent thrombo-embolic complications (heparine during the acute phase relayed by AVK). The clinical course is usually favorable with the medical treatment.A painful Claude Bernard Horner syndrome strongly evokes a carotid dissection and the arterial check-up must be realised in emergency: at first, the exploratory methods associates Doppler ultrasonographic examination, MRI, and MRA.
- Published
- 1996
26. The neuropathologic diagnostic criteria of frontal lobe dementia revisited. A study of ten consecutive cases
- Author
-
S. Camilleri, Véronique Sazdovitch, G. Rancurel, Jean-Jacques Hauw, Charles Duyckaerts, and Danielle Seilhean
- Subjects
Pathology ,medicine.medical_specialty ,business.industry ,Neuropathology ,Motor neuron ,medicine.disease ,Progressive supranuclear palsy ,Primary progressive aphasia ,Degenerative disease ,medicine.anatomical_structure ,medicine ,Dementia ,Amyotrophic lateral sclerosis ,business ,Spongiosis - Abstract
Ten successive cases from the Neuropathology Laboratory of La Salpetriere Hospital in Paris, were selected on the presence of: dementia and prominent symptoms and signs of the frontal type; a degenerative disease without markers other than Pick cells, Pick bodies or ubiquitin-labelled non argyrophilic inclusions. We propose the following steps to diagnose the degenerative dementia associated with symptoms and signs of the frontal type: 1. If there is severe frontotemporal atrophy, severe neuronal loss and astrogliosis, many ballooned neurons and characteristic inclusions that are both tau and ubiquitin positive, the diagnosis is Pick disease. 2. If signs of motor involvement (sometimes unnoticed by the clinician) are present with mild cortical atrophy and mild spongiosis of layers II–III, the diagnosis of frontal lobe degeneration associated with motor neuron disease is warranted. Ubiquitin positive inclusions are useful, but non specific, markers. 3. When there are neither Pick inclusions nor motor neuron disease, the diagnosis may be frontal lobe atrophy lacking distinctive histology.
- Published
- 1996
- Full Text
- View/download PDF
27. The neuropathologic diagnostic criteria of frontal lobe dementia revisited. A study of ten consecutive cases
- Author
-
J J, Hauw, C, Duyckaerts, D, Seilhean, S, Camilleri, V, Sazdovitch, and G, Rancurel
- Subjects
Adult ,Aged, 80 and over ,Male ,Brain ,Humans ,Dementia ,Female ,Middle Aged ,Aged ,Frontal Lobe - Abstract
Ten successive cases from the Neuropathology Laboratory of La Salpêtrière Hospital in Paris, were selected on the presence of: dementia and prominent symptoms and signs of the frontal type; a degenerative disease without markers other than Pick cells, Pick bodies or ubiquitin-labelled non argyrophilic inclusions. We propose the following steps to diagnose the degenerative dementia associated with symptoms and signs of the frontal type: 1. If there is severe frontotemporal atrophy, severe neuronal loss and astrogliosis, many ballooned neurons and characteristic inclusions that are both tau and ubiquitin positive, the diagnosis is Pick disease. 2. If signs of motor involvement (sometimes unnoticed by the clinician) are present with mild cortical atrophy and mild spongiosis of layers II-III, the diagnosis of frontal lobe degeneration associated with motor neuron disease is warranted. Ubiquitin positive inclusions are useful, but non specific, markers. 3. When there are neither Pick inclusions nor motor neuron disease, the diagnosis may be frontal lobe atrophy lacking distinctive histology.
- Published
- 1996
28. Les syndromes pré-frontaux d’origine vasculaire
- Author
-
G. Rancurel
- Subjects
Neurology ,Neurology (clinical) - Published
- 2004
- Full Text
- View/download PDF
29. Cognitive functioning in 'diffuse' pathology. Role of prefrontal and limbic structures
- Author
-
Monica Zilbovicius, François Boller, Latchezar Traykov, Sabina Pappatà, Yves Samson, Marie-Hélène Dao-Castellana, Anne Fontaine-Dabernard, and G. Rancurel
- Subjects
Aging ,Brain Diseases ,General Neuroscience ,Prefrontal Cortex ,General Biochemistry, Genetics and Molecular Biology ,Alcoholism ,Cognition ,History and Philosophy of Science ,Brain Injuries ,Limbic System ,Humans ,Cognitive skill ,Psychology ,Cognitive psychology ,Tomography, Emission-Computed - Published
- 1995
30. [Bilateral occlusion of the internal carotid arteries. Analysis of a series of 19 patients]
- Author
-
M, Catala, G, Rancurel, C, Raynaud, S, Leder, E, Kieffer, and F, Koskas
- Subjects
Aged, 80 and over ,Carotid Artery Diseases ,Male ,Time Factors ,Collateral Circulation ,Arterial Occlusive Diseases ,Middle Aged ,Cardiovascular Diseases ,Risk Factors ,Cerebrovascular Circulation ,Humans ,Female ,Prospective Studies ,Tomography, X-Ray Computed ,Aged - Abstract
The natural history of patients suffering from bilateral internal carotid occlusion is poorly known. We report a study of 19 patients presenting such a vascular condition as demonstrated by angiography. In all our cases, cardio-vascular risk factors were frequently found. Smoking was particularly frequent and present in 18 patients (95%). Presenting neurological episodes included either transient ischemic attack (8/19) or stroke (9/19). Associated arterial lesions were diffusely distributed on the other cerebral vessels, frequently involving the extra-cranial part of the vertebral arteries. Collateral circulation feeding the intracranial carotid system mainly, or exclusively, originated from the vertebro-basilar system. Ischemic strokes were frequently detected by cerebral CT scan. They were located in the middle cerebral territory or at the junctions between 2 major cerebral arteries. A radiological aspect of cortical atrophy was noted in 9 patients among 19. Regional cerebral blood flow assessed by Xe133 inhalation was usually normal at rest (16/19), but hyporeactivity to acetazolamide was found in 10 patients among 19. The latter was more frequent in patients suffering from arterial hypertension or diabetes mellitus. Our results confirm that the patients suffering atheromatous bilateral occlusion of the internal carotid arteries may survive with minimal neurological deficits. Collateral circulation is mainly provided by the vertebro-basilar system allowing to frequently maintain normal cerebral blood flow at rest.
- Published
- 1995
31. [Unilateral benign episodic mydriasis]
- Author
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R, Manai, S, Timsit, and G, Rancurel
- Subjects
Adult ,Ophthalmoplegia ,Migraine Disorders ,Mydriasis ,Humans ,Female - Abstract
Ophthalmoplegic migraine is a rare phenomenon. In this setting, extrinsic as well as intrinsic fibers of the third nerve are involved. We report 2 cases of isolated, unilateral, remitting, mydriasis and describe 23 other cases already published. CT scan, MRI and angiogram were always normal when performed. The pathophysiology of this syndrome is probably related to a migrainous manifestation.
- Published
- 1995
32. Embolism across the circle of Willis
- Author
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R Manaï, K Wegener, D Laaengh-Massoni, G Rancurel, Serge Timsit, and E. Kieffer
- Subjects
medicine.medical_specialty ,business.industry ,medicine.disease ,Surgery ,Psychiatry and Mental health ,Tomography x ray computed ,Embolism ,medicine.artery ,Medicine ,Neurology (clinical) ,Radiology ,business ,Circle of Willis ,Research Article - Published
- 1995
33. [Intracerebral extension of cervical paraganglioma]
- Author
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D, Felten, M, Catala, M, Kujas, G, Chomette, D, Fohanno, and G, Rancurel
- Subjects
Male ,Paraganglioma ,Fatal Outcome ,Brain Neoplasms ,Head and Neck Neoplasms ,Humans ,Neoplasm Invasiveness ,Middle Aged - Abstract
A large paraganglioma invaded the neck and skull, with extension into the right supratentorial cerebral hemisphere through the calvarium. Immunohistological markers were found useful for the diagnosis. The patient died rapidly. Despite no evidence of metastasis, the usually benign paraganglioma can have a malignant course.
- Published
- 1994
34. The phenotype of 'pure' autosomal dominant spastic paraplegia
- Author
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Olivier Lyon-Caen, C. Derouesné, B. Fontaine, G. Rancurel, Alexis Brice, Yves Agid, M Serdaru, and Alexandra Durr
- Subjects
Adult ,Male ,medicine.medical_specialty ,Pediatrics ,Time Factors ,Disease ,Neurological disorder ,Hyperreflexia ,Nervous System ,Genetic linkage ,medicine ,Humans ,Spasticity ,Age of Onset ,Aged ,Genes, Dominant ,Aged, 80 and over ,Paraplegia ,Lower limb muscle weakness ,Middle Aged ,medicine.disease ,Phenotype ,Surgery ,Pedigree ,Female ,Neurology (clinical) ,medicine.symptom ,Psychology - Abstract
We studied 23 families with “pure” autosomal dominant spastic paraplegia. Examination of 142 at-risk individuals allowed identification of 70 patients, including 12 who were clinically affected but unaware of symptoms. The frequency of lower limb muscle weakness, decreased vibration sense, hyperreflexia in the upper limbs, and sphincter disturbances increased with the disease duration. The distribution of age at onset was unimodal, with a mean onset of 29 years (range, 1 to 68). The clinical manifestations of “early-onset” (29 years) patients were not significantly different. Age at onset varied as much within families as among families; anticipation and imprinting did not occur. No clinical criteria allowed differentiation among the families studied. Only linkage studies can provide accurate classification of this disease.
- Published
- 1994
35. Alphabetical paragraphia in a limited middle cerebral artery stroke
- Author
-
B Fontaine, G Rancurel, and M Catala
- Subjects
Male ,medicine.medical_specialty ,Audiology ,Developmental psychology ,Dysgraphia ,medicine.artery ,medicine ,Humans ,Language disorder ,Stroke ,Agraphia ,Brain ,Cerebral Arteries ,Middle Aged ,medicine.disease ,Spelling ,Cerebral Angiography ,Psychiatry and Mental health ,Cerebrovascular Disorders ,Middle cerebral artery ,Surgery ,Neurology (clinical) ,Middle cerebral artery stroke ,Alphabet ,medicine.symptom ,Psychology ,Tomography, X-Ray Computed ,Research Article - Abstract
A Yugoslavian perfectly bilingual for French and Serb had a limited left middle cerebral artery stroke. He developed a peculiar dysgraphia characterised by the use of Latin characters (French spelling) to transcribe Serb phonemes that would normally have been spelt in the Cyrillic alphabet. This dysgraphia was likely to be due to an impairment of the allographic procedure. It is concluded that allographs of the two alphabets are produced concomitantly in bialphabetical patients during the allographic procedure.
- Published
- 1994
36. [Vertigo of vascular origin]
- Author
-
G, Rancurel and S, Timsit
- Subjects
Cerebrovascular Disorders ,Cerebrovascular Circulation ,Vertebrobasilar Insufficiency ,Vertigo ,Humans ,Vascular Diseases ,Brain Ischemia - Abstract
The concept of vascular origin in vertigo and equilibrium disorders is only a pragmatic clinical tool used to initiate and direct complex, complementary clinical investigation to determine the location (peripheral, central or mixed), the pathophysiological mechanisms and the multiple etiologies of the vestibular disorder. The concept includes focal and systemic ischemic processes and haemorrhagic processes of the posterior fossa. If the vertigo is associated with central neurological signs, the method can lead to certain diagnosis. If such signs are not detected by neurological screening of all the intra-axial signs of the vertebrobasilar regions, the diagnosis is uncertain clinical. Screening associated CT scan and MRI is more reliable than neuro-otological quantification. The major diagnostic difficulty involves TIA. Vertebrobasilar appears to be more heterogeneous than carotid ischemia. Schematic distinction is possible to differentiate thrombo-embolic from hemodynamic TIA. It is based on methodic clinical analysis and complementary investigations that are of unequal value.
- Published
- 1994
37. [Amnestic syndromes and confabulation in infarction of the posterior cerebral artery area]
- Author
-
J, Servan, P, Verstichel, M, Catala, and G, Rancurel
- Subjects
Adult ,Aged, 80 and over ,Male ,Thalamus ,Humans ,Female ,Amnesia ,Cerebral Infarction ,Middle Aged ,Tomography, X-Ray Computed ,Fantasy ,Aged ,Retrospective Studies - Abstract
The Posterior Cerebral Artery (PCA) supplies the greatest part of the limbic system. Several authors have reported amnestic syndromes in PCA infarcts. Amongst 76 patients with a CT proven PCA infarct, 21 suffered anterograde amnesia. Confabulations were associated in 5 cases. We studied CT scans according to previously reported templates in the 21 amnestic patients: all patients with confabulations had a paramedian or a tuberothalamic infarct associated with a cortical infarct within the superficial territory of the PCA. None of the 16 remainders had a thalamic lesion. These results emphasize the role of the thalamus especially of the dorsomedial nucleus in the pathogenesis of confabulation. The underlying mechanism could imply fronto-cingular deafferentation.
- Published
- 1994
38. [Verbal fluency and EEG coherence in Alzheimer's disease]
- Author
-
K, Le Roc'h, G, Rancurel, J, Poitrenaud, P, Bourgin, and C, Sebban
- Subjects
Aged, 80 and over ,Male ,Language Tests ,Alzheimer Disease ,Verbal Behavior ,Brain ,Humans ,Electroencephalography ,Female ,Aged - Abstract
EEG coherence of 16 derivations and a verbal fluency test were evaluated on 25 ambulatory patients suffering from Alzheimer's disease (age: 74 +/- 5.7). The aim of the study was to analyze coherence rate variations from different cortical areas in relation to the performance in the test. Coherence rates of each derivation with the other ones were calculated for four frequency bands from 0.5 to 13.5 Hz. Arithmetic averages of these rates were then calculated to obtain scalp averaged coherence rates. The patients were submitted to a verbal fluency test and divided into two groups according to their test score as compared to normative data: impaired (n = 10) and not impaired (n = 15). Results showed that averaged coherence rates of theta and alpha 1 frequency bands were significantly depressed in the impaired group in comparison with those of the not impaired group. Two cortical areas were concerned with this difference, the left temporo-occipital and frontal zones, in an independent way for the same subject. Moreover, we observed that the patients who where impaired in the verbal fluency test, also presented a significantly greater ancientness of the clinical symptoms as compared to the not impaired patients.
- Published
- 1993
39. [Physiological and clinical recall on equilibrium disorders]
- Author
-
E, Vitte, P, Boulu, G, Freyss, and G, Rancurel
- Subjects
Humans ,Nervous System Diseases ,Postural Balance - Abstract
Static and dynamic equilibrium (posture and gait) is indispensable for a normal behavior in human. Its mechanisms are nearly the same in superior species and in man, but humans are the only ones to have acquired exclusively biped upright position and gait. Equilibrium is a sensory function involving 3 sub systems: visual, vestibular and sensori-motor (proprioceptive), controlled by cerebellum and cerebral structures. Information coming from those 3 sub systems must be concordant. In case of discordance, the patient is in a state of sensory conflict. This conflict can induce disequilibrium or true vertigo. After a recall on equilibrium, the authors report the results of an epidemiologic study upon 5298 patients suffering of balance disorders and treated by an alpha-blocker: nicergoline (30 mg/day during 6 months).
- Published
- 1992
40. Fatal familial insomnia: clinical and pathologic study of five new cases
- Author
-
P. Mailleux, R. Medori, Nicolo' Rizzuto, Jean Jacques Hauw, Valeria Manetto, Jean-Jacques Vanderhaeghen, Pasquale Montagna, Constantin Bouras, Elio Lugaresi, Pietro Cortelli, Fabrizio Tagliavini, P. Gambetti, G. Rancurel, Paolo Tinuper, A. Baruzzi, and Orso Bugiani
- Subjects
Adult ,Male ,medicine.medical_specialty ,Pediatrics ,Ataxia ,Neurological disorder ,Autonomic disorder ,Myotonia ,Atrophy ,Sleep Initiation and Maintenance Disorders ,medicine ,Humans ,Fatal familial insomnia ,Brain ,Syndrome ,Middle Aged ,medicine.disease ,Surgery ,Pedigree ,Autonomic Nervous System Diseases ,Thalamic Nuclei ,Cerebellar atrophy ,Female ,Neurology (clinical) ,medicine.symptom ,Age of onset ,Psychology ,Myoclonus - Abstract
In 1986, we reported two anatomoclinical observations of a familial condition that we called “fatal familial insomnia” (FFI). We now present the pedigree as well as the clinical and neuropathologic findings in five new subjects. The pedigree includes 288 members from six generations. Men and women are affected in a pattern consistent with an autosomal dominant inheritance. The age of onset of the disease varies between 37 and 61 years; the course averages 13 months with a range of 7 to 25 months. Progressive insomnia (polygraphically proven in two cases); autonomic disturbances including hyperhidrosis, hyperthermia, tachycardia, and hypertension; and motor abnormalities including ataxia, myoclonus, and pyramidal dysfunction, were present in every case, but with variable severity and time of presentation. Sleep and autonomic disorders were the earliest signs in two subjects, motor abnormalities were dominant in one, and others had intermediate clinical patterns. Pathologically, all the cases had severe atrophy of the anterior ventral and mediodorsal thalamic nuclei. Other thalamic nuclei were less severely and inconsistently affected. In addition, most of the cases had gliosis of the cerebral cortex, a moderate degree of cerebellar atrophy with “torpedoes,” and severe atrophy of the inferior olivary nuclei. One case also showed spongy degeneration of the cerebral cortex. We conclude that all the lesions were primary, and that FFI is a multisystem disease in which the different structures are primarily affected with different severity. The insomnia appears to correlate best with the major thalamic pathology. The possibility that FFI belongs to the group identified as prion diseases or diseases transmitted by unconventional agents is examined.
- Published
- 1992
41. A new test to disclose neurovascular compression in essential hemifacial spasm
- Author
-
E, Vitte, J L, Bensimon, G, Freyss, and G, Rancurel
- Subjects
Neurologic Examination ,Electrooculography ,Facial Nerve ,Spasm ,Electromyography ,Pressure ,Facial Muscles ,Humans ,Magnetic Resonance Imaging ,Vertebral Artery - Published
- 1991
42. [Late complications of vertebral angioma]
- Author
-
F, Berenbaum, D, Cote, and G, Rancurel
- Subjects
Aged, 80 and over ,Spinal Neoplasms ,Time Factors ,Humans ,Female ,Hemangioma ,Spinal Cord Compression ,Thoracic Vertebrae ,Aged - Published
- 1990
43. A propos d'un cas de cataplexie post-traumatique non narcoleptique
- Author
-
G Rancurel, L Garma, J Servan, and F Marchand
- Subjects
Neurology ,business.industry ,Physiology (medical) ,Medicine ,Neurology (clinical) ,General Medicine ,business - Published
- 1996
- Full Text
- View/download PDF
44. Internal carotid artery dissection following bronchos
- Author
-
G. Rancurel, R Manaï, M. Cayre-Castel, Yves Samson, and B. Mercier
- Subjects
Carotid Artery Diseases ,Internal carotid artery dissection ,medicine.medical_specialty ,Neurology ,business.industry ,Carotid arteries ,Middle Aged ,Aortic Dissection ,medicine.artery ,Bronchoscopy ,medicine ,Humans ,Female ,Neurology (clinical) ,Radiology ,Internal carotid artery ,Artery dissection ,business ,Neuroradiology - Published
- 1996
- Full Text
- View/download PDF
45. Aneurysm of the interventricular membranous septum with thrombo-embolism -- an indication for surgical repair?
- Author
-
J. Salloum, G. Rancurel, and D. Thomas
- Subjects
Adult ,Surgical repair ,medicine.medical_specialty ,business.industry ,Vascular disease ,Heart Aneurysm ,Intracranial Embolism and Thrombosis ,medicine.disease ,Thrombosis ,Heart septum ,Surgery ,Aneurysm ,Embolism ,Heart Septum ,medicine ,Humans ,Female ,Cardiology and Cardiovascular Medicine ,business ,Complication - Abstract
A 40-year-old woman with a significant neurological history presented with right hemiparesia, paraesthesia of the right upper member and of the hemiface. Computer tomography scanning revealed hypodensity along the right lateral ventricle which corresponded to the left hemiplegia which had developed when she was 20 years old. Arteriography of the four cervical axes was normal. Echocardiography visualized an aneurysm of the membraneous septum free of thrombosis without ventricular septal defect. The embolism was thought to be of cardiac origin and a decision was taken to correct it by surgery. Ten years after surgical repair no other neurological event has occurred.
- Published
- 1993
- Full Text
- View/download PDF
46. Chronic inflammatory polyneuropathy associated with nephropathy and antifactor VIII antibody: improvement with intravenous immunoglobulin
- Author
-
J M Lèger, A P Fève, G Rancurel, and D Smadja
- Subjects
biology ,business.industry ,medicine.disease ,CHRONIC INFLAMMATORY POLYNEUROPATHY ,Nephropathy ,Psychiatry and Mental health ,Immunology ,biology.protein ,Medicine ,Surgery ,Neurology (clinical) ,Antibody ,business ,Research Article - Published
- 1992
- Full Text
- View/download PDF
47. Two years follow-up of non demented elderly hypertensive patients with leukoaraiosis
- Author
-
PA Delpla, G Rancurel, A Bès, R Calvez, and N Bertholom
- Subjects
medicine.medical_specialty ,business.industry ,Internal medicine ,Rehabilitation ,Leukoaraiosis ,Medicine ,Surgery ,Neurology (clinical) ,Cardiology and Cardiovascular Medicine ,business - Published
- 1997
- Full Text
- View/download PDF
48. QUANTITATIVE EEG (qEEG) AND COGNITIVE ABNORMALITIES IN PATIENTS WITH DORSAL LATERAL MEDULLARY INFARCTS AND WALLENBERG'S SYNDROME
- Author
-
A. Abdulnayef, G. Rancurel, R. Manai, C. Sebban, Y. Samson, B. Mercier, and Serge Timsit
- Subjects
Dorsum ,S syndrome ,Medullary cavity ,Physiology ,business.industry ,Cognition ,Anatomy ,Quantitative eeg ,Neurology ,Physiology (medical) ,Medicine ,In patient ,Neurology (clinical) ,business - Published
- 1997
- Full Text
- View/download PDF
49. Kearns-Sayre syndrome
- Author
-
G. Rancurel, D. Cote, F. Berenbaum, and P. Pradat
- Subjects
Kearns–Sayre syndrome ,business.industry ,medicine ,Neurology (clinical) ,medicine.disease ,business - Published
- 1990
- Full Text
- View/download PDF
50. Frontal dysfunction in neurologically normal chronic alcoholic subjects: metabolic and neuropsychological findings (Frontal dysfunction in alcoholism).
- Author
-
M. H. DAO-CASTELLANA *, , Y. SAMSON, F. LEGAULT, J. L. MARTINOT, H. J. AUBIN, C. CROUZEL, L. FELDMAN, D. BARRUCAND, G. RANCUREL, A. FÉLINE, and A. SYROTA
- Subjects
PEOPLE with alcoholism ,ALCOHOLISM ,CEREBRAL cortex ,NEUROLOGIC examination ,BEHAVIOR disorders - Abstract
Background. Neuropsychological and imaging studies suggest that frontal dysfunction may occur in apparently normal chronic alcoholic subjects. Methods. To investigate this issue further, we performed neuropsychological and fluorodeoxy-glucose-PET studies in 17 chronic alcoholics without patent neurological and psychiatric complications. Results. Metabolic abnormalities were found in the mediofrontal and in the left dorsolateral prefrontal cortex, but not in the orbitofrontal cortex. Neuropsychological testing revealed significantly reduced verbal fluency and impaired performance on the Stroop test. The mediofrontal hypometabolism correlated with the reduction in verbal fluency and the time necessary to perform the interference condition of the Stroop test. The left dorsolateral prefrontal hypometabolism correlated with the number of errors on the Stroop test. Conclusion. These data indicate that circumscribed frontal dysfunctions may occur in chronic alcoholic subjects before clinically obvious neurological complications, and may account for some of the alcohol-related neuropsychological and behavioural impairments. [ABSTRACT FROM AUTHOR]
- Published
- 1998
- Full Text
- View/download PDF
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