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International audience; La question de la Résistance sportive reste peu étudiée dans l’historiographie liée au Régime de Vichy. Cet article vise ainsi à mettre en lumière l’action résistante de militants et sportifs communistes à travers l’étude d’une presse certaine sportive clandestine (Sport libre, Sport, L’Action sportive, Le Sport enchaîné). L’analyse de ces journaux, œuvre d’anciens membres de la FSGT, témoigne d’une continuité de leur engagement politique contre le fascisme et le nazisme initié dans les années trente. Aussi, durant ces quatre années, les tenants de cette presse n’auront-ils de cesse que de dénoncer la collaboration avec l’Allemagne et de critiquer la politique sportive menée par Vichy (Charte des Sports, carte sportive) tout en appelant au fil des mois les sportifs à s’engager dans la lutte au nom de la libération du pays.

The purpose of this experiment is to use fMRI to examine the cortical distribution of melanopsin-driven neural responses within and across visual areas, and to compare these distributions to cone-driven (luminance) signals.

This review covers the broad topic of brain surgery in the treatment of pediatric intractable epilepsy. The authors review the latest advancements in the presurgical workup as well as the mandatory tests needed to explore the epilepsy workup in these children. They describe the different types of epilepsy from a surgical standpoint (temporal, extratemporal, multifocal, and hemispheric epilepsies) and various surgical procedures that can be proposed depending on the clinical scenario: lesionectomies, lobectomies, hemispherectomies, neuromodulation, and palliative surgeries. They also describe the key differences of the pediatric patient as compared with the adult patient in such pathologic conditions. Keywords: Epilepsy surgery; Medically intractable epilepsy; Outcomes; Resection; Surgical selection.

Background The efficacy of the subthalamic nucleus (STN) stimulation for Parkinson’s disease has been widely established. The microlesion effect (MLE) due to deep brain stimulation (DBS) electrode implantation has been reputed to be a good predictor for long-term efficacy of the procedure but its analysis in asleep implantation is still unclear. We thus analyzed MLE rate in our strategy of targeting the STN on MRI under general anesthesia and its correlation with our long-term results. Method We retrospectively analyzed 32 consecutive parkinsonian patients implanted with a DBS targeting the STN bilaterally under general anesthesia between October 2013 and December 2020. Targeting was performed after head frame and localizer placement using a stereotactic peroperative robotic 3D fluoroscopy (Artis Zeego, Siemens) fused with preoperative CT and MRI data. We collected intraoperative data, postoperative occurrence of MLE, modification of Unified Parkinson Disease Rating Scale item III (UPDRS III) postoperatively and at subsequent visit, as well as reduction of medication. Results The mean operative time was 223 min. No permanent complication occurred. MLE was observed in 90.7%. The mean follow-up time was 17 months. The UPDRS III for the off medication/on stimulation condition improved by 64.8% from baseline. The mean dose reduction of Prolopa after the surgical procedure was 31.3%. Conclusions Direct targeting of STN under general anesthesia based on preoperative CT and MRI data fused with a preoperative 3D fluoroscopy is safe. It allows for a high rate of postoperative MLE (90.7%) and results in prolonged clinical improvement. Keywords Deep brain stimulation · STN · General anesthesia · Parkinson’s disease · Microlesion effect

Different surgical approaches have been described for selective amygdalohippocampectomy in patients with pharmacoresistant temporal lobe epilepsy. The aim of this study was to report the results of the innovative anterior trans-superior temporal gyrus approach in a single-center series. Patients' characteristics, postoperative outcomes, and complications were reviewed in a series of 8 consecutive patients with temporal lobe epilepsy operated on using the anterior trans-superior temporal gyrus approach between November 2015 and April 2017. Over a mean 2.5-year follow-up, 7 of 8 patients (87.5%) remained seizure-free (Engel class I). Only 1 patient (12.5%) was not cured (Engel class III) with no clear explanation for treatment failure. Mean operative time was 237 minutes, which was 80 minutes shorter compared with the classic transsylvian approach. No perioperative deaths were recorded and there were no visual field defects or visual acuity impairments secondary to the approach. One patient experienced a left posterior thalamocapsular stroke. The anterior trans-superior temporal gyrus approach is feasible, fast, and safe for selective amygdalohippocampectomy in patients with drug-refractory temporal lobe epilepsy. This approach allows preservation of the optic radiation but cuts part of the uncinate fasciculus and potentially the anterior aspect of the anterior bundle of the middle longitudinal fasciculus.

Background Type IIIb dysplasia is a subtype of focal cortical dysplasia associated with a tumor, most frequently with gangliogliomas then with dysembryoplastic neuroepithelial tumors (DNETs). Their preoperative diagnosis often remains equivocal since specific features are missing. The functional results (i.e., seizure free) is good with 81%–87% of Engel Ia at 5-year follow-up. Case Description A 4-year-old boy presented with a 1-year history of severe, invalidating, drug-resistant epilepsy. Imaging workup demonstrated a huge left limbic lesion, of which diagnosis remained speculative. Because of worsening neurological status, resective surgery was recommended after multidisciplinary discussion. The resection was performed through left transtemporal approach under neuronavigation (C.R.). Postoperative magnetic resonance imaging assessed uncomplicated near-total resection. Histopathological analysis showed combined features of a DNET of nonspecific type and a focal cortical dysplasia. Conclusion We describe a rare condition of type IIIb dysplasia combining a focal cortical dysplasia with a DNET. Preoperative diagnosis of the lesion was of utmost difficultly, thereby rendering mandatory a thorough histopathological examination of resected specimen in the vast majority of cases. Increased recognition of the condition brings up the hypothesis of a genetic continuum or linkage between the 2 conditions. Functional results on seizure activity after ablative surgery are good and maximal safe resection should be the goal.

Faut-il voir dans les années 1920 une période faste pour la littérature à thème rugbystique ? En effet, qu’ils soient auteurs reconnus ou simples journalistes sportifs, plusieurs écrivains se sont emparés des opportunités éditoriales de l’époque pour raconter des histoires de rugby. Au-delà de leur caractère anecdotique ou promotionnel, ces dernières constituent une véritable source d’informations pour étudier la démocratisation d’un sport qui, à Paris comme dans les grandes villes de province, encourageait la noblesse du jeu et l’élégance de ses champions par-delà les rivalités et autres soupçons d’amateurisme marron. Toutefois, la littérature étant aussi un moyen de dire et d’interroger l’expérience du premier conflit mondial, certains romanciers ont rapproché métaphoriquement le rugby et la guerre pour mieux réinterroger, a posteriori, le sens du « Grand Match ». L’analyse de ces pages littéraires souhaite apporter un éclairage original pour appréhender, autrement, l’histoire du rugby français au cours des Années folles., apropos [Perspektiven auf die Romania], Nr. 2 (2019): Rugbykultur (in) der Romania

Écrire l’histoire du temps présent de l’Éducation Physique et Sportive est toujours un projet délicat, au regard des enjeux traversant la discipline. Le sujet est d’autant plus sensible que cette histoire met en jeu des acteurs encore engagés dans la dynamique de la discipline. Les représentations de la réalité et du passé immédiat sont alors forcément marquées par une certaine subjectivité. Par ailleurs, la période se caractérise par une forte production littéraire dont la polysémie théoriqu...

« Gina est délicieuse en tenue de Pinsonnette. Un béret basque, un maillot noir orné d’une feuille d’acanthe, une culotte courte, des bas rouges et des gros souliers. Le maillot et la culotte laissent apercevoir des bras et des jambes, sans doute un peu robustes, mais point déplaisants ». L’héroïne de ce feuilleton hebdomadaire des années vingt illustre le paradoxe passé et actuel du rugby féminin oscillant entre le respect voire les mimétismes de la pratique masculine et la revendication d’u...

Quel rugby demain ? Cette question est bien au centre des préoccupations de la plupart des initiés. Chacun comprend l’origine de l’interrogation : le monde de l’Ovalie change et beaucoup craignent de ne plus y retrouver ce qui les passionne. Cet ouvrage réunit plusieurs contributions utiles pour lever le doute et les inquiétudes, pour comprendre ce que pourrait devenir le rugby. Les auteurs s’adressent aussi aux profanes, notamment à celles et ceux qui voient le rugby comme un monde à part : quelques énigmes devraient pouvoir être résolues ici, en particulier celle de sa curieuse distribution géographique. Cette tâche, double, n’aura pas été facile à mener, parce que le rugby est fait de singularités, parce qu’il se singularise, parce qu’on le singularise.

Sind die 1920er Jahre als eine Blütezeit der Rugby-Themenliteratur zu betrachten? Ob anerkannte Schriftsteller oder einfache Sportjournalisten, mehrere Autoren nutzten tatsächlich die Veröffentlichungsmöglichkeiten der damaligen Zeit, um Geschichten über Rugby zu erzählen. Abgesehen von ihrem anekdotischen oder werbewirksamen Charakter stellen diese Geschichten eine ausgezeichnete Informationsquelle dar, um die Demokratisierung eines Sports zu untersuchen, der sowohl in Paris als auch in den anderen französischen Großstädten die Erhabenheit des Spiels und die Eleganz seiner Talente förderte, jenseits von Rivalitäten und Verdachtsmomenten zur unerlaubten Bezahlung von Amateurspielern. Gleichwohl dient die Literatur der damaligen Zeit auch dazu, die Erfahrungen des Ersten Weltkriegs zu erzählen und zu reflektieren, was einige Schriftsteller dazu veranlasst hat, den Sport auf metaphorischer Ebene dem Krieg anzunähern, um die Bedeutung des „Großen Matches“ a posteriori neu zu hinterfragen. Die vorliegende Literaturanalyse soll einen neuen Einblick in die Geschichte des französischen Rugbys während der Goldenen Zwanziger gewähren. Aus dem Französischem von Alfred Jürgens., apropos [Perspektiven auf die Romania], Nr. 2 (2019): Rugbykultur (in) der Romania

International audience

Cauda equina syndrome is a serious condition resulting from dysfunction of the lumbosacral nerve roots and characterized by impairment of bladder, bowel, sexual and lower limb functions. We report the case of a 48-year-old woman who had Crohn's disease for more than twenty years. The patient was undergoing immunotherapy with infliximab and developed a partial cauda equina syndrome after an uneventful minimally invasive microdiscectomy (L5-S1) that completely cured her sciatica. A postoperative magnetic resonance imaging examination showed root clumping but no compressive lesion. We discuss a possible relationship between the cauda equina syndrome and the patient's active Crohn's disease, treatment and surgery.

International audience; The history of sports literature has enjoyed renewed interest over the last fewyears, with a noticeable increase in the number of Anglo-Saxon works and therevival of French research. Through fiction, it is possible to understand theprocesses whereby ideas spread and collective imaginaries are constructed. Inthis regard, this article revisits the history of rugby union through the prism ofa cine-novel, Le P’tit Parigot (1926), which was presented in serialised form viathe newspaper L’Intransigeant and as a six-episode film in cinemas. It depictsthe misfortunes of Georges Grigny-Latour, also known as the ‘P’tit Parigot’,son of an academic and captain of the French rugby union football team. Thissport serial is a historical source of precious and useful information enablingus to address the representations of rugby at the time. The article aims tocharacterise the ambiguous identity of the sport during the Roaring Twenties,an identity that was torn between a Parisian spirit cultivating the idea ofrugby as the inheritance of Anglo-Saxon values, and a provincial vision usingit as a means of territorial expression.

BACKGROUND: The aim of this study was to evaluate a model of routine pre-IVF counselling focusing on the narrative capacities of couples. The acceptability of counselling, the effects on emotional factors and the participants' assessments were considered. METHODS: The study included 141 consecutive childless couples preparing for their first IVF. Randomization was carried out through sealed envelopes attributing participants to counselled and non-counselled groups and was accepted by 100 couples. Another 12 couples refused randomization because they wanted counselling and 29 because they did not. Questionnaires including the State-Trait Anxiety Inventory, the Beck Depression Inventory and assessments of help were mailed to couples before IVF and counselling, and after the IVF outcome. RESULTS: Counselling was accepted by 79% (112/141) of couples. There was no significant effect of counselling on anxiety and depression scores which were within normal ranges at both times. Counselling provided help for 86% (75/87) of initially non-demanding subjects and 96% (25/26) of those initially requesting a session. Help was noted in areas of psychological assistance, technical explanations and discussing relationships. CONCLUSIONS: This model of routine counselling centred on the narrative provides an acceptable form of psychological assistance for pre-IVF couples.