Revue d'Electroencéphalographie et de Neurophysiologie Clinique最新文献

{"title":"Communications libres IIA: Polyneuropathies. Protocoles d'exploration","authors":"","doi":"10.1016/S0370-4475(87)80016-3","DOIUrl":"https://doi.org/10.1016/S0370-4475(87)80016-3","url":null,"abstract":"","PeriodicalId":21476,"journal":{"name":"Revue d'Electroencéphalographie et de Neurophysiologie Clinique","volume":"17 ","pages":"Pages 142s-143s"},"PeriodicalIF":0.0,"publicationDate":"1987-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0370-4475(87)80016-3","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137386520","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Compressions nerveuses chroniques: Physiopathologie","authors":"S. Metral,&nbsp;C. Hort-Legrand,&nbsp;A. Ropert","doi":"10.1016/S0370-4475(87)80002-3","DOIUrl":"10.1016/S0370-4475(87)80002-3","url":null,"abstract":"<div><p>Les anomalies physiopathologiques observées au cours des compressions chroniques semblent avoir trois origines différentes mais probablement associées: mécanique, ischémique et métabolique. L'analyse de la littérature permet ainsi une tentative d'explication aussi bien des troubles cliniques (paresthésie, amyotrophie) que des constatations électrophysiologiques et de la difficulté du pronostic.</p></div><div><p>Pathophysiology of chronic nerve entrapment may result from three mechanisms: mechanical, ischemic and metabolic, more or less associated. The understanding of the clinical picture and of the electrophysiologic findings comes from the analysis of experimental work in recent years.</p></div>","PeriodicalId":21476,"journal":{"name":"Revue d'Electroencéphalographie et de Neurophysiologie Clinique","volume":"17 ","pages":"Pages 9s-17s"},"PeriodicalIF":0.0,"publicationDate":"1987-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0370-4475(87)80002-3","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74563355","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Les compressions nerveuses de la region du coude","authors":"D. Mabin","doi":"10.1016/S0370-4475(87)80003-5","DOIUrl":"10.1016/S0370-4475(87)80003-5","url":null,"abstract":"<div><p>La compression du nerf médian au coude est rarement due à un ligament de Struthers mais plus souvent à un syndrome du rond pronateur; le syndrome du nerf interosseux antérieur se traduit par une paralysie de la phalange distale du pouce et de l'index, sans déficit sensitif. Le nerf cubital est le nerf le plus fréquemment atteint au coude soit par des causes externes (professionnelles ou sujets alités) soit par des anomalies acquises (fractures anciennes, arthrose, etc.) soit par l'aponévrose du cubital antérieur. L'atteinte du nerf radial réalise soit le syndrome du nerf interosseux postérieur dépourvu de déficit sensitif et dû à de nombreuses étiologies: tumeur, ganglion, kyste synovial, arcade de Fröhse, soit l'aspect d'un tennis-elbow rebelle. Le nerf musculo-cutané peut être comprimé lorsqu'il traverse l'aponévrose brachiale; cette atteinte simule une épicondylite ou une radiculalgie C₅-C₆.</p></div><div><p>The ligament of Struthers is a rare point of median nerve compression; the pronator syndrome is more frequently seen; the anterior interosseous nerve syndrome is the inability to flex terminal phalanges of the thumb and index finger without sensory deficit. In the region of the elbow the ulnar nerve entrapment is the most frequent compression neuropathy; etiologies are external pressure (occupational trauma, bedridden patients), elbow arthritis, residual childhood elbow fractures, aponeurotic band of flexor carpi ulnaris. Compression of the radial nerve just distal to the elbow results in the posterior interosseous nerve syndrome without sensory involvement; etiologies are: tumors, synovitis, ganglia, Fröhse's arcade; sometimes compression of radial nerve in the elbow area is a cause of resistant tennis elbow. A compression of distal termination of the musculocutaneous nerve where it pierces the deep fascia of the arm is rarely seen; the syndrome may be differentiated from lateral epicondylitis or cervical radiculopathy.</p></div>","PeriodicalId":21476,"journal":{"name":"Revue d'Electroencéphalographie et de Neurophysiologie Clinique","volume":"17 ","pages":"Pages 19s-28s"},"PeriodicalIF":0.0,"publicationDate":"1987-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0370-4475(87)80003-5","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77998014","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comment surveiller l'evolution d'une dystrophie musculaire? (Reference a la maladie de duchenne)","authors":"J.-F. Mathé","doi":"10.1016/S0370-4475(87)80007-2","DOIUrl":"10.1016/S0370-4475(87)80007-2","url":null,"abstract":"<div><p>La surveillance d'une dystrophie musculaire, entre autres la maladie de Duchenne, est envisagée en trois étapes.</p><p>D'abord l'appréciation clinique de la dégradation musculaire et sa mesure objective par jauge de contrainte permettent de constater un temps d'écart entre la progression du déficit et le maintien d'activités fonctionnelles comme la marche. Des mesures rééducatives à visée articulaire et la réalisation de techniques chirurgicales simples retardent indiscutablement la perte de la marche.</p><p>C'est dans une seconde période que sont dépistées et maîtrisées des complications mettant en jeu le pronostic vital et le confort de ces malades : fonction respiratoire et rachis, fonction cardiaque, fonction vésico-sphinctérienne.</p><p>Une attitude préventive, passant par un diagnostic précoce, l'utilisation des marqueurs spécifiques de la maladie et l'établissement du conseil génétique, doit être le souci de chacun des intervenants. Les différentes modalités de cette surveillance active sont analysées.</p></div><div><p>Surveillance of muscular dystrophies, among which Duchenne muscular dystrophy, is divided in three stages.</p><p>At first, clinical appreciation of muscular damage and its objective measure by strain gauge show the initial contrast between advancing muscle weakness and the preservation of functional abilities such as ability to walk. Physical management preventing deformities and simple surgical procedures undoubtedly delay the loss of ambulation.</p><p>Later on will be detected and overcome complications contributing to the cause of death: respiratory function and spine, cardiac function, vesico-sphincter function.</p><p>Active prevention, meaning early diagnosis, use of specific disease indicators, genetic counselling, should highly concern each of the partners involved with the management of the disease. The means of this active follow-up are analysed.</p></div>","PeriodicalId":21476,"journal":{"name":"Revue d'Electroencéphalographie et de Neurophysiologie Clinique","volume":"17 ","pages":"Pages 55s-63s"},"PeriodicalIF":0.0,"publicationDate":"1987-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0370-4475(87)80007-2","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84519224","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Histoire de l'electromyographie: Le «temps des pionniers","authors":"F. Isch","doi":"10.1016/S0370-4475(87)80001-1","DOIUrl":"10.1016/S0370-4475(87)80001-1","url":null,"abstract":"<div><p>Au cours du XIX^e siècle, les théories de Galvani influencèrent de nombreux physiologistes dont Du Bois Reymond qui jeta les bases de l'électrophysiologie. La découverte du galvanomètre à cordes par Einthoven permit le développement de l'électromyographie globale par dérivations cutanées. Des pas décisifs furent franchis de 1925 à 1945 : définition par Sherrington de l'unité motrice, utilisation par Adrian et Bronck de l'aiguille concentrique, progrès techniques dans l'amplification et l'enregistrement à partir de l'oscillographe cathodique. Après la Seconde Guerre mondiale, l'électromyographie élémentaire fut développée dans de nombreux laboratoires qui, progressivement, apportèrent des solutions aux problèmes posés par la réalisation et l'interprétation des enregistrements. Ce rappel historique se termine en 1960, année de la 1^re Réunion Internationale d'Électromyographie à Strasbourg.</p></div><div><p>During the XIX^th Century, Galvani's theories influenced many physiologists: among these, Du Bois Reymond established the bases of the electrophysiology. The invention by Einthoven of the string galvanometer allowed the growth of the surface electromyography. Crucial steps were achieved from 1925 until 1945: motor unit definition by Sherrington, concentric needle electrode utilization by Adrian and Bronck, technical progress in amplification and recording with cathode-ray tube. After the Second World war, needle electromyography was progressing in numerous laboratories: progressively recording detection and interpretation problems were solved. This historical review ends in 1960, year of the first International EMG meeting in Strasbourg.</p></div>","PeriodicalId":21476,"journal":{"name":"Revue d'Electroencéphalographie et de Neurophysiologie Clinique","volume":"17 ","pages":"Pages 1s-8s"},"PeriodicalIF":0.0,"publicationDate":"1987-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0370-4475(87)80001-1","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80635094","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Communications libres IID: Polyneuropathies héréditaires ou congénitales","authors":"","doi":"10.1016/S0370-4475(87)80019-9","DOIUrl":"https://doi.org/10.1016/S0370-4475(87)80019-9","url":null,"abstract":"","PeriodicalId":21476,"journal":{"name":"Revue d'Electroencéphalographie et de Neurophysiologie Clinique","volume":"17 ","pages":"Pages 151s-153s"},"PeriodicalIF":0.0,"publicationDate":"1987-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0370-4475(87)80019-9","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137386404","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"L'electromyographie chez l'enfant","authors":"B. Bady,&nbsp;F. Brudon,&nbsp;A.M. Brunon,&nbsp;G. Chauplannaz","doi":"10.1016/S0370-4475(87)80009-6","DOIUrl":"10.1016/S0370-4475(87)80009-6","url":null,"abstract":"<div><p>La pratique de l'examen EMG chez l'enfant requiert une approche particulière en raison des difficultés de coopération, de certaines contraintes techniques et instrumentales et de la variation des normes des différents paramètres en fonction de l'âge. A partir des données de la littérature et de leur propre expérience, les auteurs soulignent certains points du déroulement de l'examen. Ils signalent ensuite les principales indications: hypotonies néonatales et retards moteurs du tout-petit, troubles de la marche des jeunes enfants, tableaux myopathiques, paralysies aiguës des membres, syndromes myasthéniques et traumatismes nerveux périphériques. L'EMG réalisé à titre systématique est aussi intéressant devant une encéphalopathie à la recherche d'une atteinte périphérique et dans le dépistage d'affections génétiques. Les examens des sphincters striés ou des muscles de la sphère oropharyngée ont des indications plus ponctuelles. Ainsi, l'EMG chez l'enfant apporte des renseignements dans une gamme d'indications plus large que chez l'adulte; il a un triple intérêt: diagnostique, pronostique et aide au conseil génétique.</p></div><div><p>Practice of EMG in children involves some particularities because of difficulties in cooperation, technical restraints and variation of normative data with maturation. From litterature's data and from their own experience, authors emphasize some practical points of the examination. The principal indications are then reminded: neonatal hypotonia and delayed motor milestones, walking disabilities in children, acute paresis or paralysis, myasthenic syndroms and peripheral nervous system traumatisms. Systematical EMG can also detect genetic diseases or peripheral involvement in some encephalopathies. Indications of striated sphincters or oropharyngeal muscles EMG are more scarce. So, EMG in children can provide informations about diagnosis and prognosis in a series of indications even larger than in adults. It is also a reliable assistance for genetic counsel.</p></div>","PeriodicalId":21476,"journal":{"name":"Revue d'Electroencéphalographie et de Neurophysiologie Clinique","volume":"17 ","pages":"Pages 73s-83s"},"PeriodicalIF":0.0,"publicationDate":"1987-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0370-4475(87)80009-6","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83884743","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Etude electrophysiologique des neuropathies toxiques d'origine medicamenteuse","authors":"A. Lagueny,&nbsp;J. Julien","doi":"10.1016/S0370-4475(87)80005-9","DOIUrl":"10.1016/S0370-4475(87)80005-9","url":null,"abstract":"<div><p>Les neuropathies toxiques d'origine médicamenteuse sont le plus souvent de type axonal et les fibres sensitives de grand diamètre sont les premières touchées dans leur partie distale. C'est pourquoi, parmi les différents tests électrophysiologiques utilisés en routine dans la détection des neuropathies périphériques, l'étude des potentiels d'action sensitifs à la partie distale des membres, et celle des réflexes H et T sur le soléaire montrent les altérations les plus précoces au cours des neuropathies médicamenteuses. D'autres tests, tels que l'étude des potentiels évoqués somesthésiques ou de l'onde F sont intéressants en ce qui concerne la physiopathologie de ces neuropathies.</p></div><div><p>Drug-induced neuropathies are most often of axonal type and large-diametre sensory fibres are first injured in their distal part. Therefore among the different electrophysiologic tests used routinely for detecting peripheral neuropathies, studies of the sensory action potentials in the distal part of the limbs and of the H and T reflexes of the soleus generally show the earliest alterations in the course of drug-induced neuropathies. Other tests, such as somatosensory evoked potentials and F-wave studies are interesting concerning the physiopathology of these neuropathies.</p></div>","PeriodicalId":21476,"journal":{"name":"Revue d'Electroencéphalographie et de Neurophysiologie Clinique","volume":"17 ","pages":"Pages 37s-45s"},"PeriodicalIF":0.0,"publicationDate":"1987-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0370-4475(87)80005-9","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83572819","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Communications libres IVA: Traitements informatisés des PUM. Analyse automatique des PUM","authors":"","doi":"10.1016/S0370-4475(87)80022-9","DOIUrl":"https://doi.org/10.1016/S0370-4475(87)80022-9","url":null,"abstract":"","PeriodicalId":21476,"journal":{"name":"Revue d'Electroencéphalographie et de Neurophysiologie Clinique","volume":"17 ","pages":"Pages 168s-174s"},"PeriodicalIF":0.0,"publicationDate":"1987-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0370-4475(87)80022-9","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137386424","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Communications libres VII: EMG de l'enfant","authors":"","doi":"10.1016/S0370-4475(87)80027-8","DOIUrl":"https://doi.org/10.1016/S0370-4475(87)80027-8","url":null,"abstract":"","PeriodicalId":21476,"journal":{"name":"Revue d'Electroencéphalographie et de Neurophysiologie Clinique","volume":"17 ","pages":"Pages 199s-203s"},"PeriodicalIF":0.0,"publicationDate":"1987-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0370-4475(87)80027-8","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137332648","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}