Pratique Neurologique - FMC最新文献

{"title":"Sommaire","authors":"","doi":"10.1016/S1878-7762(25)00071-8","DOIUrl":"10.1016/S1878-7762(25)00071-8","url":null,"abstract":"","PeriodicalId":53613,"journal":{"name":"Pratique Neurologique - FMC","volume":"16 2","pages":"Pages iii-iv"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144242274","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":"Cause inattendue d’atrophie musculaire chez un jeune patient : au-delà de la neurologie","authors":"A. Dib , A. Bohic","doi":"10.1016/j.praneu.2025.04.006","DOIUrl":"10.1016/j.praneu.2025.04.006","url":null,"abstract":"","PeriodicalId":53613,"journal":{"name":"Pratique Neurologique - FMC","volume":"16 2","pages":"Pages 143-145"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144242265","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":"","authors":"C. Thomas-Anterion","doi":"10.1016/j.praneu.2025.04.012","DOIUrl":"10.1016/j.praneu.2025.04.012","url":null,"abstract":"","PeriodicalId":53613,"journal":{"name":"Pratique Neurologique - FMC","volume":"16 2","pages":"Page 157"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144242271","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’examen électroneuromyographique de l’épaule","authors":"P. Petiot ,&nbsp;J. Bénaim","doi":"10.1016/j.praneu.2025.04.009","DOIUrl":"10.1016/j.praneu.2025.04.009","url":null,"abstract":"<div><div>Les indications de l’examen électroneuromyographique de l’épaule sont nombreuses (pathologies traumatiques, mono- ou multineuropathies inflammatoires, infiltrations néoplasiques, complications de la radiothérapie, etc.). Cependant, l’étude des conductions des troncs nerveux et/ou des racines de l’épaule ou l’analyse électromyographique des muscles périscapulaires sont parfois délicates, car il s’agit d’une région anatomique assez complexe. Il est donc très important de bien connaître les différentes techniques utilisables en pratique quotidienne afin de préciser au mieux le diagnostic topographique et le pronostic des processus lésionnels neuromusculaires le plus souvent impliqués au niveau de l’épaule.</div></div><div><div>The indications of electroneuromyographic exploration of shoulder are frequent (traumatic diseases, inflammatory mono- or multineuropathy, malignant invasion, radiation- induced brachial plexopathy...). Conduction studies or electromyography of muscles around scapula are often difficult because this anatomical region is complex. It is very important to know the different electromyographical techniques used near scapula for an optimal analysis of topographical diagnosis and to define the prognosis of neuromuscular lesions encountered in this anatomical region.</div></div>","PeriodicalId":53613,"journal":{"name":"Pratique Neurologique - FMC","volume":"16 2","pages":"Pages 106-112"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144242075","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":"","authors":"C. Thomas-Anterion","doi":"10.1016/j.praneu.2025.04.007","DOIUrl":"10.1016/j.praneu.2025.04.007","url":null,"abstract":"","PeriodicalId":53613,"journal":{"name":"Pratique Neurologique - FMC","volume":"16 2","pages":"Page 153"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144242267","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":"","authors":"C. Thomas-Anterion","doi":"10.1016/j.praneu.2025.04.008","DOIUrl":"10.1016/j.praneu.2025.04.008","url":null,"abstract":"","PeriodicalId":53613,"journal":{"name":"Pratique Neurologique - FMC","volume":"16 2","pages":"Page 154"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144242268","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":"Pour une épileptologie narrative : fondements théoriques et perspectives pour la pratique médicale","authors":"C. Jeantils","doi":"10.1016/j.praneu.2025.04.002","DOIUrl":"10.1016/j.praneu.2025.04.002","url":null,"abstract":"&lt;div&gt;&lt;div&gt;Ces vingt dernières années, la médecine narrative a gagné en popularité. En France, elle est incluse dans certains curricula de médecine, dans des projets de recherche et autres formations diplômantes. L’intérêt croissant porté à la médecine narrative soulève de nombreuses questions liées à son applicabilité. Certaines études ont déjà observé les effets de cette pratique sur la relation soignant–soigné dans le suivi de pathologies spécifiques. L’épileptologie semble être une des spécialités médicales qui pourraient le plus bénéficier de la médecine narrative. Néanmoins, les fondements théoriques de la médecine narrative ne semblent pas pouvoir prendre en compte certaines spécificités symptomatologiques et expérientielles de l’épilepsie. Alors, quels pourraient être les fondements théoriques d’une pratique narrative de l’épileptologie et quelles perspectives cela ouvrirait-il pour le suivi thérapeutique ? À la lumière des écrits théoriques de la médecine narrative et principalement de ses sources littéraires, ainsi que des recherches en humanités médicales critiques, cet article considèrera la temporalité et l’intersubjectivité des expériences de l’épilepsie comme sources d’apports théoriques potentiels à la médecine narrative. Nous envisagerons ensuite la manière dont cela peut se traduire dans la pratique, en suggérant d’identifier les réseaux de récits, c’est-à-dire les différents fragments du récit d’un patient provenant de personnes extérieures. Certains patients dépendent en effet du récit de témoins pour savoir comment se déroulent leurs crises. Nous proposerons enfin d’interroger les scripts de l’épilepsie auxquels les soignants s’attachent via des questionnaires individuels et collectifs leur étant destinés. L’article invitera aussi à une reconsidération des usages du carnet de crises.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;div&gt;Over the past twenty years, narrative medicine has gained popularity. It is included in some medical curricula, research projects and other degree courses in France. The growing interest in narrative medicine raises many questions related to its applicability. Some studies have already observed the effects of this practice on the caregiver-patient relationship in the follow-up of specific pathologies. Epileptology appears to be one of the medical specialties that could benefit the most from narrative medicine. Nevertheless, the theoretical underpinnings of narrative medicine do not seem to be able to account certain symptomatic and experiential specificities of epilepsy. So, what could be the theoretical underpinnings of a narrative practice of epileptology, and what prospects would this open up for therapeutic follow-up? In light of the theoretical writings of narrative medicine and primarily its literary sources, as well as research in critical medical humanities, this article will approach the temporality and intersubjectivity of epilepsy experiences as sources of potential theoretical contributions to narrative medicine. W","PeriodicalId":53613,"journal":{"name":"Pratique Neurologique - FMC","volume":"16 2","pages":"Pages 136-142"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144242264","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":"Maladies de Parkinson, ataxies et dystonies observées en 1832 par Adolphe Toulmouche (1798–1876)","authors":"O. Walusinski","doi":"10.1016/j.praneu.2024.12.001","DOIUrl":"10.1016/j.praneu.2024.12.001","url":null,"abstract":"<div><div>Adolphe Toulmouche (1798–1876) est un médecin breton, reconnu comme le premier auteur à avoir décrit, dans un article publié en 1832, la démarche parkinsonienne après celle, princeps, de James Parkinson (1755–1824) en 1817, qui lui était inconnue. Nous proposons de relire les descriptions de Toulmouche pour lesquelles il s’est inspiré d’un célèbre article de Jean-Marc-Gaspard Itard (1775–1838) en 1825. Cette relecture permet de découvrir que Toulmouche a aussi reconnu des cas d’ataxies et de dystonies, pathologies incluses alors au sein des chorées. Sa réflexion novatrice le conduit à discuter de la localisation causale de ces pathologies neurologiques et d’évoquer un possible mécanisme de lever d’une inhibition. Ses idées avant-gardistes n’ont pas échappé à Jean-Martin Charcot (1825–1893) et Alfred Vulpian (1826–1887) qui ne manquent pas de citer Toulmouche dans leur description princeps de la maladie de Parkinson en 1861.</div></div><div><div>Adolphe Toulmouche (1798–1876), a physician from Brittany, is recognized as the first author to have described the Parkinsonian gait in an article published in 1832, after the original one by James Parkinson (1755–1824) in 1817, which he had not read. We suggest re-reading Toulmouche's descriptions, for which he drew inspiration from a famous article by Jean-Marc-Gaspard Itard (1775–1838) in 1825. This re-reading allows us to appreciate that Toulmouche also recognized various cases of ataxia and dystonia, pathologies included within chorea in his days. His innovative thinking led him to discuss the causal location of these neurological pathologies and to suggest a desinhibition mechanism for them. His avant-garde ideas were not lost on Jean-Martin Charcot (1825–1893) and Alfred Vulpian (1826–1887), who quoted Toulmouche in their seminal description of Parkinson's disease in 1861.</div></div>","PeriodicalId":53613,"journal":{"name":"Pratique Neurologique - FMC","volume":"16 2","pages":"Pages 146-152"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144242266","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":"Étude électroneuromyographique du nerf médian : explorer le canal carpien sans s’égarer en chemin","authors":"Julien Gallard ,&nbsp;Nicolas Pageot","doi":"10.1016/j.praneu.2025.04.004","DOIUrl":"10.1016/j.praneu.2025.04.004","url":null,"abstract":"<div><div>Le nerf médian est sans doute le nerf le plus exploré en électroneuromyographie, étant donné la fréquence de son atteinte au canal carpien. Après un rappel des points clés de l’anatomie du nerf médian, nous présentons les techniques d’exploration du syndrome du canal carpien ainsi que la problématique des variations anatomiques, indispensables à garder à l’esprit dans toute exploration du nerf médian. L’étude des atteintes plus proximales du nerf médian nécessite de bien connaître l’anatomie et le trajet du nerf médian, pour identifier le lieu de la lésion par la clinique et l’ENMG. Enfin, bien rédiger le compte rendu d’un électromyogramme explorant le nerf médian est fondamental compte tenu des enjeux thérapeutiques, notamment chirurgicaux, qui en découlent.</div></div><div><div>The median nerve is undoubtedly the most frequently examined nerve in electromyography due to the high prevalence of its entrapment at the carpal tunnel. In this article, we make a short review of the key points of its anatomy, we present the techniques for investigating carpal tunnel syndrome, as well as the issue of anatomical variations, which must always be considered during any median nerve exploration. Identifying lesions of the median nerve at locations proximal to the carpal tunnel, requires good understanding of median nerve anatomy, in order to localize the site of injury, using clinical and electrophysiological markers. Finally, drafting a well-structured electromyography report on median nerve assessment is essential, given the therapeutic implications, particularly surgical ones, that may arise.</div></div>","PeriodicalId":53613,"journal":{"name":"Pratique Neurologique - FMC","volume":"16 2","pages":"Pages 113-122"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144242076","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":"Réseau international de neurologie narrative – appel à participation","authors":"","doi":"10.1016/j.praneu.2025.04.013","DOIUrl":"10.1016/j.praneu.2025.04.013","url":null,"abstract":"","PeriodicalId":53613,"journal":{"name":"Pratique Neurologique - FMC","volume":"16 2","pages":"Pages 158-160"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144242272","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}