References of "Revue Neurologique"
     in
Bookmark and Share    
Full Text
Peer Reviewed
See detailLa stimulation transcranienne a courant continu : un nouvel outil de neurostimulation.
Thibaut, Aurore ULg; Chatelle, Camille ULg; Gosseries, Olivia ULg et al

in Revue Neurologique (2013), 169

Transcranial direct current stimulation (tDCS) is a safe method to modulate cortical excitability. Anodal stimulation can improve the stimulated area's functions whereas cathodal stimulation reduces them ... [more ▼]

Transcranial direct current stimulation (tDCS) is a safe method to modulate cortical excitability. Anodal stimulation can improve the stimulated area's functions whereas cathodal stimulation reduces them. Currently, a lot of clinical trials have been conducted to study the effect of tDCS on post-stroke motor and language deficits, in depression, chronic pain, memory impairment and tinnitus in order to decrease symptoms. Results showed that, if an effect is observed with tDCS, it does not persist over time. Current studies suggest that direct current stimulation is a promising technique that helps to improve rehabilitation after stroke, to enhance cognitive deficiencies, to reduce depression and to relieve chronic pain. Moreover, it is a safe, simple and cheap device that could be easily integrated in a rehabilitation program. [less ▲]

Detailed reference viewed: 27 (2 ULg)
Full Text
Peer Reviewed
See detailL’onde F dans tous ses états
WANG, François-Charles ULg; Massart, Nicolas ULg; Kaux, Jean-François ULg et al

in Revue Neurologique (2011), 167

F-waves result from the discharge of the motoneurons following their antidromic activa- tion. The F-wave appears, as an indirect (the F-wave latency decreases when the stimulation site moves away from the ... [more ▼]

F-waves result from the discharge of the motoneurons following their antidromic activa- tion. The F-wave appears, as an indirect (the F-wave latency decreases when the stimulation site moves away from the muscular detection) and late response (occurring after the M response). In practice, the most useful parameter is the F-wave minimal latency, provided that at least seven distinct F-waves are evoked. When the analysis is relative either to the controlateral side, or to a former examination, this parameter is one of most sensitive in electroneuromyography. F-wave evocation implies conduction along the entire peripheral nervous system, and particularly its proximal part, which is not investigated by nervous trunks conduction velocity studies. Thus, F wave study is the most useful in plexopathies and polyradiculonevritis. In the early phase of Guillain-Barre ́ syndrome, their absence may be the unique sign indicative of proximal conduction blocks. [less ▲]

Detailed reference viewed: 152 (24 ULg)
Full Text
Peer Reviewed
See detailMétastase septique dorsale secondaire d’un abcès rétropharyngé responsable d’une tétraparésie
Kaux, Jean-François ULg; LENELLE, Jacques ULg; FRIPPIAT, Frédéric ULg et al

in Revue Neurologique (2011), 167(8-9), 638-640

Introduction: Peri-tonsillar abscess remains one of the most frequent serous complications of oropharyngeal or dental infections. It can evolve to parapharyngeal and/or retropharyngeal spaces. It can be ... [more ▼]

Introduction: Peri-tonsillar abscess remains one of the most frequent serous complications of oropharyngeal or dental infections. It can evolve to parapharyngeal and/or retropharyngeal spaces. It can be life-threatning and, more rarely, neurological complications are described. Observations: We report the case of a 56 year old woman who developed within few days a progressive tetraparesia due to cervical medullary compression. This compression was consecutive to an epidurite which was a complication of a retropharyngeal abscess. The only surgical act was a cervicotomy to drain the abscess and identify the pathological germ. A targeted antibiotherapy was quickly begun. The recovery was obtained rather quickly and the neurological evolution was good. After one year, the cervical spine presents a post-infectious deformation without sign of root or spinal-cord compression. Conclusion: A cervical tetraparesia induced by spondylodiscitis and epiduritis following a retropharyngeal abscess with Staphylococcus aureus is a rare complication. Adequate diagnosis, as fast as possible, is mandatory in order to carry out an adapted antibiotherapy in the hopes of a complete recovery. The place of surgery on the spine remains to be specified. [less ▲]

Detailed reference viewed: 196 (17 ULg)
Full Text
Peer Reviewed
See detailLa Sensory Modality Assessment and Rehabilitation Technique (SMART) : une echelle comportementale d'evaluation et de revalidation pour des etats alteres de conscience.
Chatelle, Camille ULg; Schnakers, Caroline ULg; Bruno, Marie-Aurélie ULg et al

in Revue Neurologique (2010), 166(8-9), 675-82

INTRODUCTION: Difficulties in detecting bedside signs of consciousness in non-communicative patients still lead to a high rate of misdiagnosis illustrating the need to employ standardized behavioral ... [more ▼]

INTRODUCTION: Difficulties in detecting bedside signs of consciousness in non-communicative patients still lead to a high rate of misdiagnosis illustrating the need to employ standardized behavioral assessment scales. STATE OF ART: The Sensory Modality Assessment and Rehabilitation Technique (SMART) is a behavioral assessment scale of consciousness that assesses responses to multimodal sensory stimulation in disorders of consciousness. These stimulations can also be considered to have therapeutic value. PERSPECTIVES: We here review the different components and use of the SMART assessment and discuss its validity, reliability, and robustness in clinical practice. The scale has a high intra- and inter-observer reliability thanks to a detailed procedure description. However, in the absence of objective gold standards in the assessment of consciousness, it is currently difficult to make strong claims about its validity. A comparison between SMART and other standardized and validated coma-scales is proposed. CONCLUSION: In our view, SMART is an interesting tool for monitoring patients with altered states of consciousness subsequent to coma. Currently, we await studies on its concurrent validity as compared to other validated behavioral assessment scales and on the effect of SMART stimulations on patient outcome. [less ▲]

Detailed reference viewed: 104 (4 ULg)
Full Text
Peer Reviewed
See detailLes corrélats neuronaux de l’acquisition et de la consolidation en mémoire dans la maladie d’Alzheimer et le trouble de mémoire isolé
Genon, Sarah ULg; Collette, Fabienne ULg; Moulin, Christopher et al

in Revue Neurologique (2009), 165

Introduction : Un déficit en mémoire épisodique est caractéristique dans la maladie d’Alzheimer (AD) et chez les patients âgés présentant une altération cognitive légère (MCI). Cette altération peut ... [more ▼]

Introduction : Un déficit en mémoire épisodique est caractéristique dans la maladie d’Alzheimer (AD) et chez les patients âgés présentant une altération cognitive légère (MCI). Cette altération peut s’expliquer par un déficit d’acquisition et/ou un déficit de consolidation. Toutefois, les modifications cérébrales responsables de ces déficits ne sont pas encore parfaitement élucidées. L’objectif de notre étude était de mettre en relation le profil d’apprentissage déficitaire de ces patients avec leur métabolisme cérébral au repos. Méthode : L’épreuve du California Verbal Learning Test (CVLT) a été administrée à 51 patients AD, 18 patients MCI qui sont restés stables (suivi longitudinal de 18 mois, MCI-S), 16 patients MCI qui ont développé la maladie d’Alzheimer (MCI-C) durant les 18 mois de suivi et 12 participants de contrôle. La mesure d’acquisition est la proportion moyenne de gain à travers les 5 essais d’apprentissage du CVLT. La mesure de consolidation est la proportion totale de pertes à travers ces 5 essais. La mesure du métabolisme cérébral au repos a été effectuée en tomographie par émission de positions (18FDG-TEP). Les mesures de corrélation cognitivo-métabolique ont été réalisées au moyen du logiciel SPM8 (p non-corrigé avec hypothèse a priori <0.001). Résultats : Les groupes AD et MCI-C ont un gain moyen moindre que les groupes MCI-S et contrôles. L’ampleur du gain inter-essais est positivement corrélée à l’activité métabolique au niveau de l’hippocampe postérieur chez les patients AD, à l’activité pariétale inférieure chez les patients MCI-S, et à l’activité frontale postérieure dans le groupe contrôle. Par ailleurs, le groupe AD présente plus de pertes inter-essais que les trois autres groupes. Toutefois, aucune corrélation significative n’apparait entre le total des pertes inter-essais et le métabolisme cérébral. Discussion : Ces données suggèrent que les patients AD, même à un stade très précoce (MCI-C) présentent un déficit d’acquisition de l’information. Ce déficit pourrait être sous-tendu par des perturbations métaboliques dans les réseaux d’apprentissage fronto-pariétaux et hippocampique. Il existe de plus un déficit de consolidation inter-essais spécifique aux patients AD mais ce déficit n’est corrélé à aucune région cérébrale au seuil statistique utilisé. [less ▲]

Detailed reference viewed: 60 (10 ULg)
Full Text
Peer Reviewed
See detailCombiner les mesures métaboliques cérébrales et neuropsychologiques permet une meilleure prédiction de la conversion vers une maladie d’Alzheimer chez les patients MCI
Bastin, Christine ULg; Adam, Stéphane ULg; LEKEU, Françoise ULg et al

in Revue Neurologique (2009), 165

Introduction. Une voie de recherche neurologique importante concerne la capacité de prédire sur base de l’évaluation initiale des patients avec Mild Cognitive Impairment (MCI) ceux qui vont développer une ... [more ▼]

Introduction. Une voie de recherche neurologique importante concerne la capacité de prédire sur base de l’évaluation initiale des patients avec Mild Cognitive Impairment (MCI) ceux qui vont développer une maladie d’Alzheimer (MA). Parmi les tests neuropsychologiques, le rappel indicé avec indiçage congruent lors de l’encodage et du rappel (RI48) apparaît comme le meilleur prédicteur du devenir des patients MCI (Ivanoiu et al., 2005). D’autre part, on a montré que les mesures métaboliques cérébrales (TEP-FDG), plus particulièrement l’hypométabolisme du cortex temporopariétal, prédit le déclin cognitif global dans le MCI mieux que des mesures neuropsychologiques (Chételat et al., 2005). Le but de notre étude était d’évaluer le pouvoir de prédiction pour la conversion du MCI vers une MA de deux prédicteurs robustes (performance au RI48 et métabolisme cérébral) pris soit isolément soit ensemble. Méthode. 50 patients MCI ont subi un examen en TEP-FDG au repos et ont réalisé le test de rappel indicé RI48 et le MMSE. Au terme d’un suivi neuropsychologique de 36 mois, 28 patients ont évolué vers une MA et 22 sont restés stables. Le métabolisme cérébral et les performances cognitives ont été comparés entre « convertisseurs » et MCI-stables. Des analyses discriminantes ont ensuite permis d’évaluer la capacité de classification de l’âge, du MMSE et des mesures métaboliques et mnésiques considérés individuellement ou selon diverses combinaisons. Résultat. Par comparaison avec les MCI-stables, les « convertisseurs » montraient un hypométabolisme du cortex temporal moyen bilatéralement, du cortex pariétal inférieur droit et du précuneus droit, et de plus faibles performances initiales au RI48. Prises individuellement, les différentes mesures permettaient le même taux de classification correcte (métabolisme cérébral = 76%, RI48 = 76%). L’âge et le MMSE étaient de faibles prédicteurs (exactitude de classification = 62% et 66% respectivement). Par contre, la combinaison des mesures métaboliques et des scores au RI48 prédisaient le mieux la progression vers la MA (88%). Conclusion. Les résultats suggèrent que la stratégie optimale pour identifier quels patients MCI ont plus de risque de développer une MA est de combiner les mesures métaboliques cérébrales et la performance à un test de mémoire très sensible. [less ▲]

Detailed reference viewed: 95 (8 ULg)
Full Text
Peer Reviewed
See detailLe Locked-In Syndrome : la conscience emmurée
Bruno, Marie-Aurélie ULg; Pellas, F.; Schnakers, Caroline ULg et al

in Revue Neurologique (2008), 164

The Locked-In syndrome(LIS) is defined by: (i) the presence of sustained eye opening (bilateral ptosis should be ruled out as a complicating factor);(ii) preserved awareness; (iii) aphonia or hypophonia ... [more ▼]

The Locked-In syndrome(LIS) is defined by: (i) the presence of sustained eye opening (bilateral ptosis should be ruled out as a complicating factor);(ii) preserved awareness; (iii) aphonia or hypophonia; (iv) quadriplegia or quadriparesis; and (v) a primary mode of communication that uses vertical or lateral eye movement or blinking. Acute ventral pontine lesions are its most common cause. Following such brainstem lesions patients may remain comatose for sometime and then gradually awaken, remaining paralyzed and voiceless, superficially resembling the vegetative state. Background. – It has been shown that more than half of the time physicians fail to recognize early signs of awareness in LIS. Given appropriate medical care,life expectancy may be several decades but the chances of good motor recovery remain small. Eye-controlled computer technology now allows LIS patients to communicate and control their environment. Recent studies show that most LIS patients self-report meaningful quality of life and the demand for euthanasia is infrequent. Conclusion. – Patients suffering from LIS should not be denied the right to die – and to die with dignity –but also they should not be denied the right to live–and to live with dignity and the best possible pain and symptom management and revalidation. [less ▲]

Detailed reference viewed: 51 (19 ULg)
Full Text
Peer Reviewed
See detailEXploration des processus inhibiteurs dans le vieillissement normal et la maladie d'Alzheimer
Collette, Fabienne ULg; Adam, Stéphane ULg; Hogge, Michaël et al

in Revue Neurologique (2005), 161(12), 467

Detailed reference viewed: 24 (4 ULg)
Full Text
Peer Reviewed
See detailEtiologies et exploration electrophysiologique des paralysies diaphragmatiques.
MAERTENS DE NOORDHOUT, Alain ULg

in Revue Neurologique (2004), 160(12), 1239-44

Detailed reference viewed: 5 (0 ULg)
Full Text
Peer Reviewed
See detailMemory processing during human sleep as assessed by functional neuroimaging
Maquet, Pierre ULg; Peigneux, Philippe ULg; Laureys, Steven ULg et al

in Revue Neurologique (2003, November), 159(11 Suppl), 27-29

Sleep is believed to participate in memory consolidation, possibly through off-line processing of recent memory traces. In this paper, we summarize functional neuroimaging data testing this hypothesis ... [more ▼]

Sleep is believed to participate in memory consolidation, possibly through off-line processing of recent memory traces. In this paper, we summarize functional neuroimaging data testing this hypothesis. First, sleep deprivation disrupts the processing of recent memory traces and hampers the changes in functional segregation and connectivity which underpin the gain in performance usually observed in subjects allowed to sleep on the first post-training night. Second, experience-dependent changes in regional brain activity occur during post-training sleep. These changes are shown to be related to the processing of high-level material and to be modulated by the amount of learning achieved during the training session. These changes do not involve isolated brain areas but entire macroscopic cerebral networks. These data suggest a role for sleep in the processing of recent memory traces. [less ▲]

Detailed reference viewed: 9 (2 ULg)
Full Text
Peer Reviewed
See detailExploration des processus intentionnels et automatiques d’inhibition dans la maladie d’Alzheimer
Collette, Fabienne ULg; Scherrer, Christine; Adam, Stéphane ULg et al

in Revue Neurologique (2003, October 09), 159

Detailed reference viewed: 7 (2 ULg)
Full Text
Peer Reviewed
See detailMemory processing during human sleep as assessed by functional neuroimaging.
Maquet, Pierre ULg; Peigneux, Philippe ULg; Laureys, Steven ULg et al

in Revue Neurologique (2003), 159(11 Suppl), 627-9

Sleep is believed to participate in memory consolidation, possibly through off-line processing of recent memory traces. In this paper, we summarize functional neuroimaging data testing this hypothesis ... [more ▼]

Sleep is believed to participate in memory consolidation, possibly through off-line processing of recent memory traces. In this paper, we summarize functional neuroimaging data testing this hypothesis. First, sleep deprivation disrupts the processing of recent memory traces and hampers the changes in functional segregation and connectivity which underpin the gain in performance usually observed in subjects allowed to sleep on the first post-training night. Second, experience-dependent changes in regional brain activity occur during post-training sleep. These changes are shown to be related to the processing of high-level material and to be modulated by the amount of learning achieved during the training session. These changes do not involve isolated brain areas but entire macroscopic cerebral networks. These data suggest a role for sleep in the processing of recent memory traces. [less ▲]

Detailed reference viewed: 12 (4 ULg)
Full Text
Peer Reviewed
See detailLe vieillissement de la mémoire épisodique : effets de manipulations à l’encodage ou à la récupération et relations avec les processus contrôlés
Vanderaspoilden, Valérie; Adam, Stéphane ULg

in Revue Neurologique (2002, April 04), 158(Supplément 1), 136

Detailed reference viewed: 17 (1 ULg)
Full Text
Peer Reviewed
See detailL'évaluation de la mémoire épisodique
Adam, Stéphane ULg; Van der Linden, Martial; Membres du GREMEM

in Revue Neurologique (2002, April 03), 158(Supplément 1), 180

Detailed reference viewed: 37 (2 ULg)
Full Text
Peer Reviewed
See detailSyndrome du canal lent associe a une translocation autosomique 2q31-9p27.
Zeevaert, Bernard ULg; Hansen, Isabelle ULg; Crielaard, Jean-Michel ULg et al

in Revue Neurologique (2002), 158(5 Pt 1), 605-8

A 27-year-old man complained of cervicoscapular and forearm weakness and amyotrophy. Electromyographic evaluation showed neuromuscular transmission dysfunction and a repetitive compound muscle action ... [more ▼]

A 27-year-old man complained of cervicoscapular and forearm weakness and amyotrophy. Electromyographic evaluation showed neuromuscular transmission dysfunction and a repetitive compound muscle action potential to a single stimulus. Prostigmine did not improve neuromuscular transmission. The genetic analysis of the patient's lymphocytes demonstrated a chromosomic 2q31-9p27 translocation. The combination of the clinical and electrophysiological data as well as the lack of auto-immunity signs against neuromuscular junction constituents led to the diagnosis to congenital postsynaptic myasthenic syndrome also called slow channel syndrome. This congenital myasthenic syndrome is for the first time associated with an autosomal translocation 2q31-9p27. [less ▲]

Detailed reference viewed: 48 (9 ULg)
Full Text
Peer Reviewed
See detailExploration neuropsychologique et par imagerie fonctionnelle cérébrale d'une apraxie visuo-imitative
Peigneux, Philippe ULg; Van der Linden, Martial ULg; Andres-Benito, P. et al

in Revue Neurologique (2000), 156(5), 459-472

We describe the case of a 58-years-old right-handed women suffering from an occipital-parietal lesion. The administration of a cognitively based assessment tool for limb praxis (Batterie d'Evaluation des ... [more ▼]

We describe the case of a 58-years-old right-handed women suffering from an occipital-parietal lesion. The administration of a cognitively based assessment tool for limb praxis (Batterie d'Evaluation des Praxies, B.E.P., Peigneux and Van der Linden, 1998) demonstrated bilateral visuo-imitative apraxia. Gesture production was mainly characterised by spatial, errors, and imitation of meaningful gestures was worse than their pantomime on verbal command. Moreover, the imitation of meaningless gestures and their reproduction on a manikin were worse than imitation of their matched meaningful gestures. In a cognitive perspective, adapted from the Rothi et al. (1997) and Goldenberg (1995) contributions to our understanding of limb praxis, this configuration of performance suggests deficits occurring at multiple levels. On one hand, it suggests either access difficulties or alteration of the output praxicon, i.e., the lexicon for visuo-kinesthetic engrams of meaningful gestures. On the other hand, the simultaneous deficit for meaningless gesture reproduction on the subject's own body and on a manikin favors an alteration of the structural descriptions of the human body (i.e., human body knowledge), underlying the mental transposition processes occurring between the visual analysis of a meaningless gestural configuration and its effective reproduction on oneself or on a manikin, thus contradicting the classic view of a direct pathway linking visual analysis and motor planning in meaningless gesture imitation. Finally, due to the output praxicon deficit, imitation of meaningful gestures is partly processed in the same way as meaningless gestures (also impaired in this case), leading to an interference effect between both degraded memory-based and visually-transposed traces, which account for imitation of meaningful gestures being worse than their pantomime on verbal command. We also assess regional cerebral metabolism using positron emission tomography (PET). Comparison with 41 healthy subjects (SPM96) demonstrated a statistically significant hypometabolism in the left intraparietal sulcus and superior parietal lobule, and in the right dorsal prestriate cortex. These results, together with a review of the other studies of visuo-imitative apraxia, suggest that the left intraparietal sulcus may be associated with access or integration of information from the output praxicon. The left superior parietal and the right dorsal prestriate deficits functionally impaired a bilateral dorsal network implied in the mental transformations of the body, thus suggesting that these mental transformations are underlined by knowledge of the human body, which may subsequently explain the deficit for the reproduction of meaningless and meaningful configurations. [less ▲]

Detailed reference viewed: 53 (1 ULg)