Publications by authors named "Duval F"

Background: Myosin heavy chain 7 ()-related myopathies (-RMs) are a group of muscle disorders linked to pathogenic variants in the gene, encoding the slow/beta-cardiac myosin heavy chain, which is highly expressed in skeletal muscle and heart. The phenotype is heterogeneous including distal, predominantly axial or scapuloperoneal myopathies with variable cardiac involvement.

Methods: We retrospectively analysed the clinical, muscle MRI, genetic and myopathological features of 57 patients.

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The aim of this study was to explore whether National Football League (NFL) coaches show variation in their decision-making on fourth down when traveling through time zones. Data from visiting teams in games from 20 seasons (2000-2020) of the NFL were retrieved from online sources ( = 5360 games). Decision-making was measured with the percentage of offensive plays on fourth down.

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The NA62 experiment at CERN, configured in beam-dump mode, has searched for dark photon decays in flight to electron-positron pairs using a sample of 1.4×10^{17} protons on dump collected in 2021. No evidence for a dark photon signal is observed.

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Immune checkpoint inhibitors (ICIs) present clinicians with the challenge of managing immune-related adverse events (irAEs), which can range from mild to severe due to immune system activation . While guidelines recommend discontinuing ICIs for grade 3 partial and all grade 4 irAEs, there is growing interest in rechallenging patients based on oncological outcomes, particularly for cardiovascular and neurological irAEs where data remains scarce . We retrospectively evaluated the safety of ICI rechallenge following grade 3-4 irAEs, specifically focusing on cardiovascular and neurological events, in patients discussed at our multidisciplinary immunotoxicity assessment board between 2019 and 2021.

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  • Motor neuron disorders are a diverse group of diseases that involve the progressive degeneration of motor neurons, affecting both upper and lower motor neurons and can be either sporadic or hereditary.
  • Hereditary forms of these disorders are complex and often overlap in clinical and genetic features, making diagnosis challenging.
  • This review outlines the main types of inherited motor neuron disorders, their historical descriptions, clinical characteristics, and updates on the genes associated with conditions like spinal muscular atrophy and familial amyotrophic lateral sclerosis.
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The present pilot study assessed the effects of multi-session intermittent theta-burst stimulation (iTBS) applied to the left dorsolateral prefrontal cortex in 17 treatment resistant depressed inpatients (TRDs) showing cortisol non-suppression to the overnight dexamethasone suppression test (DST) at baseline (i.e., maximum post-DST cortisol [COR] level > 130 nmol/L).

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Objective: X-linked myopathy with excessive autophagy (XMEA) linked to the VMA21 gene leads to autophagy failure with progressive vacuolation and atrophy of skeletal muscles. Current knowledge of this rare disease is limited. Our objective was to define the clinical, radiological, and natural history of XMEA.

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The in-hospital treatment for COVID-19 may include medicines from various therapeutic classes, such as antiviral remdesivir and immunosuppressant tocilizumab. Safety data for these medicines are based on controlled clinical trials and case reports, limiting the knowledge about less frequent, rare or unique population adverse events excluded from clinical trials. This study aims at analyzing the reports of Adverse Drug Events (ADEs) related to these two medicines, focusing on events in pregnant women and foetuses.

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  • Combination BRAF/MEK inhibitors, used for treating metastatic melanoma, can improve patient survival but may lead to rare neurological adverse events (nAEs).
  • A 42-year-old woman developed Parsonage-Turner syndrome, characterized by left shoulder pain and brachial plexopathy, shortly after starting encorafenib/binimetinib treatment following other immunotherapies.
  • This case highlights the need for clinicians to be aware of potential neurological side effects from BRAF/MEK inhibitors, especially given their increasing use in melanoma treatment.
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  • Some myopathies can cause dropped head or bent spine syndrome (DH/BS), but its significance in inflammatory myopathies (IM) hasn't been thoroughly explored.
  • A study compared 49 patients with DH/BS related to IM to 98 control IM patients, finding that those with DH/BS were older and had more severe symptoms, including upper limb weakness, dysphagia, and muscle atrophy.
  • The results suggest that DH/BS serves as a marker for the severity of IM and is often linked to complications related to systemic sclerosis, highlighting its clinical importance.
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  • - The tongue plays a key role in important functions like swallowing and speaking, making it significant in neurology.
  • - The literature review focused on the anatomy and physiology of the tongue and its relevance to neurological examinations.
  • - The study emphasizes that examining the tongue should be a standard part of assessing cranial nerve functions in clinical settings.
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  • The tongue plays a vital role in key functions like swallowing and speech, and its examination can provide insights into neurological conditions, acting as a "mirror" for certain brain functions.
  • The review highlights various clinical aspects of the tongue's examination, including superficial lesions, movement disorders (like tremors and dystonia), and issues related to taste and sensitivity.
  • It emphasizes that assessing the tongue should encompass both its motor and sensory functions, underlining the significance of nonmotor aspects in neurological evaluations.
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  • The study examines how variations in tumor microenvironments (TMEs) affect cancer progression by analyzing 52 head and neck squamous cell carcinomas.
  • It identifies macrophage polarity—determined by CS expression—as a significant factor for prognosis, rather than traditional M1 and M2 classifications.
  • The findings indicate that TMEs create organized networks of pro- and antitumor responses, emphasizing that CS macrophage polarity could simplify understanding complex cancer behaviors across different types of tumors.
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Merkel cell carcinoma (MCC) is an aggressive neuroendocrine cutaneous tumor with high metastatic potential. In rare cases, it can be associated with paraneoplastic syndromes (PNS), which result from an antitumor immunity against antigens produced by the tumor itself. Lambert-Eaton Myasthenic Syndrome (LEMS) is a neurological autoimmune PNS characterized by an impairment of the neuromuscular junction, leading to proximal muscle weakness and fatigability.

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So far, neuroendocrine studies conducted in schizophrenic patients have yielded conflicting results. Many of these discrepancies may be explained by the diversity of factors that influence the hormonal levels (at baseline and in response to pharmacological stimuli), the heterogeneity of the populations studied, the absence of standardization of test challenges and the confounding and long-lasting effects of previous treatments. Numerous studies have used apomorphine (APO) in the evaluation of dopaminergic (DA) function in schizophrenic patients.

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Introduction: Dopamine (DA) is likely to be involved in some depressive dimensions, such as anhedonia and amotivation, which account for a part of treatment-resistant forms. Monoamine oxidase inhibitors (MAOI) and direct D2 and D3 receptors agonists (D2/3r-dAG) are known to help, but we lack safety data about their combined usage. We report on safety and tolerance of the MAOI+D2r-dAG combination in a clinical series.

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  • Neutrophils are a type of white blood cell that gather in solid tumors and their numbers can be connected to how well a person does with cancer treatment.
  • Not all neutrophils are the same; some can help fight cancer while others might make it worse.
  • The study found that the right kind of neutrophils are important for successful cancer treatments, especially when they have a specific gene signature that helps them work better against tumors.
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  • Animal envenomation in humans typically occurs accidentally or as a defense mechanism, leading to various reactions depending on the type of venom.
  • A study identified 54 cases of acute peripheral neuropathy linked to bites or stings from diverse animals, with most cases resulting from hymenoptera like bees and wasps, as well as jellyfish, snakes, and corals.
  • Two main types of neuropathy were observed: polyneuropathy in over half of the cases and focal neuropathy in others, with good recovery odds, although the exact mechanisms behind these neuropathies remain largely unknown.
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  • - The study evaluated the effectiveness of subcutaneous immunoglobulin (SCIg) for treating myasthenia gravis (MG) by analyzing patient data from a neuromuscular referral center in Bordeaux between 2014 and 2021.
  • - Sixteen MG patients participated, with 50% showing improvement in their condition after SCIg treatment, and the therapy helped reduce hospital stays and intubation days, indicating positive outcomes.
  • - While SCIg was well-tolerated and most patients preferred to continue the treatment, the authors highlighted the need for larger studies to further validate the findings.
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Paroxysmal nocturnal hemoglobinuria (PNH) is a very rare clonal autoimmune disease manifesting with hemolysis, thrombosis, or bone marrow failure. We present an atypical association of myasthenia gravis, aplastic anemia, and PNH occurring years after thymectomy. While this association might be extremely rare, it may not be coincidental as there is a common pathophysiology between PNH and aplastic anemia, with the latter reported in several thymoma/thymectomy cases.

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Background: Pompe disease is a rare neuromuscular disorder caused by a deficiency of a lysosomal enzyme, acid α-glucosidase. Macroglossia is a classic clinical sign of several inherited myopathies and has also been reported to occur progressively in late-onset Pompe disease (LOPD).

Methods: We describe patients with LOPD and macroglossia included in the French national Pompe disease registry.

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Background: Livedoid vasculopathy (LV) is a chronic dermatosis associated with micro-thrombosis of the vessels of the dermis, leading to ischemic lesions and painful skin ulcerations of the lower limbs. This thrombosing occlusive vasculopathy, clearly distinct from 'classical vasculitis' (not related to alteration of vessel walls), may lead to peripheral neuropathy.

Objective: To clarify the main clinical, electrophysiological and pathological characteristics of peripheral neuropathy linked to LV.

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