[The CPTS 78: a new era of collaboration, a strong territorial base].

The 78 Nord Porte de Normandie territorial professional health communities (CPTS), created in 2020 in the Yvelines department, aims to improve care coordination and access to healthcare services for a population of 170,000 inhabitants spread over 57 communes. Driven by the Odyssée association, the project has been designed to meet the challenges of a region marked by social inequalities, unfavorable medical demographics and difficulties in accessing care. It stands out for its inclusive governance, bringing together healthcare professionals, users and local players, enabling decisions to be taken in line with the realities on the ground.

[Acute visual loss related to sphenoid meningioma].

Meningiomas represent about 20% of intracranial tumors. Involvement of the medial sphenoid wing includes anterior clinoid, cavernous sinus and superior orbital fissure meningiomas. Due to the proximity of these tumors to the optic nerve, typically progressive unilateral vision loss, over several months to years, is the classic clinical presentation.