837 results match your criteria: "Gui De Chauliac Hospital[Affiliation]"

CNS tumors with PLAGL1-fusion: beyond ZFTA and YAP1 in the genetic spectrum of supratentorial ependymomas.

Acta Neuropathol Commun

April 2024

Department of Neuropathology, GHU Paris-Psychiatrie Et Neurosciences, Sainte-Anne Hospital, 1, Rue Cabanis, 75014, Paris, France.

A novel methylation class, "neuroepithelial tumor, with PLAGL1 fusion" (NET-PLAGL1), has recently been described, based on epigenetic features, as a supratentorial pediatric brain tumor with recurrent histopathological features suggesting an ependymal differentiation. Because of the recent identification of this neoplastic entity, few histopathological, radiological and clinical data are available. Herein, we present a detailed series of nine cases of PLAGL1-fused supratentorial tumors, reclassified from a series of supratentorial ependymomas, non-ZFTA/non-YAP1 fusion-positive and subependymomas of the young.

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Determining preoperatively the maximal extent of resection that would preserve cognitive functions is the core challenge of brain tumour surgery. Over the past decade, the methodological framework to achieve this goal has been thoroughly renewed: the population-level topographically-focused voxel-based lesion-symptom mapping has been progressively overshadowed by machine learning (ML) algorithmics, in which the problem is framed as predicting cognitive outcomes in a patient-specific manner from a typically large set of variables. However, the choice of these predictors is of utmost importance, as they should be both informative and parsimonious.

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In recent years, the discovery of functional and communicative cellular tumour networks has led to a new understanding of malignant primary brain tumours. In this review, the authors shed light on the diverse nature of cell-to-cell connections in brain tumours and propose an innovative treatment approach to address the detrimental connectivity of these networks. The proposed therapeutic outlook revolves around three main strategies: (a) supramarginal resection removing a substantial portion of the communicating tumour cell front far beyond the gadolinium-enhancing tumour mass, (b) morphological isolation at the single cell level disrupting structural cell-to-cell contacts facilitated by elongated cellular membrane protrusions known as tumour microtubes (TMs), and (c) functional isolation at the single cell level blocking TM-mediated intercellular cytosolic exchange and inhibiting neuronal excitatory input into the malignant network.

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Bi-allelic pathogenic variants in PRKN are the most common cause of autosomal recessive Parkinson's disease (PD). 647 patients with PRKN-PD were included in this international study. The pathogenic variants present were characterised and investigated for their effect on phenotype.

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Spinal cord injury results in significant sensorimotor deficits, currently, there is no curative treatment for the symptoms induced by spinal cord injury. Basic and pre-clinical research on spinal cord injury relies on the development and characterization of appropriate animal models. These models should replicate the symptoms observed in human, allowing for the exploration of functional deficits and investigation into various aspects of physiopathology of spinal cord injury.

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Background: Performing endovascular treatment (EVT) in patients with acute ischemic stroke (AIS) allows a port of entry for intracranial biological sampling.

Objective: To test the hypothesis that specific immune players are molecular contributors to disease, outcome biomarkers, and potential targets for modifying AIS.

Methods: We examined 75 subjects presenting with large vessel occlusion of the anterior circulation and undergoing EVT.

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Background: Mechanical thrombectomy (MT) has revolutionized the treatment of acute ischemic stroke (AIS) due to large vessel occlusion (LVO), but its efficacy and safety in medium vessel occlusion (MeVO) remain less explored. This multicenter, retrospective study aims to investigate the incidence and clinical outcomes of vessel perforations (confirmed by extravasation during an angiographic series) during MT for AIS caused by MeVO.

Methods: Data were collected from 37 academic centers across North America, Asia, and Europe between September 2017 and July 2021.

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Can epilepsy affect normal EEG variants? A comparative study between subjects with and without epilepsy.

Neurophysiol Clin

February 2024

Gui de Chauliac Hospital, Epilepsy Unit, Montpellier, France; Institut National de la Santé et de la Recherche Médicale (INSERM), Unité de Recherche sur les Comportements et Mouvements Anormaux, Montpellier, France. Electronic address:

Article Synopsis
  • The study aimed to compare the prevalence of benign EEG variants (BEVs) in patients with epilepsy versus those without it.
  • Researchers conducted a prospective observational EEG study with 1,163 patients, monitoring their brain activity from 24 hours to eight days.
  • Results showed that non-epileptic patients had a significantly higher prevalence of BEVs (73.2%) compared to epileptic patients (57.8%), indicating that epilepsy might reduce the occurrence of common BEVs, except for mu rhythm, which was similarly found in both groups.
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Long sleep time and excessive need for sleep: State of the art and perspectives.

Neurophysiol Clin

April 2024

APHM, Timone hospital, Sleep Unit, Epileptology and Cerebral Rhythmology, Marseille, France; Aix Marseille Univ, INSERM, INS, Inst Neurosci Syst, Marseille, France. Electronic address:

The mechanisms underlying the individual need for sleep are unclear. Sleep duration is indeed influenced by multiple factors, such as genetic background, circadian and homeostatic processes, environmental factors, and sometimes transient disturbances such as infections. In some cases, the need for sleep dramatically and chronically increases, inducing a daily-life disability.

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Asymmetrical/unilateral ocular artifacts on EEG.

Neurophysiol Clin

February 2024

Epilepsy Unit, Gui de Chauliac Hospital, Montpellier, France; Research Unit (URCMA: Unité de Recherche sur les Comportements et Mouvements Anormaux), INSERM, U661, Montpellier, France.

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Article Synopsis
  • The study aimed to evaluate the effectiveness and safety of the pRESET LITE stent retriever for treating medium vessel occlusions in acute ischemic stroke patients.
  • A retrospective analysis included 227 patients from 37 institutions, distinguishing between proximal and distal occlusions, revealing successful reperfusion rates of 85% and 97%, respectively.
  • Despite a 7% complication rate and a significant percentage of patients experiencing hemorrhagic transformations, the procedure showed a favorable outcome in 58% of cases after three months.
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Odour imagery, the ability to experience smell when an appropriate stimulus is absent, has widely been documented as being particularly difficult. However, previous studies have shown the beneficial effect of visual cues (e.g.

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Somnambulism.

Sleep Med Clin

March 2024

Department of Neurology, Sleep-Wake Disorders Unit, Gui-de-Chauliac Hospital, CHU Montpellier, INSERM Institute of Neurosciences of Montpellier, University of Montpellier, France. Electronic address:

Article Synopsis
  • * It exists on a spectrum that includes other conditions like confusional arousal and night terrors, and while often seen as harmless, it can have serious social, personal, and legal implications.
  • * This review highlights the current understanding of somnambulism, focusing on its clinical features, diagnostic methods, and the impact it can have on individuals' lives.
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Article Synopsis
  • - Accurate measurement of habitual sleep duration (HSD) is important for linking sleep to health, and this study compared two self-report methods (Method-Self and Method-MCTQ) to identify bias based on sleep quality (SQ) and social jetlag (SJL).
  • - The findings from 10,268 participants indicated that Method-Self typically reported HSD as 42.41 minutes lower than Method-MCTQ, with greater bias observed in those with poorer sleep quality; the two methods exhibited very poor agreement overall.
  • - The study suggests that including questions about sleep quality in surveys could help reduce estimation bias and improve the reliability of sleep-related health research, especially given the systematic errors found between the two methods examined
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Background: The choice of the first-line technique in vertebrobasilar occlusions (VBOs) remains challenging. We aimed to report outcomes in a large cohort of patients and to compare the efficacy and safety of contact aspiration (CA) and combined technique (CoT) as a first-line endovascular technique in patients with acute VBOs.

Methods: We retrospectively analyzed clinical and neuroradiological data of patients with VBOs from the prospective, multicenter, observational Endovascular Treatment in Ischemic Stroke (ETIS) Registry in France between January 2015 and August 2023.

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Objective: In surgery for lower-grade glioma (LGG) in professional musicians, for whom preserving music ability is essential, a critical question has emerged, namely, is it mandatory to include music performance during awake mapping, as proposed in several reports? In fact, music ability is subserved by a mosaic of interactive cognitive and emotional processes that rest on several networks. Therefore, from a meta-network perspective, the authors investigated whether an integrated multimodal monitoring of these cognitive and emotional functions during stimulation mapping could be efficient in maintaining musical skill. Indeed, it could be difficult for a patient to play a musical instrument in the surgical setting in addition to performing other tasks, such as movement and language.

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Association between idiopathic hypersomnia and a genetic variant in the PER3 gene.

J Sleep Res

October 2024

Sleep and Wake Disorders Centre, Department of Neurology, Gui de Chauliac Hospital, University of Montpellier, Montpellier, France.

Article Synopsis
  • The study aims to identify genetic markers for idiopathic hypersomnia, a poorly understood disorder characterized by excessive sleepiness.
  • DNA was extracted from 79 patients diagnosed with idiopathic hypersomnia, and whole exome sequencing was conducted on 30 patients to compare genetic variants with a control group of healthy individuals.
  • The research identified seven significant genetic variants linked to idiopathic hypersomnia, with a particular focus on a variant in the PER3 gene, suggesting a possible genetic predisposition to the disorder.
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Purpose: Glaucoma is the leading cause of irreversible blindness worldwide. The brain and eye share many characteristics, so the eye may provide an easy-access window on brain processes. The aim of the study was to evaluate the link between glaucoma as well as intraocular pressure (IOP)-lowering drops load and all-cause dementia.

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Article Synopsis
  • - Narcolepsy disrupts various components of sleep, such as quality, architecture, and stability, leading to frequent awakenings and shifts in sleep stages.
  • - Sodium oxybate has been traditionally used to enhance sleep in narcolepsy patients, with newer formulations like low-sodium oxybate and once-nightly dosing emerging to reduce sodium intake and simplify treatment.
  • - Current research indicates that both once- and twice-nightly sodium oxybate effectively improve sleep quality in narcolepsy, but there’s a lack of direct comparisons between these products due to differences in clinical trial designs, necessitating future head-to-head studies.
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Advanced methods of imaging and mapping the healthy and lesioned brain have allowed for the identification of the cortical nodes and white matter tracts supporting the dual neurofunctional organization of language networks in a dorsal phonological and a ventral semantic stream. Much less understood are the anatomical correlates of the interaction between the two streams; one hypothesis being that of a subcortically mediated interaction, through crossed cortico-striato-thalamo-cortical and cortico-thalamo-cortical loops. In this regard, the pulvinar is the thalamic subdivision that has most regularly appeared as implicated in the processing of lexical retrieval.

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Article Synopsis
  • Pilocytic astrocytomas (PA) are tumors that have unique features based on where they are located in the brain or spine.
  • Doctors face challenges in telling PAs apart from similar tumors, especially in the brain's hemispheric region.
  • A study looked at different types of PAs, and found that they often affect kids and can show various patterns in medical tests, highlighting the need for careful examination for accurate diagnosis.
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