374 results match your criteria: "Hopital Universitaire Pitie Salpetriere[Affiliation]"

Mitral regurgitation (MR) is associated with morphological and functional alterations of left atrium (LA) and ventricle (LV), possibly inducing LA-LV misalignment. We aimed to: (1) characterize angulation between LA and mitral annulus from conventional cine MRI data and feature-tracking (FT) contours, (2) assess their associations with functional capacity in MR patients, as assessed by oxygen consumption (peak-VO) and minute ventilation to carbon dioxide production (VE/VCO) slope, in comparison with MRI LA/LV strain indices. Thirty-two asymptomatic primary MR patients (56 [40; 66] years, 12 women) underwent cardiac MRI resulting in LA/LV conventional FT-derived strain indices.

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Background: Periprocedural antiplatelet treatment is a key determinant for the risk-benefit balance of emergent carotid artery stenting (eCAS) during stroke endovascular treatment (EVT). We aimed to assess the safety and efficacy profile of cangrelor compared with glycoprotein IIb/IIIa (GPIIb/IIIa) inhibitors or aspirin monotherapy.

Methods: Data were extracted from the Endovascular Treatment in Ischemic Stroke (ETIS) registry, a prospective nationwide observational registry of stroke EVT in France.

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Pharmacological management of prolonged seizures in Dravet syndrome including intravenous phenytoin.

Epilepsia

October 2024

Pediatric Neurology Department, Centre de Référence Maladies Rares Epilepsies Rares, EpiCARE member, Assistance Publique - Hôpitaux de Paris, Robert Debré University Hospital, Paris, France.

Article Synopsis
  • Dravet syndrome (DS) is a severe epilepsy disorder that begins in infancy, where sodium channel blockers can worsen seizures, making effective management crucial.
  • A study conducted from 2009 to 2020 reviewed the management of prolonged seizures in DS patients, particularly focusing on intravenous phenytoin.
  • Results showed that intravenous phenytoin was effective in stopping 71% of prolonged seizures without major side effects, but more research is needed to establish clear treatment guidelines for emergencies in DS.
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Neurocryptococcosis is a severe neurological complication of Cryptococcus neoformans infections, primarily affecting immunocompromised individuals. This report describes the case of a 53-year-old man with no known medical history who experienced severe headaches and vomiting while on a business trip to Pakistan. He was given preventive antibiotic therapy, followed by a combination of sulfamethoxazole and trimethoprim for suspected toxoplasmosis.

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Grading and staging for pituitary neuroendocrine tumors.

Brain Pathol

January 2025

Department of Biomedical and Neuromotor Sciences (DIBINEM), Bellaria Hospital, AUSL Bologna, University of Bologna, Bologna, Italy.

Article Synopsis
  • * The 2022 WHO Classification states that instead of a grading or staging system, histological typing should be used to classify PitNETs, given the emerging understanding of their biological diversity through molecular subgroup studies.
  • * The review discusses the challenges in creating a grading and staging system, emphasizing the need for a standardized approach combining histological and molecular findings to improve diagnosis and treatment timelines for patients with PitNETs.
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Article Synopsis
  • The study aimed to compare the effectiveness of subconjunctival triamcinolone acetonide injections with intravitreal dexamethasone implants in reducing central macular thickness in patients with uveitic and postoperative macular edema.
  • An open-label, multicenter trial involved 106 adults who were randomly assigned to receive either treatment; the main measure was the change in central macular thickness after 2 months.
  • Results indicated that triamcinolone is likely as effective as dexamethasone, particularly for postoperative edema, with no significant differences in side effects, but conclusive non-inferiority was not established at the 2-month mark.
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Objective: Targeted therapy (TT) with BRAF/MEK inhibitors has emerged as a potential treatment in papillary craniopharyngiomas (PCPs). However, standardized data on large cohorts are lacking. Our study aimed to assess real-life efficacy and safety of BRAF/MEK inhibition in patients with PCPs.

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The puerperium refers to the 6-8 weeks following delivery, and is a dynamic period in which maternal anatomy and physiology are restored to their prepregnant state. Postpartum complications can be divided into non-obstetric and obstetric. The latter are the topic of this article and can be further classified as infectious, thrombotic, hemorrhagic or cesarean-related.

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Detection and characterization of pancreatic lesion with artificial intelligence: The SFR 2023 artificial intelligence data challenge.

Diagn Interv Imaging

October 2024

Department of Radiology, Gustave Roussy, 94805 Villejuif, France; Laboratoire d'Imagerie Biomédicale Multimodale Paris-Saclay, Inserm, CNRS, CEA, BIOMAPS, UMR 1281, Université Paris-Saclay, Villejuif 94800, France.

Article Synopsis
  • The 2023 SFR data challenge aimed to encourage researchers to create AI models for detecting pancreatic masses and determining if they are benign or malignant using abdominal CT scans.
  • A total of 1,037 CT examinations were gathered from 18 French centers, organized into training and evaluation sets, with teams composed of radiologists, data scientists, and engineers participating in the analysis.
  • The challenge involved 10 teams and showed promising results, with AI demonstrating potential in identifying pancreatic lesions from real data, although distinguishing between benign and malignant masses remains challenging.
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Background: Inception cohorts aim to describe chronic diseases from diagnosis and over years of follow-up. Axial spondyloarthritis (axSpA) diagnosis might be challenging during the first years of the disease. Thus, identifying the features that will be associated with a confirmed diagnosis over time is key.

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Impact of pre-transplant immune checkpoint inhibitor use on post-transplant outcomes in HCC: A systematic review and individual patient data meta-analysis.

J Hepatol

January 2025

Karsh Division of Gastroenterology and Hepatology, Cedars-Sinai Medical Center, Los Angeles 90048, CA, USA; Comprehensive Transplant Center, Cedars-Sinai Medical Center, Los Angeles 90048, CA, USA; Samuel Oschin Comprehensive Cancer Institute, Cedars-Sinai Medical Center, Los Angeles 90048, CA, USA. Electronic address:

Article Synopsis
  • This study analyzes the effects of immune checkpoint inhibitors (ICIs) on liver transplant outcomes for patients with hepatocellular carcinoma (HCC), focusing on allograft rejection, recurrence, and survival rates.* -
  • Out of 91 patients studied, 26.4% experienced allograft rejection, with age and the length of ICI washout being significant risk factors; there were no differences in overall survival between patients with and without rejection.* -
  • The findings suggest that with a proper washout period of around 3 months, the risk of allograft rejection may be comparable to patients not exposed to ICIs, indicating that further research is needed to validate these results.*
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Article Synopsis
  • The study aims to identify easily measurable biomarkers that reflect the biological effects of glucocorticoids in patients with Cushing's syndrome through whole blood transcriptome analysis.
  • It analyzed transcriptomic profiles from blood samples of different patient groups, creating a prediction model that effectively distinguishes between those with overt Cushing's syndrome and other conditions.
  • Findings indicate that the transcriptome can indicate glucocorticoid levels, with FKBP5 expression showing potential as a nonhormonal marker for diagnosing Cushing's syndrome.
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Article Synopsis
  • The study aimed to establish a common language regarding extreme liver surgery to facilitate better comparison of surgical outcomes across different centers.
  • A Delphi methodology was used, gathering opinions from 38 expert surgeons, who largely agreed on key definitions related to total vascular occlusion and surgical approaches, achieving consensus on various topics.
  • Ultimately, 75% agreed on a definition for extreme liver surgery, highlighting the importance of a unified approach in managing patients with complex liver diseases.
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Synapse and primary cilia dysfunctions in Autism Spectrum Disorders. Avenues to normalize these functions.

Rev Neurol (Paris)

December 2024

Académie nationale de médecine, 16, rue Bonaparte, 75272 Paris cedex 06, France; Faculté de médecine, université de Tours, Tours, France; GIS Autisme et troubles du neurodéveloppement, Paris, France.

Aim: An update on the plasticity of the brain networks involved in autism (autism spectrum disorders [ASD]), and the increasing role of their synapses and primary non-motile cilia.

Methods: Data from PubMed and Google on this subject, published until February 2024, were analyzed.

Results: Structural and functional brain characteristics and genetic particularities involving synapses and cilia that modify neuronal circuits are observed in ASD, such as reduced pruning of dendrites, minicolumnar pathology, or persistence of connections usually doomed to disappear.

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The aim of this multicenter prospective survey called PIT-EASY was to assess the relevance of the European Pituitary Pathology Group (EPPG) diagnostic tools for pituitary neuroendocrine tumors (PitNETs) to improve the quality of their histological diagnosis. Each center performed at least 30 histological cases of PitNETs using the EPPG tools and assessed their value using a scorecard with 10 questions. For each center, the histological cases were carried out by pathologists with varying levels of expertise in pituitary pathology defined as junior, intermediate, and expert.

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Background: Since the publication of the 2011 European Alliance of Associations for Rheumatology (EULAR) recommendations for patient research partner (PRP) involvement in rheumatology research, the role of PRPs has evolved considerably. Therefore, an update of the 2011 recommendations was deemed necessary.

Methods: In accordance with the EULAR Standardised Operational Procedures, a task force comprising 13 researchers, 2 health professionals and 10 PRPs was convened.

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Objectives: The objective of our study is to demonstrate the practical application of continent cutaneous urinary diversion (CCUD) in oncological patients, with a focus on various aspects of the procedure: surgical challenges, functional outcomes, and quality of life.

Materials And Methods: We studied the perioperative and follow-up data of patients who underwent cystectomy for cancer associated with CCUD (Mitrofanoff, Monti or Casale). We retrospectively analyzed complications within 30days and beyond 30days post-surgery.

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Isotretinoin: Past, present and future. A French perspective.

Ann Dermatol Venereol

September 2024

Centre de Preuves de la Société Française de Dermatologie, 10 Cité Malesherbes, 75009 Paris, France; Groupe DEFI de la Société Française de Dermatologie, 10 Cité Malesherbes, 75009 Paris, France; Consultation dermatoses faciales, AP-HP, Hôpital Universitaire Pitié-Salpêtrière, 75013 Paris, France.

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Impact of facial palsy impact on make-up habits: An observational cohort study.

Eur Ann Otorhinolaryngol Head Neck Dis

November 2024

AP-HP, Service d'ORL, Hôpital Universitaire Pitié-Salpêtrière, Paris, France. Electronic address:

Objective: The esthetic problems inherent to peripheral (PFP) are frequent causes of complaint. Make-up is advocated as a form of therapy and can alleviate symptoms of depression. The aim of the present study was to collect data on make-up habits in female PFP patients and assess links with esthetic and/or functional complaints.

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