247 results match your criteria: "Lyon-I University[Affiliation]"

Catch-Up Saccades in Vestibulo-Ocular Reflex Deficit: Contribution of Visual Information?

Ear Hear

December 2024

Institut national de la santé et de la recherche médicale, U1028, Centre National de Recherche Scientifique, UMR5292, Lyon Neuroscience Research Center, Integrative Multisensory Perception and ACTion Team, Lyon, France.

Objectives: Catch-up saccades help to compensate for loss of gaze stabilization during rapid head rotation in case of vestibular deficit. While overt saccades observed after head rotation are obviously visually guided, some of these catch-up saccades occur with shorter latency while the head is still moving, anticipating the needed final eye position. These covert saccades seem to be generated based on the integration of multisensory inputs.

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Background: SUNSHINE and SUNRISE demonstrated sustained clinical efficacy of secukinumab in patients with moderate-to-severe hidradenitis suppurativa (HS) through 52 weeks. Patients completing the core trials could enter a 4-year extension trial.

Objectives: To evaluate the long-term efficacy, safety/tolerability, and maintenance of clinical response of secukinumab through Week 104 in the extension trial.

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Carotid web: Pathophysiology, diagnostic, and therapeutic options. A narrative review.

Vasc Med

October 2024

Service de Chirurgie Vasculaire et Endovasculaire, Hôpital Louis Pradel, Hospices Civils de Lyon, Bron, France.

Article Synopsis
  • A carotid web (CaWeb) is a rare fibrous tissue growth in the carotid bulb, often leading to ischemic strokes in younger individuals, especially young women.
  • Recent reviews reveal that traditional diagnostic criteria may miss CaWebs since many patients show less than 50% stenosis on ultrasound, complicating their detection and management.
  • Current treatment approaches for symptomatic CaWebs focus on procedures like endarterectomy or stenting, but there are still no standardized guidelines for handling asymptomatic cases, making ongoing research crucial.
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Article Synopsis
  • The study explored how increased oxygen extraction fraction (OEF) affects the recovery of diffusion-weighted imaging (DWI) lesions in stroke patients who underwent thrombectomy after acute ischemic events.
  • It analyzed data from the HIBISCUS-STROKE cohort, focusing on DWI and perfusion magnetic resonance imaging results to understand the relationship between OEF levels and changes in ischemic lesion volume.
  • Results showed that patients with increased OEF within their DWI lesions experienced a significant reduction in lesion volume compared to those without increased OEF, suggesting that higher OEF may be a positive indicator for recovery post-thrombectomy.
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Article Synopsis
  • Sequence-based genetic testing finds causative variants in about 50% of cases of developmental and epileptic encephalopathies (DEEs), but DNA methylation changes in these cases have not been thoroughly explored.
  • This study analyzed genome-wide DNA methylation in blood samples from 582 individuals with unresolved DEEs, identifying rare methylation patterns and potential genetic causes in 12 of these cases.
  • The research highlights the effectiveness of DNA methylation analysis in diagnosing DEEs, showing a 2% diagnostic yield, and provides insights into the CHD2 gene's pathophysiology using advanced sequencing methods.
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Background: New highly effective drugs for moderate-to-severe cutaneous psoriasis are regularly marketed, and the hierarchy of treatments thus requires frequent review.

Objectives: A Delphi method was used to enable a structured expert consensus on the use of systemic treatments and phototherapy among adults with moderate-to-severe psoriasis.

Methods: The Delphi method consists in achieving a convergence of opinions among a panel of experts using several rounds of questionnaires with controlled feedback between rounds.

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Introduction: To investigate the relationship between collaterals and blood-brain barrier (BBB) permeability on pre-treatment MRI in a cohort of acute ischemic stroke (AIS) patients treated with thrombectomy.

Methods: We conducted a retrospective analysis of the HIBISCUS-STROKE cohort, a single-center observational study that enrolled patients treated with thrombectomy from 2016 to 2022. Dynamic-susceptibility MRIs were post-processed to generate K2 maps with arrival-time correction, which were co-registered with apparent diffusion coefficient (ADC) maps.

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It Looks Like a Spinal Cord Tumor but It Is Not.

Cancers (Basel)

February 2024

Department of Neuroradiology, East Group Hospital, Hospices Civils de Lyon, 59 Bd Pinel, 69500 Bron, France.

Differentiating neoplastic from non-neoplastic spinal cord pathologies may be challenging due to overlapping clinical and radiological features. Spinal cord tumors, which comprise only 2-4% of central nervous system tumors, are rarer than non-tumoral myelopathies of inflammatory, vascular, or infectious origins. The risk of neurological deterioration and the high rate of false negatives or misdiagnoses associated with spinal cord biopsies require a cautious approach.

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Background: Selective biomarkers may improve outcomes in patients with recurrent or metastatic head and neck squamous cell carcinoma (R/M HNSCC) treated with immune checkpoint inhibitor therapy. We investigated three independent biomarkers for association with efficacy in the randomized, phase III KESTREL study (NCT02551159) of first-line durvalumab monotherapy or durvalumab plus tremelimumab versus the EXTREME regimen: programmed cell death ligand-1 (PD-L1) immunohistochemistry, blood tumor mutational burden (bTMB) via circulating tumor DNA, and neutrophil-to-lymphocyte ratio (NLR).

Methods: Tumor or blood samples from patients enrolled in the KESTREL study were analyzed for PD-L1, bTMB, and NLR.

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Article Synopsis
  • The study analyzes data from two groups of individuals with DDX3X variations, one from physicians (48 individuals) and the other from caregivers (44 individuals).
  • The results reveal shared symptoms between the two groups, including previously unreported early childhood issues like feeding difficulties and delayed developmental milestones.
  • The discussion emphasizes that both datasets complement each other, highlighting the importance of addressing symptoms such as ADHD, anxiety, and sleep disturbances in affected individuals.
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Yeast plasma-membrane Na/H antiporters (Nha/Sod) ensure the optimal intracellular level of alkali-metal cations and protons in cells. They are predicted to consist of 13 transmembrane segments (TMSs) and a large hydrophilic C-terminal cytoplasmic part with seven conserved domains. The substrate specificity, specifically the ability to recognize and transport K cations in addition to Na and Li, differs among homologs.

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Smoking, Alcohol Intake and Torque Teno Virus in Stable Kidney Transplant Recipients.

Viruses

December 2023

Department of Internal Medicine, Division of Nephrology, University Medical Center Groningen, University of Groningen, Hanzeplein 1, 9713 GZ Groningen, The Netherlands.

Torque Teno Virus (TTV) is a non-pathogenic virus that is highly prevalent among kidney transplant recipients (KTRs). Its circulating load is associated with an immunological status in KTR and is considered a promising tool for guiding immunosuppression. To allow for optimal guidance, it is important to identify other determinants of TTV load.

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Alternating hemiplegia of childhood (AHC) is a rare neurodevelopment disorder that is typically characterized by debilitating episodic attacks of hemiplegia, seizures, and intellectual disability. Over 85% of individuals with AHC have a de novo missense variant in ATP1A3 encoding the catalytic α3 subunit of neuronal NaK ATPases. The remainder of the patients are genetically unexplained.

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AMPA (α-amino-3-hydroxy-5-methyl-4-isoxazole propionic acid) receptors (AMPARs) mediate fast excitatory neurotransmission in the brain. AMPARs form by homo- or heteromeric assembly of subunits encoded by the GRIA1-GRIA4 genes, of which only GRIA3 is X-chromosomal. Increasing numbers of GRIA3 missense variants are reported in patients with neurodevelopmental disorders (NDD), but only a few have been examined functionally.

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Background: Papillary renal cell carcinoma (pRCC) is the most common non-clear cell RCC, and associated with poor outcomes in the metastatic setting. In this study, we aimed to comprehensively evaluate the immune tumor microenvironment (TME), largely unknown, of patients with metastatic pRCC and identify potential therapeutic targets.

Methods: We performed quantitative gene expression analysis of TME using Microenvironment Cell Populations-counter (MCP-counter) methodology, on two independent cohorts of localized pRCC (n=271 and n=98).

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Early Detection of Underlying Cavernomas in Patients with Spontaneous Acute Intracerebral Hematomas.

AJNR Am J Neuroradiol

July 2023

From the Department of Neuroradiology (A.B.-S., O.F.E., R.A., M.C., Y.B., M.H.).

Background And Purpose: Early identification of the etiology of spontaneous acute intracerebral hemorrhage is essential for appropriate management. This study aimed to develop an imaging model to identify cavernoma-related hematomas.

Materials And Methods: Patients 1-55 years of age with acute (≤7 days) spontaneous intracerebral hemorrhage were included.

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Vascular hyperintensities on baseline FLAIR images are associated with functional outcome in stroke patients with successful recanalization after mechanical thrombectomy.

Diagn Interv Imaging

June 2023

Department of Neuroradiology, East Group Hospital, Hospices Civils de Lyon, 69500, Bron, France; CREATIS Laboratory, CNRS UMR 5220, INSERM U 5220, Claude Bernard Lyon I University, 69100, Villeurbanne, France.

Purpose: The purpose of this study was to assess the prognostic value of vascular hyperintensities on FLAIR images (VHF) at admission MRI in patients with acute ischemic stroke (AIS) achieving successful recanalization after mechanical thrombectomy.

Materials And Methods: Patients with AIS treated by mechanical thrombectomy following admission MRI from the single-center HIBISCUS-STROKE cohort were assessed for eligibility. VHF were categorized using a four-scale classification and were considered poor when grade < 3 (i.

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Prognostic factors for significant 6-month recovery in dysthyroid optic neuropathy in a tertiary center: A series of 69 eyes in 38 patients.

Ann Endocrinol (Paris)

August 2023

Department of Endocrinology, Hôpital Louis-Pradel, Hospices Civils de Lyon, 69500 Bron, France. Electronic address:

Purpose: To identify initial features associated with significant recovery in patients with Graves' disease dysthyroid optic neuropathy (DON) treated according to EUGOGO guidelines by intravenous glucocorticoids (ivGC) and decompression surgery in first and second-line, respectively.

Patients And Methods: Consecutive patients referred to our expert multidisciplinary consultation over a 6-year period underwent systematic exploration: endocrine assessment, ophthalmic examination and radiological exploration. Visual recovery, based on best-corrected visual acuity (BCVA) and visual field (VF), were evaluated at baseline, 1week and 6months.

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Article Synopsis
  • - The study focuses on patients with KCNT2-related developmental epileptic encephalopathy (DEE) and identifies 25 individuals with various pathogenic variants, revealing a range of symptoms including intellectual disabilities and epilepsy.
  • - Researchers conducted in-depth genetic analysis and functional studies on 14 novel KCNT2 variants, finding 19 pathogenic variants in total, including both gain-of-function and loss-of-function features.
  • - The findings suggest that different KCNT2 variants exhibit distinct pharmacological responses, underlining the importance of tailored drug treatments based on specific genetic and functional profiles.
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Article Synopsis
  • * Methods: This was a real-world retrospective study using data from the French National Hospitalization Database, focusing on adult MIUC patients who had their first radical surgery, comparing those treated in 2015 and 2019, with survival outcomes assessed via Kaplan-Meier analysis.
  • * Results: A total of 21,295 patients had radical surgery; most had muscle-invasive bladder cancer (MIBC). While RS remained the primary treatment method, the use of neoadjuvant and adjuvant therapies
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Purpose: Accurate quantification of ischemic core and ischemic penumbra is mandatory for late-presenting acute ischemic stroke. Substantial differences between MR perfusion software packages have been reported, suggesting that the optimal Time-to-Maximum (Tmax) threshold may be variable. We performed a pilot study to assess the optimal Tmax threshold of two MR perfusion software packages (A: RAPID; B: OleaSphere) by comparing perfusion deficit volumes to final infarct volumes as ground truth.

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Article Synopsis
  • * Over 200 sites in 40 countries participated, enrolling patients aged 18 or older who displayed a specific severity of the condition for at least a year, while also adhering to certain treatment guidelines.
  • * The main goal was to see how many patients achieved a significant reduction in their symptoms after 16 weeks, comparing those receiving secukinumab to a placebo group, using a randomized and double-blind method to ensure reliable results.
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