565 results match your criteria: "PELLEGRIN Hospital[Affiliation]"

French practical guidelines for the diagnosis and management of relapsing polychondritis.

Rev Med Interne

June 2023

Internal Medicine Department URM Pavilion C.I.C. 1436 - module plurithématique adulte, hôpital Purpan, CHU de Toulouse, Toulouse, France.

Article Synopsis
  • Relapsing polychondritis is a rare inflammatory disease primarily affecting cartilage in middle-aged individuals, often starting with chondritis in areas like the ears, nose, or respiratory tract.
  • Diagnosis relies on clinical signs and ruling out other conditions since no specific lab test confirms it, and symptoms may not appear until years after initial signs.
  • Treatment varies and typically involves a combination of non-steroidal anti-inflammatory drugs and immunosuppressants, with a better outlook for patients with limited cartilage involvement, while respiratory or cardiovascular issues worsen the prognosis.
View Article and Find Full Text PDF

Purpose: The purpose of this study was to investigate patients with early-onset scoliosis (EOS) who completed their electromagnetic lengthening rod program to assess the demographics of this population and to analyze the evolution of clinical and radiological parameters and the occurrence of complications.

Methods: This was a multicenter study with 10 French centers. We collected all patients with EOS who had undergone electromagnetic lengthening between 2011 and 2022.

View Article and Find Full Text PDF
Article Synopsis
  • The study aims to describe the phenotypic and genotypic spectrum of a neurodevelopmental disorder linked to a specific gene implicated in periventricular nodular heterotopia (PVNH).
  • Researchers examined 17 individuals with variants, identifying several types of genetic mutations and their effects on brain structure and function.
  • Findings highlighted a range of symptoms, including intellectual disability, seizures, microcephaly, and various neurological and sensory defects, confirming the gene's role in this autosomal dominant syndrome characterized by abnormal neuronal migration.
View Article and Find Full Text PDF

Objective: The role of endovascular treatment in the management of patients with brain arteriovenous malformations (AVMs) remains uncertain. AVM embolization can be offered as stand-alone curative therapy or prior to surgery or stereotactic radiosurgery (SRS) (pre-embolization). The Treatment of Brain AVMs Study (TOBAS) is an all-inclusive pragmatic study that comprises two randomized trials and multiple registries.

View Article and Find Full Text PDF

Recurrent high grade glioma surgery with carmustine wafers implantation: a long-term nationwide retrospective study.

J Neurooncol

April 2023

Department of Neurosurgery, Hôpital Privé Clairval - Ramsay Santé, 317 Bd du Redon, 13009, Marseille, France.

Purpose: Widespread use of carmustine wafers (CW) to treat high-grade gliomas (HGG) has been limited by uncertainties about its efficacy. To assess the outcome of patients after recurrent HGG surgery with CW implantation and, search for associated factors.

Methods: We processed the French medico-administrative national database between 2008 and 2019 to retrieve ad hoc cases.

View Article and Find Full Text PDF

Evaluation of catch-up growth in severe pediatric Hashimoto's hypothyroidism.

Arch Pediatr

April 2023

Department of Pediatric Endocrinology and diabetology, Bicêtre Hospital and Paris Sud University, Le Kremlin-Bicêtre, France.

Article Synopsis
  • The study evaluated the growth recovery in children with severe Hashimoto's hypothyroidism after starting thyroid hormone replacement therapy.
  • A total of 29 children showed a significant height increase over 1 to 5 years of treatment, but final height didn't fully recover from the height loss at diagnosis.
  • Growth hormone administration in the most severe cases may improve catch-up growth, indicating that HRT alone may not be enough for optimal recovery.
View Article and Find Full Text PDF

Newly Diagnosed High-Grade Glioma Surgery with Carmustine Wafers Implantation. A Long-Term Nationwide Retrospective Study.

World Neurosurg

May 2023

Department of Neurosurgery, Hôpital privé Clairval - Ramsay Santé, Marseille, France; Institut de Neurophysiopathologie - CNRS UMR 7051, Aix-Marseille Université, Marseille, France.

Background: Widespread use of carmustine wafers (CWs) to treat high-grade gliomas (HGG) has been limited by uncertainties about their efficacy. We sought to assess the outcome of patients after newly diagnosed HGG surgery with CW implantation and search for associated factors.

Methods: We processed the French medico-administrative national database between 2008 and 2019 to retrieve ad hoc cases.

View Article and Find Full Text PDF

Cystic lymphatic malformations (LMs) are rare chronic conditions which management differs according to the type (macrocystic LMs, microcystic LMs or both). Studies are lacking due to rarity of the pathology. We aimed to establish a French National Diagnosis and Care Protocol (PNDS: Protocole National de Diagnostic et de Soins), to provide health professionals with free open access synthesis on optimal management and care of patients with LMs ( https://www.

View Article and Find Full Text PDF

To evaluate indirect criteria of pelvic venous insufficiency (PVI) of a short tau inversion recovery (STIR) sequence retrospectively compared with phlebographic findings. Between 2008 and 2018, 164 women who had received MRI and phlebography for pelvic congestion syndrome (60), varicose veins in the lower limbs (45), both (43), or other symptoms (16) were included. The presence of periuterine varicosities and perivaginal varicosities were compared to the findings of phlebography: grading of left ovarian vein reflux and presence of internal pudendal or obturator leak.

View Article and Find Full Text PDF

CD44v3 is a marker of invasive cancer stem cells driving metastasis in gastric carcinoma.

Gastric Cancer

March 2023

INSERM U1312, Bordeaux Institute of Oncology, University of Bordeaux, 146 rue Leo Saignat, 33076, Bordeaux, France.

Background: Cancer stem cells (CSCs) are at the origin of tumour initiation and progression in gastric adenocarcinoma (GC). However, markers of metastasis-initiating cells remain unidentified in GC. In this study, we characterized CD44 variants expressed in GC and evaluated the tumorigenic and metastatic properties of CD44v3+ cells and their clinical significance in GC patients.

View Article and Find Full Text PDF

Two RFC1 splicing variants in CANVAS.

Brain

March 2023

Alzheimer and Tauopathies, Univ. Lille, Inserm, CHU Lille, U1172-LilNCog (JPARC)-Lille Neuroscience & Cognition, Lille F-59000, France.

View Article and Find Full Text PDF

Background: Chemotherapy for non-seminomatous germ cell tumours (NSGCT) exposes to dose-dependent toxicities. The TGM13-NS protocol (EudraCT 2013-004039-60) aimed to decrease the chemotherapy burden compared to the previous TGM95 protocol while maintaining the 5-year event-free survival (EFS) at 80% or more.

Procedure: Patients less than 19 years of age with disseminated NSGCT were enrolled (May 2014 to May 2019) and stratified into four groups: two intermediate-risk (IR: localised tumour with low tumour markers [TM]) groups treated with VBP (vinblastine-bleomycin-cisplatin): three courses for IR1 (ovarian tumour any age/testis tumour less than or equal to 10 years) and four courses for IR2 (extragonadal tumour 10 years or less) groups, and two high-risk (HR: metastatic and/or high TM) groups treated with etoposide-cisplatin and either ifosfamide (VIP) or bleomycin (BEP): three courses for HR1 (ovarian tumour any age/testis tumour less than or equal to 10 years and low TM/testis tumour more than 10 years and very low TM) groups and four courses for HR2 (remainder) groups.

View Article and Find Full Text PDF

Intermediate repeat expansions of TBP and STUB1: Genetic modifier or pure digenic inheritance in spinocerebellar ataxias?

Genet Med

February 2023

Sorbonne University, Paris Brain Institute (ICM- Institut du Cerveau), INSERM, CNRS, Assistance Publique-Hôpitaux de Paris (AP-HP), Paris, France. Electronic address:

Purpose: CAG/CAA repeat expansions in TBP are responsible for spinocerebellar ataxia (SCA) type 17 (SCA17). We previously detected cosegregation of STUB1 variants causing SCA48 with intermediate alleles of TBP in 2 families. This cosegregation questions the existence of SCA48 as a monogenic disease.

View Article and Find Full Text PDF

Molecular and clinical diversity in primary central nervous system lymphoma.

Ann Oncol

February 2023

Institut du Cerveau-Paris Brain Institute-ICM, Inserm, Sorbonne Université, CNRS, Paris, France; Department of Neurology-2, Sorbonne Université, Assistance Publique-Hôpitaux de Paris, Groupe Hospitalier Pitié-Salpêtrière-Charles Foix, Paris, France. Electronic address:

Article Synopsis
  • Primary central nervous system lymphoma (PCNSL) is a unique type of diffuse large B-cell lymphoma that shows varied response rates likely due to its molecular complexity.
  • A detailed analysis of 147 fresh-frozen and 93 formalin-fixed PCNSLs identified four significant prognostic clusters, with distinct clinical behaviors and genetic profiles.
  • The findings suggest targeted therapeutic approaches for each PCNSL subtype, including immune checkpoint inhibitors and various targeted drugs based on their specific molecular characteristics.
View Article and Find Full Text PDF

Background: Given the rapidly evolving pandemic of COVID-19 in 2020, authorities focused on the repurposing of available drugs to develop timely and cost-effective therapeutic strategies. Evidence suggested the potential utility of remdesivir in the framework of an early access program. REMDECO-19 is a multicenter national cohort study assessing the ability of remdesivir to improve the outcome of patients hospitalized with COVID-19.

View Article and Find Full Text PDF

Antibody-mediated rejection (ABMR) is the leading cause of allograft failure in kidney transplantation. Defined by the Banff classification, its gold standard diagnosis remains a challenge, with limited inter-observer reproducibility of the histological scores and efficient immunomarker availability. We performed an immunohistochemical analysis of 3 interferon-related proteins, WARS1, TYMP and GBP1 in a cohort of kidney allograft biopsies including 17 ABMR cases and 37 other common graft injuries.

View Article and Find Full Text PDF

Purpose: We investigated the long-term safety and efficacy of hepatic transarterial embolization (TAE) in patients with symptomatic polycystic liver disease (PLD). Materials and Methods: A total of 26 patients were included, mean age of 52.3 years (range: 33−78 years), undergoing 32 TAE procedures between January 2012 and December 2019 were included in this retrospective study.

View Article and Find Full Text PDF

Impact of Albumin Assays in the Diagnosis of Malnutrition in Hemodialysis Patients: A Cohort Study.

J Ren Nutr

March 2023

CHU Bordeaux, Department of Biochemistry, Pellegrin Hospital, Bordeaux, France; University of Bordeaux, INSERM, Biology of Cardiovascular Diseases U1034, Pessac, France. Electronic address:

Article Synopsis
  • The study evaluates different methods for measuring plasma albumin in hemodialysis patients to accurately diagnose malnutrition.
  • It highlights significant variations in albumin levels based on the testing method, with existing thresholds for hypoalbuminemia leading to misclassifications.
  • The authors suggest adjusting hypoalbuminemia cut-off values for two methods (bromocresol purple and immunoturbidimetry) to improve diagnostic accuracy in identifying malnutrition among these patients.
View Article and Find Full Text PDF

Objective: The objective of this study was to compare the quality of life (QoL) for parents of children with inborn errors of metabolism (IEMs) requiring a restricted diet with French population norms and investigate parental QoL determinants.

Study Design: This cross-sectional study included mothers and/or fathers of children < 18 years of age affected by IEMs requiring a restricted diet (except phenylketonuria) from January 2015 to December 2017. Parents' QoL was assessed using the World Health Organization Quality of Life BREF questionnaire and compared with age- and sex-matched reference values from the French general population.

View Article and Find Full Text PDF

In Euro-EWING99-R1 randomized trial, cyclophosphamide was shown to be noninferior to ifosfamide in the consolidation of standard-risk Ewing sarcoma (SR-EWS) after a common induction with VIDE (vincristine-ifosfamide-doxorubicin-etoposide). We present the results of the late effects analysis of VAC (vincristine-dactinomycin-cyclophoshamide) vs VAI (vincristine-dactinomycin-ifosfamide) conducted in Euro-EWING99-R1 French cohort. Of 267 French randomized patients, 204 were alive and free-of-relapse at 5-years including 172 with available long-term follow-up data concerning cardiac, renal and/or gonadal functions (sex-ratio M/F = 1.

View Article and Find Full Text PDF

Acute peripheral neuropathy following animal envenomation: A case report and systematic review.

J Neurol Sci

November 2022

Department of Neurology, Nerve-Muscle Unit, University Hospital (CHU) of Bordeaux (Pellegrin Hospital), 2 place Amélie Raba-Léon, 33000 Bordeaux, France; ALS Center, University Hospital (CHU) of Bordeaux (Pellegrin Hospital), 2 place Amélie Raba-Léon, 33000 Bordeaux, France; AOC Neuromuscular Reference Center, University Hospital (CHU) of Bordeaux (Pellegrin Hospital), 2 place Amélie Raba-Léon, 33000 Bordeaux, France.

Article Synopsis
  • 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.
View Article and Find Full Text PDF

Background: Acute traumatic epidural hematoma (EDH) is a complication in 2-3% of pediatric head injuries. Surgery is mandatory in symptomatic cases; otherwise, conservative treatment is a valid approach, especially in the pediatric population. Ossified epidural hematomas (OEHs) have been reported in the pediatric population as a rare complication of conservative EDH management, although the exact incidence remains unknown.

View Article and Find Full Text PDF

Skin landmarks as ideal entry points for ventricular drainage, a radiological study.

Surg Radiol Anat

October 2022

Department of Neurosurgery A, University Hospital of Bordeaux, Place Amélie Raba-Léon, 33076, Bordeaux Cedex, France.

Purpose: Ventricular drainage remains a usual but challenging procedure for neurosurgical trainees. The objective of the study was to describe reliable skin landmarks for ideal entry points (IEPs) to catheterize brain ventricles via frontal and parieto-occipital approaches.

Methods: We included 30 subjects who underwent brain MRI and simulated the ideal catheterization trajectories of lateral ventricles using anterior and posterior approaches and localized skin surface IEPs.

View Article and Find Full Text PDF

Background: Paediatric out-of-hospital cardiac arrest (OHCA) is the reason for an emergency call in approximately 8/100,000 person-years. Improvement of OHCA resuscitation needs a quality chain of survival and a rapid start of resuscitation. The aim of this study was to compare the efficacy of two resuscitation techniques provided on a mannequin, the two-fingers technique (TFT) and the two-thumbs encircling hand technique (TTHT), explained by a trained emergency call responder on the phone in a population of non-health professionals.

View Article and Find Full Text PDF