334 results match your criteria: "Strasbourg university hospitals[Affiliation]"

Correspondence. Reply to the article "Cornelis S, Mufty S, Peters S. Isolated distal radioulnar joint septic arthritis, the intact triangular fibrocartilaginous complex serving as an anatomical barrier. Hand Surg Rehabil, January 2025.

Hand Surg Rehabil

January 2025

Department of Hand Surgery, Strasbourg University Hospitals, FMTS, 1 avenue Molière, 67200, Strasbourg, France; ICube CNRS UMR7357, Strasbourg University, 2-4 rue Boussingault, 67000 Strasbourg, France. Electronic address:

Cornelis et al. reported an isolated DRUJ infection treated with open surgery to prevent spread to the radiocarpal joint. We suggest that arthroscopy, proven effective in other joint infections and technically feasible for the DRUJ without damaging the TFCC,could have been a less invasive and effective alternative.

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Preventive interventions are expected to substantially improve the prognosis of patients with primary liver cancer, predominantly hepatocellular carcinoma (HCC) and cholangiocarcinoma. HCC prevention is challenging in the face of the evolving etiological landscape, particularly the sharp increase in obesity-associated metabolic disorders, including metabolic dysfunction-associated steatotic liver disease (MASLD). Next-generation anti-HCV and HBV drugs have substantially reduced, but not eliminated, the risk of HCC and have given way to new challenges in identifying at-risk patients.

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Comparison of the lethal triad and the lethal diamond in severe trauma patients: a multicenter cohort.

World J Emerg Surg

January 2025

Federation of Anesthesiology, Intensive Care Unit, Burns and Operating Theater, Percy Military Training Hospital, 2 Rue Lieutenant Raoul Batany, 92140, Clamart, France.

Background: To reduce the number of deaths caused by exsanguination, the initial management of severe trauma aims to prevent, if not limit, the lethal triad, which consists of acidosis, coagulopathy, and hypothermia. Recently, several studies have suggested adding hypocalcemia to the lethal triad to form the lethal diamond, but the evidence supporting this change is limited. Therefore, the aim of this study was to compare the lethal triad and lethal diamond for their respective associations with 24-h mortality in severe trauma patients receiving transfusion.

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Background: Data about the safety and the efficacy of flow diversion for distal anterior cerebral artery (DACA) aneurysms are limited. We present the largest multicenter analysis evaluating the outcomes of flow diversion in unruptured DACA aneurysm treatment.

Methods: Databases from 39 centers were retrospectively reviewed for unruptured DACA aneurysms treated with flow-diverting stents.

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Central nervous system complications of immune checkpoint inhibitors: A comprehensive review.

Crit Rev Oncol Hematol

December 2024

Center for Clinical Investigation, INSERM U1434, Strasbourg University, 1 Avenue Molière, Strasbourg 67098, France; Neurology Department, Strasbourg University Hospitals, 1 Avenue Molière, Strasbourg 67098, France. Electronic address:

The ever-increasing use of immune checkpoint inhibitors (ICIs) has significantly improved cancer management, but at the cost of frequent immunologic side effects. Among them, neurologic immune-related adverse events (nirAEs) are less common but pose a challenge to clinicians due to their severity, heterogeneous nature and nonspecific clinical presentation, making diagnosis complex. The prognosis of these nirAEs, especially those related to the central nervous system (CNS), correlates with their rapid recognition and therapeutic management.

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Purpose: To investigate the influence of germline succinate dehydrogenase (SDHx) pathogenic variants on 6-[F]-fluoro-3,4-dihydroxyphenylalanine (F-DOPA) Positron Emission Tomography (PET) radiomic signature of head and neck paragangliomas (HNPGLs).

Methods: Forty-seven patients (20 SDH pathogenic variants carriers) harboring 55 HNPGLs were retrospectively included. HNPGLs were delineated using Nestle adaptive threshold.

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Endovascular treatment of dural venous sinus stenosis using auto-expandable stents is progressively becoming a central part in the management of patients with idiopathic intracranial hypertension (IIH) and pulsatile tinnitus. One potential concern during stenting is impairment of venous outflow in the Labbé vein, which usually drains in close proximity to the culprit transverse sinus stenosis. We propose a technique which can counteract venous outflow impairment, consisting of temporary balloon protection of the Labbé vein during stent deployment.

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Article Synopsis
  • Systemic sclerosis (SSc) is a rare autoimmune disease classified into two groups based on skin involvement; this study investigates the role of autoantibody profiles in predicting organ damage and mortality compared to skin phenotype.
  • Researchers analyzed data from 1,605 patients across seven French hospitals, focusing on autoantibodies and their correlation with various organ issues and death rates.
  • Findings reveal that specific autoantibodies are strongly linked to serious complications like interstitial lung disease and renal crisis, while skin phenotype alone does not effectively predict patient outcomes.
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Interconnection between adolescents' and family members' sleep.

Sci Rep

November 2024

Institute of Cellular and Integrative Neurosciences, CNRS UPR3212- Research Team "Sleep, Clock, Light and NeuroPsychiatry", Strasbourg, France.

Deficient sleep has been linked to a broad range of physical, cognitive and mental health impacts, in particular during adolescence. It is thus essential to understand its underlying mechanisms, including family factors. The goal of our study was to assess through combined subjective and objective assessments, how family members' daily variations in sleep are interconnected, between parents and siblings of adolescents.

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Article Synopsis
  • Cataract surgery training is essential for ensuring patient safety and trainee satisfaction, particularly through the use of virtual reality simulators (EyeSi and HelpMeSee) and supervised surgical training on real patients.
  • A literature review of 18 studies, involving 1515 participants, focused on patient safety outcomes and trainee satisfaction, highlighting variations in training programs and a low level of certainty in results.
  • The review found that 80% of virtual reality simulation studies reported significant improvements in patient safety, while supervised training mainly took place in low-to-middle income countries, showing a high volume of cataract surgeries performed by trainees.
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Article Synopsis
  • Cardiac neuroendocrine tumour metastases (CNTM) are uncommon, but advances in SSTR-PET/CT imaging may help detect them more frequently, prompting this systematic review and meta-analysis.
  • A total of ten studies with 163 patients showed that SSTR-PET/CT detects CNTM earlier than other imaging methods, with a pooled prevalence of 1.5% among neuroendocrine neoplasm (NEN) patients undergoing the procedure.
  • The findings suggest that SSTR-PET/CT improves early detection of CNTM but indicate a need for more thorough studies to assess its effects on patient outcomes and treatment decisions in NEN cases.
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This study aims to assess validity evidence of the new phacoemulsification module of the HelpMeSee [HMS] virtual reality simulator. Conducted at the Ophthalmology Department of Strasbourg University Hospital and Gepromed Education Department, Strasbourg, France, this cross-sectional study divided 20 surgeons into two groups based on their experience over or under 300 cataract surgeries. Surgeons filled out a background survey covering their phacoemulsification experience and prior simulator use before undergoing single-session simulations on the EyeSi [EYS] and HMS simulators.

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Background: Janus kinase inhibitors are an effective option for achieving sustained remission or low disease activity in patients with rheumatoid arthritis (RA) following inadequate response to conventional synthetic disease-modifying anti-rheumatic drugs. Filgotinib is a Janus kinase 1-preferential inhibitor available in two doses for moderate-to-severe RA. We report the long-term efficacy and safety of filgotinib.

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Refining the role of presurgical PET/4D-CT in a large series of patients with primary hyperparathyroidism undergoing [F]Fluorocholine PET/CT.

Eur J Clin Invest

February 2025

Nuclear Medicine, Institut de Cancérologie de Strasbourg Europe (ICANS), Strasbourg University Hospitals, University of Strasbourg, Strasbourg, France.

Article Synopsis
  • A study evaluated the effectiveness of a diagnostic strategy combining [F]Fluorocholine PET/CT with 4D-CT for patients with primary hyperparathyroidism (pHPT) undergoing surgery.
  • The results showed that PET/CT was significantly more accurate than 4D-CT, with high sensitivity and specificity rates (83% and 97%, respectively), whereas 4D-CT had lower rates (53% sensitivity).
  • When PET/CT results were inconclusive, using the two imaging methods together improved diagnostic accuracy, making it a recommended personalized imaging approach for pHPT patients.
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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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Article Synopsis
  • Mucormycosis, a severe fungal infection highlighted by the WHO, was studied in France from 2012 to 2022, revealing significant trends in epidemiology and mortality factors.
  • Out of 550 cases, key underlying conditions included hematological malignancies (65.1%), with pulmonary infections most common (52.4%) and substantial seasonal variations suggesting more cases in autumn.
  • The study linked the rise in PCR diagnostic methods to improved patient outcomes, highlighting that age, ICU diagnosis, and hematological malignancies increased mortality, while diagnosis after 2015 and surgical interventions decreased it.
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Chronic liver disease and cancer are global health challenges. The role of the circadian clock as a regulator of liver physiology and disease is well established in rodents, however, the identity and epigenetic regulation of rhythmically expressed genes in human disease is less well studied. Here we unravel the rhythmic transcriptome and epigenome of human hepatocytes using male human liver chimeric mice.

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Targeting the liver clock improves fibrosis by restoring TGF-β signaling.

J Hepatol

January 2025

University of Strasbourg, Inserm, Institute for Translational Medicine and Liver Disease (ITM), UMR_S1110, Strasbourg, France; Pôle des Pathologies Hépatiques et Digestives, Strasbourg University Hospitals, Strasbourg, France; Institut Hospitalo-Universitaire (IHU) Strasbourg, France; Institut Universitaire de France (IUF), Paris, France. Electronic address:

Background & Aims: Liver fibrosis is the major driver of hepatocellular carcinoma and liver disease-related death. Approved antifibrotic therapies are absent and compounds in development have limited efficacy. Increased TGF-β signaling drives collagen deposition by hepatic stellate cells (HSCs)/myofibroblasts.

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