53 results match your criteria: "centre de référence maladie de Huntington[Affiliation]"

The prevalent belief that individuals with Huntington's disease exhibit selfish behaviour, disregarding the thoughts, feelings and actions of others, has been challenged by patient organizations and clinical experts. To further investigate this issue and study whether participants with Huntington's disease can pay attention to others, a joint memory task was carried out in patients with Huntington's disease with and without a partner. This study involved 69 participants at an early stage of Huntington's disease and 56 healthy controls from the UK, France and Germany, who participated in the international Repair-HD multicentre study (NCT03119246).

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Cognitive reserve is the ability to actively cope with brain deterioration and delay cognitive decline in neurodegenerative diseases. It operates by optimizing performance through differential recruitment of brain networks or alternative cognitive strategies. We investigated cognitive reserve using Huntington's disease (HD) as a genetic model of neurodegeneration to compare premanifest HD, manifest HD, and controls.

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Objective: Huntington's disease (HD) is a neurodegenerative disorder characterized by progressive motor, cognitive, and psychiatric symptoms. Our aim here was to identify factors that can be modified to slow disease progression even before the first symptoms appear.

Methods: We included 2636 presymptomatic individuals (comparison with family controls) drawn from the prospective observational cohort Enroll-HD, with more than 35 CAG repeats and at least two assessments of disease progression measured with the composite Huntington's disease rating Scale (cUHDRS).

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Graph methods to infer spatial disturbances: Application to Huntington's Disease's speech.

Cortex

July 2024

Département d'Etudes Cognitives, École normale supérieure, PSL University, NeuroPsychologie Interventionnelle, 75005 Paris, France; Univ Paris Est Créteil, INSERM U955, Institut Mondor de Recherche Biomédicale, Equipe NeuroPsychologie Interventionnelle, F-94010 Créteil, France; NeurATRIS Créteil, France; AP-HP, Hôpital Henri Mondor-Albert Chenevier, Centre de référence Maladie de Huntington, Service de Neurologie, F-94010 Créteil, France; Inserm, Centre d'Investigation Clinique 1430, AP-HP, Hôpital Henri Mondor, Créteil, France.

Article Synopsis
  • Huntington's Disease (HD) is a genetic neurodegenerative disorder affecting cognitive abilities, particularly spatial skills, and the authors aimed to assess these spatial deficits using language as a diagnostic tool.
  • They developed a Spatial Description Model to evaluate patients' descriptions of spatial relations while performing the Cookie Theft Picture task, involving 78 individuals with HD and 25 healthy controls.
  • Results showed that manifest HD patients displayed fewer spatial relations in their speech compared to healthy individuals, suggesting that language can effectively assess spatial disturbances in HD, potentially allowing for remote clinical evaluations.
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Identification of high likelihood of dementia in population-based surveys using unsupervised clustering: a longitudinal analysis.

Alzheimers Res Ther

November 2023

Neuropsychologie Interventionnelle, U955 E01, Institut Mondor de Recherche Biomédicale & Département d'études Cognitives, INSERM, Ecole Normale Supérieure, Université PSL, Université Paris-Est Créteil, Creteil, 94000, France.

Background: Dementia is defined as a cognitive decline that affects functional status. Longitudinal ageing surveys often lack a clinical diagnosis of dementia though measure cognition and daily function over time. We used unsupervised machine learning and longitudinal data to identify transition to probable dementia.

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Persistence of effort in apathy.

Rev Neurol (Paris)

December 2023

Department of Experimental Psychology, University of Oxford, Oxford, UK; Nuffield Department Clinical Neurosciences, University of Oxford, Oxford, UK.

The syndrome of apathy has generated increasing interest in recent years as systematic evaluations have revealed its high prevalence and strong negative impact on quality of life across a wide range of neurological and psychiatric conditions. However, although several theoretical models have been proposed to account for various aspects of the condition, understanding of this syndrome is still incomplete. One influential model has proposed that apathy might be described as a quantitative reduction of goal-directed behaviour in comparison to an individual's prior level of functioning.

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Language disorders in patients with striatal lesions: Deciphering the role of the striatum in language performance.

Cortex

September 2023

Département d'Études Cognitives, École Normale Supérieure-PSL, Paris, France; Institut Mondor de Recherche Biomédicale, Inserm U955, Equipe E01 Neuropsychologie Interventionnelle, Créteil, France; Université Paris-Est Créteil, Faculté de Médecine, Créteil, France. Electronic address:

Article Synopsis
  • The study explored the role of the striatum in language processing, particularly in patients with Huntington's disease, which primarily affects this brain region and leads to language difficulties.
  • By comparing carriers of HD mutations and controls on linguistic and non-linguistic discrimination tasks, researchers used the hierarchical drift diffusion model to analyze decision-making and non-decision parameters related to language performance.
  • Findings indicated that decision-making impairments, rather than core language processing deficits, are the primary contributors to language impairment in patients with striatal atrophy, as shown by correlations between decision parameters and gray matter volume in specific brain areas.
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Cognitive deficits represent a hallmark of neurodegenerative diseases, but evaluating their progression is complex. Most current evaluations involve lengthy paper-and-pencil tasks which are subject to learning effects dependent on the mode of response (motor or verbal), the countries' language or the examiners. To address these limitations, we hypothesized that applying neuroscience principles may offer a fruitful alternative.

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Identification of High Likelihood of Dementia in Population-Based Surveys using Unsupervised Clustering: a Longitudinal Analysis.

medRxiv

February 2023

Equipe neuropsychologie interventionnelle, Institut Mondor de Recherche Biomédicale, Département d'études cognitives, Ecole normale supérieure, Université PSL, Université Paris-Est Créteil, AP-HP Hôpital Henri Mondor-Albert Chenevier, Centre de référence Maladie de Huntington et Service de Neurologie, INSERM, 75005 Paris [ou 94000 Créteil], France; Global Brain Health Institute, University of California, San Francisco, CA, United States.

Article Synopsis
  • A study used machine learning to analyze cognitive and functional data from over 15,000 participants aged 50+ across several waves of the Survey of Health, Ageing, and Retirement in Europe (SHARE) to identify transitions to probable dementia.* -
  • Findings showed the algorithm detected more cases of probable dementia than self-reports, particularly among older adults, with a higher incidence in females and strong associations with various risk factors like low education and health issues.* -
  • The research suggests that machine learning can effectively identify dementia risk in large population studies that do not have clinical diagnoses, highlighting the utility of such methods in understanding dementia-related outcomes.*
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The striatum in time production: The model of Huntington's disease in longitudinal study.

Neuropsychologia

January 2023

Département d'Etudes Cognitives, Ecole Normale Supérieure, PSL University, Paris, France; Université Paris Est, Faculté de Médecine, Créteil, France; Inserm U955, Equipe E01 Neuropsychologie Interventionnelle, Créteil, France; AP-HP, Centre de référence Maladie de Huntington, Service de Neurologie, Hôpital Henri Mondor-Albert Chenevier, Créteil, France. Electronic address:

Article Synopsis
  • The striatum plays a key role in processing time, and patients with Huntington's disease show deficits in time perception and production, particularly in interval timing tasks.
  • A study found that symptomatic Huntington's disease patients struggled with producing time durations between 4 and 10 seconds, while presymptomatic gene carriers performed similarly to healthy controls.
  • Results linked performance to grey matter volume in the amygdala and caudate, confirming the striatum's involvement in both time perception and production, and indicating that a simple temporal production task could help identify early signs of striatal degeneration in Huntington's disease, though its efficacy for presymptomatic detection remains uncertain.
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The Hippo pathway consists of a cascade of kinases that controls the phosphorylation of the co-activators YAP/TAZ. When unphosphorylated, YAP and TAZ translocate into the nucleus, where they mainly bind to the TEAD transcription factor family and activate genes related to cell proliferation and survival. In this way, the inhibition of the Hippo pathway promotes cell survival, proliferation, and stemness fate.

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Annonaceae Consumption Worsens Disease Severity and Cognitive Deficits in Degenerative Parkinsonism.

Mov Disord

December 2022

Faculté de Médecine de Sorbonne Université, Institut National de la Santé et de la Recherche Médicale, U 1127, Centre National de la Recherche Scientifique, UMR 7225, Institut du Cerveau, Paris, France.

Background: High consumption of Annona muricata fruit has been previously identified as a risk factor for atypical parkinsonism in the French Caribbean islands.

Objective: We tested whether consumption of Annonaceae products could worsen the clinical phenotype of patients with any form of degenerative parkinsonism.

Methods: We analyzed neurological data from 180 Caribbean parkinsonian patients and specifically looked for dose effects of lifelong, cumulative Annonaceae consumption on cognitive performance.

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The burden of Huntington's disease: A prospective longitudinal study of patient/caregiver pairs.

Parkinsonism Relat Disord

October 2022

Département d'Études Cognitives, École normale supérieure, PSL University, 75005, Paris, France; Université Paris-Est Créteil, Faculté de médecine, 94000, Créteil, France; Inserm U955, Institut Mondor de Recherche Biomédicale, Équipe E01 NeuroPsychologie Interventionnelle, 94000, Créteil, France; Assistance Publique Hôpitaux de Paris (AP-HP), Centre de référence Maladie de Huntington, Service de Neurologie, Hôpital Henri Mondor-Albert Chenevier, 94000, Créteil, France. Electronic address:

Background: Caregiver burden is widely recognized in Huntington's disease, but little is known about the factors determining its evolution over time in the absence of longitudinal studies. Our objective was to identify typical patterns of caregiver burden level and evolution using both patients' and caregivers' characteristics over a one-year period to identify potential levers for alleviation.

Methods: We conducted a prospective multicenter longitudinal study in caregiver/patient pairs in Huntington's disease (NCT02876445) between March 2011 and May 2015.

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Predicting clinical scores in Huntington's disease: a lightweight speech test.

J Neurol

September 2022

Département d'Études Cognitives, École Normale Supérieure, PSL University, 75005, Paris, France.

Objectives: Using brief samples of speech recordings, we aimed at predicting, through machine learning, the clinical performance in Huntington's Disease (HD), an inherited Neurodegenerative disease (NDD).

Methods: We collected and analyzed 126 samples of audio recordings of both forward and backward counting from 103 Huntington's disease gene carriers [87 manifest and 16 premanifest; mean age 50.6 (SD 11.

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Article Synopsis
  • The study investigates the prevalence of understated executive dysfunction (UED) in middle-aged adults (ages 50-65) who don't have cognitive complaints, using specific tests like the clock-drawing test (CDT) and Frontal Assessment Battery (FAB).
  • Results show that 36.2% of participants exhibited UED, with significant impairments seen in 27.7% on CDT and 14.7% on FAB.
  • UED was linked to obesity and metabolic syndrome, suggesting that cognitive screening for executive functions could help identify individuals at risk early, allowing for interventions to boost cognitive health.
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One percent of patients with a Huntington's disease (HD) phenotype do not have the Huntington (HTT) gene mutation. These are known as HD phenocopies. Their diagnosis is still a challenge.

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Huntington's Disease (HD) is an inherited neurodegenerative disease characterized by a combination of motor, cognitive, and behavioral disorders. The social and behavioral symptoms observed in HD patients impact their quality of life and probably explain their relational difficulties, conflicts, and social withdrawal. In this study, we described the development of the Social Relationship Self-Questionnaire (SRSQ), a self-reporting questionnaire that assesses how HD patients perceived their social relationships.

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Improving efficacy of aphasia rehabilitation by using Core Assessment of Language Processing.

Ann Phys Rehabil Med

November 2022

Département d'Etudes Cognitives, École normale supérieure, PSL University, 75005 Paris, France; Univ Paris Est Creteil, INSERM U955, Institut Mondor de Recherche Biomédicale, Equipe NeuroPsychologie Interventionnelle, F-94010 Creteil, France. Electronic address:

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Introduction: Patients with right stroke lesion have postural and balance disorders, including weight-bearing asymmetry, more pronounced than patients with left stroke lesion. Spatial cognition disorders post-stroke, such as misperceptions of subjective straight-ahead and subjective longitudinal body axis, are suspected to be involved in these postural and balance disorders. Prismatic adaptation has showed beneficial effects to reduce visuomotor disorders but also an expansion of effects on cognitive functions, including spatial cognition.

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The specific role of the striatum in interval timing: The Huntington's disease model.

Neuroimage Clin

January 2022

Département d'Etudes Cognitives, Ecole Normale Supérieure, PSL University, Paris, France; Université Paris Est, Faculté de Médecine, Créteil, France; Inserm U955, Equipe E01 Neuropsychologie Interventionnelle, Créteil, France; AP-HP, Centre de référence Maladie de Huntington, Service de Neurologie, Hôpital Henri Mondor-Albert Chenevier, Créteil, France; NeurATRIS, Creteil, France.

Article Synopsis
  • Interval timing is linked to the striatum, and Huntington's disease (HD) patients show significant impairments in this area compared to spatial tasks.
  • Research involved testing Pre-HD, HD patients, and healthy controls on their temporal and spatial abilities while also assessing their everyday experiences with timing and space through a questionnaire.
  • Findings revealed that HD patients had more difficulty with timing tasks and reported greater temporal disorientation, while Pre-HD patients did not show specific timing deficits, indicating the striatum's crucial role in interval timing processes.
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Background: Efficient cognitive tasks sensitive to longitudinal deterioration in small cohorts of Huntington's disease (HD) patients are lacking in HD research. We thus developed and assessed the digitized arithmetic task (DAT), which combines inner language and executive functions in approximately 4 minutes.

Methods: We assessed the psychometric properties of DAT in three languages, across four European sites, in 77 early-stage HD patients (age: 52 ± 11 years; 27 females), and 57 controls (age: 50 ± 10, 31 females).

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Clinical description of the broad range of neurological presentations of COVID-19: A retrospective case series.

Rev Neurol (Paris)

March 2021

AP-HP, Centre de référence maladie de Huntington, service de neurologie, hôpital Henri-Mondor, Créteil, France; Université Paris-Est Créteil, faculté de médecine, Créteil, France; Département d'études cognitives, école normale supérieure, PSL University, Paris, France; Inserm U955, Institut Mondor de recherche biomédicale, équipe E01 NeuroPsychologie Interventionnelle, Créteil, France.

Background: Neurological disorders associated with SARS-CoV-2 infection represent a clinical challenge because they encompass a broad neurological spectrum and may occur before the diagnosis of COVID-19.

Methods: In this monocentric retrospective case series, medical records from patients with acute neurological disorders associated with SARS-CoV-2 infection from medicine departments of an academic center in Paris area were collected between March 15 and May 15 2020. Diagnosis of SARS-CoV-2 was ascertained through specific RT-PCR in nasopharyngeal swabs or based on circulating serum IgG antibodies.

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Article Synopsis
  • - The study highlights the challenges of assessing dementia prevalence in low- and middle-income countries (LMIC) due to limited data and inconsistencies in identifying dementia cases.
  • - Researchers used data from ten population aging surveys to analyze dementia likelihood and estimate prevalence, employing hierarchical clustering and principal component analysis.
  • - Their findings indicated significant dementia cases globally, estimating approximately 130 million individuals with dementia in 2015, with notably higher numbers in LMIC compared to high-income countries.
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A bright spinal cord.

Rev Neurol (Paris)

November 2021

Assistance Publique-Hôpitaux de Paris (AP-HP), Hôpitaux Universitaires Henri Mondor-Albert Chenevier, 94010 Créteil, France; Institut Mondor de Recherche Biomédicale (IMRB), Groupe de Recherche Clinique CARMAS, 94010 Créteil, France.

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