Comment diagnostique-t-on un infarctus cérébral ?

Un scanner ou une IRM cérébrale est utilisé pour visualiser les lésions.

Quels tests sont effectués après un AVC suspecté ?

Des tests sanguins et des examens neurologiques sont réalisés pour évaluer l'état.

Quels signes indiquent un infarctus cérébral ?

Des symptômes comme une faiblesse soudaine, des troubles de la parole ou de la vision.

Quelle est l'importance du temps dans le diagnostic ?

Un diagnostic rapide est crucial pour limiter les dommages cérébraux.

Peut-on utiliser l'électroencéphalogramme ?

L'EEG n'est pas standard pour l'infarctus, mais peut aider à évaluer l'activité cérébrale.

Quels sont les symptômes courants d'un infarctus cérébral ?

Faiblesse d'un côté du corps, troubles de la parole, et maux de tête soudains.

Comment reconnaître un AVC ?

Utilisez l'acronyme FAST : Faiblesse, Affaissement, Speech (parole), Temps.

Les symptômes peuvent-ils varier ?

Oui, les symptômes dépendent de la zone du cerveau touchée et de la gravité.

Un AVC peut-il provoquer des pertes de mémoire ?

Oui, des troubles cognitifs, y compris des pertes de mémoire, peuvent survenir.

Les symptômes sont-ils toujours soudains ?

Pas toujours, certains infarctus peuvent se manifester par des symptômes progressifs.

Comment prévenir un infarctus cérébral ?

Maintenir une alimentation saine, faire de l'exercice et contrôler la pression artérielle.

Le tabagisme augmente-t-il le risque ?

Oui, le tabagisme est un facteur de risque majeur pour les AVC.

Le diabète influence-t-il le risque d'AVC ?

Oui, le diabète mal contrôlé augmente le risque d'infarctus cérébral.

Les antécédents familiaux jouent-ils un rôle ?

Oui, des antécédents familiaux d'AVC augmentent le risque personnel.

L'exercice régulier est-il bénéfique ?

Oui, l'exercice régulier aide à réduire le risque d'infarctus cérébral.

Quels traitements sont disponibles pour un infarctus cérébral ?

Les traitements incluent des médicaments anticoagulants et la réhabilitation.

Quand utiliser des thrombolytiques ?

Ils sont administrés dans les premières heures après l'apparition des symptômes.

La chirurgie est-elle nécessaire ?

Dans certains cas, une intervention chirurgicale peut être nécessaire pour retirer un caillot.

Quel rôle joue la réhabilitation ?

La réhabilitation aide à récupérer les fonctions perdues et à améliorer la qualité de vie.

Les traitements varient-ils selon le type d'AVC ?

Oui, les traitements diffèrent entre les AVC ischémiques et hémorragiques.

Quelles sont les complications possibles d'un infarctus cérébral ?

Les complications incluent des troubles de la parole, des paralysies et des problèmes cognitifs.

Un infarctus cérébral peut-il entraîner des infections ?

Oui, des infections comme la pneumonie peuvent survenir après un AVC.

Les complications sont-elles réversibles ?

Certaines complications peuvent être réversibles avec un traitement approprié.

Comment les complications affectent-elles la réhabilitation ?

Elles peuvent ralentir le processus de réhabilitation et nécessiter des soins supplémentaires.

Les complications psychologiques sont-elles fréquentes ?

Oui, des troubles comme la dépression peuvent survenir après un infarctus cérébral.

Quels sont les principaux facteurs de risque d'infarctus cérébral ?

Les facteurs incluent l'hypertension, le diabète, le tabagisme et l'obésité.

L'âge influence-t-il le risque d'AVC ?

Oui, le risque d'infarctus cérébral augmente avec l'âge.

Le stress peut-il être un facteur de risque ?

Oui, le stress chronique peut contribuer à l'augmentation du risque d'AVC.

Les maladies cardiaques augmentent-elles le risque ?

Oui, les maladies cardiaques sont un facteur de risque important pour les AVC.

Le cholestérol élevé est-il un facteur de risque ?

Oui, un taux de cholestérol élevé peut augmenter le risque d'infarctus cérébral.

Infarctus cérébral - Informations médicales vérifiées

Classification of Local Recurrence After Nipple-Sparing Mastectomy Based on Location: The Features of Nipple-Areolar Recurrence Differ from Those of Other Local Recurrences.

Mar 2023

DOI: 10.1245/s10434-022-12760-1 PMID: 36371582

Little information is available about the clinical and pathologic characteristics of local recurrence (LR) after nipple-sparing mastectomy according to the locations of LR.... This study classified 99 patients into the following two groups according to the location of LR after nipple-sparing mastectomy: nipple-areolar recurrence (NAR) group and other locations of LR (oLR) g... For about half of the patients (44.4 %) with NAR, the primary cancer was estrogen receptor (ER)-negative and human epidermal growth factor receptor 2 (HER2)-positive. Conversely, in most of the patien... This multi-institutional retrospective study demonstrated that the features of NAR, such as the characteristics of the primary and recurrent tumors and the prognostic factors after LR resection, were ...

Humans Female Breast Neoplasms Mastectomy Nipples +4 autres

Feasibility of local therapy for recurrent pancreatic cancer.

Sep 2022

DOI: 10.1016/j.pan.2022.05.004 PMID: 35641368

Despite advances in perioperative management, recurrence after curative pancreatectomy is a critical issue in the treatment of pancreatic ductal adenocarcinoma (PDAC). The significance of local therap... We reviewed the medical records of patients with PDAC who underwent curative resection at our institution between January 2009 and December 2019. We examined the patterns of relapse and assessed the c... A total of 246 patients with PDAC who underwent R0 or R1 resection were included in this study. The 3-year overall survival (OS) rate was 39.8%, and the 1-year recurrence-free survival rate was 51.2% ... Our results suggest that a multimodal approach may improve the clinical outcomes of patients with recurrent PDAC....

Adenocarcinoma Carcinoma, Pancreatic Ductal Feasibility Studies Humans Neoplasm Recurrence, Local +6 autres

Ultrasound Assessment of Skin Tumors Local Recurrence.

Oct 2023

DOI: 10.1002/jum.16255 PMID: 37195073

Skin cancer may recur at or around the surgical site despite wide excisions. Prompt clinical and sonographic detection of local recurrence is important since subjects with relapsing melanomas or nonme...

Humans Skin Neoplasms Skin Melanoma Ultrasonography +1 autres

Pathological determinants of outcome following resection of locally advanced or locally recurrent rectal cancer.

Nov 2023

DOI: 10.1016/j.ejso.2023.06.023 PMID: 37442715

Pathological factors that influence and predict survival following pelvic exenteration (PE) for locally advanced (LARC) or locally recurrent rectal cancer (LRRC), especially LRRC, remain poorly unders... A retrospective cohort study was performed for all patients undergoing a curative PE for LARC or LRRC between 2008 and 2021 at a tertiary referral UK specialist colorectal hospital. Cox regression ana... 388 patients were included in the analysis with 256 resections for LARC and 132 for LRRC. 62.4% of patients were male with a median age of 59 years (IQR 49-67). 247 (64%) partial pelvic exenterations ... A positive resection margin and poorly differentiated tumours are significant negative prognostic markers for survival and recurrence in LARC. The results of this study support the need to look for al...

Humans Male Middle Aged Aged Female +7 autres

Intraparenchymal metastases as a cause for local recurrence of pancreatic cancer.

Feb 2023

DOI: 10.1111/his.14839 PMID: 36371607

Using CODA, a technique for three-dimensional reconstruction of large tissues, Kiemen et al. report observation of a microscopic focus of pancreatic cancer found in the vasculature of grossly normal h...

Humans Pancreatic Neoplasms Pancreas Neoplasm Recurrence, Local Pancreatic Neoplasms

Does the Addition of Mutations of CTNNB1 S45F to Clinical Factors Allow Prediction of Local Recurrence in Patients With a Desmoid Tumor? A Local Recurrence Risk Model.

01 10 2023

DOI: 10.1097/CORR.0000000000002627 PMID: 37104792

The initial approach to the treatment of desmoid tumors has changed from surgical resection to watchful waiting. However, surgery is still sometimes considered for some patients, and it is likely that... We sought to explore whether a combined molecular and clinical prognostic model for relapse in patients with desmoid tumors treated with surgery would allow us to identify patients who might do well w... This was a retrospective, single-center study of 107 patients with desmoid tumors who were surgically treated between January 1980 and December 2015, with a median follow-up of 106 months (range 7 to ... The multivariable analysis showed that S45F mutations (hazard ratio 5.25 [95% confidence interval 2.27 to 12.15]; p < 0.001) and tumor in the extremities (HR 3.15 [95% CI 1.35 to 7.33]; p = 0.008) wer... CTNNB1 S45F mutations combined with other clinical variables are a potential prognostic biomarker associated with the risk of relapse in patients with desmoid tumors. The developed nomogram is simple ... Level III, therapeutic study....

Humans Fibromatosis, Aggressive Retrospective Studies Neoplasm Recurrence, Local Mutation +2 autres

Risk Factors of Second Local Recurrence in Surgically Treated Recurrent Brain Metastases: An Exploratory Analysis.

Nov 2022

DOI: 10.1016/j.wneu.2022.08.066 PMID: 36028114

A first local recurrence is common after resection or radiotherapy for brain metastasis (BM). However, patients with BMs can develop multiple local recurrences over time. Published data on second loca... Patients were identified from a database at Brigham and Women's Hospital in Boston. Hazard ratios and 95% confidence intervals for predictors of a second local recurrence were computed using a Cox pro... Of 170 identified surgically treated first locally recurrent lesions, 74 (43.5%) progressed to second locally recurrent lesions at a median of 7 months after craniotomy. Subtotal resection of the firs... A second local recurrence occurred after 43.5% of craniotomies for first recurrent lesions. Subtotal resection and infratentorial location were the strongest risk factors for worse second local recurr...

Humans Female Neoplasm Recurrence, Local Prognosis Risk Factors +3 autres

Applying a neoscore in locally advanced rectal cancer is beneficial in predicting local recurrences after surgery.

2023

DOI: 10.1371/journal.pone.0285709 PMID: 37172066

The current study was undertaken to provide more detailed prognostic models for early prediction of local recurrences and local recurrence free survival (RFS) using different radiologic and pathologic... One hundred patients with locally advanced rectal carcinomas decided to receive neoadjuvant CRT were retrospectively recruited, Hazard ratios (HR) were determined in the two cox regression models and ... HR of 1st group of models: T+N, T+N+G, T+N+G+S, T+N+G+S+PNI, and T+N+G+S+PNI+R were summated and categorized into scores, these scores were significantly correlated with the risk of recurrence (Somer'... We propose that the addition of biologic factors to staging of rectal cancer provide precise stratification and association with local recurrences in patients received preoperative CRT....

Humans Retrospective Studies Prognosis Rectum Rectal Neoplasms +6 autres

Surgery of resectable local recurrence following colorectal cancer: Compartmental surgery improves local control.

Nov 2022

DOI: 10.1002/jso.26990 PMID: 35779039

This study aims to identify prognostic factors and define the best extent of surgery for optimizing treatment of local recurrence (LR) following colorectal cancer (CRC).... An institutional database of consecutive patients who underwent radical resection (R0/R1) of LR following CRC was analyzed prospectively from 2010 to 2021 at one tertiary cancer center.... In this study, 75 patients were included with LR following CRC and analyzed. Patients were categorized as compartmental resections (CompRe) (n = 47) if all adjacent organs were systematically removed,... Complete compartmental surgery is safe and improves local control. Optimal LR resection needs to remove all contiguous organs, with or without tumor involvement....

Colorectal Neoplasms Digestive System Surgical Procedures Humans Neoplasm Recurrence, Local Prognosis +3 autres

Recurrent RET fusions in fibrosarcoma-like neoplasms in adult viscera: expanding the clinicopathological and genetic spectrum.

Mar 2023

DOI: 10.1111/his.14847 PMID: 36443894

RET-fused mesenchymal neoplasms mostly affect the soft tissue of paediatric patients. Given their responsiveness to selective RET inhibitors, it remains critical to identify those extraordinary cases ... Clinicopathological features were assessed and partner agnostic targeted next-generation sequencing on clinically validated platforms were performed. The patients were 18, 53, and 55 years old and inc... Our study expands the clinicopathological and genetic spectrum of mesenchymal neoplasms associated with RET fusions....

Female Humans Male Adult Child +7 autres

Infarctus cérébral : Questions médicales fréquentes

Termes MeSH sélectionnés :

Questions fréquentes et termes MeSH associés

Diagnostic 5

Symptômes 5

Prévention 5

Traitements 5

Complications 5

Facteurs de risque 5

Contenu validé par Dr Olivier Menir

Sous-catégories

CADASIL

Infarctus du territoire de l'artère cérébrale antérieure

Infarctus du territoire de l'artère cérébrale moyenne

Infarctus du territoire de l'artère cérébrale postérieure

Auteurs principaux

Sources (10000 au total)