questionsmedicales.fr
Maladies du système nerveux
Maladies du système nerveux central
Encéphalopathies
Épilepsie
Syndromes épileptiques
Épilepsies myocloniques
Épilepsies myocloniques : Questions médicales fréquentes
Termes MeSH sélectionnés :
Diagnostic
5
Épilepsie
Électroencéphalographie
Crises épileptiques
Symptômes neurologiques
Électroencéphalographie
Épilepsie
Symptômes
5
Myoclonies
Crises épileptiques
Myoclonies
Symptômes neurologiques
Crises épileptiques
Épilepsie
Épilepsie
Variabilité des symptômes
Crises nocturnes
Épilepsie
Prévention
5
Prévention des crises
Épilepsie
Déclencheurs de crises
Stress
Éducation des patients
Épilepsie
Activité physique
Sécurité
Traitements
5
Anticonvulsivants
Traitement de l'épilepsie
Thérapie comportementale
Diète cétogène
Évaluation du traitement
Épilepsie
Traitement à long terme
Épilepsie
Effets secondaires
Anticonvulsivants
Complications
5
Complications
Troubles psychologiques
Soutien psychologique
Thérapies
Facteurs de risque
5
Facteurs de risque
Traumatismes crâniens
Troubles neurologiques
Épilepsie
Stress
Déclencheurs de crises
Infections cérébrales
Méningite
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"@type": "Question",
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"@type": "Question",
"name": "Quels sont les symptômes principaux ?",
"position": 6,
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"@type": "Question",
"name": "Les myoclonies sont-elles douloureuses ?",
"position": 7,
"acceptedAnswer": {
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"text": "Les myoclonies ne sont généralement pas douloureuses, mais peuvent être gênantes."
}
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{
"@type": "Question",
"name": "Peut-on avoir des crises sans myoclonies ?",
"position": 8,
"acceptedAnswer": {
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"text": "Oui, certaines personnes peuvent avoir des crises généralisées sans myoclonies."
}
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"@type": "Question",
"name": "Les symptômes varient-ils d'une personne à l'autre ?",
"position": 9,
"acceptedAnswer": {
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"text": "Oui, l'intensité et la fréquence des symptômes peuvent varier considérablement."
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"@type": "Question",
"name": "Les crises peuvent-elles survenir la nuit ?",
"position": 10,
"acceptedAnswer": {
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"text": "Oui, des crises myocloniques peuvent survenir pendant le sommeil."
}
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{
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"name": "Peut-on prévenir les crises myocloniques ?",
"position": 11,
"acceptedAnswer": {
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}
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{
"@type": "Question",
"name": "Quels déclencheurs sont à éviter ?",
"position": 12,
"acceptedAnswer": {
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"text": "Le stress, la fatigue, et la consommation d'alcool peuvent déclencher des crises."
}
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{
"@type": "Question",
"name": "L'éducation est-elle importante pour la prévention ?",
"position": 13,
"acceptedAnswer": {
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"@type": "Question",
"name": "Le suivi médical est-il essentiel ?",
"position": 14,
"acceptedAnswer": {
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},
{
"@type": "Question",
"name": "Les activités physiques sont-elles sûres ?",
"position": 15,
"acceptedAnswer": {
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"text": "Certaines activités peuvent être sûres, mais il faut éviter les sports à risque."
}
},
{
"@type": "Question",
"name": "Quels médicaments sont utilisés pour traiter ?",
"position": 16,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les anticonvulsivants comme le valproate et le lamotrigine sont couramment prescrits."
}
},
{
"@type": "Question",
"name": "Y a-t-il des traitements non médicamenteux ?",
"position": 17,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des approches comme la thérapie comportementale et la diététique peuvent aider."
}
},
{
"@type": "Question",
"name": "Comment évaluer l'efficacité du traitement ?",
"position": 18,
"acceptedAnswer": {
"@type": "Answer",
"text": "L'efficacité est évaluée par la réduction des crises et les effets secondaires."
}
},
{
"@type": "Question",
"name": "Les traitements sont-ils à vie ?",
"position": 19,
"acceptedAnswer": {
"@type": "Answer",
"text": "Souvent, le traitement est à long terme, mais certains peuvent réduire ou arrêter."
}
},
{
"@type": "Question",
"name": "Quels effets secondaires des médicaments ?",
"position": 20,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les effets secondaires peuvent inclure fatigue, vertiges et troubles gastro-intestinaux."
}
},
{
"@type": "Question",
"name": "Quelles complications peuvent survenir ?",
"position": 21,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les complications incluent des blessures dues aux crises et des troubles psychologiques."
}
},
{
"@type": "Question",
"name": "L'épilepsie myoclonique peut-elle affecter la vie quotidienne ?",
"position": 22,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, elle peut impacter la vie sociale, professionnelle et la qualité de vie."
}
},
{
"@type": "Question",
"name": "Y a-t-il un risque accru de dépression ?",
"position": 23,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, les personnes épileptiques ont un risque plus élevé de dépression et d'anxiété."
}
},
{
"@type": "Question",
"name": "Les crises peuvent-elles entraîner des accidents ?",
"position": 24,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, les crises peuvent provoquer des accidents, notamment lors de la conduite."
}
},
{
"@type": "Question",
"name": "Comment gérer les complications psychologiques ?",
"position": 25,
"acceptedAnswer": {
"@type": "Answer",
"text": "Un soutien psychologique et des thérapies adaptées peuvent aider à gérer ces complications."
}
},
{
"@type": "Question",
"name": "Quels sont les facteurs de risque connus ?",
"position": 26,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les antécédents familiaux, les traumatismes crâniens et certaines infections sont des facteurs."
}
},
{
"@type": "Question",
"name": "L'âge influence-t-il le risque d'épilepsie myoclonique ?",
"position": 27,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, l'épilepsie myoclonique peut débuter à tout âge, mais souvent dans l'enfance ou l'adolescence."
}
},
{
"@type": "Question",
"name": "Les troubles neurologiques augmentent-ils le risque ?",
"position": 28,
"acceptedAnswer": {
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"text": "Oui, d'autres troubles neurologiques peuvent augmenter le risque d'épilepsie myoclonique."
}
},
{
"@type": "Question",
"name": "Le stress est-il un facteur de risque ?",
"position": 29,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, le stress peut déclencher des crises chez les personnes prédisposées."
}
},
{
"@type": "Question",
"name": "Les infections cérébrales sont-elles un risque ?",
"position": 30,
"acceptedAnswer": {
"@type": "Answer",
"text": "Certaines infections, comme la méningite, peuvent augmenter le risque d'épilepsie."
}
}
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}
]
}
Expert en Médecine, Optimisation des Parcours de Soins et Révision Médicale
Validation scientifique effectuée le 23/04/2025
Contenu vérifié selon les dernières recommandations médicales
10 publications dans cette catégorie
Affiliations :
IRCCS Istituto "Giannina Gaslini", Genova, Italy; Department of Neurosciences, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health, University of Genova, Genova, Italy.
9 publications dans cette catégorie
Affiliations :
Department of Neurology, Drammen Hospital, Vestre Viken Health Trust, Oslo, Norway.
9 publications dans cette catégorie
Affiliations :
Department of Basic & Clinical Neurosciences, Institute of Psychiatry, Psychology & Neuroscience, King's College London, UK.
MRC Centre for Neurodevelopmental Disorders, King's College London, UK.
King's College Hospital, London, UK.
Evelina London Children's Hospital, London, UK.
7 publications dans cette catégorie
6 publications dans cette catégorie
Affiliations :
Department of Neurology, Drammen Hospital, Vestre Viken Health Trust, Oslo, Norway.
University of Oslo, Oslo, Norway.
6 publications dans cette catégorie
Affiliations :
Department of Radiology, Haeundae Paik Hospital, Inje University College of Medicine, Busan, Republic of Korea.
6 publications dans cette catégorie
Affiliations :
Department of Neurology, Haeundae Paik Hospital, Inje University College of Medicine, Haeundae-ro 875, Haeundae-gu, Busan, 48108, Republic of Korea. smilepkm@hanmail.net.
5 publications dans cette catégorie
Affiliations :
Department of Basic & Clinical Neurosciences, Institute of Psychiatry, Psychology & Neuroscience, King's College London, UK.
MRC Centre for Neurodevelopmental Disorders, King's College London, UK.
Publications dans "Épilepsies myocloniques" :
5 publications dans cette catégorie
Affiliations :
Cardiff & Vale University Health Board, UK.
Publications dans "Épilepsies myocloniques" :
5 publications dans cette catégorie
Affiliations :
Department of Clinical & Experimental Medicine, Pisa University Hospital, Italy.
Publications dans "Épilepsies myocloniques" :
5 publications dans cette catégorie
Affiliations :
Department of Basic & Clinical Neurosciences, Institute of Psychiatry, Psychology & Neuroscience, King's College London, UK.
MRC Centre for Neurodevelopmental Disorders, King's College London, UK.
King's College Hospital, London, UK.
Publications dans "Épilepsies myocloniques" :
4 publications dans cette catégorie
Affiliations :
Toronto Western Hospital, Canada.
Publications dans "Épilepsies myocloniques" :
4 publications dans cette catégorie
Affiliations :
Odense University Hospital, Odense, Denmark.
Publications dans "Épilepsies myocloniques" :
4 publications dans cette catégorie
Affiliations :
Division of Paediatric Neurology, Department of Paediatrics, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.
Publications dans "Épilepsies myocloniques" :
4 publications dans cette catégorie
Affiliations :
Odense University Hospital, Odense, Denmark.
Publications dans "Épilepsies myocloniques" :
4 publications dans cette catégorie
Affiliations :
Nationwide Children's Hospital, Ohio.
Publications dans "Épilepsies myocloniques" :
4 publications dans cette catégorie
Affiliations :
Division of Neurology, Department of Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.
Publications dans "Épilepsies myocloniques" :
4 publications dans cette catégorie
Affiliations :
Danish Epilepsy Centre, Dianalund, Denmark.
University of Copenhagen, Denmark.
Publications dans "Épilepsies myocloniques" :
4 publications dans cette catégorie
Affiliations :
Department of Research and Innovation, Division of Clinical Neuroscience, Oslo University Hospital, Norway.
National Centre for Epilepsy, Oslo University Hospital, Norway.
Publications dans "Épilepsies myocloniques" :
4 publications dans cette catégorie
Affiliations :
Newcastle upon Tyne NHS Foundation Trust, Newcastle, UK.
Publications dans "Épilepsies myocloniques" :
Outcomes after tendon transfer to restore upper extremity function can be optimized using a standardized, multidisciplinary approach to the patient preoperatively, augmented intraoperative decision-ma...
In tendon transfer surgeries sufficient stability of the tenorrhaphy is essential. In addition to the choice of a suitable technique, adequate overlap of donor and recipient tendons must be ensured. T...
To evaluate the objective and subjective long-term clinical outcomes of tendon transfer and tendon graft for extensor tendon ruptures in rheumatoid hands....
We evaluated the long-term clinical outcomes of tendon transfer and tendon graft for extensor tendon ruptures in rheumatoid hands of 37 patients (43 hands) followed up for a mean of 14 years (range, 1...
The mean time from rupture to surgery was 13.1 weeks (range, 3-48 weeks). The mean extension lag of the metacarpophalangeal joint was 8.7° (range, 0-40°), the mean pulp-to-palm distance was 0.4 cm (ra...
Both tendon transfer and tendon graft for extensor tendon ruptures in rheumatoid hands achieve satisfactory results that are maintained for an average of 14 years. In cases of tendon graft, the time t...
IV....
Rotator cuff pathology is the main cause of shoulder pain and dysfunction in older adults. When a rotator cuff tear involves the subscapularis tendon, the symptoms are usually more severe and the prog...
Muscle tendon transfers around the shoulder involve transferring the tendon of a well-functioning muscle-tendon unit to the site of damaged muscle-tendon insertion. In turn, this restores function and...
Irreparable anterosuperior rotator cuff tears (IASRCTs) can result in a gradual loss of active elevation and internal rotation, superior and anterior translation of the humeral head, and cuff tear art...
Eight cadaveric shoulders (mean age, 68.3 ± 5.2 years; range 58-71) were tested with a custom shoulder testing system. All specimens were tested at 0°, 30°, and 60° of glenohumeral abduction in the sc...
IASRCTs significantly increased superior translation, anteroinferior translation, and subacromial peak contact pressure. Combined LDTM transfer significantly decreased superior and anteroinferior tran...
Combined LDTM transfer decreased superior translation, anteroinferior translation, and subacromial contact pressure compared with the IASRCT condition. Isolated LD transfer did not improve glenohumera...
Latissimus dorsi and teres major (LDTM) tendon transfer has demonstrated better clinical outcomes compared to Latissimus dorsi (LD) transfer for irreparable anterosuperior cuff (subscapularis/supraspi...
Eight cadaveric shoulders were tested in four conditions; (1) intact, (2) anterosuperior rotator cuff tear, (3) LDTM transfer, and (4) LD transfer. Glenohumeral kinematics and internal rotation at 0°,...
The anterosuperior rotator cuff tear leads to a significant superior shift of the humeral head compared to intact at 0° and 30° abduction (p < 0.039). Both the LDTM (p < 0.047) and LD transfers (p < 0...
Although both LDTM and LD tendon transfer improved the abnormal humeral head apex position and internal rotation compared with the tear condition, the LDTM transfer was biomechanically superior to the...
The purpose of this study was to evaluate clinical outcomes after tendon transfers in the setting of reverse total shoulder arthroplasty (RTSA)....
PubMed and Embase were searched according to Preferred Reporting Items for Systematic reviews and Meta-Analyses guidelines to find primary clinical studies of any type of tendon transfer in the settin...
Overall, 17 studies (level of evidence [LOE] I: 1, LOE II: 0, LOE III: 3, LOE IV: 13) met inclusion criteria, with 300 shoulders. Most patients were female (56.7%), with an average age of 68.7 years (...
Patients undergoing tendon transfer of either combined LDTM or latissimus dorsi alone in the setting of RTSA have markedly improved subjective and functional outcomes. A moderate incidence of complica...
The authors describe a novel opponensplasty for severe carpal tunnel syndrome that uses the palmaris longus (PL) tendon transferred to the rerouted extensor pollicis brevis (EPB) tendon with pulley re...
The pronator teres (PT) to extensor carpi radialis brevis (ECRB) tendon transfer reestablishes wrist extension. Occasionally, the PT periosteal extension is of suboptimal quality to support a strong t...
Twenty-seven cadaveric extensor tendons were lengthened using the turnover lengthening technique with 1 to 3 cm of tendon overlap. PT-to-ECRB tendon transfers were performed with native or lengthened ...
The median maximum load to failure increased with increasing overlap length, measuring 35.6 N (quartile 1, 30.2 N; quartile 3, 38.6 N) for 1 cm, 66.0 N (quartile 1, 59.1 N; quartile 3, 74.7 N) for 2 c...
Turnover tendon lengthening does not detrimentally affect PT-to-ECRB tendon transfer. Greater overlap lengthening distance confers greater stiffness and resistance to rupture. When the periosteal exte...