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Maladies du système nerveux
Maladies du système nerveux central
Encéphalopathies
Épilepsie
Syndromes épileptiques
Épilepsie temporale
Épilepsie temporale : Questions médicales fréquentes
Termes MeSH sélectionnés :
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"@type": "Question",
"name": "Comment diagnostiquer l'épilepsie temporale ?",
"position": 1,
"acceptedAnswer": {
"@type": "Answer",
"text": "Le diagnostic repose sur l'EEG, l'IRM cérébrale et l'historique des crises."
}
},
{
"@type": "Question",
"name": "Quels tests sont utilisés pour l'évaluation ?",
"position": 2,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des tests neuropsychologiques et des examens d'imagerie sont souvent réalisés."
}
},
{
"@type": "Question",
"name": "L'EEG est-il toujours nécessaire ?",
"position": 3,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, l'EEG est essentiel pour identifier les anomalies électriques cérébrales."
}
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{
"@type": "Question",
"name": "Peut-on confondre avec d'autres types d'épilepsie ?",
"position": 4,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, les crises temporales peuvent être confondues avec d'autres types de crises."
}
},
{
"@type": "Question",
"name": "Quels signes cliniques aident au diagnostic ?",
"position": 5,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les troubles de la mémoire et les comportements automatiques sont des indicateurs."
}
},
{
"@type": "Question",
"name": "Quels sont les symptômes courants ?",
"position": 6,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les symptômes incluent des crises, des hallucinations et des troubles de la mémoire."
}
},
{
"@type": "Question",
"name": "Les crises sont-elles toujours similaires ?",
"position": 7,
"acceptedAnswer": {
"@type": "Answer",
"text": "Non, les crises peuvent varier en intensité et en durée d'une personne à l'autre."
}
},
{
"@type": "Question",
"name": "Y a-t-il des signes avant-coureurs ?",
"position": 8,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, des sensations étranges ou des changements d'humeur peuvent précéder les crises."
}
},
{
"@type": "Question",
"name": "Les crises affectent-elles la conscience ?",
"position": 9,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, certaines crises temporales peuvent entraîner une altération de la conscience."
}
},
{
"@type": "Question",
"name": "Peut-on avoir des crises sans convulsions ?",
"position": 10,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, des crises focales peuvent survenir sans convulsions visibles."
}
},
{
"@type": "Question",
"name": "Peut-on prévenir les crises d'épilepsie temporale ?",
"position": 11,
"acceptedAnswer": {
"@type": "Answer",
"text": "La prévention passe par un traitement adéquat et l'évitement des déclencheurs."
}
},
{
"@type": "Question",
"name": "Quels sont les déclencheurs à éviter ?",
"position": 12,
"acceptedAnswer": {
"@type": "Answer",
"text": "Le stress, le manque de sommeil et l'alcool peuvent déclencher des crises."
}
},
{
"@type": "Question",
"name": "L'éducation est-elle importante ?",
"position": 13,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, l'éducation des patients et des proches aide à mieux gérer la maladie."
}
},
{
"@type": "Question",
"name": "Les activités physiques sont-elles sûres ?",
"position": 14,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, mais il est important de choisir des activités adaptées et sécurisées."
}
},
{
"@type": "Question",
"name": "Le suivi médical est-il essentiel ?",
"position": 15,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, un suivi régulier permet d'ajuster le traitement et de surveiller les progrès."
}
},
{
"@type": "Question",
"name": "Quels traitements sont disponibles ?",
"position": 16,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les traitements incluent des médicaments antiépileptiques et parfois la chirurgie."
}
},
{
"@type": "Question",
"name": "Les médicaments sont-ils efficaces ?",
"position": 17,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, de nombreux patients contrôlent leurs crises avec des médicaments appropriés."
}
},
{
"@type": "Question",
"name": "Quand envisager la chirurgie ?",
"position": 18,
"acceptedAnswer": {
"@type": "Answer",
"text": "La chirurgie est envisagée si les médicaments échouent à contrôler les crises."
}
},
{
"@type": "Question",
"name": "Y a-t-il des effets secondaires aux traitements ?",
"position": 19,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, les médicaments peuvent avoir des effets secondaires comme la somnolence."
}
},
{
"@type": "Question",
"name": "Des thérapies alternatives existent-elles ?",
"position": 20,
"acceptedAnswer": {
"@type": "Answer",
"text": "Certaines thérapies comme la diète cétogène peuvent aider certains patients."
}
},
{
"@type": "Question",
"name": "Quelles complications peuvent survenir ?",
"position": 21,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les complications incluent des blessures lors des crises et des troubles psychologiques."
}
},
{
"@type": "Question",
"name": "L'épilepsie temporale augmente-t-elle les risques ?",
"position": 22,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, elle peut augmenter le risque de dépression et d'anxiété chez les patients."
}
},
{
"@type": "Question",
"name": "Les crises peuvent-elles être mortelles ?",
"position": 23,
"acceptedAnswer": {
"@type": "Answer",
"text": "Dans de rares cas, des crises peuvent entraîner des complications mortelles, comme SUDEP."
}
},
{
"@type": "Question",
"name": "Comment gérer les blessures liées aux crises ?",
"position": 24,
"acceptedAnswer": {
"@type": "Answer",
"text": "Il est important de sécuriser l'environnement et d'apprendre les premiers secours."
}
},
{
"@type": "Question",
"name": "Les troubles cognitifs sont-ils fréquents ?",
"position": 25,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, des troubles de la mémoire et de l'attention peuvent survenir chez certains patients."
}
},
{
"@type": "Question",
"name": "Quels sont les facteurs de risque connus ?",
"position": 26,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les antécédents familiaux, les traumatismes crâniens et les infections cérébrales sont des facteurs."
}
},
{
"@type": "Question",
"name": "L'âge influence-t-il le risque d'épilepsie temporale ?",
"position": 27,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, l'épilepsie temporale est plus fréquente chez les jeunes adultes et les personnes âgées."
}
},
{
"@type": "Question",
"name": "Les maladies neurologiques augmentent-elles le risque ?",
"position": 28,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, des maladies comme la sclérose en plaques peuvent augmenter le risque d'épilepsie."
}
},
{
"@type": "Question",
"name": "Le stress peut-il être un facteur de risque ?",
"position": 29,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, le stress chronique peut déclencher des crises chez les personnes prédisposées."
}
},
{
"@type": "Question",
"name": "Les infections peuvent-elles causer l'épilepsie temporale ?",
"position": 30,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, des infections comme l'encéphalite peuvent provoquer des crises épileptiques."
}
}
]
}
]
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Intestinal perforation (IP) after pediatric liver transplant (PLT) is an uncommon complication with high mortality reported. The aim of this study is to identify the risk factors and management of thi...
Retrospective study of IP after PLT from January 2014 to October 2020....
Four intestinal perforations were indentificated in 102 PLT (3,9%). Three patients with BA and one neonate with hemochromatosis (HC) presented this complication. The mean weight of patients with IP wa...
Intestinal perforation after PLT is an infrequent complication. Age, weight, previous laparotomy and BA could be risk factors for IP in PLT. Urgent laparotomy after diagnosis should be performed in or...
Intestinal tuberculosis is a chronic and specific infection caused by Mycobacterium tuberculosis invading the intestine. Due to the nonspecific clinical presentation, it is stressed that intestinal pe...
An 18-month-old boy patient presented with abdominal pain. Abdominal CT suggested abscess formation in the right lower abdomen and pelvis. The patient underwent resection of necrotic and stenotic inte...
Our case report here is a rare case of umbilical intestinal fistula with bladder ileal fistula secondary to intestinal perforation from intestinal tuberculosis. The purpose of this report is to make t...
To assess whether either duration and magnitude of ductal shunt or medical treatment for patent ductus arteriosus (PDA) are related to spontaneous intestinal perforation (SIP)....
Clinical charts of infants <29 weeks' gestation born from 2006 to 2018 were reviewed. Echocardiographic examinations were evaluated according to McNamara and Sehgal's staging system....
A higher percentage of patients with SIP had a hemodynamically significant PDA (HSPDA) and was treated with either NSAIDs or paracetamol (79% vs 53% and 81% vs 54%, respectively). Among non-treated pa...
Both treating a non-HSPDA and leaving a HSPDA to its natural history seem to be associated with SIP....
Intestinal perforation (IP) in preterm infants is a life-threatening condition that may result in serious complications and increased mortality. Early Prediction of IP in infants is important, but cha...
Hodgkin lymphoma type of Richter syndrome (HL-type RS) is a rare disease that arises in patients with chronic lymphocytic leukemia (CLL). HL-type RS lesions can manifest in various sites and are often...
To compare outcomes after surgically managed necrotising enterocolitis (NEC) and focal intestinal perforation (FIP) in infants <32 weeks requiring transfer to or presenting in a single surgical centre...
Retrospective review of transferred and inborn NEC or FIP, from January 2013 to December 2020....
107 transfers with possible NEC or FIP contributed 92 cases (final diagnoses NEC (75) and FIP (17)); 113 inborn cases: NEC (84) and FIP (29)....
In infants with a final diagnosis of NEC, medical management after transfer was as common as when inborn (41% TC vs 54% p = 0.12). Unadjusted all-cause mortality was lower in inborn NEC (19% vs 27%) a...
These data require replication, but if confirmed, suggest that focusing care for infants at highest risk of developing NEC or FIP in a NICU with on-site surgical expertise may improve outcomes....
The Necrotizing Enterocolitis Surgery Trial (NEST) highlights the importance of distinguishing necrotizing enterocolitis (NEC) from spontaneous intestinal perforation (SIP) when developing surgical tr...
Colorectal cancer (CRC) in pregnancy is sporadic. We reported a case of a woman at 23 + 4 weeks of gestation who presented with abdominal pain. The patient underwent an ultrasound and MRI, during whic...
To determine if intestinal perforations before 14 days (either spontaneous (SIP) or necrotizing enterocolitis-induced) are increased when infants who received antenatal betamethasone shortly before bi...
Observational study of 475 infants <28 week's gestation assigned to either a PINDO-protocol (n = 231) or expectant management protocol (n = 244) during consecutive protocol epochs....
Intestinal perforations before 14 days occurred in 33/475 (7%). In unadjusted and adjusted models, we found no associations between PINDO-protocol and intestinal perforations. PINDO-protocol did not i...
In our study, early intestinal perforations and SIP-alone were not increased when PINDO was used by protocol in infants who received antenatal betamethasone shortly before birth....
There is limited information about the mortality and neurodevelopmental outcomes of very preterm infants (<32 weeks) with spontaneous intestinal perforation (SIP)....
To explore the association between SIP and neurodevelopmental outcomes and mortality in very preterm infants....
Medline, EMBASE, Cochrane Library, EMCARE and MedNar....
Databases were searched until September 2021. Studies comparing outcomes of 'SIP' versus 'no SIP or necrotising enterocolitis (NEC)' were included....
Neurodevelopmental outcomes at ≥1 year corrected age were extracted as the main outcome measure. Data were pooled separately for adjusted and unadjusted ORs using the random-effects model. The evidenc...
Eighteen cohort studies (13 606 infants) were included. Meta-analysis of unadjusted ORs showed that SIP was significantly associated with increased odds of mortality, cerebral palsy, composite outcome...
Lack of information on aORs from many studies....
SIP in very preterm infants is associated with higher odds of mortality, severe disability, and...