questionsmedicales.fr
Maladies du système nerveux
Maladies neuromusculaires
Neuropathies périphériques
Mononeuropathies
Mononeuropathies : Questions médicales fréquentes
Termes MeSH sélectionnés :
Endoscopic Mucosal Resection
Diagnostic
5
Mononeuropathies
Électromyographie
Imagerie par résonance magnétique
Mononeuropathies
Faiblesse musculaire
Douleur
Diabète
Carences nutritionnelles
Antécédents médicaux
Facteurs de risque
Symptômes
5
Douleur neuropathique
Mononeuropathies
Nerf médian
Mononeuropathies
Mononeuropathies
Symptômes bilatéraux
Complications
Mononeuropathies
Prévention
5
Prévention
Mouvements répétitifs
Exercice
Circulation sanguine
Traitements
5
Analgésiques
Anticonvulsivants
Physiothérapie
Réhabilitation
Chirurgie
Mononeuropathies
Acupuncture
Thérapies complémentaires
Complications
5
Complications
Douleurs chroniques
Incapacité
Mononeuropathies
Infections
Perte de sensation
Qualité de vie
Complications
Réversibilité
Traitement précoce
Facteurs de risque
5
Travail répétitif
Lésions nerveuses
Maladies auto-immunes
Polyarthrite rhumatoïde
Tabagisme
Circulation sanguine
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"name": "Comment diagnostiquer une mononeuropathie ?",
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"text": "Le diagnostic repose sur l'examen clinique, l'électromyographie et des tests de conduction nerveuse."
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"@type": "Question",
"name": "Quels examens sont nécessaires pour confirmer une mononeuropathie ?",
"position": 2,
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"text": "Des examens d'imagerie comme l'IRM peuvent être utilisés pour visualiser les nerfs."
}
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"@type": "Question",
"name": "Quels signes cliniques indiquent une mononeuropathie ?",
"position": 3,
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"@type": "Question",
"name": "Quels sont les symptômes courants d'une mononeuropathie ?",
"position": 6,
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"@type": "Question",
"name": "Comment se manifeste la douleur dans une mononeuropathie ?",
"position": 7,
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"text": "La douleur peut être aiguë, lancinante ou brûlante, souvent localisée le long du nerf affecté."
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"@type": "Question",
"name": "Les symptômes varient-ils selon le nerf touché ?",
"position": 8,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, les symptômes dépendent du nerf affecté, par exemple, le nerf médian cause des symptômes dans la main."
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"@type": "Question",
"name": "Peut-on avoir des symptômes bilatéraux ?",
"position": 9,
"acceptedAnswer": {
"@type": "Answer",
"text": "Généralement, les mononeuropathies sont unilatérales, mais des cas bilatéraux peuvent survenir."
}
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"@type": "Question",
"name": "Les symptômes peuvent-ils s'aggraver avec le temps ?",
"position": 10,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, sans traitement, les symptômes peuvent s'aggraver et entraîner des complications."
}
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"@type": "Question",
"name": "Comment prévenir les mononeuropathies ?",
"position": 11,
"acceptedAnswer": {
"@type": "Answer",
"text": "Éviter les positions prolongées et les mouvements répétitifs peut réduire le risque de mononeuropathies."
}
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"@type": "Question",
"name": "Le contrôle du diabète aide-t-il à prévenir les mononeuropathies ?",
"position": 12,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, un bon contrôle glycémique peut réduire le risque de neuropathies diabétiques."
}
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"@type": "Question",
"name": "Les exercices physiques sont-ils bénéfiques ?",
"position": 13,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, des exercices réguliers renforcent les muscles et améliorent la circulation nerveuse."
}
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{
"@type": "Question",
"name": "Faut-il éviter certains sports ?",
"position": 14,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des sports à fort impact peuvent augmenter le risque de blessures nerveuses, à éviter si possible."
}
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{
"@type": "Question",
"name": "Les pauses au travail sont-elles importantes ?",
"position": 15,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, faire des pauses régulières aide à prévenir les tensions nerveuses dues à des positions statiques."
}
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"@type": "Question",
"name": "Quels traitements sont disponibles pour les mononeuropathies ?",
"position": 16,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les traitements incluent la physiothérapie, les médicaments anti-inflammatoires et parfois la chirurgie."
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{
"@type": "Question",
"name": "Les médicaments peuvent-ils soulager la douleur ?",
"position": 17,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, des analgésiques et des médicaments spécifiques comme les anticonvulsivants peuvent aider."
}
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{
"@type": "Question",
"name": "La physiothérapie est-elle efficace ?",
"position": 18,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, la physiothérapie peut améliorer la force et la fonction nerveuse dans certains cas."
}
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{
"@type": "Question",
"name": "Quand la chirurgie est-elle nécessaire ?",
"position": 19,
"acceptedAnswer": {
"@type": "Answer",
"text": "La chirurgie est envisagée si les symptômes persistent malgré un traitement conservateur."
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{
"@type": "Question",
"name": "Y a-t-il des traitements alternatifs ?",
"position": 20,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des approches comme l'acupuncture ou la thérapie par la chaleur peuvent être bénéfiques pour certains."
}
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"@type": "Question",
"name": "Quelles complications peuvent survenir ?",
"position": 21,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les complications incluent la perte de fonction, des douleurs chroniques et des déformations."
}
},
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"@type": "Question",
"name": "La mononeuropathie peut-elle entraîner une incapacité ?",
"position": 22,
"acceptedAnswer": {
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"text": "Oui, si non traitée, elle peut entraîner une incapacité fonctionnelle permanente."
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"name": "Les infections sont-elles une complication possible ?",
"position": 23,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, des infections peuvent survenir si la peau est lésée à cause de la perte de sensation."
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"@type": "Question",
"name": "Comment les complications affectent-elles la qualité de vie ?",
"position": 24,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les complications peuvent réduire la qualité de vie en limitant les activités quotidiennes et en causant de la douleur."
}
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"@type": "Question",
"name": "Les complications sont-elles réversibles ?",
"position": 25,
"acceptedAnswer": {
"@type": "Answer",
"text": "Certaines complications peuvent être réversibles avec un traitement précoce, d'autres non."
}
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{
"@type": "Question",
"name": "Quels sont les principaux facteurs de risque ?",
"position": 26,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les facteurs incluent le diabète, l'alcoolisme, les maladies auto-immunes et les traumatismes."
}
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{
"@type": "Question",
"name": "L'âge influence-t-il le risque de mononeuropathies ?",
"position": 27,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, le risque augmente avec l'âge en raison de la dégradation nerveuse et des maladies associées."
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"@type": "Question",
"name": "Le travail répétitif est-il un facteur de risque ?",
"position": 28,
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"text": "Oui, les mouvements répétitifs peuvent entraîner des lésions nerveuses et des mononeuropathies."
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"name": "Les maladies auto-immunes augmentent-elles le risque ?",
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"name": "Le tabagisme est-il un facteur de risque ?",
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"text": "Oui, le tabagisme peut nuire à la circulation sanguine et augmenter le risque de neuropathies."
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Expert en Médecine, Optimisation des Parcours de Soins et Révision Médicale
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As the incidence of duodenal neuroendocrine tumors (DNET) is steadily increasing, the role of endoscopic treatment for appropriate lesions is becoming more significant. We aimed to compare the outcome...
Patients who underwent endoscopic treatment for DNET between June 2000 and December 2019 were included. The clinicopathologic features and treatment outcomes were investigated by reviewing medical rec...
Overall, 104 cases underwent endoscopic resection for nonampullary DNET, including conventional EMR (n = 57), cap-assisted EMR (EMR-C, n = 19), and precut EMR (EMR-P, n = 28). The en bloc resection ra...
Conventional EMR and modified EMR are feasible and effective for the treatment of nonampullary DNET sized < 10 mm and limited to mucosal and submucosal layer. Additionally, endoscopists should be awar...
BACKGROUND : Colorectal polyps > 10 mm in size are often incompletely resected. Anchoring-endoscopic mucosal resection (A-EMR) is the technique of making a small incision at the oral side of the polyp...
SOUTEN (KANEKA Co., Tokyo, Japan) is a unique snare with a disk tip. We analyzed the efficacy of precutting endoscopic mucosal resection with SOUTEN (PEMR-S) for colorectal lesions....
We retrospectively reviewed 57 lesions of 10-30 mm treated with PEMR-S at our institution from 2017 to 2022. The indications were lesions that were difficult for standard EMR due to size, morphology, ...
The polyp size was 16.5 ± 4.2 mm and the non-polypoid morphology rate was 80.7%. Histopathological diagnosis included 10 sessile-serrated lesions, 43 low-grade and high-grade dysplasias, and 4 T1 canc...
PEMR-S achieved high en bloc resection of colorectal lesions of 20-30 mm though it leaded to long procedure time....
Incomplete resection rates vary among endoscopists performing cold snare polypectomy. Cold snare endoscopic mucosal resection (CS-EMR) is the technique of cold resection after submucosal injection to ...
Residual or recurrent adenoma (RRA) after endoscopic mucosal resection (EMR) of large non-pedunculated colorectal polyps (LNPCPs) of ≥20 mm is a major limitation. Data on outcomes of the endoscopic tr...
Over 139 months, detailed morphological and histological data on consecutive RRA detected after EMR for single LNPCPs at one tertiary endoscopy centre were prospectively recorded during structured sur...
213 (14.6%) patients had RRA (168 (78.9%) at first surveillance and 45 (21.1%) thereafter). RRA was commonly 2.5-5.0 mm (48.0%) and unifocal (78.7%). Of 202 (94.8%) cases which had macroscopic evidenc...
RRA after EMR of LNPCPs can be effectively treated using simple endoscopic techniques with long-term adenoma remission of >90%; only 16% required retreatment. Therefore, more technically complex, morb...
NCT01368289 and NCT02000141....
Endoscopic mucosal resection (EMR) and endoscopic submucosal dissection (ESD) allow endoscopic resection of early esophageal adenocarcinoma. The choice between the two techniques takes into account th...
Patients who underwent an endoscopic resection for esophageal adenocarcinomas between March 2015 and December 2019 were included. ESD was compared to EMR in terms of clinical, procedural, histologic, ...
85 patients were included: 57 ESD and 28 EMR. The median (IQR) diameter of the lesion was 20(15-25) mm in the ESD group, and 15(8-16) mm in the EMR group, p<0.01. ESD allowed en bloc resection in 100%...
ESD was as safe as EMR and allowed higher en bloc, R0 and curative resection rates. Although these results did not translate into long-term outcomes, these data prompt for a broader adoption of ESD fo...
As endoscopic mucosal resection (EMR) of large (≥ 20 mm) adenomatous nonpedunculated colonic polyps (LNPCPs) becomes widely practiced outside expert centers, appropriate training is necessary to avoid...
Consecutive EMRs were recruited from a single center over 130 months. Lesion characteristics, intraprocedural data, and adverse events were recorded. Challenging lesions with intraprocedural bleeding ...
Of 1993 LNPCPs, 286 (14.4 %) were in challenging locations (anorectal junction, ileocecal valve, or appendiceal orifice), 368 (18.5 %) procedures were complicated by IPB and 77 (3.9 %) by IPP; 110 (5....
The EMR-CSS is a novel case selection tool for conventional EMR training, which identifies a subset of adenomatous LNPCPs that can be successfully and safely attempted in early EMR training....
Underwater endoscopic mucosal resection (UEMR) is increasingly applied in the treatment of superficial non-ampullary duodenal epithelial tumors (SNADETs). This meta-analysis aimed to assess the effica...
The following electronic databases were searched from 2012 until November 20, 2021: PubMed, Embase, Scopus, Web of Science databases, and Cochrane Library. The primary outcomes were the rates of en bl...
A total of 6 studies with 679 lesions (331 underwent UEMR and 348 CEMR) were included in this study. The pooled analysis showed that UMER achieves a similar en bloc resection rate (87.6 vs. 89.9%; odd...
This meta-analysis demonstrated that UEMR appears to be an effective and safe alternative to CEMR for SNADETs ≤20 mm....
The aim of this study is to evaluate and compare the safety and efficacy of endoscopic mucosal resection with a cap (EMR-c) with those of endoscopic submucosal dissection (ESD) for rectal neuroendocri...
A total of 122 patients who underwent EMR-c or ESD for R-NETs at the Fourth Hospital of Hebei Medical University between February 2007 and December 2020 were invovled in this study. The clinical outco...
A total of 122 patients with 128 R-NETs underwent endoscopic resection (EMR-c, 80; ESD, 48). In terms of duration of operation, EMR-c was significantly shorter than ESD (p < 0.001). Univariate analysi...
Both EMR-c and ESD were safe and effective treatments for R-NETs ≤ 15 mm in diameter. In addition, tumor diameter ≥ 8 mm was an independent risk factor for incomplete resection....
Although gel immersion endoscopic resection (GIER) is a potential alternative to underwater endoscopic mucosal resection (UEMR) for superficial nonampullary duodenal epithelial tumors (SNADETs), compa...
40 consecutive procedures performed in 35 patients were retrospectively reviewed; the primary outcome was procedure time, and the secondary outcomes were en bloc and R0 resection rates, tumor and spec...
Lesions were divided into GIER (n = 22) and UEMR groups (n = 18). The median (range) procedure time was significantly shorter in the GIER group than in the UEMR group (2.75 [1-3.5] minutes vs. 3 2 3 4...
GIER is efficacious and safe to treat SNADETs, although additional studies are needed....
