Author Archives: admin

Repetitive Transcranial Magnetic Stimulation (rTMS)

Dans notre centre de Neurologie à Gland, nous avons maintenant la possibilité d’effectuer des traitements de stimulation magnétique transcrânienne répétitive (rTMS). Nous sommes les seuls neurologues installés, de la Suisse romande à proposer ce traitement ambulatoire. Il s’agit d’une méthode non invasive de stimulation … Continue reading

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The prosody is a communicative linguistic function, which results from the intonation, cadence, accent, and physical duration of the words. The prosody enhances the comprehension or the composed words, the basic emotions (rage, fear, sadness, surprise, disgust, pleasure), the subtle … Continue reading

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A case of apraxic agraphia?

Apraxic agraphia is a very rare condition. The examiner should think about it when the patient shows normal linguistic capabilities (conversation is normal or almost normal) together with severely impaired writing. Apraxic agraphia is a peripheral writing disorder. Patients with … Continue reading

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Stimulate your cortex and eat less

Eating disorders should raise up from dysfunction of neural processing in brain areas that are involved in emotional control, appetite regulation and body schema representations. In this context, eating disorders are located in the interface between the mind, body and … Continue reading

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Cervical Spondylotic Myelopathy (CSM): Nothing is easy!

Although CSM is a frequent cause of myelopathy, its natural history is not clear, the clinical and radiological diagnosis might be particularly difficult and approaches to treatments are not standardized nor based on evidence medicine. CSM is a degenerative condition … Continue reading

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Neurologic mysteries: Mild Encephalopathy with Reversible Splenium lesion (MERS)

MERS is not a so rare clinical entity even if epidemiological data are scanty; the clinical presentation is variable such as the etiologies of this syndrome. However, although the splenium lesion is usually quite big, these patients do not show … Continue reading

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Micrographia is a frequent symptom of Parkinson’s disease, often one of the first. Its association with the disease is straightforward: 75-90% of patients with Parkinson show micrographia, the presence of micrographia allows the diagnosis of PD in almost all cases. … Continue reading

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Alzheimer’s disease: when the cure?

To answer this question we should list some significant facts about the disease. There are 36 millions patients with the disease in the world, a diagnosis of Alzheimer disease is made every three seconds in the USA, the costs of … Continue reading

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Reduplicative Paramnesia

This syndrome is quite rare and there are no specific epidemiological data. It can be observed in both psychiatric and neurologic settings. In my personal neurologic career, I probably met thirty patients with this condition, most of them after frontal … Continue reading

Posted in Cognition and Behavior, Stroke | 3 Comments

Recovery after stroke

Early prediction of functional outcome is important in stroke management to introduce rehabilitation programs with realistic objectives. These objectives should be periodically checked and continuously readapted with the salient clinical aspects of the patient recovery. Outcome is generally better for … Continue reading

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The frontal lobe: the master and commander

The frontal lobe is the main site of cognitive, emotional and behavioral processing. The prefrontal cortex, because of heavy bidirectional connections with all the other associative areas of the brain has long been assumed to have functions of control over … Continue reading

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The Deese–Roediger–McDermott (DRM) paradigm (Roediger and McDermott, 1995) is a procedure to study false memories. In this paradigm, individuals are induced to falsely recall/recognize a nonstudied word (e.g. sleep), which is defined as the “critical lure”, through the previous study … Continue reading

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Brain imaging and bioimaging for Parkinson’s Disease

Bioimaging for Parkinson’s Disease (PD) could be useful, especially for those patients consulting for the first time and not fulfilling entirely the diagnostic criteria. I refer to patients with limited features of the disease (atypical tremor, predominant postural tremor, incertitude … Continue reading

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rTMS for chronic migraine?

Chronic migraine is a disabling condition defined as more than 15 headache day by month for more than 3 months, of which more than eight episodes are migraineous. The diagnosis of this disorder requires the assumption that a medication overuse … Continue reading

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Pusher syndrome

Patients with the pusher syndrome are characterized to push toward the weak side of the body, generally the left side (on a coronal plane) after a right hemisphere lesion. This behavior puts them at high risk of falling. These patients … Continue reading

Posted in Cerebrovascular diseases, Cognition and Behavior, Stroke | Leave a comment

Room-tilt illusion

This illusion is quite rare and I can remember on my fingers the patients with it whom I met, generally in emergency settings. For the majority of them the illusion was transitory lasting generally minutes and was accompanied by other … Continue reading

Posted in Cerebrovascular diseases, Cognition and Behavior, Neuro-ORL | 1 Comment

When 22-7 is more difficult than 99-12

For arithmetic facts (i.e., table facts, such as 2 x 3 = 6), there is strong evidence that cerebral damage can cause selective impairments within basic arithmetic operations. However, to understand the brain underpinnings of arithmetic abilities, it is necessary … Continue reading

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Nerve Agents

Although biological and chemical warfare are the aberration of medical sciences they will be always a subject of military studies as war is an unavoidable condition of the human nature itself. Although we should always avoid excessive alarmism, the neurologist … Continue reading

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Parkinson disease and anxiety

I think that anxiety is one of the most common non-motor symptom of Parkinson disease (PD) at the early stages of the disease. An anxiety profile that is specific to PD has not been defined. DSM diagnostic criteria of anxiety … Continue reading

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“Nummular headache”: a 5 CHF coin-shaped headache

Nummular headache is the term given to a condition characterized by a continuous or intermittent pain that is felt in a contoured and fixed coin-shaped elliptic area (2-6 cm, usually as a 5 CHF coin) of the scalp, generally on … Continue reading

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