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The locomotive syndrome

This syndrome was first described in 2007 by the Japanese Orthopedic Association in order to define a new concept causing gait disorders in a considerable number of very elderly patients. This is the locomotive that doesn’t pushes the train forward. … Continua a leggere

Pubblicato in Neurorehabilitation | Lascia un commento

Migraine and sleep

We know, as neurologists, that there is an association between migraine and poor sleep. Sleeping poorly (non-restorative sleep, insomnia) increases migraine attacks and worsens comorbidities (depression and anxiety). It is known that the brain of the patients with migraine is … Continua a leggere

Pubblicato in Headache, Sleep, Uncategorized | Lascia un commento

Misidentification syndromes at the interface of neurology and psychiatry

As neurologists, sometimes we deal with special « delusions ». Misidentification syndromes are rare neurologic conditions in which the patient attributes a wrong identity (a sort of hypo-identification) to people (Capgras syndrome or doubles’ illusion), to places (reduplicative amnesia), or believes that … Continua a leggere

Pubblicato in Cognition and Behavior, Lewy Body Disease, Parkinson Disease, Psychiatry | Lascia un commento

Fibromyalgia and repetitive transcranial magnetic stimulation (rTMS)

We provide in our centre brain neruomodulation with rTMS in order to treat patients with fibromyalgia. Fibromyalgia is a very common chronic painful musculoskeletal condition affecting about 1-3% of the population world wide. Main clinical features are widespread muscular pain … Continua a leggere

Pubblicato in neuromodulation, rTMS | Lascia un commento

Recherche de médecin spécialiste

Nous désirons developper ultérieurement notre centre de neurologie et nous cherchons (à temps plein ou à temps partiel) un médecin indépendant d’une autre spécialité (possiblement apparentée avec la neurologie ou un psychiatre ou un spécialiste de médecine interne) avec un … Continua a leggere

Pubblicato in Uncategorized | Lascia un commento

The Balint syndrome (a chaotic visual world)

The Balint syndrome is a rare neurological condition consisting of a triad of visuomotor deficits : simultanagnosia, oculomotor apraxia and optic apraxia. Simultanagnosia is the inability to perceive objects when they are simultaneously presented (seeing the tree but not the … Continua a leggere

Pubblicato in Apraxia, Cerebrovascular diseases, Cognition and Behavior, Neurorehabilitation, Stroke, visual disorders | Lascia un commento

Occipital neuralgia

The occipital neuralgia (formerly called Arnold’s neuralgia) is a primary headache, which must be distinguished from the migraine. The main symptom is an electric, burning and invalidating pain (generally different from the migraine), of which the origin is just below … Continua a leggere

Pubblicato in Headache, Pain syndromes | Lascia un commento

Minor Hemisphere Major Syndromes

Dr Carota recently published an extensive article entitled “Minor hemisphere major syndromes” on a prestigious international journal of neurology. You can take a look to understand how the functional differences of the two brain hemispheres result in different syndromes in … Continua a leggere

Pubblicato in Cognition and Behavior, Stroke | Lascia un commento

MINI-COG: to do absolutely

The MINI-COG (Borson and al. 2000) is an excellent screening test for dementia and Alzheimer’s disease. I always suggest to general doctors or to relatives to perform the test to the person with memory difficulties. The test requires only three … Continua a leggere

Pubblicato in Alzheimer, Cognition and Behavior, Memory | 1 commento

Mesotherapy onboarding

For the treatment of the acute and chronic painful syndromes, besides the usual oral drugs, especially in case of non response, it is often necessary to make recourse to other treatments. Among them, the mesotherapy has an important place. The … Continua a leggere

Pubblicato in Pain syndromes, Uncategorized | 1 commento

Vitamine D and Multiple Sclerosis (MS)

Vitamin D is an essential nutrient for bones and metabolism of calcium. However, its deficiency has been related to many disorders and to higher risks of mortality. Vitamine D regulates the activity of 2000 genes and its production is enhanced … Continua a leggere

Pubblicato in Multiple Sclerosis | Lascia un commento

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 … Continua a leggere

Pubblicato in Headache, Neurorehabilitation, Psychiatry, Uncategorized | Lascia un commento

Dysprosody

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 … Continua a leggere

Pubblicato in Cognition and Behavior | Lascia un commento

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 … Continua a leggere

Pubblicato in Cognition and Behavior | Lascia un commento

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 … Continua a leggere

Pubblicato in Cognition and Behavior | 2 commenti

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 … Continua a leggere

Pubblicato in Spine | Lascia un commento

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 … Continua a leggere

Pubblicato in Cognition and Behavior, Neurologic mysteries | Lascia un commento

Micrographia

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. … Continua a leggere

Pubblicato in Cognition and Behavior, Parkinson Disease | Lascia un commento

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 … Continua a leggere

Pubblicato in Alzheimer | Lascia un commento

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 … Continua a leggere

Pubblicato in Cognition and Behavior, Stroke | 5 commenti