Résumés en français

Clinical Epileptology -     

Résumés en français 2/2023

Clinical Epileptology -     

Résumés en français 4/2022

Clinical Epileptology -     

Actualités sur la question du conseil médico-psychologique aux autorités en opération extérieure

Command counseling is part of the medical officer's regalian function in supporting the armed forces. The psychiatrist performs this function on issues of mental hygiene in order to preserve the health and operational readiness of combatants. He is the guarantor of an approach centered on the subject's clinic, keeping in mind the medical-military issues in which he practices. While the command is most often concerned with the operational effectiveness of its regiment, the doctrines of the exercise of the command have evolved to include the recognition of suffering and in particular that of its soldiers. However, soldiers suffering from mental illness are still often confronted with stigmatization and incomprehension from their comrades, their entourage, or their hierarchy. The psychiatrist, in his role as advisor, sometimes finds himself at odds with the command, which is the sole decision-maker, the final decision being made through dialogue and compromise. In this article, based on our experience in the field, we discuss the points of concern for the psychiatrist in military operations, we can evoke the questions of ethics, the loss of moral sense or the risks related to the subordination of the psychiatrist. Nevertheless, the presence of psychiatrists in the theater of operations improves their understanding of the environment and the command and allows them to comprehend the operational stakes.     

Actualités dans les neuropathies héréditaires

Hereditary sensorimotor neuropathies, or Charcot-Marie-Tooth disease (CMT) comprise a group of diseases with heterogeneous clinical, electrophysiological and genetic expression. They are classified by the mode of inheritance (autosomal dominant, X-linked dominant, autsomal recessive) and their electrophysiological characteristics taking into account the speed of motor conduction of the median nerve (demyelinating, intermediary and axonal forms). Certain purely motor forms are called spinal CMT or hereditary distal motor neuropathy, or distal spinal amyotrophy. CMT involving an important sensorial component, trophic disorders, or signs of dysautonomia are included in the classification of hereditary sensory and autonomic neuropathies.     

Actualités dans les neuropathies héréditaires

This short review highlights five studies published in 2012 in the field of Charcot-Marie-Tooth disease (CMT) and transthyretin familial amyloid neuropathies (TTR-FAN). Regarding CMT, an Australian pediatric study shows the high prevalence of impaired speech perception and hearing disability in children with CMT1 or CMT2 with normal or near normal audiometry (Rance et al., 2012). In a second study, the clinical and electrophysiological characteristics of 14 patients with CMT4C due to mutations in SH3TC2 gene are described (Yger et al., 2012). The 3 clinical hallmarks of CMT4C patients in this French cohort are the high prevalence of scoliosis, the proximal motor weakness and the cranial nerves involvement. Concerning TTR-FAN, the first data from French and international registries are reported (Adams et al., 2012, Coelho et al., 2013) and a phase II trial describes the results of taurourodeoxycholic acid and doxycycline treatment (Obici et al., 2012).     

Rivalités à Venise

Ten years ago, the exhibition Titian, Tintoretto, Veronese… Rivals in Renaissance Venice was held at the Musée du Louvre. The narrative framework of this exhibition was based on the artistic and psychological confrontation between these three giants of the Venetian school of the Cinquecento. Through analysis and comparison of Tintoretto's and Veronese's pictorial style and their works, these two artists’ personalities emerge opposites in every way.