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Biomedical subjects

D Parain

Publications and source records attributed to D Parain.

At least 37 records · Page 2Linked to original sources
PubMed1986

[Intermediate neurological development of 60 neonates weighing 1500 grams or less at birth. Predictive value of initial findings (clinical aspects, electroencephalograms and brain imaging)].

60 low birthweight (less than or equal to 1,500 g) are distributed according to existence or not, and intensity of brain disturbances, during the neonatal period; appreciated by neurological examinations, early EEG and brain imaging during the second month of life. At 18 months, at least, neurological outcome is normal for 46 children (but 6 had transient neuromotor anomalies), 14 have sequelae (7 mild, 7 major). All children with clinical neurological examination carried out during the neonatal period are normal at follow up. It is true also for the children without EEG anomaly and normal brain imaging. The early prediction of neurological outcome can be made easily with consideration of these three data. Standardised test are proposed, during the neonatal period, for these low birth weight infants.

Brain↗
PubMed1985

[Flash-pattern visual evoked potentials and limited lesions of the occipital lobe].

Four patients with restricted lobe lesions and one patient with large occipital lesions were selected for VEP studies to full-field and half-field flash pattern stimuli. The abnormalities of the responses were more important with full-field stimuli. In three patients with inner side occipital lobe damage, the P100 component disappeared ipsilaterally to the lesion, but N140 remained normal on bilateral occipital leads. In one patient with outer side occipital lobe damage, P100 was normal on bilateral occipital leads, but N140 disappeared ipsilaterally to the lesion. In one patient with large occipital lesion, P100 and N140 both disappeared ipsilaterally to the lesion. It appears that the P100 component is related to the inner and that N140 is related to the outer area of the occipital lobe.

Adult↗
PubMed1984

Electroencephalograms in basilar artery migraine.

Nine cases of 'basilar artery migraine' (BAM) have been recorded. In 8 cases, excess of beta activity was observed during the attacks and disappeared in less than 3 days. The inter-ictal EEGs were normal. Drug ingestion was excluded each time. These EEG patterns are different from those which have been reported in the literature, i.e., transitory posterior abnormal slow waves. However, case no.1 is in agreement with the literature. The expression 'BAM' probably covers different syndromes which are further discussed.

Adolescent↗
PubMed1984

[Dissociation of visual evoked responses to hemi-field or full-field flash-checkerboard stimulation].

Unexpected visual evoked responses (VERs) were recorded in 5 subjects with tumoral, ischemic or hemorrhagic lesions of the retrochiasmatic visual pathways. The flash pattern stimulation was always binocular and involved full-field and half-field stimuli. In these 5 cases, the total field VER was asymmetrical with anomalies on the affected occipital region. However half-field VERs P100 contralateral to the stimulus were noted both on the normal and on the affected occipital region. One can ask if this is not an electrophysiological equivalent of the clinical relative hemianopsia.

Adult↗
PubMed1984

[Different congenital forms of Steinert's myopathy: contribution of EMG].

The study of two families with myotonic dystrophy enables us to recall the existence of two congenital forms: one severe form with important neonatal hypotonia and one mild form with talipes equinovarus and intellectual deficiency. In both forms EMG detection is very often of the myogenic type. It confirms the diagnosis of myopathic disorder.

Adolescent↗
PubMed1983

[Electrophysiologic study of neonatal hypoglycemia prolonged by hyperinsulinism].

A case of neonatal hyperinsulinism with hypoglycemia is reported. The EEGs were abnormal because of a lack of sleep modulation. The CT scan showed pathological occipital hypodensities. The flashes VER were abnormal at 1, 2 and 6 months of age, chiefly on the right occipital lead and showing a possible lesion of the right retrochiasmatic pathways.

Brain↗
PubMed1983

[Congenital oculomotor apraxia. 2 cases with an electro-oculography study].

Congenital oculomotor apraxia is characterized by the inability of the young child to produce horizontal saccades when his head is fixed; two cases are reported. In a free condition this trouble is compensated by thrust head movements allowing the child to lead his gaze to the stimulus or to reach it by successive hypometric jerks released by movement. A blink usually precedes the eye movement probably allowing the child to escape from an excessive fixation. This apraxia is combined with a motor and psychological development delay. The evolution of all the troubles is usually good with minimal sequelaes (difficulty for reading). Without any anatomical argument, it may be assumed that a dysfunction of area 8 and of the fronto-mesencephalic pathway is responsible for this abnormality. The resemblance of this disturbance to an earlier phylogenic period of the oculomotor development (inferior mammalian) and its spontaneous good evolution evoke more a maturation delay of the supranuclear control system of saccades than a true disease.

Apraxias↗
PubMed1982

[Several cases of EEG registration of epilepsy induced by television].

We present 6 cases of television epilepsy; there appear to be 2 distinct populations. The first group has seizures only when near the screen, is sensitive to the alternating appearance of odd and even lines and most often is not sensitive to photic stimulation at 50 Hz; the second group has seizures far from the screen and is sensitive to photic stimulation at 50 Hz. Therapeutic approaches are discussed for both groups.

Adolescent↗
PubMed1981

[The study of distal sensitive conduction in the child: some observations (author's transl)].

The sensitive potential of the median nerve is evoked by stimulating the second and third fingers while being recorded percutaneously at the wrist. Three parameters are calculated on control subjects: amplitude, duration and velocity, which is obtained from the negative peak latency. These parameters have been measured on children with Charcot-Marie-Tooth's disease. Friedreich's ataxia and Fukuyama's disease. The results are in good agreement with the literature. The interest of this investigation for early diagnosis of the disease and its classification is emphasized.

Adolescent↗
PubMed1981

[Visual evoked responses with flash pattern in normal subjects (author's transl)].

Visual evoked responses to flash pattern simulations have been observed in young healthy adults. Stimulations of whole visual fields (37 subjects) and half-fields (11 subjects) have been performed. These responses are reproductible from one subject to another and show very clear waves in the occipital and central regions. On central leads, whatever the stimulation (stimulation of total visual fields or half-fields), the responses are always the same: a negative peak at 70 msec. followed by a positive peak at 90 msec, then a negative peak at 116-120 msec. On occipital leads, stimulation of the whole visual field shows a diphasic response: a positive wave at 100 msec and a negative wave at 140-150 msec. However, half-field stimulation shows different responses on the ipsi- and contralateral hemispheres, with a disappearance of the positive 100 msec wave in the ipsilateral occipital region. Thus, flash pattern stimulations seem to be useful in clinical practice because they evoke different types of responses in occipital and central regions.

Adult↗
PubMed1981

[EEG analysis and prognosis in 125 cases of non-hyperpyretic seizures occurring in children under three (author's transl)].

Between 1955 and 1970 recordings were made from 125 children aged 1-36 months who had had a first epileptic seizure (non-hyperthermic). 100 of these children were followed up for from 5 to 20 years: 35 had had their first seizure before 1 year of age and 65 between the age of 1 and 3. Hypsarrythmia was more frequent under 1 year of age, whereas short diffuse spike and wave bursts were observed only after 1 year. However, localized spikes, asymmetrical or slow tracings as well as normal tracings were observed in both groups, without significant difference. A fatal outcome is more frequent when the first seizure took place before the age of 1 year. However, in our sample the intellectual development of the surviving children does not depend on the time of the first seizure. In any case the prognosis is unfavorable, since only 31 of the children followed up developed normally.

Age Factors↗
PubMed1980

[Non-edematous spontaneously resolving cerebellar softening. Diagnostic possibilities and value (author's transl)].

Non edematous cerebellar softenings are usually unrecognized even though their relatively high frequency of occurrence is proved by systematic anatomical studies. They should be suspected when an acute late-onset vestibular syndrome is noted, in which there is a particular type of homolateral disequilibrium and nystagmus, good vestibular reactivity, and possible association with a cerebellar syndrome. Softening can usually be confirmed after several days by the complementary examinations presently available: computer tomography of the posterior fossa and scintigraphy with labelled bleomycin. Non-edematous forms are spontaneously resolving disorders but surveillance during the first few days is necessary together with anti-edematous therapy as early signs are common to those of edematous softening, responsible for rapid involvement of the brain stem and blocking of fluid pathways.

Aged↗
PubMed1979

[Acute cerebellitis in infectious mononucleosis. One case (author's transl)].

A nineteen year old man present an original clinical case of acute cerebellitis in infectious mononucleosis. Eighteen months after the acute phase of the illness, there persisted a large deficit in the circulating B lymphocytes. A short review of pertinent litterature is presented and current physiopathological hypothesis are discussed. Briefly, delayed immunity and personal predisposition appear to play important etiological roles.

Adolescent↗
PubMedDate not supplied

[A multifactorial etiologic approach to diabetic dyschromatopsia. Study of 100 diabetics].

Diabetic dyschromatopsia is frequent and is a true complication of diabetes mellitus. Causative factors other than retinopathy have been suggested, but they remain unclear. We have explored the color vision of 100 diabetics aged 16 to 65 (88 insulin-dependent, 12 non-insulin dependent) with Lanthony's D15 desatured panel. Degenerative complications were looked for, especially by fundoscopy and electrophysiological exploration of peripheral nerves using specific scoring. 73% of the diabetics had dyschromatopsia. Dyschromatopsia was significatively more frequent when retinopathy was present (26 out of 30 diabetics with retinopathy versus 47/70 without). We explain the absence of a strict parallelism between dyschromatopsia and retinopathy by the intervention of other factors. Whereas the equilibration of the diabetes was not different between the groups with or without dyschromatopsia, patient age, microalbuminuria, blood pressure and alcohol intake were higher in patients with dyschromatopsia. The greater prevalence of peripheral neuropathy in patients with dyschromatopsia, confirmed by electrophysiology, and independently from the existence of retinopathy, is an indicator of the existence of neuronal disease, whose level remains to be determined. Our results are the indispensible preliminary step to a study of the respective importance of these pathogenic factors.

Adolescent↗