Publications by authors named "Stephane Mathis"

The history of peripheral neuropathology, in particular the study of the normal nerve, spans centuries and involves significant contributions from many scientists and physicians. The earliest knowledge of nerves dates back to ancient Greece, accelerating from the 18th century onwards. This historical overview highlights the evolution of our understanding of peripheral nerves, from ancient theories to modern scientific discoveries, illustrating the collaborative and progressive nature of scientific progress.

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This retrospective study identified 125 audio-visual works from cinema and television, including films, TV series, and documentaries, depicting neuromuscular disorders since 1910. Motor neuron disorders, including amyotrophic lateral sclerosis (ALS), had the highest representation (69.3%), followed by myopathies (20%).

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Since its introductory characterization by Kussmaul and Maier in 1866, the understanding of vasculitis has evolved significantly. Modern classification systems provide clear clinical and histopathologic definitions. Although early vasculitis cases likely included neuromuscular involvement, specific clinicopathologic descriptions of nerve vasculitis were lacking.

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Rationale: Locked-in syndrome (and its variant, completely locked-in state) generally has a high mortality rate in the acute setting; however, when induced by conditions such as acute inflammatory polyradiculoneuropathy, it may well be curable such that an attempt at cure should be systematically sought by clinicians.

Patient Concerns: A 52-year-old man presented with acute tetraparesia and areflexia, initially diagnosed as Guillain-Barré syndrome. Despite appropriate treatment, his condition deteriorated, evolving into a completely locked-in state.

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In amyotrophic lateral sclerosis (ALS), early mitochondrial dysfunction may contribute to progressive motor neuron loss. Remarkably, the ectopic expression of the Orthobornavirus bornaense type 1 (BoDV-1) X protein in mitochondria blocks apoptosis and protects neurons from degeneration. Therefore, this study examines the neuroprotective effects of X protein in an ALS mouse model.

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Adenosine deaminase acting on RNA 1 (ADAR1) is the principal enzyme for the adenosine-to-inosine RNA editing that prevents the aberrant activation of cytosolic nucleic acid sensors by endogenous double stranded RNAs and the activation of interferon-stimulated genes. In mice, the conditional neural crest deletion of reduces the survival of melanocytes and alters the differentiation of Schwann cells that fail to myelinate nerve fibers in the peripheral nervous system. These myelination defects are partially rescued upon the concomitant removal of the Mda5 antiviral dsRNA sensor in vitro, suggesting implication of the Mda5/Mavs pathway and downstream effectors in the genesis of mutant phenotypes.

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As the most frequent cause of acquired myopathy, toxic myopathies are characterised by clinicopathological features that vary depending on the mode of action of the drugs or toxins involved. Although a large number of substances can induce myotoxicity, the main culprits are statins, alcohol, and corticosteroids. A rigorous, well-organised diagnostic approach is necessary to obtain a rapid diagnosis.

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Article Synopsis
  • Motor neuron disorders are a diverse group of diseases that involve the progressive degeneration of motor neurons, affecting both upper and lower motor neurons and can be either sporadic or hereditary.
  • Hereditary forms of these disorders are complex and often overlap in clinical and genetic features, making diagnosis challenging.
  • This review outlines the main types of inherited motor neuron disorders, their historical descriptions, clinical characteristics, and updates on the genes associated with conditions like spinal muscular atrophy and familial amyotrophic lateral sclerosis.
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  • - The tongue plays a key role in important functions like swallowing and speaking, making it significant in neurology.
  • - The literature review focused on the anatomy and physiology of the tongue and its relevance to neurological examinations.
  • - The study emphasizes that examining the tongue should be a standard part of assessing cranial nerve functions in clinical settings.
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  • The tongue plays a vital role in key functions like swallowing and speech, and its examination can provide insights into neurological conditions, acting as a "mirror" for certain brain functions.
  • The review highlights various clinical aspects of the tongue's examination, including superficial lesions, movement disorders (like tremors and dystonia), and issues related to taste and sensitivity.
  • It emphasizes that assessing the tongue should encompass both its motor and sensory functions, underlining the significance of nonmotor aspects in neurological evaluations.
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Background: Mitochondrial membrane protein-associated neurodegeneration (MPAN) is caused by mutations in the C19orf12 gene. MPAN typically appears in the first two decades of life and presents with progressive dystonia-parkinsonism, lower motor neuron signs, optic atrophy, and abnormal iron deposits predominantly in the basal ganglia. MPAN, initially considered as a strictly autosomal recessive disease (AR), turned out to be also dominantly inherited (AD).

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  • Autoimmune neuropathies are rare diseases where the immune system attacks the peripheral nervous system, often treated with immune therapies.
  • Guillain-Barré syndrome, a type of autoimmune neuropathy, includes various subtypes such as acute inflammatory demyelinating and chronic inflammatory demyelinating polyneuropathy (CIDP).
  • The presentation discusses the role of anti-myelin antibodies in conditions like CIDP and explores the different mechanisms of myelin damage, particularly focusing on the newly coined term "nodoparanodopathy."
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  • Noninvasive ventilation (NIV) has been shown to enhance survival and quality of life for ALS patients, but hospital bed shortages have prompted the exploration of at-home NIV initiation with telemonitoring.
  • A study analyzed data from 265 ALS patients who received NIV either at home or in-hospital, finding that 70% of those initiated at home adhered to the treatment after 30 days compared to 52% for in-hospital initiation.
  • The at-home group also had a faster initiation process, with an average delay of 8.7 days for at-home NIV compared to 29.5 days in hospital, and achieved a 79% rate of nocturnal hypoxaemia correction among adherent patients.
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  • Animal envenomation in humans typically occurs accidentally or as a defense mechanism, leading to various reactions depending on the type of venom.
  • A study identified 54 cases of acute peripheral neuropathy linked to bites or stings from diverse animals, with most cases resulting from hymenoptera like bees and wasps, as well as jellyfish, snakes, and corals.
  • Two main types of neuropathy were observed: polyneuropathy in over half of the cases and focal neuropathy in others, with good recovery odds, although the exact mechanisms behind these neuropathies remain largely unknown.
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  • - The study evaluated the effectiveness of subcutaneous immunoglobulin (SCIg) for treating myasthenia gravis (MG) by analyzing patient data from a neuromuscular referral center in Bordeaux between 2014 and 2021.
  • - Sixteen MG patients participated, with 50% showing improvement in their condition after SCIg treatment, and the therapy helped reduce hospital stays and intubation days, indicating positive outcomes.
  • - While SCIg was well-tolerated and most patients preferred to continue the treatment, the authors highlighted the need for larger studies to further validate the findings.
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  • *The patient also has immunoglobulin-M monoclonal gammopathy but lacks antibodies against known myelin antigens.
  • *Nerve biopsy showed unusual changes in myelin, and treatment with plasma exchanges and rituximab was effective, indicating an autoimmune cause for the condition.*
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  • This study investigates the pathological features of acute and chronic ataxic peripheral neuropathy, focusing on the node of Ranvier in nerve biopsies from two patients with different conditions: Miller Fisher syndrome (acute) and chronic ataxic neuropathies with disialosyl antibodies (CANDA).
  • Findings reveal that both patients exhibit lesions indicative of "paranodopathy," where the immune response negatively affects myelin and surrounding nerve structures.
  • The research concludes that immune-mediated peripheral neuropathies can be categorized as nodoparanodopathies, which involve various clinical presentations and may contribute to nerve damage through mechanisms related to anti-disialosyl antibodies.
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Background: Livedoid vasculopathy (LV) is a chronic dermatosis associated with micro-thrombosis of the vessels of the dermis, leading to ischemic lesions and painful skin ulcerations of the lower limbs. This thrombosing occlusive vasculopathy, clearly distinct from 'classical vasculitis' (not related to alteration of vessel walls), may lead to peripheral neuropathy.

Objective: To clarify the main clinical, electrophysiological and pathological characteristics of peripheral neuropathy linked to LV.

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Article Synopsis
  • Giant cell arteritis is a chronic inflammatory disease primarily affecting large and medium-sized blood vessels in people over 50, particularly the temporal and cranial arteries.
  • * It is associated with various symptoms, including neurological issues that can impact both the central and peripheral nervous systems.
  • * The review aims to highlight the neurological complications and improve diagnostic accuracy for this treatable condition.*
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Chronic inflammatory demyelinating polyradiculoneuropathy (CIDP) is an immune-mediated and treatable disease that may be associated with various systemic conditions. Our objective is to describe the clinical, electrophysiological and pathological data of a series of patients with both CIDP and hemopathy. In this retrospective study, we analyzed 21 patients with CIDP and various hemopathies (malignant or not), consecutively observed for almost five years.

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  • - Autoimmune neuropathies are generally classified as either demyelinating or axonal based on their pathology and electrophysiology, but some disorders challenge this binary classification by showing characteristics of both types.
  • - Certain autoimmune conditions, while not showing demyelination, can still produce nerve conduction changes typical of demyelinating neuropathies, highlighting inconsistencies in the traditional classification system.
  • - A new classification system is suggested, focusing on the specific areas of myelinated fibers affected and the associated antigens, aiming to clarify diagnosis and reconcile conflicting findings in autoimmune neuropathies.
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Olfaction, one of our five main qualitative sensory abilities, is the action of smelling or the capacity to smell. Olfactory impairment can be a sign of a medical problem, from a benign nasal/sinus problem up to a potentially serious brain injury. However, although clinicians (neurologists or not) usually test the olfactory nerves in specific clinical situations (for example, when a neurodegenerative disorder is suspected), they may omit such tests in many other situations.

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