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Bertrand A, Leclercq D, Martinez-Almoyna L, Girard N, Stahl JP, De-Broucker T. MR imaging of adult acute infectious encephalitis. Med Mal Infect 2017; 47:195-205. [PMID: 28268128 DOI: 10.1016/j.medmal.2017.01.002] [Citation(s) in RCA: 29] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/09/2017] [Accepted: 01/11/2017] [Indexed: 02/06/2023]
Abstract
BACKGROUND Imaging is a key tool for the diagnosis of acute encephalitis. Brain CT scan must be urgently performed to rule out a brain lesion with mass effect that would contraindicate lumbar puncture. Brain MRI is less accessible than CT scan, but can provide crucial information with patients presenting with acute encephalitis. METHOD We performed a literature review on PubMed on April 1, 2015 with the search terms "MRI" and "encephalitis". RESULTS We first described the various brain MRI abnormalities associated with each pathogen of acute encephalitis (HSV, VZV, other viral agents targeting immunocompromised patients or travelers; tuberculosis, listeriosis, other less frequent bacterial agents). Then, we identified specific patterns of brain MRI abnomalies that may suggest a particular pathogen. Limbic encephalitis is highly suggestive of HSV; it also occurs less frequently in encephalitis due to HHV6, syphillis, Whipple's disease and HIV primary infection. Rhombencephalitis is suggestive of tuberculosis and listeriosis. Acute ischemic lesions can occur in patients presenting with severe bacterial encephalitis, tuberculosis, VZV encephalitis, syphilis, and fungal infections. CONCLUSION Brain MRI plays a crucial role in the diagnosis of acute encephalitis. It detects brain signal changes that reinforce the clinical suspicion of encephalitis, especially when the causative agent is not identified by lumbar puncture; it can suggest a particular pathogen based on the pattern of brain abnormalities and it rules out important differential diagnosis (vascular, tumoral or inflammatory causes).
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102
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Delaunay M, Cadranel J, Meyer N, Lusque A, Zalcman G, Moro-Sibilot D, Michot J, Raimbourg J, Girard N, Thiberville L, Planchard D, Metivier A, Barlesi F, Dansin E, Perol M, Pichon E, Fumet J, Gounant V, Collot S, Jaffro M, Prévot G, Milia J, Mazieres J. Pathologie pulmonaire infiltrative diffuse survenant chez des patients traités par les inhibiteurs des points de contrôle immunitaire (immunothérapie). Rev Mal Respir 2017. [DOI: 10.1016/j.rmr.2016.10.119] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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103
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Fallet V, Saffroy R, Girard N, Mazières J, Moro-Sibilot D, Lantuejoul S, Rouquette I, Thivolet-Bejui F, Vieira T, Antoine M, Cadranel J, Lemoine A, Wislez M. Recherche de mutation de l’exon 14 de MET au sein des carcinomes sarcomatoïdes pulmonaires : étude multicentrique rétrospective. Rev Mal Respir 2017. [DOI: 10.1016/j.rmr.2016.10.022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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104
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Khounigere M, Benmira M, Prévost C, Fontaine-Delaruelle C, Selmaji I, Hassouni A, Girard N, Couraud S, Viart-Ferber C, Mornex F. Irradiation des cancers bronchiques : mesure de la double diffusion du CO et du NO. Résultats matures de l’étude prospective CONORT. Cancer Radiother 2016. [DOI: 10.1016/j.canrad.2016.07.053] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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105
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Molina T, Bluthgen M, Chalabreysse L, De Montpréville V, De Muret A, Hofman V, Lantuejoul S, Parrens M, Rouquette I, Secq V, Girard N, Marx A, Besse B. Pathological central review of 400 thymic epithelial tumors (TET): The national network RYTHMIC experience. Ann Oncol 2016. [DOI: 10.1093/annonc/mdw391.03] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
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106
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Bluthgen M, Dansin E, Ou D, Lena H, Mazieres J, Pichon E, Thillays F, Massard G, Quantin X, Oulkhouir Y, Hon TNT, Thiberville L, Clement-Duchene C, Lindsay C, Missy P, Molina T, Girard N, Besse B, Thomas P. Quality of resection and outcome in stage III thymic epithelial tumors (TET): A retrospective analysis of 150 cases from the national network RYTHMIC experience. Ann Oncol 2016. [DOI: 10.1093/annonc/mdw391.02] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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107
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Girard N, Poncet M, Tallon Y, Martin-Bouyer P, Raybaud C. Neurovascular Conflict of the CP Angle: 3D-FT High Definition MR Analysis. ACTA ACUST UNITED AC 2016. [DOI: 10.1177/197140099400700314] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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108
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Girard N, Corral J, Cortinovis D, Heigener D. 183P: Second-line treatment selection in patients with non-small cell lung cancer of adenocarcinoma histology: A European survey. J Thorac Oncol 2016. [DOI: 10.1016/s1556-0864(16)30293-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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109
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Merveilleux du Vignaux C, Girard N, Salles G, Cordier JF. [Mucosa-associated lymphoid tissue-derived (MALT) lymphoma]. REVUE DE PNEUMOLOGIE CLINIQUE 2016; 72:95-100. [PMID: 26850454 DOI: 10.1016/j.pneumo.2015.10.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/27/2014] [Revised: 10/05/2015] [Accepted: 10/16/2015] [Indexed: 06/05/2023]
Abstract
Pulmonary Mucosa-Associated Lymphoid Tissue (MALT)-type lymphoma is the most frequent primary pulmonary lymphoma. We report the case of a patient who presented a pulmonary MALT-type lymphoma treated with chloraminophen, with a recurrence 5 years later characterized with pulmonary lesions associated with a gastric location. This observation underlines some anatomical and clinical aspects of pulmonary MALT-type lymphoma, and leads to discuss the evolution of its physiopathological and therapeutic concepts. In particular, the contributions of positron emission tomography and molecular biology allow the analysis of possible multifocal affections of this disease.
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Bernard C, Frih H, Pasquet F, Kerever S, Jamilloux Y, Tronc F, Guibert B, Isaac S, Devouassoux M, Chalabreysse L, Broussolle C, Petiot P, Girard N, Sève P. Thymoma associated with autoimmune diseases: 85 cases and literature review. Autoimmun Rev 2016; 15:82-92. [DOI: 10.1016/j.autrev.2015.09.005] [Citation(s) in RCA: 164] [Impact Index Per Article: 20.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/16/2015] [Accepted: 09/20/2015] [Indexed: 11/30/2022]
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111
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Mornex F, Fontaine-Delaruelle C, Selmaji I, Prevost C, Girard N, Zarza V, Viart-Ferber C, Couraud S. 421PD Prospective monitoring of lung function tests with CO and NO diffusion during high dose thoracic radiotherapy for lung cancer: The CONORT study. Ann Oncol 2015. [DOI: 10.1093/annonc/mdv532.05] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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112
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Gaultier A, Girard N, Bertrand X, Quentin R, Van Der Mee-Marquet NL. Clinical features of ESBL-producing E. coli responsible for bloodstream infections in French patients and molecular characterization of isolates. Antimicrob Resist Infect Control 2015. [PMCID: PMC4475153 DOI: 10.1186/2047-2994-4-s1-p125] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
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113
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Couraud S, Girard P, Girard N, Souquet PJ, Coiffard B, Charlin B, Milleron B. [Script concordance test for knowledge assessment of lung cancer screening]. Rev Mal Respir 2015; 33:333-42. [PMID: 26603957 DOI: 10.1016/j.rmr.2015.09.001] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/10/2015] [Accepted: 07/28/2015] [Indexed: 10/22/2022]
Abstract
BACKGROUND Annual screening for lung cancer using low-dose CT-scans is associated with decreased mortality. A survey conducted in Rhône-Alpes area in France found that clinicians need education and information on this topic. Script concordance tests (SCT) are a tool for assessing clinical reasoning in situations of uncertainty. They have not previously been used in France in the context of continuing medical education. METHOD We created a questionnaire with 5 multiple-choice questions (MCQ) and two SCT scenarios. The questionnaire was sent to all clinicians and residents who are members of French-Speaking Respiratory Society or the French Young Pulmonologist Association. RESULTS One hundred and ninety answers were analyzed. Seventy percent stated that decreasing mortality was the best criterion for assessing the effectiveness of a cancer screening policy, and 75% that low-dose CT scan was the best test to achieve this in lung cancer screening. Forty-five percent knew the eligibility criteria of the population, and 62% that low-dose CT scan should be performed annually. Participation in tumor boards and certification in oncology were significantly associated with a better score at MCQ and SCT. SCT and MCQ scores were significantly correlated (Spearman's Rho 0.339; P<0.0001). CONCLUSION SCT are feasible by electronic survey and seem relevant. Improving knowledge of clinicians on lung cancer screening is still critical.
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Menis J, Girard N, Hasan B, Besse B. 3023 Pan-European survey on thymic malignancies: A collaboration of the EORTC Lung Cancer Group (LCG) with the RYTHMIC network. Eur J Cancer 2015. [DOI: 10.1016/s0959-8049(16)31666-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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115
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Farina P, Tabouret E, Lehmann P, Barrie M, Petrirena G, Campello C, Boucard C, Girard N, Chinot O. 2930 Relationship between MRI caracteristics and plasmatic baseline levels of MMP2 and MMP9 in patients with recurrent high-gade gliomas treated with bevacizumab. Eur J Cancer 2015. [DOI: 10.1016/s0959-8049(16)31645-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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116
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Girard N, Ruffini E, Marx A, Faivre-Finn C, Peters S. Thymic epithelial tumours: ESMO Clinical Practice Guidelines for diagnosis, treatment and follow-up. Ann Oncol 2015; 26 Suppl 5:v40-55. [PMID: 26314779 DOI: 10.1093/annonc/mdv277] [Citation(s) in RCA: 275] [Impact Index Per Article: 30.6] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/20/2022] Open
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117
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Besse B, Girard N, Gazzah A, Hierro C, Felip E, De Braud F, Camboni G, Dubois F, Leger C, Legrand F, Robert R, Therasse P, Soria J. 3032A Activity and safety profile of lucitanib in patients with advanced thymic epithelial tumours. Eur J Cancer 2015. [DOI: 10.1016/s0959-8049(16)31675-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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118
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Fallet V, Saffroy R, Girard N, Mazieres J, Lantuejoul S, Vieira T, Rouquette I, Thivolet-Bejui F, Ung M, Poulot V, Schlick L, Moro-Sibilot D, Antoine M, Cadranel J, Lemoine A, Wislez M. High-throughput somatic mutation profiling in pulmonary sarcomatoid carcinomas using the LungCarta™ Panel: exploring therapeutic targets. Ann Oncol 2015; 26:1748-53. [DOI: 10.1093/annonc/mdv232] [Citation(s) in RCA: 66] [Impact Index Per Article: 7.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/04/2015] [Accepted: 05/07/2015] [Indexed: 02/06/2023] Open
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119
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Busa T, Milh M, Degardin N, Girard N, Sigaudy S, Longy M, Olshchwang S, Sobol H, Chabrol B, Philip N. Clinical presentation of PTEN mutations in childhood in the absence of family history of Cowden syndrome. Eur J Paediatr Neurol 2015; 19:188-92. [PMID: 25549896 DOI: 10.1016/j.ejpn.2014.11.012] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/17/2014] [Revised: 11/27/2014] [Accepted: 11/28/2014] [Indexed: 10/24/2022]
Abstract
BACKGROUND PTEN gene (MIM 601628) is a tumor suppressor gene implicated in PTEN hamartoma tumor syndromes (PHTS) including Cowden syndrome, Bannayan-Riley-Ruvalcaba syndrome, and Proteus-like syndrome. Bannayan-Riley-Ruvalcaba syndrome is considered as the pediatric form of PHTS. More recently, children presenting autism spectrum disorders with macrocephaly (ASD-M) have been reported. METHODS We report clinical data from seven patients diagnosed in childhood with a PTEN germline mutation, excluding cases of familial Cowden syndrome. RESULTS This study underlines the variability of phenotype associated with PTEN mutations diagnosed at pediatric age. Most of the patients did not fulfill usual criteria of Bannayan-Riley-Ruvalcaba syndrome or ASD-M. CONCLUSION PTEN testing should be considered in any child presenting with severe macrocephaly (>+4SD) and another feature of PHTS.
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Couraud S, Girard P, Girard N, Souquet P, Coiffard B, Charlin B, Milleron B. Dépistage du cancer broncho-pulmonaire : utilisation des tests de concordance de script pour évaluer les connaissances des pneumologues. Rev Mal Respir 2015. [DOI: 10.1016/j.rmr.2014.11.016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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121
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Toffart A, Dhalluin X, Girard N, Chouaid C, Audigier-Valette C, Duruisseaux M, Mennecier B, Parrot A, Fournel P, Moro-Sibilot D, Timsit J. Pronostic des patients porteurs d’un cancer bronchique avancé avec mutation oncogénique admis en réanimation. Rev Mal Respir 2015. [DOI: 10.1016/j.rmr.2014.10.538] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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122
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Monnet I, Audigier-Valette C, Girard N, Vergnenegre A, Molinier O, Souquet P, Blanchon F, Bonnetain F, Saal H, Néaume J, Lamour C, Wislez M. Erlotinib en seconde ligne dans le CBNPC épidermoïde métastatique ou localement avancé : cohorte prospective (PEPiTA). Rev Mal Respir 2015. [DOI: 10.1016/j.rmr.2014.10.068] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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123
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Zarza V, Mastroïanni B, Kiakouama L, Tronc F, Pérol M, Souquet P, Mornex J, Girard N. Cancers bronchopulmonaires chez les patients âgés de 80ans et plus : quelle prise en charge en pratique ? Rev Mal Respir 2015. [DOI: 10.1016/j.rmr.2014.10.578] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
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124
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Toffart AC, Sakhri L, Girard N, Couraud S, Merle P, Fournel P, Perol M, Souquet PJ, Timsit JF, Moro-Sibilot D. Évaluation d’une fiche d’aide à la décision en cas d’aggravation d’un patient cancéreux. Rev Mal Respir 2015; 32:66-72. [DOI: 10.1016/j.rmr.2014.02.006] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/13/2013] [Accepted: 12/28/2013] [Indexed: 11/25/2022]
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125
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Scavarda D, Trébuchon A, Lepine A, Milh M, Pech-Gourg G, Villeneuve N, Girard N, Bartolomei F. Déconnexions sus-insulaires de la zone épileptogène (ze) guidée par SEEG : une alternative vraiment fonctionnelle à l’hémisphérotomie en présence d’une épilepsie réfractaire post-AVC sylvien étendu chez l’enfant. Neurochirurgie 2014. [DOI: 10.1016/j.neuchi.2014.10.047] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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