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Giroud M, Planton M, Darcourt J, Raposo N, Brandicourt P, Mirabel H, Hervé D, Viguier A, Albucher JF, Pariente J, Olivot JM, Bonneville F, Péran P, Calviere L. MRI hypoperfusion as a determinant of cognitive impairment in adults with Moyamoya angiopathy. Eur Stroke J 2024:23969873241240829. [PMID: 38501882 DOI: 10.1177/23969873241240829] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/20/2024] Open
Abstract
INTRODUCTION In Moyamoya angiopathy (MMA), mechanisms underlying cognitive impairment remain debated. We aimed to assess the association of cognitive impairment with the degree and the topography of cerebral hypoperfusion in MMA. METHODS A retrospective analysis of neuropsychological and perfusion MRI data from adults with MMA was performed. Ischemic and haemorrhagic lesion masks were created to account for cerebral lesions in the analysis of cerebral perfusion. Whole brain volume of hypoperfused parenchyma was outlined on perfusion maps using different Tmax thresholds from 4 to 12 s. Regional analysis produced mean Tmax values at different regions of interest. Analyses compared perfusion ratios in patients with and without cognitive impairment, with multivariable logistic regression analysis to identify predictive factors. RESULTS Cognitive impairment was found in 20/48 (41.7%) patients. Attention/processing speed and memory were equally impaired (24%) followed by executive domain (23%). After adjustment, especially for lesion volume, hypoperfused parenchyma volume outlined by Tmax > 4 s or Tmax > 5 s thresholds was an independent factor of cognitive impairment (OR for Tmax > 4 s = 1.06 [CI 95% 1.008-1.123]) as well as attention/processing speed (OR for Tmax > 4 s = 1.07 [CI 95% 1.003-1.133]) and executive domains (OR for Tmax > 5 s = 1.08 [CI 95% 1.004-1.158]). Regarding cognitive functions, patients with processing speed and flexibility impairment had higher frontal Tmax compared to other ROIs and to patients with normal test scores. DISCUSSION Cerebral hypoperfusion emerged as an independent factor of cognitive impairment in MMA particularly in attention/processing speed and executive domains, with a strong contribution of frontal areas. CONCLUSION Considering this association, revascularization surgery could improve cognitive impairment.
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Affiliation(s)
- Marine Giroud
- Neurology Department, Toulouse University Hospital, Toulouse, France
| | - Mélanie Planton
- Neurology Department, Toulouse University Hospital, Toulouse, France
- ToNIC, Toulouse NeuroImaging Center, Toulouse University, Toulouse, France
| | - Jean Darcourt
- Neuroradiology Department, Toulouse University Hospital, Toulouse, France
| | - Nicolas Raposo
- Neurology Department, Toulouse University Hospital, Toulouse, France
- ToNIC, Toulouse NeuroImaging Center, Toulouse University, Toulouse, France
| | | | - Hélène Mirabel
- Neurology Department, Toulouse University Hospital, Toulouse, France
| | - Dominique Hervé
- Neurology Department, Hospital Paris Lariboisière, Paris, France
| | - Alain Viguier
- Neurology Department, Toulouse University Hospital, Toulouse, France
- ToNIC, Toulouse NeuroImaging Center, Toulouse University, Toulouse, France
| | - Jean-François Albucher
- Neurology Department, Toulouse University Hospital, Toulouse, France
- ToNIC, Toulouse NeuroImaging Center, Toulouse University, Toulouse, France
| | - Jérémie Pariente
- Neurology Department, Toulouse University Hospital, Toulouse, France
- ToNIC, Toulouse NeuroImaging Center, Toulouse University, Toulouse, France
| | - Jean Marc Olivot
- Neurology Department, Toulouse University Hospital, Toulouse, France
- ToNIC, Toulouse NeuroImaging Center, Toulouse University, Toulouse, France
| | - Fabrice Bonneville
- ToNIC, Toulouse NeuroImaging Center, Toulouse University, Toulouse, France
- Neuroradiology Department, Toulouse University Hospital, Toulouse, France
| | - Patrice Péran
- ToNIC, Toulouse NeuroImaging Center, Toulouse University, Toulouse, France
| | - Lionel Calviere
- Neurology Department, Toulouse University Hospital, Toulouse, France
- ToNIC, Toulouse NeuroImaging Center, Toulouse University, Toulouse, France
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Laguitton V, Boutin M, Brissart H, Breuillard D, Bilger M, Forthoffer N, Guinet V, Hennion S, Kleitz C, Mirabel H, Mosca C, Pradier S, Samson S, Voltzenlogel V, Planton M, Denos M, Bulteau C. Neuropsychological assessment in pediatric epilepsy surgery: A French procedure consensus. Rev Neurol (Paris) 2023:S0035-3787(23)01106-2. [PMID: 37949750 DOI: 10.1016/j.neurol.2023.08.019] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/16/2023] [Revised: 07/11/2023] [Accepted: 08/08/2023] [Indexed: 11/12/2023]
Abstract
Neuropsychological assessment is a mandatory part of the pre- and post-operative evaluation in pediatric epilepsy surgery. The neuropsychology task force of the ILAE - French Chapter aims to define a neuropsychological procedure consensus based on literature review and adapted for French practice. They performed a systematic review of the literature published between 1950 and 2023 on cognitive evaluation of individuals undergoing presurgical work-up and post-surgery follow-up and focused on the pediatric population aged 6-16. They classified publications listed in the PubMed database according to their level of scientific evidence. The systematic literature review revealed no study with high statistical power and only four studies using neuropsychological scales in their French version. Afterwards, the experts defined a neuropsychological consensus strategy in pediatric epilepsy surgery according to the psychometric determinants of cognitive tests, specificity of epilepsy, surgery context, French culture and literature reports. A common French neuropsychological procedure dedicated to pediatric epilepsy surgery is now available. This procedure could serve as a guide for the pre- and post-surgical work-up in French centers with pediatric epilepsy surgery programs. The main goal is to anticipate the functional risks of surgery, to support the postoperative outcome beyond the seizure-related one, while taking into consideration the plasticity and vulnerability of the immature brain and allowing the possibility of collaborative studies.
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Affiliation(s)
- V Laguitton
- Clinical Neurophysiology AP-HM, Timone Hospital, Marseille, France; Department of Pediatric Neurology, APHM, Timone Hospital, Marseille, France.
| | - M Boutin
- GHU-Paris Pôle Neuro-Sainte-Anne - Neurosurgery Unity, 1, rue Cabanis, Paris, France
| | - H Brissart
- Université de Lorraine, CNRS, CRAN, 54000 Nancy, France; Université de Lorraine, CHRU-Nancy, Service de Neurologie, 54000 Nancy, France
| | - D Breuillard
- Reference Center Rare Epilepsies, Hôpital Necker Enfants-Malades, Paris, France
| | - M Bilger
- Neurology Department, Hôpital Hautepierre, CHRU Strasbourg, Strasbourg, France
| | - N Forthoffer
- Université de Lorraine, CNRS, CRAN, 54000 Nancy, France
| | - V Guinet
- Department of Functional Neurology and Epileptology, Hospices Civils de Lyon, Lyon, France
| | - S Hennion
- Reference Center Rare Epilepsies, Epilepsy Unit, University Lille, INSERM, CHU Lille, U1171 Degenerative and vascular cognitive disorders, Lille, France
| | - C Kleitz
- Neurology Department, Hôpital Hautepierre, CHRU Strasbourg, Strasbourg, France
| | - H Mirabel
- Neurology Department, Hôpital Pierre-Paul Riquet, CHU de Toulouse, Toulouse, France
| | - C Mosca
- Epilepsy Unit, CHU Grenoble-Alpes, Grenoble-Alpes, France
| | - S Pradier
- Functional Explorations of the Nervous System, Clinical Neurosciences Center, University Hospital Center Pellegrin, Bordeaux, France
| | - S Samson
- Neurology Department, Rehabilitation Unit, GH Pitié-Salpêtrière, APHP, Paris, France; Équipe Neuropsychologie: Audition, Cognition et Action (EA 4072), UFR de psychologie, Université Lille-Nord de France, Villeneuve d'Ascq, France
| | - V Voltzenlogel
- Centre d'études et de recherches en psychopathologie et psychologie de la santé, université de Toulouse, UT2J, Toulouse, France
| | - M Planton
- Neurology Department, Hôpital Pierre-Paul Riquet, CHU de Toulouse, Toulouse, France; Toulouse NeuroImaging Center, Université de Toulouse, Inserm, UPS, Toulouse, France
| | - M Denos
- Neurology Department, Rehabilitation Unit, GH Pitié-Salpêtrière, APHP, Paris, France
| | - C Bulteau
- Pediatric Neurosurgery Department, Rothschild Foundation Hospital, EpiCare Member, Paris, France; University of Paris Cité, MC(2)Lab, Institute of Psychology, 92000 Boulogne-Billancourt, France
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Mirabel H, Guinet V, Voltzenlogel V, Pradier S, Hennion S. Social cognition in epilepsy: State of the art and perspectives. Rev Neurol (Paris) 2020; 176:468-479. [PMID: 32418700 DOI: 10.1016/j.neurol.2020.02.010] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/05/2019] [Revised: 02/11/2020] [Accepted: 02/12/2020] [Indexed: 11/25/2022]
Abstract
INTRODUCTION The neuropsychology of epilepsy has been a major area of study for almost a century and cognitive impairments are an integral part of the new definition of epilepsy. Among such impairments, social cognition (SC) dysfunctions are of relatively recent interest. SC abilities refer to the body of knowledge and processes involved in establishing satisfying and appropriate social interactions. In particular, they allow the recognition of emotions in others, emotional experiences which are suitably adapted to social situations, and the ability to infer mental states in oneself and others. METHODS An overeview was conducted of the available data within the literature, with the objective of presenting the SC disorders associated with certain types of epilepsy and the possible risk factors already explored i.e., localisation of epileptic focus, age of onset/duration of the disease, and effects of treatments including surgery. Studies investigating the potential repercussions of these disorders on patients' daily life have also been included. RESULTS Social cognition disorders are an integral part of the cognitive disorders traditionally described in epilepsy. Indeed, a growing number of studies highlight the increased prevalence of SC disorders in various domains, and some patients appear to be more at risk than others. These disorders could be a major determining factor in the deterioration of patients' quality of life (QOL), particularly patients' support and social integration. This highlights the importance of assessing and managing these disorders in patients with epilepsy (PWE). Perspectives in the field of research and clinical practice are also evoked, such as exploring the links between disruptions in SC abilities and treatments, or developing specific tools for assessment and rehabilitation within the context of epilepsy.
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Affiliation(s)
- H Mirabel
- Neurology department, CHU de Toulouse, hôpital Pierre-Paul Riquet, Toulouse, France.
| | - V Guinet
- Department of functional neurology and epileptology, hospices civils de Lyon, Lyon, France
| | - V Voltzenlogel
- CERPPS, EA 7411, department of psychology, university of Toulouse, Toulouse, France
| | - S Pradier
- Functional explorations of the nervous system, clinical neurosciences center, university hospital center Pellegrin, Bordeaux, France
| | - S Hennion
- U1171 degenerative and vascular cognitive disorders, Inserm, epilepsy unit, reference center rare epilepsies, CHU Lille, university Lille, Lille, France
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Makhtar Ba EH, Guerrier L, Benaiteau M, Rigal E, Mirabel H, Perez F, Salleles E, Martin-Blondel G, Pariente J. Progressive Dementia Revealing an Atypical Encephalitis: Neuroimaging Aspects. J Neuropsychiatry Clin Neurosci 2020; 31:268-271. [PMID: 30848988 DOI: 10.1176/appi.neuropsych.18050100] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
Affiliation(s)
- El Hadji Makhtar Ba
- The Department of Neurology and Neuropsychology, Pierre-Paul Riquet Hospital, Site Purpan, Place du Docteur Baylac, Toulouse, France (Makhtar Ba, Benaiteau, Rigal, Salleles, Pariente); INSERM UMR TONIC-Toulouse NeuroImaging Centre, Purpan University Hospital, Pavillon Baudot, Toulouse, France (Makhtar Ba, Guerrier, Rigal, Mirabel, Pariente); the Neurology Department, Albi Hospital, Albi, France (Perez); the Department of Infectious and Tropical Diseases, Purpan University Hospital, Toulouse, France (Martin-Blondel); and INSERM, Centre de Physiopathologie Toulouse-Purpan, Toulouse, France (Martin-Blondel)
| | - Laura Guerrier
- The Department of Neurology and Neuropsychology, Pierre-Paul Riquet Hospital, Site Purpan, Place du Docteur Baylac, Toulouse, France (Makhtar Ba, Benaiteau, Rigal, Salleles, Pariente); INSERM UMR TONIC-Toulouse NeuroImaging Centre, Purpan University Hospital, Pavillon Baudot, Toulouse, France (Makhtar Ba, Guerrier, Rigal, Mirabel, Pariente); the Neurology Department, Albi Hospital, Albi, France (Perez); the Department of Infectious and Tropical Diseases, Purpan University Hospital, Toulouse, France (Martin-Blondel); and INSERM, Centre de Physiopathologie Toulouse-Purpan, Toulouse, France (Martin-Blondel)
| | - Marie Benaiteau
- The Department of Neurology and Neuropsychology, Pierre-Paul Riquet Hospital, Site Purpan, Place du Docteur Baylac, Toulouse, France (Makhtar Ba, Benaiteau, Rigal, Salleles, Pariente); INSERM UMR TONIC-Toulouse NeuroImaging Centre, Purpan University Hospital, Pavillon Baudot, Toulouse, France (Makhtar Ba, Guerrier, Rigal, Mirabel, Pariente); the Neurology Department, Albi Hospital, Albi, France (Perez); the Department of Infectious and Tropical Diseases, Purpan University Hospital, Toulouse, France (Martin-Blondel); and INSERM, Centre de Physiopathologie Toulouse-Purpan, Toulouse, France (Martin-Blondel)
| | - Emilie Rigal
- The Department of Neurology and Neuropsychology, Pierre-Paul Riquet Hospital, Site Purpan, Place du Docteur Baylac, Toulouse, France (Makhtar Ba, Benaiteau, Rigal, Salleles, Pariente); INSERM UMR TONIC-Toulouse NeuroImaging Centre, Purpan University Hospital, Pavillon Baudot, Toulouse, France (Makhtar Ba, Guerrier, Rigal, Mirabel, Pariente); the Neurology Department, Albi Hospital, Albi, France (Perez); the Department of Infectious and Tropical Diseases, Purpan University Hospital, Toulouse, France (Martin-Blondel); and INSERM, Centre de Physiopathologie Toulouse-Purpan, Toulouse, France (Martin-Blondel)
| | - Hélène Mirabel
- The Department of Neurology and Neuropsychology, Pierre-Paul Riquet Hospital, Site Purpan, Place du Docteur Baylac, Toulouse, France (Makhtar Ba, Benaiteau, Rigal, Salleles, Pariente); INSERM UMR TONIC-Toulouse NeuroImaging Centre, Purpan University Hospital, Pavillon Baudot, Toulouse, France (Makhtar Ba, Guerrier, Rigal, Mirabel, Pariente); the Neurology Department, Albi Hospital, Albi, France (Perez); the Department of Infectious and Tropical Diseases, Purpan University Hospital, Toulouse, France (Martin-Blondel); and INSERM, Centre de Physiopathologie Toulouse-Purpan, Toulouse, France (Martin-Blondel)
| | - Florian Perez
- The Department of Neurology and Neuropsychology, Pierre-Paul Riquet Hospital, Site Purpan, Place du Docteur Baylac, Toulouse, France (Makhtar Ba, Benaiteau, Rigal, Salleles, Pariente); INSERM UMR TONIC-Toulouse NeuroImaging Centre, Purpan University Hospital, Pavillon Baudot, Toulouse, France (Makhtar Ba, Guerrier, Rigal, Mirabel, Pariente); the Neurology Department, Albi Hospital, Albi, France (Perez); the Department of Infectious and Tropical Diseases, Purpan University Hospital, Toulouse, France (Martin-Blondel); and INSERM, Centre de Physiopathologie Toulouse-Purpan, Toulouse, France (Martin-Blondel)
| | - Eve Salleles
- The Department of Neurology and Neuropsychology, Pierre-Paul Riquet Hospital, Site Purpan, Place du Docteur Baylac, Toulouse, France (Makhtar Ba, Benaiteau, Rigal, Salleles, Pariente); INSERM UMR TONIC-Toulouse NeuroImaging Centre, Purpan University Hospital, Pavillon Baudot, Toulouse, France (Makhtar Ba, Guerrier, Rigal, Mirabel, Pariente); the Neurology Department, Albi Hospital, Albi, France (Perez); the Department of Infectious and Tropical Diseases, Purpan University Hospital, Toulouse, France (Martin-Blondel); and INSERM, Centre de Physiopathologie Toulouse-Purpan, Toulouse, France (Martin-Blondel)
| | - Guillaume Martin-Blondel
- The Department of Neurology and Neuropsychology, Pierre-Paul Riquet Hospital, Site Purpan, Place du Docteur Baylac, Toulouse, France (Makhtar Ba, Benaiteau, Rigal, Salleles, Pariente); INSERM UMR TONIC-Toulouse NeuroImaging Centre, Purpan University Hospital, Pavillon Baudot, Toulouse, France (Makhtar Ba, Guerrier, Rigal, Mirabel, Pariente); the Neurology Department, Albi Hospital, Albi, France (Perez); the Department of Infectious and Tropical Diseases, Purpan University Hospital, Toulouse, France (Martin-Blondel); and INSERM, Centre de Physiopathologie Toulouse-Purpan, Toulouse, France (Martin-Blondel)
| | - Jérémie Pariente
- The Department of Neurology and Neuropsychology, Pierre-Paul Riquet Hospital, Site Purpan, Place du Docteur Baylac, Toulouse, France (Makhtar Ba, Benaiteau, Rigal, Salleles, Pariente); INSERM UMR TONIC-Toulouse NeuroImaging Centre, Purpan University Hospital, Pavillon Baudot, Toulouse, France (Makhtar Ba, Guerrier, Rigal, Mirabel, Pariente); the Neurology Department, Albi Hospital, Albi, France (Perez); the Department of Infectious and Tropical Diseases, Purpan University Hospital, Toulouse, France (Martin-Blondel); and INSERM, Centre de Physiopathologie Toulouse-Purpan, Toulouse, France (Martin-Blondel)
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Brissart H, Planton M, Bilger M, Bulteau C, Forthoffer N, Guinet V, Hennion S, Kleitz C, Laguitton V, Mirabel H, Mosca C, Pécheux N, Pradier S, Samson S, Tramoni E, Voltzenlogel V, Denos M, Boutin M. French neuropsychological procedure consensus in epilepsy surgery. Epilepsy Behav 2019; 100:106522. [PMID: 31627076 DOI: 10.1016/j.yebeh.2019.106522] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/02/2019] [Revised: 08/05/2019] [Accepted: 08/24/2019] [Indexed: 02/06/2023]
Abstract
INTRODUCTION Neuropsychological assessment is an integral component of the surgical procedure in patients with epilepsy. As no French consensus for neuropsychological assessment was available, the main goal of this work was to define French neuropsychological procedure consensus in regard to literature review. METHOD A panel of expert in neuropsychology was created within the framework of the French League Against Epilepsy. A systematic search of publications from 1950 to 2017 listed in PubMed database was conducted leading to a classification of articles according to their level of scientific evidence. French neuropsychological procedure consensus was then carried out with an expert panel of expert. RESULTS Low scientific evidence of neuropsychological data was reported. A panel of expert proposed a comprehensive neuropsychological assessment procedure including the exploration of intellectual efficiency, long-term memory, short-term and working memory, attention, executive functions, processing speed and motor skills, language, visual processing, praxis, psychobehavioral, and social cognition. DISCUSSION A common procedure for assessing cognitive and psychobehavioral function is now available in patients with epilepsy undergoing surgical evaluation have been established, they may help to improve the quality of care and the patient experience. This work highlights the need of furthers investigations and the necessity to develop specific tools with normative data.
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Affiliation(s)
- H Brissart
- Université de Lorraine, CNRS, CRAN, F-54000 Nancy, France; Université de Lorraine, CHRU-Nancy, Service de Neurologie, F-54000 Nancy, France.
| | - M Planton
- Neurology Department, Hôpital Pierre-Paul Riquet, CHU de Toulouse, Toulouse, France; Toulouse NeuroImaging Center, Université de Toulouse, Inserm, UPS, France
| | - M Bilger
- Neurology Department, Hôpital Hautepierre, CHRU Strasbourg, Strasbourg, France
| | - C Bulteau
- Pediatric Neurosurgery Department, Rothschild Foundation Hospital, Paris, France; Memory, Brain and Cognition (MC2Lab, EA 7536), Institute of Psychology Sorbonne Paris Cité University, Boulogne Billancourt, France
| | - N Forthoffer
- Université de Lorraine, CNRS, CRAN, F-54000 Nancy, France
| | - V Guinet
- Department of Functional Neurology and Epileptology, Hospices Civils de Lyon, Lyon, France
| | - S Hennion
- Reference Center Rare Epilepsies, Epilepsy Unit, Univ. Lille, INSERM, CHU Lille, U1171 Degenerative and vascular cognitive disorders, Lille, France
| | - C Kleitz
- Neurology Department, Hôpital Hautepierre, CHRU Strasbourg, Strasbourg, France
| | - V Laguitton
- CINAPSE, Hôpital Henri Gastaut Centre Saint Paul, 13009 Marseille, France
| | - H Mirabel
- Neurology Department, Hôpital Pierre-Paul Riquet, CHU de Toulouse, Toulouse, France
| | - C Mosca
- Epilepsy Unit, CHU, Grenoble-Alpes, France
| | | | - S Pradier
- Functional Explorations of the Nervous System, Clinical Neurosciences Center, University Hospital Center Pellegrin, Bordeaux, France
| | - S Samson
- Neurology Department, APHP, Paris, France; Equipe Neuropsychologie: Audition, Cognition et Action (EA 4072), UFR de psychologie, Université Lille-Nord de France, Villeneuve d'Ascq, France
| | - E Tramoni
- INSERM U 751, Marseille, France; Aix-Marseille Université, Faculté de Médecine, Marseille, France
| | - V Voltzenlogel
- Centre d'Etudes et de Recherches en Psychopathologie et Psychologie de la Santé, Université de Toulouse, UT2J, Toulouse, France
| | - M Denos
- Neurology Department, APHP, Paris, France
| | - M Boutin
- GHU-Paris Pôle Neuro-Sainte-Anne - Neurosurgery Unity 1, rue Cabanis, PARIS, France
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Curot J, Pariente J, Hupé JM, Lotterie JA, Mirabel H, Barbeau EJ. Déjà vu and prescience in a case of severe episodic amnesia following bilateral hippocampal lesions. Memory 2019; 29:843-858. [PMID: 31587614 DOI: 10.1080/09658211.2019.1673426] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/31/2023]
Abstract
Several studies pertaining to déjà vu have consistently made a connection with the perirhinal region, a region located below the hippocampus. This idea is strengthened by the fact that déjà vu is an erroneous sense of familiarity and that familiarity appears to largely depend on the perirhinal region in healthy subjects. In this context, the role of the hippocampus is particularly unclear as it is unknown whether or not it plays a role in the genesis of déjà vu. We report on the case of OHVR, an epileptic patient who suffers from severe episodic amnesia related to massive isolated bilateral damage to the hippocampus. In contrast, the perirhinal region is intact structurally and functionally. This patient reports frequent déjà vu but also another experiential phenomenon with a prominent feeling of prescience, which shows some of the characteristics of déjà vécu. She clearly distinguishes both. She also developed a form of synaesthesia by attributing affective valence to numbers. This study shows that déjà vu can occur in cases of amnesia with massively damaged hippocampi and confirms that the perirhinal region is a core region for déjà vu, using a different approach from previous reports. It also provides clues about a potential influence of hippocampal alterations in déjà vécu.
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Affiliation(s)
- Jonathan Curot
- Neurologie, Hôpital Purpan, Centre Hospitalier Universitaire de Toulouse, Toulouse, France.,Centre de Recherche Cerveau et Cognition, Université de Toulouse, Université Paul Sabatier Toulouse, Toulouse, France.,CerCo, UMR 5549, Centre National de la Recherche Scientifique, Toulouse Mind and Brain Institute, Toulouse, France
| | - Jérémie Pariente
- Neurologie, Hôpital Purpan, Centre Hospitalier Universitaire de Toulouse, Toulouse, France.,INSERM, U1214, TONIC, Toulouse Mind and Brain Institute, Toulouse, France
| | - Jean Michel Hupé
- Centre de Recherche Cerveau et Cognition, Université de Toulouse, Université Paul Sabatier Toulouse, Toulouse, France.,CerCo, UMR 5549, Centre National de la Recherche Scientifique, Toulouse Mind and Brain Institute, Toulouse, France
| | - Jean-Albert Lotterie
- INSERM, U1214, TONIC, Toulouse Mind and Brain Institute, Toulouse, France.,Radiochirurgie stéréotaxique, Hôpital Purpan, Centre Hospitalier Universitaire de Toulouse, Toulouse, France
| | - Hélène Mirabel
- Neurologie, Hôpital Purpan, Centre Hospitalier Universitaire de Toulouse, Toulouse, France
| | - Emmanuel J Barbeau
- Centre de Recherche Cerveau et Cognition, Université de Toulouse, Université Paul Sabatier Toulouse, Toulouse, France.,CerCo, UMR 5549, Centre National de la Recherche Scientifique, Toulouse Mind and Brain Institute, Toulouse, France
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Sagot C, Saint-Aubert L, Bezy C, Mirabel H, Payoux P, Dumas H, Vincent C, Peran P, Barbeau E, Puel M, Chollet F, Pariente J. Aphasia in Neurodegenerative Diseases: Can Language Impairment Predict the Underlying Pathology ? (P02.051). Neurology 2012. [DOI: 10.1212/wnl.78.1_meetingabstracts.p02.051] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
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Saint-Aubert L, Mirabel H, Vervueren C, Peran P, Payoux P, Puel M, Barbeau E, Chollet F, Pariente J. Heterogeneous Amyloid Profiles in Highly Selected Prodromal Alzheimer Patients (PD1.006). Neurology 2012. [DOI: 10.1212/wnl.78.1_meetingabstracts.pd1.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
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Pariente J, Sagot C, Saint Aubert L, Bezy C, Mirabel H, Dumas H, Payoux P, Vincent C, Peran P, Barbeau E, Puel M, Chollet F. Maladies neuro-dégénératives avec troubles du langage : la clinique et l’imagerie peuvent elles prédire la physiopathologie sous jacente ? Rev Neurol (Paris) 2012. [DOI: 10.1016/s0035-3787(12)70031-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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