2
|
Garcin B, Mariani LL, Méneret A, Mongin M, Delorme C, Cormier F, Renaud MC, Roze E, Degos B. The "Neurological Hat Game": A fun way to learn the neurological semiology. Rev Neurol (Paris) 2019; 175:528-533. [PMID: 31076136 DOI: 10.1016/j.neurol.2019.01.395] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [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: 11/30/2018] [Revised: 01/17/2019] [Accepted: 01/24/2019] [Indexed: 11/27/2022]
Abstract
INTRODUCTION In-class courses are deserted by medical students who tend to find it more beneficial to study in books and through online material. New interactive teaching methods, such as serious games increase both performance and motivation. We developed and assessed a new teaching method for neurological semiology using the "Hat Game" as a basis. METHODS In this game, two teams of second-year medical students are playing against one another. The game is played with a deck of cards. A neurological symptom or sign is written on each card. Each team gets a predefined period of time to guess as many words as possible. One member is the clue-giver and the others are the guessers. There are three rounds: during the first round, the clue-giver uses any descriptive term he wants and as many as he wants to make his team guess the maximum number of words within the allocated time. During the second round, the clue-giver can only choose one clue-word and, during the third round, he mimes the symptom or sign. The team that has guessed the most cards wins the game. To assess the efficacy of this learning procedure, multiple choices questions (MCQs) were asked before and after the game. Exam results of second-year students on their final university Neurology exam were analyzed. A satisfaction survey was proposed to all participating students. RESULTS Among 373 students, 121 volunteers (32.4%) were enrolled in the "Neurology Hat Game" and 112 attended the game. One hundred and seven of the 112 students completed the MCQs with a significant improvement in their responses after the game (P<0.001). The 112 students who completed the satisfaction self-administered questionnaire were very satisfied with this funny new teaching method. CONCLUSIONS Teaching neurological semiology via the "Hat Game" is an interesting method because it is student-centered, playful and complementary to the lecturer-centered courses. A randomized controlled study would be necessary to confirm these preliminary results.
Collapse
Affiliation(s)
- B Garcin
- Service de Neurologie, hôpital Avicenne, hôpitaux universitaires de Paris-Seine Saint-Denis, AP-HP, 93000 Bobigny, France; Sorbonne universités, UPMC université Paris 6 UMR S 1127, Inserm U 1127, CNRS UMR 722, institut du cerveau et de la moelle épinière, 75013 Paris, France.
| | - L L Mariani
- Département de Neurologie, groupe hospitalier Pitié-Salpêtrière, AP-HP, 75013 Paris, France; Faculté de médecine, Sorbonne universités, université Pierre-et-Marie-Curie (UPMC), 91, boulevard de l'hôpital, 75013 Paris, France
| | - A Méneret
- Département de Neurologie, groupe hospitalier Pitié-Salpêtrière, AP-HP, 75013 Paris, France; Faculté de médecine, Sorbonne universités, université Pierre-et-Marie-Curie (UPMC), 91, boulevard de l'hôpital, 75013 Paris, France
| | - M Mongin
- Service de Neurologie, hôpital Avicenne, hôpitaux universitaires de Paris-Seine Saint-Denis, AP-HP, 93000 Bobigny, France; Faculté de médecine, Sorbonne universités, université Pierre-et-Marie-Curie (UPMC), 91, boulevard de l'hôpital, 75013 Paris, France
| | - C Delorme
- Département de Neurologie, groupe hospitalier Pitié-Salpêtrière, AP-HP, 75013 Paris, France; Faculté de médecine, Sorbonne universités, université Pierre-et-Marie-Curie (UPMC), 91, boulevard de l'hôpital, 75013 Paris, France
| | - F Cormier
- Département de Neurologie, groupe hospitalier Pitié-Salpêtrière, AP-HP, 75013 Paris, France; Faculté de médecine, Sorbonne universités, université Pierre-et-Marie-Curie (UPMC), 91, boulevard de l'hôpital, 75013 Paris, France
| | - M-C Renaud
- Faculté de médecine, Sorbonne universités, université Pierre-et-Marie-Curie (UPMC), 91, boulevard de l'hôpital, 75013 Paris, France
| | - E Roze
- Service de Neurologie, hôpital Avicenne, hôpitaux universitaires de Paris-Seine Saint-Denis, AP-HP, 93000 Bobigny, France; Département de Neurologie, groupe hospitalier Pitié-Salpêtrière, AP-HP, 75013 Paris, France; Faculté de médecine, Sorbonne universités, université Pierre-et-Marie-Curie (UPMC), 91, boulevard de l'hôpital, 75013 Paris, France; Sorbonne universités, UPMC université Paris 6 UMR S 1127, Inserm U 1127, CNRS UMR 722, institut du cerveau et de la moelle épinière, 75013 Paris, France
| | - B Degos
- Service de Neurologie, hôpital Avicenne, hôpitaux universitaires de Paris-Seine Saint-Denis, AP-HP, 93000 Bobigny, France; UMR CNRS 7241/Inserm U1050, Center for Interdisciplinary Research in Biology (CIRB), collège de France, 75005 Paris, France
| |
Collapse
|
3
|
Abstract
Paroxysmal movement disorders comprise both paroxysmal dyskinesia, characterized by attacks of dystonic and/or choreic movements, and episodic ataxia, defined by attacks of cerebellar ataxia. They may be primary (familial or sporadic) or secondary to an underlying cause. They can be classified according to their phenomenology (kinesigenic, non-kinesigenic or exercise-induced) or their genetic cause. The main genes involved in primary paroxysmal movement disorders include PRRT2, PNKD, SLC2A1, ATP1A3, GCH1, PARK2, ADCY5, CACNA1A and KCNA1. Many cases remain genetically undiagnosed, thereby suggesting that additional culprit genes remain to be discovered. The present report is a general overview that aims to help clinicians diagnose and treat patients with paroxysmal movement disorders.
Collapse
Affiliation(s)
- A Méneret
- Inserm U 1127, CNRS UMR 7225, Sorbonne University Group, UPMC University Paris 06 UMR S 1127, Brain and Spine Institute, ICM, 75013 Paris, France; AP-HP, Pitié-Salpêtrière Hospital, Department of Neurology, 75013 Paris, France
| | - E Roze
- Inserm U 1127, CNRS UMR 7225, Sorbonne University Group, UPMC University Paris 06 UMR S 1127, Brain and Spine Institute, ICM, 75013 Paris, France; AP-HP, Pitié-Salpêtrière Hospital, Department of Neurology, 75013 Paris, France.
| |
Collapse
|
5
|
Ruiz M, Perez-Garcia G, Ortiz-Virumbrales M, Méneret A, Morant A, Kottwitz J, Fuchs T, Bonet J, Gonzalez-Alegre P, Hof PR, Ozelius LJ, Ehrlich ME. Abnormalities of motor function, transcription and cerebellar structure in mouse models of THAP1 dystonia. Hum Mol Genet 2015; 24:7159-70. [PMID: 26376866 DOI: 10.1093/hmg/ddv384] [Citation(s) in RCA: 42] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/28/2015] [Accepted: 09/14/2015] [Indexed: 01/07/2023] Open
Abstract
DYT6 dystonia is caused by mutations in THAP1 [Thanatos-associated (THAP) domain-containing apoptosis-associated protein] and is autosomal dominant and partially penetrant. Like other genetic primary dystonias, DYT6 patients have no characteristic neuropathology, and mechanisms by which mutations in THAP1 cause dystonia are unknown. Thap1 is a zinc-finger transcription factor, and most pathogenic THAP1 mutations are missense and are located in the DNA-binding domain. There are also nonsense mutations, which act as the equivalent of a null allele because they result in the generation of small mRNA species that are likely rapidly degraded via nonsense-mediated decay. The function of Thap1 in neurons is unknown, but there is a unique, neuronal 50-kDa Thap1 species, and Thap1 levels are auto-regulated on the mRNA level. Herein, we present the first characterization of two mouse models of DYT6, including a pathogenic knockin mutation, C54Y and a null mutation. Alterations in motor behaviors, transcription and brain structure are demonstrated. The projection neurons of the deep cerebellar nuclei are especially altered. Abnormalities vary according to genotype, sex, age and/or brain region, but importantly, overlap with those of other dystonia mouse models. These data highlight the similarities and differences in age- and cell-specific effects of a Thap1 mutation, indicating that the pathophysiology of THAP1 mutations should be assayed at multiple ages and neuronal types and support the notion of final common pathways in the pathophysiology of dystonia arising from disparate mutations.
Collapse
Affiliation(s)
| | | | | | | | | | | | | | | | - Pedro Gonzalez-Alegre
- Department of Neurology, University of Iowa Hospitals and Clinics, Iowa City, IA 52242, USA
| | - Patrick R Hof
- Department of Neurosciences, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USA and
| | - Laurie J Ozelius
- Department of Genetics and Genomic Sciences, Department of Neurology
| | - Michelle E Ehrlich
- Department of Pediatrics, Department of Genetics and Genomic Sciences, Department of Neurology,
| |
Collapse
|
6
|
Roubergue A, Roze E, Vuillaumier-Barrot S, Fontenille MJ, Méneret A, Vidailhet M, Fontaine B, Doummar D, Philibert B, Riant F, Nicole S. Dystonie paroxystique familiale induite par l’exercice avec hémiplégie alternante de la petite enfance due à une mutation (P.ASP923ASN) ATP1A3. Arch Pediatr 2013. [DOI: 10.1016/j.arcped.2013.01.032] [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: 11/28/2022]
|