1
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Dellatte J, Lievens I, Wang FC. Could some mutations of the KIF5A gene be responsible for a dominant CMT2 phenotype? (Case report). Acta Neurol Belg 2023; 123:2435-2438. [PMID: 37084037 DOI: 10.1007/s13760-023-02248-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/18/2022] [Accepted: 03/20/2023] [Indexed: 04/22/2023]
Affiliation(s)
- Julien Dellatte
- Department of Neurophysiology, CHU Liège, Sart-Tilman B35, 4000, Liege, Belgium.
| | - Isabelle Lievens
- Department of Neurology, CHU Liège, Sart-Tilman B35, 4000, Liege, Belgium
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2
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Tchana-Sato V, Hans G, Brouckaert J, Detry O, Van Cleemput J, Rex S, Jaquet O, De Troy E, Trung MLN, Ancion A, Van den Eynde R, Lievens I, Lagny MG, Delbouille MH, Defraigne JO, Ledoux D, Rega F. Successful heart transplantation from donation after euthanasia with distant procurement using normothermic regional perfusion and cold storage. Am J Transplant 2022; 22:3146-3149. [PMID: 36131641 DOI: 10.1111/ajt.17204] [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: 06/27/2022] [Revised: 09/12/2022] [Accepted: 09/14/2022] [Indexed: 01/25/2023]
Abstract
While euthanasia has been legalized in a growing number of countries, organ donation after euthanasia is only performed in Belgium, the Netherlands, Spain, and Canada. Moreover, the clinical practice of heart donation after euthanasia has never been reported before. We describe the first case of a heart donated after euthanasia, reconditioned with thoraco-abdominal normothermic regional perfusion, preserved using cold storage while being transported to a neighboring transplant center, and then successfully transplanted following a procurement warm ischemic time of 17 min. Heart donation after euthanasia using thoraco-abdominal normothermic regional perfusion is feasible, it could expand the heart donor pool and reduce waiting lists in countries where organ donation after euthanasia can be performed.
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Affiliation(s)
| | - Gregory Hans
- Department of Anesthesiology, CHU, Liege, Belgium
| | - Janne Brouckaert
- Department of Cardiac Surgery, University Hospitals, Leuven, Belgium
| | - Olivier Detry
- Department of Abdominal Surgery and Transplantation, CHU, Liege, Belgium
| | | | - Steffen Rex
- Department of Anesthesiology, University Hospitals, Leuven, Belgium
| | | | - Erwin De Troy
- Department of Intensive Care Medicine, University Hospitals, Leuven, Belgium
| | | | | | | | | | | | | | | | - Didier Ledoux
- Department of Intensive Care Medicine, CHU, Liege, Belgium
| | - Filip Rega
- Department of Cardiac Surgery, University Hospitals, Leuven, Belgium
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3
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Poleur M, Annoussamy M, Clavel L, Buscemi L, Delstanche S, Eggenspieler D, de Noordhout AM, Bouquiaux O, Lievens I, Servais L. P.222 Wearable inertial sensors for longitudinal follow-up of patients with amyotrophic lateral sclerosis. Neuromuscul Disord 2022. [DOI: 10.1016/j.nmd.2022.07.390] [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: 11/05/2022]
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4
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Poleur M, Hustinx M, Lievens I, De Noordhout AM. Neuropathie motrice multifocale avec blocs de conduction persistants : une entité obsolète ? Rev Neurol (Paris) 2022. [DOI: 10.1016/j.neurol.2022.02.249] [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: 10/18/2022]
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5
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Thibaut A, Beaudart C, Quinet M, Bouquiaux O, Delstanche S, Lievens I, Grosjean D, Ortmans I, Kaux JF, Halleux C. [Psychological and cognitive interventions in end-of-life support of patients with amyotrophic lateral sclerosis. A review.]. Rev Med Liege 2022; 77:104-109. [PMID: 35143130] [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] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Abstract
Amyotrophic lateral sclerosis (ALS) is an incurable disease characterized by muscle atrophy leading to complete paralysis. Once diagnosed, the average life expectancy is three to five years. In this context, palliative and end-of-life care are essential, as well as the development of cognitive and/or psychological therapies to improve the quality of life of patients. In this context, we conducted a review of the pertinent literature about psychological and cognitive interventions in end-of-life support for ALS patients. We identified 504 references out of which only four studies met our inclusion criteria. Two studies focused on dignity therapy, one study on the delay between the diagnosis and the start of psychological care in a specialized centre, and one case-report on psychological therapy combined with a computer-assisted communication system. The results of these studies, although very limited, suggest that psychological interventions may improve the management and quality of life of end-of-life ALS patients. Further studies should investigate the impact of psychological support adapted to ALS, using, for example, computer-assisted communication allowing to implement these interventions in a larger number of patients and over the long term.
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Affiliation(s)
- A Thibaut
- Service de Médecine physique et Réadaptation fonctionnelle, CHU Liège, Belgique
- Coma Science Group, GIGA-Consciousness,4 Centre du Cerveau, CHU Liège, Belgique
| | - C Beaudart
- Service de Médecine physique et Réadaptation fonctionnelle, CHU Liège, Belgique
- Service de Santé publique, Epidémiologie et Economie de la Santé, Centre collaborateur de l'OMS pour l'étude de la santé et du vieillissement de l'appareil musculo-squelettique, CHU Liège,Belgique
| | - M Quinet
- Service de Médecine physique et Réadaptation fonctionnelle, CHU Liège, Belgique
| | - O Bouquiaux
- Service de Médecine physique et Réadaptation fonctionnelle, CHU Liège, Belgique
| | - S Delstanche
- Département de Neurologie, CHR Citadelle, Liège, Belgique et Centre de Référence Neuromusculaire de Liège, Département de Neurologie, CHU Liège, Belgique
| | - I Lievens
- Département de Neurologie, CHR Citadelle, Liège, Belgique et Centre de Référence Neuromusculaire de Liège, Département de Neurologie, CHU Liège, Belgique
| | - D Grosjean
- Service de Médecine physique et Réadaptation fonctionnelle, CHU Liège, Belgique
| | - I Ortmans
- Service de Médecine physique et Réadaptation fonctionnelle, CHU Liège, Belgique
| | - J F Kaux
- Service de Médecine physique et Réadaptation fonctionnelle, CHU Liège, Belgique
| | - C Halleux
- Service de Médecine physique et Réadaptation fonctionnelle, CHU Liège, Belgique
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6
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Radermecker A, Bonnet C, Lutteri L, Chapelle AC, Petignot S, Lievens I, Caers J. [An illustrative case of the POEMS syndrome]. Rev Med Liege 2021; 76:156-159. [PMID: 33682383] [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] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/12/2023]
Abstract
POEMS syndrome is a rare and invalidating entity characterized by polyneuropathy, organomegaly, endocrinopathy, monoclonal gammopathy and dermatoses. The diagnosis of this condition is often late and challenging due to the heterogeneity of clinical forms. The light chains secreted by the clonal plasmocytes cause overproduction of VEGF (Vascular Endothelial Growth Factor) responsible for the appearance of the clinical manifestations of POEMS. The diagnostic approach is based on different clinical and biological criteria. Patients with a solitary plasmacytoma are candidates for radiotherapy treatment. Patients with diffuse bone involvement or bone marrow infiltration are best treated by systemic drugs. The response to treatment may take several months before clinical and biological improvement. Early diagnosis and dedicated management limit the clinico-functional impact of POEMS.
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Affiliation(s)
| | - C Bonnet
- Service d'Hématologie, CHU Liège, Belgique
| | - L Lutteri
- Service de Chimie Clinique, CHU Liège, Belgique
| | | | - S Petignot
- Service d'Endocrinologie, CHU Liège, Belgique
| | - I Lievens
- Service de Neurologie, CHU Liège, Belgique
| | - J Caers
- Service d'Hématologie, CHU Liège, Belgique
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7
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Moonen G, Lievens I, Bianchi E. [Loss of balance, gait disturbance and falls in an elderly woman]. Rev Med Liege 2015; 70:517-526. [PMID: 26727842] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Abstract
We report the diagnostic workup of a 75-year old woman seen in the outpatient clinic and complaining of a very common symptom that is walking difficulty and falls. We stress the complexity of the clinical examination and of the pathophysiology of equilibrium and gait disorders. They are numerous aetiologies that are very often associated in elderly patients. The therapeutic approach is necessarily multidisciplinary, both medical and paramedical. In the particular case of the patient illustrated in this vignette, the diagnosis was myofibrillar myopathy, a rare and recently described muscle disease. This is the occasion to stress that for many rare disorders, it is the disease, but not the signs or symptoms, which is rare.
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8
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Abstract
Multifocal motor neuropathy is a distinct entity, whose treatment differs from that of other chronic immune-mediated neuropathies, mainly chronic inflammatory demyelinating polyradiculoneuropathy, and its variant, multifocal acquired demyelinating sensory and motor neuropathy, although they share some electrophysiological characteristics. From the first descriptions, intravenous immunoglobulins (IVIg) have been considered to be the gold standard of treatment for multifocal motor neuropathy. However, if the effectiveness of IVIg has been confirmed by several randomized, double-blind, placebo-controlled trials, only a few patients experience persistent improvement after a single or few courses of therapy, and the long-term efficacy of IVIg in this disease is currently debated. Consequently, there is a need for new therapeutic strategies that focus on the effects and the costs of this therapy over long-term follow-up.
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Affiliation(s)
- Jean-Marc Leger
- Reference Center for Neuromuscular Diseases, Bâtiment Babinski, Hôpital de la Salpêtrière, 47 boulevard de l'Hôpital, 75651 Paris cedex 13, France.
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9
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Belachew S, Magis D, Lievens I, Cuvelier ML, Rikir E, Garraux G, Hotermans C, Salmon E, Sadzot B, Cambron L, Maquet P, Poirrier R, Moonen G. [Therapeutic armamentarium in neurology: the birth of a new era]. Rev Med Liege 2007; 62:432-48. [PMID: 17725219] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/16/2023]
Abstract
The field of neurology was long infamous for a lack of therapeutic options. How many of you have once thought: "Neurologists don't cure the disease, they admire it". But those days have passed into history, and the field is now vibrant with new treatments and hope even for patients with the worst neurodegenerative diseases. We summarized in the present review the latest major advances in therapeutic principles and practice for some of the most frequent chronic neurological disorders such as headaches, epilepsy, multiple sclerosis, dementias, Parkinson's disease, sleep/wake disturbances and peripheral neuropathies. We cannot cure or prevent, but we can now halt or control symptoms and disease progression to provide physical and psychological relief, and a better quality of life for patients who suffer from these otherwise devastating neurological conditions.
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Affiliation(s)
- S Belachew
- Service de Neurologie, ULg, CHU Sart Tilman, Liège, Belgique
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10
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Foatelli FM, Gernay P, Lievens I, Ansseau M. [Neuroleptic malignant syndrome and general paralysis: a clinical case]. Rev Med Liege 2006; 61:807-11. [PMID: 17313116] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/14/2023]
Abstract
Described in 1960 by Jean Delay in relation to the use of haloperidol, neuroleptic malignant syndrome remains relatively rare, and poorly known by the medical profession. The emergence of the atypical antipsychotic agents and preventive measures which have become general in recent years in hospital departments using dopamine receptor antagonists has not altered the prognosis, which remains potentially fatal in approximately a quarter of cases. This article proposes a descriptive summary of this syndrome in terms of clinical and biological diagnostics as well as of evolution, epidemiology, differential diagnosis and treatment. It describes the case of a patient affected by general paralysis having developed a neuroleptic malignant syndrome, thus the hypothesis what the neuroleptic malignant syndrome preferentially arises in subjects having underlying organic or metabolic problems and provides food for thought regarding the main medical and psychiatric overlaps, the use of dopaminergic agents and the behaviour to be adopted when dealing with a patient presenting with inaugural psychiatric symptomatology.
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Affiliation(s)
- F M Foatelli
- Maître de Stage, Clinique Notre-Dame des Anges, Liège
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11
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Ossemann M, Bruls E, de Borchgrave V, De Cock C, Delcourt C, Delvaux V, Depondt C, de Tourchaninoff M, Grisar T, Legros B, Liénard F, Lievens I, Sadzot B, van Rijckevorsel K. Guidelines for the management of epilepsy in the elderly. Acta Neurol Belg 2006; 106:111-6. [PMID: 17091613] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/12/2023]
Abstract
Seizures starting in patients over 60 years old are frequent. Diagnosis is sometimes difficult and frequently under- or overrated. Cerebrovascular disorders are the main cause of a first seizure. Because of more frequent comorbidities, physiologic changes, and a higher sensitivity to drugs, treatment has some specificity in elderly people. The aim of this paper is to present the result of a consensus meeting held in October 2004 by a Belgian French-speaking group of epileptologists and to propose guidelines for the management and the treatment of epilepsy in elderly people.
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Affiliation(s)
- M Ossemann
- Service de neurologie, Cliniques Universitaires UCL de Mont-Godinne, Yvoir, Belgium.
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12
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Dive D, Lievens I, Moonen G, Wang FC. [Diabetic peripheral neuropathy]. Rev Med Liege 2005; 60:490-7. [PMID: 16035316] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/03/2023]
Abstract
Peripheral neuropathy is a very frequent consequence of diabetes mellitus. Its clinical expression is quite variable. A specific therapy is sometimes necessary. Early diagnosis of diabetic neuropathy is a cornerstone of patient's follow-up. Differential diagnosis of diabetic neuropathy is sometimes difficult from another type of neuropathy or a focal, even systemic, disease. It is mandatory to know how a diabetic neuropathy may express. Pathophysiological mechanisms involved in diabetic neuropathy are complex and interrelated. Hyperglycaemia alone, even mild or moderate, vascular disorders and dysimmune factors may be combined to induce axonal injury. Glycaemic control is the cornerstone of effective treatment for neuropathy associated with diabetes. Specific pain control and therapies of autonomic disturbances are regularly required.
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Affiliation(s)
- D Dive
- Service de Neurologie, CHU de Liège.
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13
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Moonen G, Delcourt C, Lievens I, Hans G. [Transient ischemic attacks: a new definition]. Rev Med Liege 2004; 59:281-5. [PMID: 15264577] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 04/30/2023]
Abstract
According to its initial definition, which dates back more than 50 years, a transient ischemic attack (TIA) is a sudden focal neurologic deficit lasting for less than 24 hours, of presumed vascular origin, and confined to an area of the brain or eye perfused by a specific artery. Recent data on the pathophysiology of cerebral ischemia and the progress made by the imaging techniques have led an American TIA Working Group to propose a new definition which states that: "A transient ischemic attack is a brief episode of neurologic dysfunction, caused by local brain or retinal ischemia, with clinical symptoms typically lasting less than one hour, and without evidence of cerebral infarction". The advantages and limitations of this new definition, the need for an emergency medical care in the presence of a TIA, the clinical signs associated with this condition, the diagnostic work up, and the differential diagnosis are briefly discussed. A clinical example illustrates the difficulties that can be encountered in a case of TIA.
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