{"id":339742,"date":"2017-06-01T02:00:00","date_gmt":"2017-06-01T00:00:00","guid":{"rendered":"https:\/\/medizinonline.com\/place-de-lechographie\/"},"modified":"2017-06-01T02:00:00","modified_gmt":"2017-06-01T00:00:00","slug":"place-de-lechographie","status":"publish","type":"post","link":"https:\/\/medizinonline.com\/fr\/place-de-lechographie\/","title":{"rendered":"Place de l&#8217;\u00e9chographie"},"content":{"rendered":"<p><strong>\u00c9tude sur les preuves de l&#8217;utilisation de la sonographie nerveuse \u00e0 haute r\u00e9solution comme m\u00e9thode d&#8217;imagerie peu co\u00fbteuse et rapide \u00e0 mettre en \u0153uvre pour diff\u00e9rencier les neuropathies immunitaires des neuropathies axonales et de la SLA.<\/strong><\/p>\n<p> <!--more--> <\/p>\n<p><strong>Probl\u00e9matique : <\/strong>place de l&#8217;\u00e9chographie nerveuse \u00e0 haute r\u00e9solution dans le diagnostic de la polyneuropathie inflammatoire d\u00e9my\u00e9linisante chronique (PIDC), du syndrome de Lewis-Sumner (LSS) ou de la neuropathie motrice multifocale (NMM).<\/p>\n<p><strong>Patients et m\u00e9thodologie : <\/strong>dans cette \u00e9tude cas-t\u00e9moins en aveugle men\u00e9e au Centre m\u00e9dical universitaire d&#8217;Utrecht, 75 patients na\u00effs de tout traitement ont re\u00e7u un diagnostic clinique et \u00e9lectrophysiologique de neuropathie immunitaire (CIPD).  [n=44]; MMN  [n=22], ONSS  [n=9]) contre 70 patients t\u00e9moins souffrant d&#8217;une neuropathie axonale acquise (n=50) ou d&#8217;une SLA (n=20), \u00e0 l&#8217;aide d&#8217;une sonographie nerveuse \u00e0 haute fr\u00e9quence (5-17&nbsp;MHz sonde lin\u00e9aire, deux examinateurs ind\u00e9pendants) pour la taille des nerfs et des fascicules, l&#8217;\u00e9chog\u00e9nicit\u00e9 et la vascularisation des grands nerfs des bras et des jambes ainsi que du plexus brachial bds. est \u00e9valu\u00e9e. Le crit\u00e8re d&#8217;exclusion \u00e9tait une polyneuropathie pr\u00e9existante connue.<\/p>\n<p><strong>R\u00e9sultats :<\/strong> En particulier, l&#8217;augmentation de la section nerveuse (CSA, &#8220;cross sectional area&#8221;) du nerf m\u00e9dian proximal et du plexus brachial a permis de diff\u00e9rencier les neuropathies immunitaires des neuropathies axonales ou de la SLA avec une sensibilit\u00e9 de 95% et une sp\u00e9cificit\u00e9 de 100%.<\/p>\n<p><strong>Commentaire : <\/strong>Par rapport aux \u00e9tudes pr\u00e9c\u00e9dentes, ce travail se distingue par une large population d&#8217;\u00e9tude, l&#8217;inclusion uniquement de patients non trait\u00e9s et un protocole d&#8217;examen standardis\u00e9 avec des examinateurs en aveugle. En outre, des patients souffrant de polyneuropathie ont \u00e9t\u00e9 compar\u00e9s \u00e0 des personnes normales en tant que groupe de contr\u00f4le. Cette \u00e9tude fournit des preuves de classe II pour l&#8217;\u00e9chographie nerveuse \u00e0 haute r\u00e9solution en tant que m\u00e9thode d&#8217;imagerie peu co\u00fbteuse et rapide \u00e0 mettre en \u0153uvre pour diff\u00e9rencier les neuropathies immunitaires des neuropathies axonales et de la SLA.<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p><em>InFo NEUROLOGIE &amp; PSYCHIATRIE 2017 ; 15(3) : 32<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u00c9tude sur les preuves de l&#8217;utilisation de la sonographie nerveuse \u00e0 haute r\u00e9solution comme m\u00e9thode d&#8217;imagerie peu co\u00fbteuse et rapide \u00e0 mettre en \u0153uvre pour diff\u00e9rencier les neuropathies immunitaires des&hellip;<\/p>\n","protected":false},"author":7,"featured_media":66382,"comment_status":"closed","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"pmpro_default_level":"","cat_1_feature_home_top":false,"cat_2_editor_pick":false,"csco_eyebrow_text":"Neuropathies immunitaires non trait\u00e9es","footnotes":""},"category":[11527,11383,11549],"tags":[24476,38326,38335,20173,38331,22819],"powerkit_post_featured":[],"class_list":["post-339742","post","type-post","status-publish","format-standard","has-post-thumbnail","category-etudes","category-neurologie-fr","category-rx-fr","tag-als-fr","tag-diagnostic-de-la-neuropathie-immunitaire","tag-lewis-sumner-fr","tag-neuropathie-fr","tag-onss","tag-sonographie-fr","pmpro-has-access"],"acf":[],"publishpress_future_action":{"enabled":false,"date":"2026-06-23 12:14:47","action":"change-status","newStatus":"draft","terms":[],"taxonomy":"category","extraData":[]},"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"wpml_current_locale":"fr_FR","wpml_translations":{"it_IT":{"locale":"it_IT","id":339753,"slug":"importanza-della-sonografia","post_title":"Importanza della sonografia","href":"https:\/\/medizinonline.com\/it\/importanza-della-sonografia\/"},"pt_PT":{"locale":"pt_PT","id":339762,"slug":"importancia-da-sonografia","post_title":"Import\u00e2ncia da sonografia","href":"https:\/\/medizinonline.com\/pt-pt\/importancia-da-sonografia\/"},"es_ES":{"locale":"es_ES","id":339769,"slug":"importancia-de-la-ecografia","post_title":"Importancia de la ecograf\u00eda","href":"https:\/\/medizinonline.com\/es\/importancia-de-la-ecografia\/"}},"_links":{"self":[{"href":"https:\/\/medizinonline.com\/fr\/wp-json\/wp\/v2\/posts\/339742","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medizinonline.com\/fr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medizinonline.com\/fr\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medizinonline.com\/fr\/wp-json\/wp\/v2\/users\/7"}],"replies":[{"embeddable":true,"href":"https:\/\/medizinonline.com\/fr\/wp-json\/wp\/v2\/comments?post=339742"}],"version-history":[{"count":0,"href":"https:\/\/medizinonline.com\/fr\/wp-json\/wp\/v2\/posts\/339742\/revisions"}],"wp:attachment":[{"href":"https:\/\/medizinonline.com\/fr\/wp-json\/wp\/v2\/media?parent=339742"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medizinonline.com\/fr\/wp-json\/wp\/v2\/category?post=339742"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medizinonline.com\/fr\/wp-json\/wp\/v2\/tags?post=339742"},{"taxonomy":"powerkit_post_featured","embeddable":true,"href":"https:\/\/medizinonline.com\/fr\/wp-json\/wp\/v2\/powerkit_post_featured?post=339742"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}