Rev Neurol France
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Hemiplegic migraine (HM) is a rare variety of migraine with aura characterized by the presence of a motor weakness during the aura. Hemiplegic migraine has two main forms according to the familial history: patients with at least one first- or second-degree relative who has aura including motor weakness have familial hemiplegic migraine (FHM); patients without such familial history have sporadic hemiplegic migraine (SHM). The prevalence of HM is one in 10,000 with FHM and SHM being equally frequent. ⋯ Prognosis is usually good. Treatment is similar to approaches used in other varieties of migraine with aura, excepted for triptans that are contraindicated in MHF/MHS. Based on new pathophysiological insight, preventive treatments by various antiepileptic agents seem promising.
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The Dijon Stroke Registry is the only population-based registry in France which has collected neurological data without interruption for more than 20 years. This registry has produced reliable epidemiological data from a large non-selected population. ⋯ In Dijon, age- and sex-standardized stroke incidence has remained stable over the past 20 years. Increasing age at first-ever stroke, decreasing case-fatality rate, increasing use of antiplatelet treatments and a reduction in certain prestroke risk factors were noted.
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Stroke is a worldwide problem with high incidence, mortality and disability rates. A Meta analysis by the Stroke Unit Trialist Collaboration showed that stroke units improve outcome for stroke patients. Stroke care should take place in stroke units which consist of a hospital unit or part of a hospital unit that exclusively takes care of stroke patients. European recommendations have been published by the European Stroke Initiative and French recommendations by the Societe Française Neurovasculaire. ⋯ We found major differences of organisation between different types of stroke units, but no differences between hospitals with stroke units and other hospitals. These stroke units are generally in conformity with the recommended guidelines.