Search

The isolated or prominent weakness of cervical extensor muscles is a relatively rare clinical sign known as "dropped head syndrome". It occurs in a variety of neuromuscular diseases. Here, we report the case of a 53 year old woman whose main symptom was a dropped head syndrome that led to the diagnosis of scleromyositis. Scleromyositis is a rare idiopathic inflammatory myopathy, which combines polymyositis and scleroderma symptoms. Although idiopathic inflammatory myopathies are listed as causes of dropped head syndrome, very few cases are reported in the literature. Furthermore, scleromyositis revealed by a dropped head syndrome has never been described. As this condition was totally reversed by a regiment of corticosteroids, it is thus of a diagnostic interest for neurologists to be aware of idiopathic inflammatory myopathies, including scleromyositis, as a potentially treatable aetiology of dropped head syndrome., (Copyright 2010 Elsevier B.V. All rights reserved.)

The Thau Lagoon, a French Mediterranean shallow lagoon, is a site where extensive shellfish farming occurs. The aim of the present work is to evaluate the role of this activity on nutrient exchange at the sediment-water interface in relation to organic matter (OM) sedimentation and degradation. Two stations inside (C5) and outside (C4) of the shellfish farming areas were sampled at three seasons. Porewater chemistry surveys and calculated diffusive fluxes were used to evaluate the trophic status of the Thau lagoon. Quantitative (Particulate Organic Carbon) as well as qualitative OM (Hydrogen Index, Carbohydrates) analyses were performed on sediments to assess OM characteristics. Results emphasized that surficial sediments at C5 are always more enriched in OM. Porewater nutrient concentrations are 10-20 times higher at C5 than at C4. In June 2003, the porewater profiles exhibit a sharp gradient at the bottom waters, indicating a hypereutrophic status, leading to an anoxic crisis.

A seasonal field study was carried out in the Seine estuary to determine the chemistry of sediment porewaters using the 'peeper' technique and changes in the elevation of the mudflats using the 'Altus' technique. This approach allowed us to evaluate the release of nutrients and to link these releases to the sediment hydrodynamics. Our results show that nutrient and organic matter cycling in a Seine estuary mudflat exhibits a seasonal behaviour, which is mainly influenced by variations in hydrodynamics. Sediments, rich organic matter, were input during floods and they were mineralized during summer and autumn, releasing nutrients and dissolved organic carbon into the sediment porewaters. The nutrient release, including ammonium, is mainly linked to the mineralization of organic matter, while the release of phosphate is delayed. The delay could be the result of phosphate association with organic matter and/or its co-precipitation with calcium and iron.

Pathophysiological models suggest that obsessive compulsive disorder (OCD) might be associated with dysfunctions in cortico-striato-pallido-thalamo-cortical neuronal circuits. We implanted subthalamic electrodes to alleviate parkinsonian symptoms in two patients who had Parkinson's disease and a history of severe OCD. Parkinsonian disability improved postoperatively in both patients, and 2 weeks after the procedure, their compulsions had disappeared and obsessive symptoms improved (58% improvement for patient 1 on the Yale-Brown obsessive compulsive scale, 64% for patient 2). The improvements in these two patients suggest that high-frequency stimulation could improve function in the subcortical-limbic circuitry in patients with severe OCD.