[Cervical arthrosic myelopathies. Study of a series of 35 cases. Pathogenetic and therapeutic reflections]. / Les myélopathies cervicarthrosiques. Etude d'une série de 35 observations. Réflexions pathogéniques et thérapeutiques.

A series of 35 myelopathies was studied. The clinical characteristics are detailed. Gaseous myelography remains the best contrast test for establishing this diagnosis, making it possible to distinguish between spinal cords with constriction by stages and "trestle spinal cords" these two conditions often seem related. The medical treatments are disappointing, and one can improve the lesional syndrome but rarely the post-lesional syndrome. Surgery by posterior laminectomy gives in the long run only 45 per cent of improvement. On the basis of these observations, the authors state the opinion that the majority of the cases combining a cervicarthrosis and melyopathy after the age of 55, reveal of mixed, vascular and mechanical pathogeny. Surgery appears most useful in young patients whose spinal cord is congenitally constricted and shows sings of clinical distress.

[Treatment of psoriatic rheumatism]. / Les thérapeutiques du rhumatisme psoriasique.

The authors report on the results of a cooperative study done in collaboration with dermatologists and rheumatologists in order to determine the therapeutic incompatibilities resulting from the co-existence of two diseases, both of unknown cause, namely arthropathies and dermopathies. They make an non exhaustive review of the litearature concerning the different medical or physical methods used. They attempt to outline a therapeutic schema according to the different clinical forms and the more or less large extent of the skin disease.

[Rheumatic manifestations of primary hypogammaglobulinemia in the adult]. / Les manifestations rhumatismales de l'hypogammaglobulinémie primaire de l'adulte

With reference to 27 cases reported in the literature (of which 1 was personal) of primary hypogammaglobulinaemia in adults (PHGGA) with rheumatic manifestations, and following a statistical study, the authors think that the rheumatic manifestations that precede, accompany, or follow primary hypogammaglobulinaemia in adults are not coincidental. These manifestations occur in 10 percent of patients. The clinical and radiological pictures, and the associated infections and immunological disorders form a particular clinical entity and lead to therapeutic difficultires. In this connexion, the authors mention in particular pathogenic problems related to hypogammaglobulinaemia in adults and the rheumatic manifestations.

[Neurosensory complications of Paget's disease]. / Les complications neurosensorielles de la maladie de Paget

The authors made a bibliographic study and report their conclusions with reference to problems concerning a personal series of 17 patients who had undergone an ocular examination, a cranial radiography studying the joint, a bilateral radiotomographic study of the ossicles and of the petrosal bone, an audiogram, and a bilateral electronystagmogram: 1. the rarity of angioid striae, the existence of which, in the view of the authors, does not allow Paget's disease to be included within the framework of the systemized elastorrhexis, 2. the frequency of ocular vascular lesions, 3. deafness is a constant phenomenon, when the cranial arch is affected usually in combination with other lesions ; the deafness is sometimes of transmission or sometimes of perception, but it can precede the cranial lesions. The signs of these can be found radiologically in the chain of ossicles and in the cochlea by means of special projections. The part played by basilar pressure in this deafness is negligible. Labyrinth disorders are rarely met.

[Rheumatic manifestations of Gougerot-Houwers-Sjögren syndrome]. / Les manifestations rhumatismales du syndrome de Gougerot-Houwers-Sjögren.

The authors retrospectively survey the concept of the Gougerot-Houwers-5jögren syndrome which links articular disease with the "dry" syndrome (pharyngitis sicca) and then go on to study the rheumatic conditions found in the Gougerot-Houwers-Sjögren syndrome. They point out that the association between the "dry" syndrome and rheumatic appearances varies in frequency according as whether the problem is seen from a rheumatological, dermatological, ophthalmological or stomatological point of view. They establish the frequency of the various rheumatic conditions, stressing the importance of the association with rheumatoid polyarthritis. They study the associated biological and visceral backgrounds, the thyroid, renal, digestive, blood, neural, allergic and immunological conditions and describe the rheumatic appearances of the other collagenoses associated with the "dry" syndrome. They conclude with the current difficulty of restricting the scope of the Gougerot-Houwers-Sjögren syndrome when histological and scintigraphic techniques have broadened it. They would like to see exact criteria adopted to define this syndrome.