[Interhemispheric disconnection, Balint's syndrome and persistent anarthria: Marchifava-Bignami disease with white matter hemorrhage]. / Dysconnexion interhémisphérique, syndrome de Balint et troubles arthriques persistants: maladie de Marchiafava-Bignami avec hémorrhagie de la substance blanche.

A 37-year-old alcoholic right-handed man developed a complex neuropsychological picture following a mild head injury and a severe confusional state. Prominent features were Balint's syndrome, signs of interhemispheric deconnection, and speech disorders with anarthria and dysprosody. Iterative CT scans showed pathognomonic hypodensities of the genu and splenium of corpus callosum, confirmative of Machiafava-Bignami disease. After a two years follow-up, a favourable outcome was observed despite haemmoragic transformation of bilateral necrotic lesions of the parietal white matter, an exceptional neuropathological fact. This case is demonstrative of the possibility of articulate speech impairment when lesions of both corpus callosum and subcortical white matter are present. It also raises several aetiopathogenic problems which are discussed.

[Thrombosis of the ending internal carotid artery complicating giant aneurysm]. / Thrombose de la terminaison de l'artère carotide interne compliquant un anévrysme géant.

A 30-year old man suddenly developed left hemiplegia. CT scan and cerebral angiography showed complete thrombosis of a right internal carotid giant aneurysm. Anterograde propagation of the thrombus in the parent artery led to ipsilateral hemispheric infarction, an exceptional presenting symptom of such vascular malformation. The diagnostic and etiopathogenic aspects are briefly discussed.

[Epidemiologic survey of the cysticercosis endemic on Réunion Island]. / Enquête épidémiologique sur l'endémie cysticerquienne à la Réunion.

The high incidence of cysticercosis was underestimated in Reunion Island before computed tomography (January, 1984). In 1974, Soulayrolles et Boyer-Vidal found that cysticercosis was responsible for 0.5 p. 100 of the cases of epilepsy. In hospitalized people, routine cranial and muscles radiographies detected: 1/among 242 epileptics: 183 men: 36 positive (19.67 p. 100); 59 women: 9 positive (15.25 p. 100), 2/among 166 non epileptic-related neurological disorders: 106 men, 6 positive (5.66 p. 100), 60 women: 6 positive (8.33 p. 100); 3/among 219 hospitalized patients with no neurological diseases: 124 men: 18 positive (14.5 p. 100), 95 women: 2 positive (2.10 p. 100). The clinical features of cysticercosis are so various that it appears impossible to define a typical clinical presentation. On the other hand the diagnosis is easy with CT scan and a serodiagnostic test (Elisa). In 98 patients, clinical symptoms and signs, CT scan and serology (Elisa) have been evaluated. Praziquantel was introduced in 1984 with good results as judged by serial CT scans. A human and animal investigation has been set up to define more clearly the relationship between the human parasitosis and rearing of domestic pigs to try to eradicate human and animal cysticercosis in Reunion Island.

[Acute cerebellitis in infectious mononucleosis. One case (author's transl)]. / La cérébellite mononucléosique. Une observation.

A nineteen year old man present an original clinical case of acute cerebellitis in infectious mononucleosis. Eighteen months after the acute phase of the illness, there persisted a large deficit in the circulating B lymphocytes. A short review of pertinent litterature is presented and current physiopathological hypothesis are discussed. Briefly, delayed immunity and personal predisposition appear to play important etiological roles.

[Dysglobulinemic neuropathy. Apropos of IgD myeloma manifested by mononeuritis]. / Les neuropathies dysglobulinémiques. A propos d'un myélome à IgD à révélation mononévritique.

The authors report a case of IgD myeloma of which the initial symptom was a mononeuritis and the biological, immunological and ultrastructural study performed about this case. Then are reviewed the mechanisms, proved or hypothetical, by which are actually explained the event of neuropathies within lympho-plasmocytic disorders.