URG-L: Besoin aide traduction

[Axel Ellrodt _listes]

----- Original Message ----- From: Stephan Gascon To: urg-l@urgences.ca Sent: Monday, July 31, 2006 7:03 PM Subject: [spam] URG-L: Besoin aide traduction http://www.servicevie.com/02sante/manchette/manchette041099/manchette041099.html "La céphalée de Horton (cluster headache) est caractérisée par une douleur soudaine, presque insupportable localisée sur un des côtés de la tête, autour de l'œil, de la tempe ou de la joue. Les crises durent entre 15 min et 3 h, et reviennent périodiquement pendant plusieurs semaines, voire des mois, avant de disparaître. Environ 0,1 % de la population est affectée par ce type de migraine, en majeure partie des hommes." ============================= Ca alors , n'importe quoi ! mais quest-ce que c'est que ces mécréants ? Si tu lis la description du cluster headache donnée par la Sainte Mayo Clinic, et la description de l'algie vasculaire de la face donnée par un site un peu sérieux (neurologies) http://www.neurologies.net/pathologies/contenu/Neuro47clinique.pdf ou celle donnée par orpha-net, tu vera que c'est kif kif.   http://www.mayoclinic.com/health/cluster-headache/DS00487/DSECTION=2   Signs and symptoms A cluster headache strikes quickly, usually without warning. Within minutes, excruciating pain develops. The pain typically develops on the same side of the head throughout a cluster period, and often the headaches remain on that side throughout a person's life. Less frequently, the pain may switch to the opposite side of the head in the next cluster period. Rarely, the pain switches sides from one attack to another. The pain of a cluster headache is often described as sharp, penetrating or burning. People with this condition say that the pain feels like a hot poker being stuck in the eye or that the eye is being pushed out of its socket. Restlessness People with cluster headache appear restless, preferring to pace or sit and rock back and forth to soothe the attack. They may press a hand against the eye or scalp or apply ice or heat over the painful area. In contrast to people with migraine, people with cluster headache usually avoid lying down during an attack because this position seems to only increase the pain. Most people with a cluster headache prefer to be alone. They may remain outdoors, even in freezing weather, for the duration of an attack. They may scream, bang their heads against a wall or hurt themselves in some way as a distraction from the unbearable pain. Some may find relief by exercising, such as jogging in place or doing sit-ups or push-ups. If cluster headache attacks regularly occur at night, some people try to remain awake for as long as possible to forestall the onset of a headache they know is coming. Unfortunately, doing so only speeds up the sleep cycle. The headache may occur within minutes of falling asleep in a compressed sleep cycle. In the worst cases, a vicious cycle of head pain and sleep deprivation develops. This can lead to depression and thoughts of suicide. Teary eye and stuffed nose Cluster headache always triggers a response from the autonomic nervous system. This system controls many vital activities without your consciously having to think about them. For example, your autonomic nervous system regulates blood pressure, heartbeat, sweating and body temperature. The most common autonomic response to a cluster headache is excessive tearing and redness of the eye on the side of the head affected by the pain. Other signs and symptoms that may accompany cluster headache include: §                 Stuffy or runny nasal passage in the nostril on the affected side of the face §                 Red, flushed face §                 Swelling around the eye on the affected side of the face §                 Reduced pupil size §                 Drooping eyelid Most of the time, these signs and symptoms last only as long as the headache lasts. In some people, however, a drooping eyelid and reduced pupil size persist after long periods of attacks. Some migraine-like symptoms, including nausea, sensitivity to light and sound, and aura, may occur with a cluster headache. Cluster period characteristics A cluster period generally lasts from two to 12 weeks. Chronic cluster periods may continue for more than a year. The starting date and the duration of each cluster period often are amazingly consistent from period to period. For many people, cluster periods occur seasonally, such as every spring or every fall. It's common for clusters to begin soon after one of the solstices — the longest and shortest days of the year. Over time, cluster periods may become more frequent, less predictable and longer lasting. During a cluster period, headaches typically occur every day, sometimes several times a day. A single attack lasts 45 to 90 minutes on average. The attacks happen often at the same time within each 24-hour day. Nighttime attacks are more frequent than daytime attacks, often occurring 90 minutes to three hours after you fall asleep. The most common times for attacks are between 1 a.m. and 2 a.m., between 1 p.m. and 3 p.m., and around 9 p.m. Cluster headache can be frightening to the person affected by it and to his or her family and friends. The debilitating attacks may seem unbearable. But the pain usually ends as suddenly as it begins, with rapidly decreasing intensity. After attacks, most people are completely free from pain but exhausted. Temporary relief during a cluster period may be only a matter of hours or may last as long as a day before the next attack.     http://www.orpha.net/consor/cgi-bin/OC_Exp.php?Lng=FR&Expert=1002 I E : Algie vasculaire de la face N° Orphanet ORPHA1002 L'algie vasculaire de la face (AVF) est une affection essentiellement de l'adulte jeune à forte prédominance masculine (sex ratio H/F = 4). La douleur est essentiellement orbito-faciale, continue, très violente, survenant quotidiennement par attaques brèves pendant des périodes de quelques semaines séparées par des intervalles libres où la rémission est complète. Nous parlons d'accès ou de crise pour chaque attaque douloureuse, et d'épisode (ou salve) pour chaque période douloureuse suivie d'une rémission. Les critères diagnostiques sont : A- au moins 5 crises répondant aux critères B et D ; B- douleurs sévères unilatérales orbitaires, supraorbitaires ou temporales durant 15-180 minutes sans traitement ; C- céphalée associée à au moins un des caractères suivants survenant du côté de la douleur : injection conjonctivale, larmoiement, congestion nasale, rhinorrhée, sudation du front et de la face, myosis, ptosis, oedème de la paupière ; D- fréquence des crises de 1 à 8 par jour ; E- au moins un des caractères suivants : l'histoire, l'examen physique et neurologique ne suggèrent pas un désordre organique ; un désordre organique existe mais les crises d'AVF n'apparaissent pas pour la première fois en liaison temporelle avec celui-ci. La prévalence d'AVF est inconnue en France. Elle est estimée à environ 1 pour 10.000 d'après des études étrangères. Les premières crises surviennent entre l'âge de 10 et 30 ans chez 2/3 des patients. L'existence d'un facteur génétique est probable. La physiopathologie de cette affection reste inconnue. Le traitement est actuellement uniquement symptomatique. Les deux seuls traitements d'efficacité prouvée pour les crises sont le Sumatriptan sous-cutané et l'oxygène nasal. *Auteurs : Dr J-M. Visy, Pr M-G. Bousser (décembre 2002)*.