{"id":23748,"date":"2014-10-23T01:20:31","date_gmt":"2014-10-22T23:20:31","guid":{"rendered":"http:\/\/localhost\/chu-poitiers\/questions-a-jonathan-ciron-neurologue\/"},"modified":"2014-10-23T01:20:31","modified_gmt":"2014-10-22T23:20:31","slug":"questions-a-jonathan-ciron-neurologue","status":"publish","type":"post","link":"https:\/\/www.chu-poitiers.fr\/en\/questions-a-jonathan-ciron-neurologue\/","title":{"rendered":"Questions \u00e0… Jonathan Ciron, neurologue"},"content":{"rendered":"

D’une mani\u00e8re g\u00e9n\u00e9rale, \u00e0 quoi consacrez-vous vos activit\u00e9s\u00a0?<\/strong>
\nJe consacre mes matin\u00e9es aux patients pris en charge en h\u00f4pital de semaine. Il s’agit de patients explor\u00e9s et\/ou trait\u00e9s pour une scl\u00e9rose en plaques ou une neuropathie p\u00e9riph\u00e9rique, mais on y accueille aussi des patients pour des bilans de toutes sortes de pathologies neurologiques\u00a0: troubles cognitifs, syndromes parkinsoniens, \u00e9pilepsie, ataxie c\u00e9r\u00e9belleuse, myasth\u00e9nie…<\/span><\/p>\n

L’apr\u00e8s-midi, j’ai trois demi-journ\u00e9es de consultations\u00a0: consultation scl\u00e9rose en plaques et maladies apparent\u00e9es ; consultation d’\u00e9lectromyographie (EMG), pour les patients souffrant de neuropathie p\u00e9riph\u00e9rique\u00a0; et consultation de neurologie g\u00e9n\u00e9rale, o\u00f9 je m’occupe des autres domaines de la neurologie (\u00e9pilepsie, suivi d’AVC, migraine, etc.). J’occupe le reste de mon temps aux protocoles du service et aux activit\u00e9s de recherche. Les astreintes que nous nous partageons avec les neurologues du service me permettent en outre de garder un lien avec le neuro-vasculaire, les accidents vasculaires c\u00e9r\u00e9braux \u00e9tant l’un des principaux motifs neurologiques de passage aux urgences.<\/span><\/p>\n

Vous \u00eates sp\u00e9cialis\u00e9 dans la prise en charge de la scl\u00e9rose en plaques. Pouvez-vous nous en dire plus\u00a0?
\n<\/strong>En effet. Ces derni\u00e8res ann\u00e9es ont vu une explosion des th\u00e9rapeutiques dans cette pathologie, ce qui a rendu les d\u00e9cisions de plus en plus difficiles \u00e0 prendre et a impliqu\u00e9 de se sur-sp\u00e9cialiser. En tant que r\u00e9f\u00e9rent r\u00e9gional, je re\u00e7ois r\u00e9guli\u00e8rement des demandes d’avis de mes coll\u00e8gues travaillant en dehors de l’\u00e9tablissement. Nous sommes donc en train de mettre en place des r\u00e9unions mensuelles communes de d\u00e9cision th\u00e9rapeutique avec les neurologues hospitaliers et les neurologues lib\u00e9raux de la r\u00e9gion, qui vont permettre d’organiser et de formaliser ces demandes.<\/span><\/p>\n

Enfin, j’ai effectu\u00e9 une formation compl\u00e9mentaire en neuro-ophtalmologie, ce qui m’a permis de cr\u00e9er des liens nouveaux avec le service d’ophtalmologie afin de diagnostiquer et de traiter plus efficacement les maladies des nerfs optiques, les pathologies vasculaires r\u00e9tiniennes (qui sont consid\u00e9r\u00e9es comme une vari\u00e9t\u00e9 d’AVC) et les troubles oculomoteurs complexes. \u00c0 cheval entre les deux disciplines, il s’agit d’une prise en charge commune d\u00e9licate qui requiert un dialogue important avec les coll\u00e8gues d’ophtalmologie, \u00e0 la fois sur le diagnostic et la th\u00e9rapeutique.<\/span><\/p>\n

Des activit\u00e9s de recherche\u00a0?
\n<\/strong>Au titre de r\u00e9f\u00e9rent r\u00e9gional de l’observatoire fran\u00e7ais de la scl\u00e9rose en plaques (OFSEP), je participe \u00e0 plusieurs \u00e9tudes dont une \u00e9tude de comparaison des traitements de fond en cohorte dite de \u00ab\u00a0vraie vie\u00a0\u00bb, et je contribue \u00e0 alimenter la base de donn\u00e9es nationale EDMUS. Avec le Pr Jean-Philippe Neau, je suis \u00e9galement co-investigateur d’autres \u00e9tudes portant sur le neuro-vasculaire et la scl\u00e9rose en plaques.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"

Jonathan Ciron a commenc\u00e9 ses \u00e9tudes de m\u00e9decine \u00e0 la facult\u00e9 de Bordeaux, avant d’arriver \u00e0 Poitiers pour son internat de neurologie. Il\u2026","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[],"tags":[],"class_list":["post-23748","post","type-post","status-publish","format-standard","hentry"],"acf":[],"yoast_head":"\nQuestions \u00e0... Jonathan Ciron, neurologue - Site du CHU de Poitiers<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.chu-poitiers.fr\/en\/questions-a-jonathan-ciron-neurologue\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Questions \u00e0... 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