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Mar 3, 2022 12:01
2 yrs ago
22 viewers *
French term

plutôt cause d'allure centrale

French to English Medical Medical (general)
Patient has history of giant cell arteritis and are in hospital falling a fall and vision issues. I just need help on how to word the last sentence:

"Avis neuro-ophtalmologique
Pas d’inflammation active. Apraxie oculomotrice bilatérale plutôt que ophtalmoplégie. Pas d’argument pour une récidive de Horton, mais plutôt cause d'allure centrale, plutôt corticale ou noyaux gris centraux."

So far I'm working with "No evidence of giant cell arteritis relapse, instead the cause [of the vision issues] seems to be central [denoting the brain rather than the temporal artery/giant cell arteritis], i.e. the cortex or basal ganglia." - not great at the moment, hence why I need help!

TIA!
Proposed translations (English)
4 +2 rather of central origin
References
comment

Discussion

Emily Gilby (asker) Mar 14, 2022:
Thank you everyone, I went with Liz's suggestion in the end as it fit the context best
Emily Gilby (asker) Mar 3, 2022:
I'm currently working with the following from what Liz said regarding the CNS which seems like the best suggestion to me so far (Liz please feel free to submit an answer): "No evidence of giant cell arteritis relapse, rather the origin seems to be the central nervous system (i.e. cortex or basal ganglia)."
Emily Gilby (asker) Mar 3, 2022:
Sorry Phil, yes it is, I was confusing this with another part of the text (not posted) where there was an OCR error. Yes, maladie de Horton = giant cell arteritis. It's more the latter half of the sentence I'm struggling with
philgoddard Mar 3, 2022:
Surely it's Horton, not Norton.
philgoddard Mar 3, 2022:
If you're wondering why "Horton"... ...comes out as "giant cell arteritis", they're synonyms. It's Horton's disease. I'm no expert, but your attempt looks convincing.

Proposed translations

+2
1 hr

rather of central origin

That is what I would write as a neuroscientist.
Note from asker:
Thanks Nicolas - can you let me know how you'd fit in "plutôt corticale ou noyaux gris centraux"?
Peer comment(s):

agree philgoddard
27 mins
agree Sue Davis
41 mins
neutral liz askew : do you have examples of this please from neuroscientific journals. I am having trouble locating this.
20 hrs
Something went wrong...

Reference comments

1 hr
Reference:

comment

isn't the "centrale" bit referring to the central nervous system?




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Note added at 1 hr (2022-03-03 13:10:08 GMT)
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BTW

récidive = recurrence
rechute - relapse

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Note added at 1 hr (2022-03-03 13:12:19 GMT)
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****The basal ganglia are located in the brain stem, thalamus, and cerebral cortex areas of the brain. Being in the brain, ***they are part of the central nervous system***, not the peripheral nervous system, as other ganglia are. This group of structures is important in regulating voluntary movements.

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Note added at 21 hrs (2022-03-04 09:50:34 GMT)
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Dysarthria vs. Apraxia: A Comparison
https://csuchico.edu/~pmccaffrey/syllabi/SPPA342/342unit15.h...
Apraxia is a planning/programming problem, not a movement problem like dysarthria. Apraxia occurs following damage to Broca's Area, or Brodmann's area 44, which is located on the third gyrus of the left frontal lobe. Thus, ****apraxia is always the result of a central nervous system lesion***.

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Note added at 22 hrs (2022-03-04 10:09:09 GMT)
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Dysarthria vs. Apraxia: A Comparison
https://csuchico.edu/~pmccaffrey/syllabi/SPPA342/342unit15.h...
Thus, apraxia is always the result of a central nervous system lesion. It is a cortical problem, not a motor impulse transmission problem like dysarthria. Type Of Errors. Dysarthria. In dysarthria, errors are consistent and predictable. There are no islands of clear speech; no matter what the speaking task or materials used, the patient will exhibit the same amount and types of errors. …

Central Nervous System Control of Voice and Swallowing
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4526113
Central nervous system control for both systems includes both relatively automatic behaviors present from birth and volitional control acquired with development. In the human, volitional control is evident when subjects respond to verbal instruction such as, “prolong a vowel” or “swallow hard”. The relatively automatic brain stem and midbrain control for voice have been …

Central Nervous System involvement & Neuromuscular
https://neuromuscular.wustl.edu/nanatomy/cns.html
Central Nervous System involvement & Neuromuscular. Antibodies Spinal Cord Optic nerve Hearing loss Cerebellum Supratentorial Leukodystrophy : Spinal Cord. Toxic Cholinesterase
Note from asker:
Thanks Liz, regarding “relapse” - this is the word that was used in reference to describe a flare up of the disease in my searches. Regarding “central”, I took it to mean the brain, rather than outside the brain (the temporal artery), so in the centre of the head? This is the only way I can understand it but appreciate any input you have!
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