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By Jean-Claude Turpin

Le cerveau détient toutes les fonctions dont nous avons quotidiennement besoin. Il centralise les informations captées à los angeles périphérie, il dirige notre motion, il s’adapte aux circonstances. C’est un organe précieux, irremplaçable, mais « d’abord difficile ». Il est protégé de l’environnement par l. a. boîte crânienne et ses annexes par l’axe rachidien (fig. 1), ce qui nous prive de l. a. possibilité de l’ausculter, de le percuter et de le palper. Lobe pariétal Lobe frontal Corps calleux e three ventricule Lobe occipital Pédoncules cérébraux Protubérance annulaire Moelle épinière Bulbe Fig. 1 – Schéma général du cerveau, du tronc cérébral, du cervelet et de l. a. moelle épinière cervicale (coupe sagittale). eleven Cervelet ABORD CLINIQUE EN NEUROLOGIE Avant même les progrès de l’imagerie médicale qui nous permet de le découvrir in vivo, cliniquement on peut l’interroger et situer le niveau lésionnel. Ces examens ont remplacé les radiographies du crâne sans préparation* dont il reste quelques symptoms. L’examen clinique est lengthy ; il doit être rigoureux et minutieux, mais il permet de connaître le siège d’un dysfonctionnement qui peut être cicatriciel ou évolutif. los angeles perte d’une photo, un hassle de los angeles conception, un déficit m- sique, une altération sensitivomotrice, une perte de los angeles moral sense, de l’affec- vité, de l’intelligence, and so on. permet de situer le niveau lésionnel.

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