{"id":900000818,"date":"2026-09-04T00:44:32","date_gmt":"2026-09-03T22:44:32","guid":{"rendered":"https:\/\/neuronup.com\/fr\/?page_id=900000818"},"modified":"2026-11-01T13:27:55","modified_gmt":"2026-11-01T11:27:55","slug":"traumatismes-cranio-cerebraux-tcc","status":"publish","type":"page","link":"https:\/\/neuronup.com\/fr\/la-neuro-reeducation\/les-lesions-cerebrales-acquises\/traumatismes-cranio-cerebraux-tcc\/","title":{"rendered":"Traumatismes cr\u00e2niens (TC)"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\"><strong>Le traumatisme cr\u00e2nio-c\u00e9r\u00e9bral (TCC)<\/strong> est une alt\u00e9ration de la fonction c\u00e9r\u00e9brale caus\u00e9e par une force ext\u00e9rieure. On le con\u00e7oit aujourd&rsquo;hui comme <strong>un processus dynamique et \u00e9volutif<\/strong>, et non comme une l\u00e9sion isol\u00e9e, avec des cons\u00e9quences \u00e0 court, moyen et long terme.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">C&rsquo;est un <strong>probl\u00e8me de sant\u00e9 mondial<\/strong>, avec des millions de cas chaque ann\u00e9e et un lourd fardeau de handicap, qui touche surtout les <strong>personnes \u00e2g\u00e9es (chutes)<\/strong> et les <strong>jeunes adultes (accidents de la route)<\/strong>.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\">Physiopathologie\u00a0: un processus en plusieurs phases<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Le TCC \u00e9volue en plusieurs \u00e9tapes li\u00e9es entre elles\u00a0:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>L\u00e9sion primaire\u00a0:<\/strong> dommage imm\u00e9diat et irr\u00e9versible (contusions, h\u00e9matomes, l\u00e9sion axonale diffuse).<\/li>\n\n\n\n<li><strong>L\u00e9sion secondaire\u00a0:<\/strong> cascade neurochimique (\u0153d\u00e8me, inflammation, excitotoxicit\u00e9, hypoxie) qui aggrave le dommage initial.<\/li>\n\n\n\n<li><strong>L\u00e9sion tertiaire\u00a0:<\/strong> processus tardifs comme la neurod\u00e9g\u00e9n\u00e9rescence et la mort cellulaire programm\u00e9e.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Une notion cl\u00e9 est la <strong>d\u00e9t\u00e9rioration retard\u00e9e<\/strong>\u00a0: des patients apparemment stables peuvent s&rsquo;aggraver quelques heures plus tard en raison de l&rsquo;<strong>expansion d&rsquo;un h\u00e9matome ou de l&rsquo;aggravation de l&rsquo;\u0153d\u00e8me<\/strong>.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\">Pression intracr\u00e2nienne et perfusion c\u00e9r\u00e9brale<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">La <strong>doctrine de Monro-Kellie<\/strong> pose que le cr\u00e2ne est un espace ferm\u00e9 o\u00f9 coexistent le cerveau, le sang et le liquide c\u00e9phalorachidien. Quand l&rsquo;un augmente, les autres doivent compenser.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">La variable critique est la <strong>pression de perfusion c\u00e9r\u00e9brale (PPC)<\/strong>\u00a0:<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>PPC = pression art\u00e9rielle moyenne \u2013 pression intracr\u00e2nienne<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Une hausse de la pression intracr\u00e2nienne peut entra\u00eener une <strong>isch\u00e9mie c\u00e9r\u00e9brale et des engagements c\u00e9r\u00e9braux<\/strong>, des situations potentiellement mortelles.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\">\u00c9valuation clinique\u00a0: au-del\u00e0 de Glasgow<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">L&rsquo;<strong>\u00e9chelle de coma de Glasgow (GCS)<\/strong> reste essentielle pour classer le TCC\u00a0:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>L\u00e9ger\u00a0:<\/strong> 13-15<\/li>\n\n\n\n<li><strong>Mod\u00e9r\u00e9\u00a0:<\/strong> 9-12<\/li>\n\n\n\n<li><strong>S\u00e9v\u00e8re\u00a0:<\/strong> \u22648<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">On admet cependant aujourd&rsquo;hui qu&rsquo;elle <strong>ne suffit pas \u00e0 elle seule<\/strong>. L&rsquo;approche actuelle int\u00e8gre\u00a0:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Des biomarqueurs s\u00e9riques<\/strong><\/li>\n\n\n\n<li><strong>La neuro-imagerie avanc\u00e9e<\/strong><\/li>\n\n\n\n<li><strong>Des facteurs cliniques et contextuels<\/strong><\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\">Diagnostic\u00a0: imagerie et biomarqueurs<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">La <strong>tomodensitom\u00e9trie (scanner)<\/strong> est l&rsquo;examen initial cl\u00e9 pour d\u00e9tecter les l\u00e9sions graves.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">L&rsquo;<strong>imagerie par r\u00e9sonance magn\u00e9tique (IRM)<\/strong> permet de rep\u00e9rer des l\u00e9sions plus subtiles, en particulier les <strong>l\u00e9sions axonales diffuses<\/strong>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Ces derni\u00e8res ann\u00e9es, des biomarqueurs ont \u00e9merg\u00e9, comme\u00a0:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>La GFAP\u00a0:<\/strong> signe d&rsquo;une atteinte astrogliale<\/li>\n\n\n\n<li><strong>L&rsquo;UCH-L1\u00a0:<\/strong> signe d&rsquo;une atteinte neuronale<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Ils permettent d&rsquo;<strong>am\u00e9liorer le d\u00e9pistage et de d\u00e9tecter des l\u00e9sions m\u00eame avec un scanner normal<\/strong>.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\">Intelligence artificielle et diagnostic avanc\u00e9<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">L&rsquo;<strong>intelligence artificielle (IA)<\/strong> transforme l&rsquo;\u00e9valuation du TCC gr\u00e2ce \u00e0\u00a0:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>L&rsquo;analyse automatis\u00e9e des images<\/strong><\/li>\n\n\n\n<li><strong>La pr\u00e9diction de l&rsquo;\u00e9volution clinique<\/strong><\/li>\n\n\n\n<li><strong>La d\u00e9tection pr\u00e9coce des complications<\/strong><\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Elle <strong>ne remplace pas pour autant le jugement clinique<\/strong> et doit \u00eatre valid\u00e9e dans diff\u00e9rents contextes.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\">Prise en charge neurocritique<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">L&rsquo;objectif principal est de <strong>pr\u00e9venir la l\u00e9sion secondaire<\/strong> et de maintenir la perfusion c\u00e9r\u00e9brale.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Les strat\u00e9gies cl\u00e9s comprennent\u00a0:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Le contr\u00f4le de la pression intracr\u00e2nienne<\/strong><\/li>\n\n\n\n<li><strong>La neurosurveillance multimodale<\/strong><\/li>\n\n\n\n<li><strong>L&rsquo;osmoth\u00e9rapie\u00a0:<\/strong> mannitol ou s\u00e9rum sal\u00e9 hypertonique<\/li>\n\n\n\n<li><strong>Le drainage ventriculaire externe<\/strong><\/li>\n\n\n\n<li><strong>La craniectomie d\u00e9compressive<\/strong> dans les cas r\u00e9fractaires<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">L&rsquo;<strong>hyperventilation prophylactique<\/strong> n&rsquo;est plus recommand\u00e9e de fa\u00e7on syst\u00e9matique, en raison du risque d&rsquo;isch\u00e9mie.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\">S\u00e9quelles cognitives et comportementales<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Passer le cap de la phase aigu\u00eb ne signifie pas une r\u00e9cup\u00e9ration compl\u00e8te. Le TCC peut entra\u00eener\u00a0:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Des d\u00e9ficits de m\u00e9moire et d&rsquo;attention<\/strong><\/li>\n\n\n\n<li><strong>Des troubles ex\u00e9cutifs<\/strong><\/li>\n\n\n\n<li><strong>Des changements de personnalit\u00e9<\/strong><\/li>\n\n\n\n<li><strong>De l&rsquo;anxi\u00e9t\u00e9, une d\u00e9pression et de l&rsquo;irritabilit\u00e9<\/strong><\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Ces changements sont <strong>organiques et non volontaires<\/strong>, et appellent la compr\u00e9hension de l&rsquo;entourage.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\">Enc\u00e9phalopathie traumatique chronique (ETC)<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">L&rsquo;<strong>ETC<\/strong> est une maladie neurod\u00e9g\u00e9n\u00e9rative associ\u00e9e aux <strong>traumatismes r\u00e9p\u00e9t\u00e9s<\/strong>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Elle a \u00e9t\u00e9 d\u00e9crite chez\u00a0:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Les sportifs de contact<\/strong><\/li>\n\n\n\n<li><strong>Les militaires<\/strong><\/li>\n\n\n\n<li><strong>Les victimes de violences r\u00e9p\u00e9t\u00e9es<\/strong><\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Elle peut \u00e9voluer vers un <strong>d\u00e9clin cognitif, des troubles du comportement et une d\u00e9mence<\/strong>.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\">Neuror\u00e9habilitation<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">La r\u00e9cup\u00e9ration d\u00e9pend en grande partie\u00a0:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>D&rsquo;une prise en charge pr\u00e9coce<\/strong><\/li>\n\n\n\n<li><strong>D&rsquo;une approche pluridisciplinaire<\/strong><\/li>\n\n\n\n<li><strong>Des capacit\u00e9s fonctionnelles ant\u00e9rieures<\/strong><\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Elle comprend\u00a0:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>La kin\u00e9sith\u00e9rapie<\/strong><\/li>\n\n\n\n<li><strong>La neuropsychologie<\/strong><\/li>\n\n\n\n<li><strong>L&rsquo;ergoth\u00e9rapie<\/strong><\/li>\n\n\n\n<li><strong>L&rsquo;orthophonie<\/strong><\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Elle repose sur la <strong>neuroplasticit\u00e9<\/strong>, c&rsquo;est-\u00e0-dire la capacit\u00e9 du cerveau \u00e0 se r\u00e9organiser.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\">Innovation et perspectives<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Les pistes les plus prometteuses sont\u00a0:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Les biomarqueurs avanc\u00e9s<\/strong><\/li>\n\n\n\n<li><strong>L&rsquo;intelligence artificielle<\/strong><\/li>\n\n\n\n<li><strong>Les th\u00e9rapies neuroprotectrices<\/strong><\/li>\n\n\n\n<li><strong>La m\u00e9decine personnalis\u00e9e<\/strong><\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">M\u00eame si beaucoup sont encore \u00e0 l&rsquo;\u00e9tude, elles dessinent l&rsquo;avenir de la prise en charge du TCC.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\">Conclusion<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Le TCC doit \u00eatre compris comme <strong>une maladie complexe et \u00e9volutive<\/strong>, et pas seulement comme un traumatisme aigu.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">L&rsquo;approche actuelle associe <strong>\u00e9valuation multidimensionnelle, prise en charge neurocritique avanc\u00e9e et r\u00e9\u00e9ducation intensive<\/strong>, dans le but d&rsquo;am\u00e9liorer la survie et la qualit\u00e9 de vie \u00e0 long terme.<\/p>\n\n\n\n<div style=\"height:50px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h2 class=\"wp-block-heading\">Articles sur la prise en charge des patients ayant subi un traumatisme cr\u00e2nio-c\u00e9r\u00e9bral.<\/h2>\n\n\n<div class=\"mai-grid entries entries-grid has-boxed has-image-full\" style=\"--entry-title-font-size:var(--font-size-lg);--align-text:start;--entry-meta-text-align:start;\"><div class=\"entries-wrap has-columns\" style=\"--columns-xs:1 \/ 1;--columns-sm:1 \/ 1;--columns-md:1 \/ 3;--columns-lg:1 \/ 3;--flex-xs:0 0 var(--flex-basis);--flex-sm:0 0 var(--flex-basis);--flex-md:0 0 var(--flex-basis);--flex-lg:0 0 var(--flex-basis);--column-gap:var(--spacing-lg);--row-gap:var(--spacing-lg);--align-columns:start;\"><article class=\"entry entry-grid is-column has-entry-link has-image has-image-first type-post category-tcc tag-dano-cerebral tag-dano-cerebral-adquirido\" style=\"--entry-index:1;\" aria-label=\"TC\u00c9 et diaschisis : comment \u00e9valuer, intervenir et estimer le pronostic en r\u00e9\u00e9ducation neurologique\" itemscope itemtype=\"https:\/\/schema.org\/CreativeWork\"><a class=\"entry-image-link\" href=\"https:\/\/neuronup.com\/fr\/actualites-de-la-stimulation-cognitive\/lesions-cerebrales\/tcc\/tce-et-diasquisis-comment-evaluer-intervenir-et-estimer-le-pronostic-en-neuro-rehabilitation\/\" tabindex=\"-1\" aria-hidden=\"true\"><img decoding=\"async\" width=\"400\" height=\"300\" src=\"https:\/\/neuronup.com\/fr\/wp-content\/uploads\/2025\/12\/TCE-y-diasquisis-como-evaluar-intervenir-y-estimar-el-pronostico-en-neurorrehabilitacion-NeuronUP-scaled-1.webp\" class=\"entry-image size-landscape-sm\" alt=\"Repr\u00e9sentation 3D du cerveau humain en rouge et bleu, avec des zones \u00e9clair\u00e9es et des ic\u00f4nes d&#039;\u00e9valuation connect\u00e9es au TCE et \u00e0 la diaschisis.\" srcset=\"https:\/\/neuronup.com\/fr\/wp-content\/uploads\/2025\/12\/TCE-y-diasquisis-como-evaluar-intervenir-y-estimar-el-pronostico-en-neurorrehabilitacion-NeuronUP-scaled-1-300x225.webp 300w, https:\/\/neuronup.com\/fr\/wp-content\/uploads\/2025\/12\/TCE-y-diasquisis-como-evaluar-intervenir-y-estimar-el-pronostico-en-neurorrehabilitacion-NeuronUP-scaled-1-768x576.webp 768w, https:\/\/neuronup.com\/fr\/wp-content\/uploads\/2025\/12\/TCE-y-diasquisis-como-evaluar-intervenir-y-estimar-el-pronostico-en-neurorrehabilitacion-NeuronUP-scaled-1-1024x768.webp 1024w, https:\/\/neuronup.com\/fr\/wp-content\/uploads\/2025\/12\/TCE-y-diasquisis-como-evaluar-intervenir-y-estimar-el-pronostico-en-neurorrehabilitacion-NeuronUP-scaled-1-1536x1152.webp 1536w, https:\/\/neuronup.com\/fr\/wp-content\/uploads\/2025\/12\/TCE-y-diasquisis-como-evaluar-intervenir-y-estimar-el-pronostico-en-neurorrehabilitacion-NeuronUP-scaled-1-2048x1536.webp 2048w, https:\/\/neuronup.com\/fr\/wp-content\/uploads\/2025\/12\/TCE-y-diasquisis-como-evaluar-intervenir-y-estimar-el-pronostico-en-neurorrehabilitacion-NeuronUP-scaled-1.webp 2560w\" sizes=\"(max-width:599px) 599px, (min-width:600px) and (max-width: 799px) 799px, (min-width:800px) and (max-width: 999px) 333px, (min-width:1000px) 400px\" \/><\/a><div class=\"entry-wrap entry-wrap-grid\"><h3 class=\"entry-title\" itemprop=\"headline\"><a class=\"entry-title-link\" href=\"https:\/\/neuronup.com\/fr\/actualites-de-la-stimulation-cognitive\/lesions-cerebrales\/tcc\/tce-et-diasquisis-comment-evaluer-intervenir-et-estimer-le-pronostic-en-neuro-rehabilitation\/\" rel=\"bookmark\">TC\u00c9 et diaschisis : comment \u00e9valuer, intervenir et estimer le pronostic en r\u00e9\u00e9ducation neurologique<\/a><\/h3>\n<div class=\"entry-meta entry-meta-before-content\"><time class=\"entry-time\" itemprop=\"datePublished\" datetime=\"2026-01-20T07:00:00+02:00\">20 janvier 2026<\/time> <span class=\"entry-author\" itemprop=\"author\" itemscope itemtype=\"https:\/\/schema.org\/Person\">par <a href=\"https:\/\/neuronup.com\/fr\/author\/martha-valeria-medina-rivera\/\" class=\"entry-author-link\" rel=\"author\" itemprop=\"url\"><span class=\"entry-author-name\" itemprop=\"name\">Martha Valeria Medina Rivera<\/span><\/a><\/span><\/div><\/div><\/article><article class=\"entry entry-grid is-column has-entry-link has-image has-image-first type-post category-tcc tag-dano-cerebral tag-dano-cerebral-adquirido\" style=\"--entry-index:2;\" itemscope itemtype=\"https:\/\/schema.org\/CreativeWork\"><a class=\"entry-image-link\" href=\"https:\/\/neuronup.com\/fr\/actualites-de-la-stimulation-cognitive\/lesions-cerebrales\/tcc\/traumatisme-cranioencephalique-par-accident-automobile-et-disquisis-impact-neuropsychologique\/\" tabindex=\"-1\" aria-hidden=\"true\"><img decoding=\"async\" width=\"400\" height=\"225\" src=\"https:\/\/neuronup.com\/fr\/wp-content\/uploads\/2025\/09\/Traumatismo-craneoencefalico-por-accidente-automovilistico-y-diasquisis-impacto-neuropsicologico.webp\" class=\"entry-image size-landscape-sm\" alt=\"Profil humain lat\u00e9ral avec cerveau \u00e9clair\u00e9 en rouge et fond bleu, mettant l&#039;accent sur le TCE et l&#039;\u00e9valuation neuropsychologique.\" srcset=\"https:\/\/neuronup.com\/fr\/wp-content\/uploads\/2025\/09\/Traumatismo-craneoencefalico-por-accidente-automovilistico-y-diasquisis-impacto-neuropsicologico-300x169.webp 300w, https:\/\/neuronup.com\/fr\/wp-content\/uploads\/2025\/09\/Traumatismo-craneoencefalico-por-accidente-automovilistico-y-diasquisis-impacto-neuropsicologico-768x432.webp 768w, https:\/\/neuronup.com\/fr\/wp-content\/uploads\/2025\/09\/Traumatismo-craneoencefalico-por-accidente-automovilistico-y-diasquisis-impacto-neuropsicologico-1024x576.webp 1024w, https:\/\/neuronup.com\/fr\/wp-content\/uploads\/2025\/09\/Traumatismo-craneoencefalico-por-accidente-automovilistico-y-diasquisis-impacto-neuropsicologico.webp 1200w\" sizes=\"(max-width:599px) 599px, (min-width:600px) and (max-width: 799px) 799px, (min-width:800px) and (max-width: 999px) 333px, (min-width:1000px) 400px\" \/><\/a><div class=\"entry-wrap entry-wrap-grid\"><div class=\"entry-meta entry-meta-before-content\"><time class=\"entry-time\" itemprop=\"datePublished\" datetime=\"2025-10-02T07:30:00+02:00\">2 octobre 2025<\/time> <span class=\"entry-author\" itemprop=\"author\" itemscope itemtype=\"https:\/\/schema.org\/Person\">par <a href=\"https:\/\/neuronup.com\/fr\/author\/martha-valeria-medina-rivera\/\" class=\"entry-author-link\" rel=\"author\" itemprop=\"url\"><span class=\"entry-author-name\" itemprop=\"name\">Martha Valeria Medina Rivera<\/span><\/a><\/span><\/div><\/div><\/article><article class=\"entry entry-grid is-column has-entry-link has-image has-image-first type-post category-tcc tag-cerveau tag-dano-cerebral tag-dano-cerebral-adquirido\" style=\"--entry-index:3;\" aria-label=\"Traumatisme cr\u00e2nio-enc\u00e9phalique : prise en charge et traitement\" itemscope itemtype=\"https:\/\/schema.org\/CreativeWork\"><a class=\"entry-image-link\" href=\"https:\/\/neuronup.com\/fr\/actualites-de-la-stimulation-cognitive\/lesions-cerebrales\/tcc\/lesions-cerebrales-traumatiques-prise-en-charge-et-traitement-dun-traumatisme-cranien\/\" tabindex=\"-1\" aria-hidden=\"true\"><img decoding=\"async\" width=\"358\" height=\"300\" src=\"https:\/\/neuronup.com\/fr\/wp-content\/uploads\/2023\/01\/head.webp\" class=\"entry-image size-landscape-sm\" alt=\"Profil d&#039;une personne adulte portant un t-shirt rouge, expression de douleur et t\u00eate se d\u00e9sint\u00e9grant en pixels.\" srcset=\"https:\/\/neuronup.com\/fr\/wp-content\/uploads\/2023\/01\/head-300x251.webp 300w, https:\/\/neuronup.com\/fr\/wp-content\/uploads\/2023\/01\/head-768x644.webp 768w, https:\/\/neuronup.com\/fr\/wp-content\/uploads\/2023\/01\/head-1024x858.webp 1024w, https:\/\/neuronup.com\/fr\/wp-content\/uploads\/2023\/01\/head-1536x1288.webp 1536w, https:\/\/neuronup.com\/fr\/wp-content\/uploads\/2023\/01\/head-2048x1717.webp 2048w, https:\/\/neuronup.com\/fr\/wp-content\/uploads\/2023\/01\/head.webp 2560w\" sizes=\"(max-width:599px) 599px, (min-width:600px) and (max-width: 799px) 799px, (min-width:800px) and (max-width: 999px) 333px, (min-width:1000px) 400px\" \/><\/a><div class=\"entry-wrap entry-wrap-grid\"><h3 class=\"entry-title\" itemprop=\"headline\"><a class=\"entry-title-link\" href=\"https:\/\/neuronup.com\/fr\/actualites-de-la-stimulation-cognitive\/lesions-cerebrales\/tcc\/lesions-cerebrales-traumatiques-prise-en-charge-et-traitement-dun-traumatisme-cranien\/\" rel=\"bookmark\">Traumatisme cr\u00e2nio-enc\u00e9phalique : prise en charge et traitement<\/a><\/h3>\n<div class=\"entry-meta entry-meta-before-content\"><time class=\"entry-time\" itemprop=\"datePublished\" datetime=\"2023-01-31T10:28:31+02:00\">31 janvier 2023<\/time> <span class=\"entry-author\" itemprop=\"author\" itemscope itemtype=\"https:\/\/schema.org\/Person\">par <a href=\"https:\/\/neuronup.com\/fr\/author\/beth-rush\/\" class=\"entry-author-link\" rel=\"author\" itemprop=\"url\"><span class=\"entry-author-name\" itemprop=\"name\">Beth Rush<\/span><\/a><\/span><\/div><\/div><\/article><\/div><\/div>","protected":false},"excerpt":{"rendered":"<p>Le traumatisme cr\u00e2nio-c\u00e9r\u00e9bral (TCC) est une alt\u00e9ration de la fonction c\u00e9r\u00e9brale caus\u00e9e par une force ext\u00e9rieure. On le con\u00e7oit aujourd&rsquo;hui comme un processus dynamique et \u00e9volutif, et non comme une l\u00e9sion isol\u00e9e, avec des cons\u00e9quences \u00e0 court, moyen et long terme. C&rsquo;est un probl\u00e8me de sant\u00e9 mondial, avec des millions de cas chaque ann\u00e9e et &hellip;<\/p>\n","protected":false},"author":3,"featured_media":900000816,"parent":32436,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"_genesis_hide_title":false,"_genesis_hide_breadcrumbs":false,"_genesis_hide_singular_image":false,"_genesis_hide_footer_widgets":false,"_genesis_custom_body_class":"","_genesis_custom_post_class":"","_genesis_layout":"","footnotes":""},"class_list":["page","type-page","entry"],"acf":[],"_links":{"self":[{"href":"https:\/\/neuronup.com\/fr\/wp-json\/wp\/v2\/pages\/900000818","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/neuronup.com\/fr\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/neuronup.com\/fr\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/neuronup.com\/fr\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/neuronup.com\/fr\/wp-json\/wp\/v2\/comments?post=900000818"}],"version-history":[{"count":2,"href":"https:\/\/neuronup.com\/fr\/wp-json\/wp\/v2\/pages\/900000818\/revisions"}],"predecessor-version":[{"id":900002833,"href":"https:\/\/neuronup.com\/fr\/wp-json\/wp\/v2\/pages\/900000818\/revisions\/900002833"}],"up":[{"embeddable":true,"href":"https:\/\/neuronup.com\/fr\/wp-json\/wp\/v2\/pages\/32436"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/neuronup.com\/fr\/wp-json\/wp\/v2\/media\/900000816"}],"wp:attachment":[{"href":"https:\/\/neuronup.com\/fr\/wp-json\/wp\/v2\/media?parent=900000818"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}