{"id":4111,"date":"2025-03-13T18:04:21","date_gmt":"2025-03-13T17:04:21","guid":{"rendered":"https:\/\/kineaphp.fr\/?p=4111"},"modified":"2025-12-30T18:21:20","modified_gmt":"2025-12-30T17:21:20","slug":"cephalees-migraines-et-syndrome-meninge","status":"publish","type":"post","link":"https:\/\/kineaphp.fr\/?p=4111","title":{"rendered":"C\u00e9phal\u00e9es, migraines et syndrome m\u00e9ning\u00e9"},"content":{"rendered":"\n<p><strong>C\u00e9phal\u00e9es<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Sympt\u00f4me subjectif<\/li>\n\n\n\n<li>Douleur de l&rsquo;extr\u00e9mit\u00e9 c\u00e9phalique<\/li>\n<\/ul>\n\n\n\n<p>cr\u00e2nienne ou faciale<\/p>\n\n\n\n<p>D\u00e9finition par ICHD-3 : International Classification of Headaches Disorders<\/p>\n\n\n\n<h2 id=\"cephalees-primaires\" class=\"wp-block-heading\">C\u00e9phal\u00e9es primaires<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>D\u00e9finition <\/strong>: dysfonctionnement du SNC par activation des voies neurologiques de la douleur sans facteur causal<\/li>\n\n\n\n<li><strong>Diagnostic <\/strong>: \u00e9carter une c\u00e9phal\u00e9e secondaire<\/li>\n<\/ul>\n\n\n\n<h3 id=\"migraines\" class=\"wp-block-heading\">Migraines<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Crise &gt;4h<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Physiopathologie : hyperexcitabilit\u00e9 neuronale et dysfonctionnement des voies de r\u00e9gulation de l&rsquo;hypothalamus et hypersensibilit\u00e9 lors de la lib\u00e9ration neuropeptides vasodilatateurs<\/li>\n\n\n\n<li>Pr\u00e9valence : 15%, 2F:1H (oestrog\u00e8nes accroissent l&rsquo;excitabilit\u00e9 c\u00e9r\u00e9brale)<\/li>\n\n\n\n<li>Episodique &lt;15j\/mois ; chronique &gt;15j\/mois<\/li>\n<\/ul>\n\n\n\n<h4 id=\"migraine-sans-aura\" class=\"wp-block-heading\">Migraine sans aura<\/h4>\n\n\n\n<p>C\u00e9phal\u00e9es ayant des caract\u00e9ristiques sp\u00e9cifiques et des sympt\u00f4mes associ\u00e9s. 5 crise durant entre 4 \u00e0 72h chacune pr\u00e9sentant 2 des 4 crit\u00e8res :<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Unilat\u00e9rale<\/li>\n\n\n\n<li>Pulsatile<\/li>\n\n\n\n<li>Intensit\u00e9 mod\u00e9r\u00e9e \u00e0 s\u00e9v\u00e8re<\/li>\n\n\n\n<li>Aggravation par l&rsquo;activit\u00e9 physique (dont la marche)<\/li>\n<\/ul>\n\n\n\n<p>Associ\u00e9 \u00e0 au moins 1 des 2 sympt\u00f4mes :<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Photophobie et phonophobie<\/li>\n\n\n\n<li>Naus\u00e9es et\/ou vomissements<\/li>\n<\/ul>\n\n\n\n<h4 id=\"migraines-avec-aura-deficit-neuro-focal\" class=\"wp-block-heading\">Migraines avec aura (d\u00e9ficit neuro focal)<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Installation progressives en quelques minutes et dure moins de 60mn<\/li>\n\n\n\n<li>Plusieurs d\u00e9ficits possibles qui se succ\u00e8dent : visuels, aphasie, sensitifs<\/li>\n\n\n\n<li>Facteur de risque ind\u00e9pendant d&rsquo;AVC<\/li>\n\n\n\n<li>Puis m\u00eames crit\u00e8res que migraines sans aura<\/li>\n<\/ul>\n\n\n\n<h4 id=\"facteurs-declenchant-une-crise-de-migraine\" class=\"wp-block-heading\">Facteurs d\u00e9clenchant une crise de migraine<\/h4>\n\n\n\n<p>Facteurs psychologiques, hormonaux, stress, facteurs sensoriels (lumi\u00e8re, bruit), aliments, climatiques, habitudes alimentaire (je\u00fbne, sevrage caf\u00e9ine) <\/p>\n\n\n\n<h4 id=\"examens-complementaires-si\" class=\"wp-block-heading\">Examens compl\u00e9mentaires si<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Modification du type de migraine, de la dur\u00e9e, de l&rsquo;intensit\u00e9<\/li>\n\n\n\n<li>Migraine d\u00e9bute apr\u00e8s 50 ans<\/li>\n\n\n\n<li>Anomalie \u00e0 l&rsquo;examen clinique<\/li>\n\n\n\n<li>Migraine avec aura &gt; 60mn<\/li>\n\n\n\n<li>Si doute sur autre diagnostic diff\u00e9rentiel<\/li>\n<\/ul>\n\n\n\n<h4 id=\"traitement\" class=\"wp-block-heading\">Traitement<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>de la crise : aspirine, AINS, triptans<\/li>\n\n\n\n<li>de fond (pour diminuer fr\u00e9quence et intensit\u00e9) : b\u00e9tabloquant, antid\u00e9presseur, anti-\u00e9pileptiques<\/li>\n<\/ul>\n\n\n\n<h4 id=\"cephalees-par-abus-medicamenteux\" class=\"wp-block-heading\">C\u00e9phal\u00e9es par abus m\u00e9dicamenteux<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>15j\/mois par surconsommation des traitements de crise depuis plus de 3 mois<\/li>\n\n\n\n<li>Cons\u00e9quences ou cause de l&rsquo;augmentation des fr\u00e9quences : risque de migraine chronique<br>=> Sevrage !<\/li>\n<\/ul>\n\n\n\n<h3 id=\"cephalees-de-tension\" class=\"wp-block-heading\">C\u00e9phal\u00e9es de tension<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Interaction entre douleurs myog\u00e8ne (muscles p\u00e9ricranien) + neurologiques centraux (dysfonctionnement centre de r\u00e9gulation de la douleur)<\/li>\n\n\n\n<li>Forme \u00e9pisodique (&lt;15j\/mois) ou chronique (&gt;15j\/mois pendant plus de 3 mois)<\/li>\n\n\n\n<li>Dur\u00e9e variable : quelques minutes \u00e0 plusieurs jours<\/li>\n\n\n\n<li>Topographie : frontale en barre, post\u00e9rieures avec irradiation vers le rachis cervical &#8211; bilat\u00e9rales<\/li>\n\n\n\n<li>Intensit\u00e9 faible \u00e0 mod\u00e9r\u00e9e<\/li>\n\n\n\n<li>Caract\u00e8re : serrement, brulure, \u00e9tau, fourmillement<\/li>\n\n\n\n<li>Peuvent \u00eatre am\u00e9liorer par l&rsquo;exercice physique<\/li>\n\n\n\n<li>Peuvent survenir dans un contexte psychologique particulier<\/li>\n<\/ul>\n\n\n\n<h3 id=\"algies-vasculaires-de-la-face-avf\" class=\"wp-block-heading\">Algies vasculaires de la face (AVF)<\/h3>\n\n\n\n<p><strong>C\u00e9phal\u00e9e trig\u00e9mino-autonomiques<\/strong> : c\u00e9phal\u00e9es unilat\u00e9rales et signes dysautonomiques<\/p>\n\n\n\n<p>Pr\u00e9domine chez l&rsquo;homme jeune, association fr\u00e9quente avec le tabac<\/p>\n\n\n\n<p><strong>Episodique <\/strong>: crises surviennent par p\u00e9riode avec intervalle libre (90%)<\/p>\n\n\n\n<p><strong>Chronique <\/strong>: les crises se r\u00e9p\u00e8tent au long cours sans r\u00e9mission de plus de 3 mois (10%)<\/p>\n\n\n\n<p>Dur\u00e9e variable : quelques minute, inf\u00e9rieur \u00e0 3h<\/p>\n\n\n\n<p>Unilat\u00e9rale, p\u00e9riorbitaire<\/p>\n\n\n\n<p>Signes v\u00e9g\u00e9tatifs : larmoiements, congestion nasale, transpiration de l&rsquo;h\u00e9miface, myosis, ptosis<\/p>\n\n\n\n<p>Quotidienne<\/p>\n\n\n\n<p>Agitation psychomotrice important : irritabilit\u00e9<\/p>\n\n\n\n<p>Toujours faire imagerie devant une premi\u00e8re crise d&rsquo;AVF<br>Traitement m\u00e9dicamenteux<\/p>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<figure class=\"wp-block-image size-full\"><a href=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/03\/image-33-png.avif\"><img loading=\"lazy\" decoding=\"async\" width=\"513\" height=\"495\" src=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/03\/image-33-png.avif\" alt=\"\" class=\"wp-image-4126\" srcset=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/03\/image-33-png.avif 513w, https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/03\/image-33-300x289.avif 300w\" sizes=\"auto, (max-width: 513px) 100vw, 513px\" \/><\/a><\/figure>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<figure class=\"wp-block-image size-full\"><a href=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/03\/image-36-png.avif\"><img loading=\"lazy\" decoding=\"async\" width=\"631\" height=\"643\" src=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/03\/image-36-png.avif\" alt=\"\" class=\"wp-image-4132\" srcset=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/03\/image-36-png.avif 631w, https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/03\/image-36-294x300.avif 294w\" sizes=\"auto, (max-width: 631px) 100vw, 631px\" \/><\/a><\/figure>\n<\/div>\n<\/div>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 id=\"cephalees-secondaires\" class=\"wp-block-heading\">C\u00e9phal\u00e9es secondaires <\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>En rapport avec une cause sous-jacente : traumatisme, AVC, tumeur, toxiques, infection, affections des \u00e9l\u00e9ments p\u00e9ri-cr\u00e2niens (dents, oreilles, nez, bouche)<\/li>\n\n\n\n<li>C\u00e9phal\u00e9e per\u00e7ues par le patient comme r\u00e9centes et inhabituelles : c\u00e9phal\u00e9es secondaires<\/li>\n\n\n\n<li>Toute modification r\u00e9cente d&rsquo;une c\u00e9phal\u00e9e ancienne<\/li>\n<\/ul>\n\n\n\n<p><strong>Drapeaux rouge<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u00c2ge >50 ans<\/li>\n\n\n\n<li>FRD CV<\/li>\n\n\n\n<li>Traumatisme<br>Cancer, AEG<\/li>\n<\/ul>\n\n\n\n<p><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Toute c\u00e9phal\u00e9e brutale est une h\u00e9morragie sous-arachno\u00efdienne (HSA)<\/li>\n\n\n\n<li>Toute c\u00e9phal\u00e9e progressive est un syndrome d&rsquo;HTIC <\/li>\n\n\n\n<li>Toute c\u00e9phal\u00e9e f\u00e9brile est une m\u00e9ningite<\/li>\n<\/ul>\n\n\n\n<h3 id=\"syndrome-meninge\" class=\"wp-block-heading\">Syndrome m\u00e9ning\u00e9<\/h3>\n\n\n\n<p><strong>Triade <\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>C\u00e9phal\u00e9es diffuses, constantes<\/li>\n\n\n\n<li>Raideur m\u00e9ning\u00e9e, raideur de la nuque, manoeuvre m\u00e9ning\u00e9es positive<\/li>\n\n\n\n<li>Vomissement, naus\u00e9e : inconstants, parfois en jet<\/li>\n<\/ul>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"399\" height=\"337\" src=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/03\/image-34-png.avif\" alt=\"\" class=\"wp-image-4133\" srcset=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/03\/image-34-png.avif 399w, https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/03\/image-34-300x253.avif 300w\" sizes=\"auto, (max-width: 399px) 100vw, 399px\" \/><\/figure>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"435\" height=\"336\" src=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/03\/image-35-png.avif\" alt=\"\" class=\"wp-image-4134\" srcset=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/03\/image-35-png.avif 435w, https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/03\/image-35-300x232.avif 300w\" sizes=\"auto, (max-width: 435px) 100vw, 435px\" \/><\/figure>\n<\/div>\n<\/div>\n\n\n\n<p><strong>Etiologies<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Infectieuses : m\u00e9ningite\/m\u00e9ningo-enc\u00e9phalite<\/li>\n\n\n\n<li>Inflammatoire : auto-immune<\/li>\n\n\n\n<li>Neoplasiques (m\u00e9ningite carcinomateuses)<\/li>\n\n\n\n<li>H\u00e9morragie m\u00e9ning\u00e9e : rupture d&rsquo;an\u00e9vrisme<\/li>\n<\/ul>\n\n\n\n<h3 id=\"htic\" class=\"wp-block-heading\">HTIC<\/h3>\n\n\n\n<p>M\u00e9canisme : augmentation de la pression intra-cr\u00e2nienne par augmentation de volume d&rsquo;au moins un des 3 compartiments physiologiques intracr\u00e2nien : parenchyme, volume sanguin c\u00e9r\u00e9bral, volume du LCR<\/p>\n\n\n\n<p><strong>Sympt\u00f4mes<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>C\u00e9phal\u00e9es progressive intenses, durables, frontales ou occipitales<\/li>\n\n\n\n<li>Matinale ou seconde partie de la nuit<\/li>\n\n\n\n<li>Augment\u00e9e par les manoeuvres de Valsalva<\/li>\n\n\n\n<li>Vomissement soulagent momentan\u00e9ment la c\u00e9phal\u00e9e<\/li>\n\n\n\n<li>Antalgique peu efficace, peut aller jusqu&rsquo;au coma<\/li>\n<\/ul>\n\n\n\n<p>Complications<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Engagement c\u00e9r\u00e9bral<\/li>\n\n\n\n<li>Retentissement circulatoire sur la perfusion c\u00e9r\u00e9brale<\/li>\n\n\n\n<li>Retentissement sur le nerf optique<\/li>\n\n\n\n<li>Risque d&rsquo;isch\u00e9mie<\/li>\n<\/ul>\n\n\n\n<p><strong>Causes d&rsquo;une HTIC<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>ACSOS <\/strong>(agression c\u00e9r\u00e9brale syst\u00e9mique d&rsquo;origine seocndaire)<\/li>\n\n\n\n<li><strong>Parenchyme <\/strong>: tumeur, oed\u00e8me<\/li>\n\n\n\n<li><strong>Liquide c\u00e9phalo spinal<\/strong> : hydroc\u00e9phalie<\/li>\n\n\n\n<li><strong>Vaisseaux<\/strong> : AVC, h\u00e9matome, thrombophl\u00e9bites c\u00e9r\u00e9brales<\/li>\n\n\n\n<li><strong>Autres <\/strong>: embarrure, abc\u00e8s<\/li>\n<\/ul>\n\n\n\n<p><strong>Traitement<\/strong><\/p>\n\n\n\n<div class=\"wp-block-media-text is-stacked-on-mobile\"><figure class=\"wp-block-media-text__media\"><img loading=\"lazy\" decoding=\"async\" width=\"366\" height=\"257\" src=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/03\/image-37-png.avif\" alt=\"\" class=\"wp-image-4139 size-full\" srcset=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/03\/image-37-png.avif 366w, https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/03\/image-37-300x211.avif 300w\" sizes=\"auto, (max-width: 366px) 100vw, 366px\" \/><\/figure><div class=\"wp-block-media-text__content\">\n<p><strong>D\u00e9rivation ventriculaire interne<\/strong><\/p>\n\n\n\n<p>D\u00e9rivation ventriculo p\u00e9riton\u00e9al ou ventriculo atriale<\/p>\n<\/div><\/div>\n\n\n\n<h3 id=\"cephalees-febriles\" class=\"wp-block-heading\">C\u00e9phal\u00e9es f\u00e9briles<\/h3>\n\n\n\n<p><strong>URGENCE VITALE <\/strong>surtout avec purpura fulminans et une gangr\u00e8ne p\u00e9riph\u00e9rique<\/p>\n\n\n\n<p>M\u00e9ningites : syndromes m\u00e9ning\u00e9 + fi\u00e8vre<br>M\u00e9ningo-enc\u00e9phalite : sd m\u00e9ning\u00e9 + sd enc\u00e9phalite + fi\u00e8vre<\/p>\n\n\n\n<p><strong>Syndrome enc\u00e9phalitique<\/strong> : inflammation de l&rsquo;enc\u00e9phale<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Trouble de la conscience<\/li>\n\n\n\n<li>Confusion, trouble du comportement<\/li>\n\n\n\n<li>D\u00e9ficit neurologique<\/li>\n\n\n\n<li>Crise \u00e9pileptiques<\/li>\n<\/ul>\n\n\n\n<h3 id=\"hemorragie-sous-arachnoidienne\" class=\"wp-block-heading\">H\u00e9morragie sous arachno\u00efdienne <\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Irruption de sang art\u00e9riel dans les espaces m\u00e9ning\u00e9s<\/li>\n\n\n\n<li>Age m\u00e9dian 55 ans, rupture d&rsquo;an\u00e9vrisme dans 85% des cas (tabac, HTA)<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li>C\u00e9phal\u00e9e brutale, explosive, s\u00e9v\u00e8re<\/li>\n\n\n\n<li>Radio : citernes (LCR) hyperdenses<\/li>\n<\/ul>\n\n\n\n<p><strong>Complications pr\u00e9coces<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Resaignement<\/li>\n\n\n\n<li>Vasospasme et isch\u00e9mie c\u00e9r\u00e9brale retard\u00e9e<\/li>\n\n\n\n<li>Hydroc\u00e9phalie : accumulation du LCS<\/li>\n<\/ul>\n\n\n\n<p><strong>Complications chroniques<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Hydroc\u00e9phalies chroniques<\/li>\n\n\n\n<li>Epilepsie<\/li>\n\n\n\n<li>Troubles cognitifs<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image size-full is-resized\"><a href=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/03\/image-38-png.avif\"><img loading=\"lazy\" decoding=\"async\" width=\"677\" height=\"442\" src=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/03\/image-38-png.avif\" alt=\"\" class=\"wp-image-4140\" style=\"width:389px;height:auto\" srcset=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/03\/image-38-png.avif 677w, https:\/\/kineaphp.fr\/wp-content\/uploads\/2025\/03\/image-38-300x196.avif 300w\" sizes=\"auto, (max-width: 677px) 100vw, 677px\" \/><\/a><\/figure>\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>C\u00e9phal\u00e9es cr\u00e2nienne ou faciale D\u00e9finition par ICHD-3 : International Classification of Headaches Disorders C\u00e9phal\u00e9es primaires Migraines Migraine sans aura C\u00e9phal\u00e9es ayant des caract\u00e9ristiques sp\u00e9cifiques et des sympt\u00f4mes associ\u00e9s. 5 crise durant entre 4 \u00e0 72h&hellip;<\/p>\n<p class=\"more-link-wrapper\"><a href=\"https:\/\/kineaphp.fr\/?p=4111\" class=\"more-link\">Continue Reading<span class=\"screen-reader-text\"> \u00ab\u00a0C\u00e9phal\u00e9es, migraines et syndrome m\u00e9ning\u00e9\u00a0\u00bb<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[412],"tags":[],"class_list":["post-4111","post","type-post","status-publish","format-standard","hentry","category-champ-neuro-autres"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v25.7 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>C\u00e9phal\u00e9es, migraines et syndrome m\u00e9ning\u00e9 - wikine<\/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:\/\/kineaphp.fr\/?p=4111\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"C\u00e9phal\u00e9es, migraines et syndrome m\u00e9ning\u00e9 - wikine\" \/>\n<meta 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