Radiosurgical Occurrence of Lumbar Disc Herniation Operated in Kinshasa / DRC
Frederick Tshibasu Tshienda,
Glennie Ntsambi Eba,
Fidèle Nyimi Bushaba,
Wafa Mbarki,
Tasnime Hamdeni,
Mounir Sayadi,
Benjamin Longo Mbenza,
Jean-Marie Mbuyi Muamba
Issue:
Volume 9, Issue 3, September 2021
Pages:
130-140
Received:
8 June 2021
Accepted:
9 July 2021
Published:
15 July 2021
Abstract: Lumbar disc herniation (HDL) is a major public health problem in the world. Objectives: The study aimed to determine the clinical and radiological aspects of the lumbar disc herniation [LDH] operated in Kinshasa environments Hospital. Materials and methods: It was a well-documented 160 cases of LDH operated in Biamba Marie Mutombo hospital from January 2012 until December 2016 was evaluated. Results: The most interesting age group range from 31 to 50 years (68, 8%) with a mean age of 44, 7 ± 12, 3 years in that Females were the most affected with 55.6%. Sciatica L5 was found in 28.8% of cases compared to sciatica S1 (15.6%) and left lateralization in 48, 1%. As for imaging results, the posterolateral type was the most common with 53.8% of cases. The disc level: L4-L5 was the most affected in 61.1% of cases. The single LDH was the most common. The discrepancy between imaging and surgery results was 6.3% for medial herniated discs and 24.4% for posterolateral disc herniation. Conclusion: LDH is a pathological reality in hospitals of Kinshasa. The aspects found mainly corroborate literature observations. The discrepancy between imaging and surgery results was statistically insignificant.
Abstract: Lumbar disc herniation (HDL) is a major public health problem in the world. Objectives: The study aimed to determine the clinical and radiological aspects of the lumbar disc herniation [LDH] operated in Kinshasa environments Hospital. Materials and methods: It was a well-documented 160 cases of LDH operated in Biamba Marie Mutombo hospital from Jan...
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Ultrasonographic Characteristics of Cervical Nerve Roots in Patients with the Degeneration of Cervical Vertebra
Fang Luo,
Jun Chen,
Shan Wu,
Shan He
Issue:
Volume 9, Issue 3, September 2021
Pages:
141-148
Received:
15 June 2021
Accepted:
5 July 2021
Published:
21 July 2021
Abstract: Background: Brachial plexus injury is a complex nerve injury. This may be due to the anatomical complexity of the brachial plexus. Purpose: To obtain sonographic characteristics and oblique sagittal diameter of cervical nerve root by high frequency ultrasound, and the morphology of brachial plexus was described. Methods: Two hundred and twenty-one subjects were recruited in our ultrasonography laboratory between March and December 2016. Their ultrasonographic characteristics of bilateral brachial plexus and cervical nerve roots were obtained by ultrasound, and they were measured with high echo sites on the bone cortex of anterior or posterior tubercles as positioning points in oblique sagittal. Results: 1. Cross-sectional sonogram of brachial plexus showed round and (or) oval “uniform” hypoechoic masses in the gap between anterior scalene muscle with middle scalene muscle, which were arranged in an arc shape; uniform low echo detected in short axis section and long axis section imaging of nerve bundles, which were wrapped by slightly hyper echoic epineuria. 2. Ultrasonographic imaging demonstrated that cervical nerve roots arranged between anterior tubercle and posterior tubercle, and the displaying rate of nerve roots of C4 to C7 was 100%; the displaying rate of nerve root of C8 was 78%. 3. Normal values of the diameters of cervicalr root nerves at intervertebral foramen were: C4, 2.65±0.27 mm; C5, 3.33±0.33 mm; C6, 3.76±0.36 mm; C7, 4.84±0.30 mm; C8, 3.48±0.34 mm. Conclusion: 1. Oblique sagittal imaging, nerve root of C7 is the thickest among all nerve roots of all examinee; 2. The diameter that of cervical nerve root of C4 may be positively correlated with the height.
Abstract: Background: Brachial plexus injury is a complex nerve injury. This may be due to the anatomical complexity of the brachial plexus. Purpose: To obtain sonographic characteristics and oblique sagittal diameter of cervical nerve root by high frequency ultrasound, and the morphology of brachial plexus was described. Methods: Two hundred and twenty-one ...
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Co-infection Pulmonary Tuberculosis and Severe COVID-19 in a Pregnant Woman at the University Hospital of Kinshasa: A Case Report
Frederick Tshibasu Tshienda,
Tresor Mputsu,
Ben Bepouka Izizag,
Cynthia Minouche Bukumba,
Angele Mbongo Tansia,
Daddy Mata-Mbemba,
Madone Mandina Ndona,
Joseph Bodi Mabiala,
Jean Robert Makulo Risasi,
Roger Mbungu Mwimba,
Damien Mbanzulu Pita Nsonizau,
Jean Marie Kayembe Ntumba,
Benjamin Longo Mbenza
Issue:
Volume 9, Issue 3, September 2021
Pages:
149-154
Received:
14 July 2021
Accepted:
28 July 2021
Published:
4 August 2021
Abstract: Background: To date, world widely, only a couple of papers have reported the association between pulmonary tuberculosis, Coronavirus disease 2019 (COVID-19) and pregnancy, and none of these reports was from sub-Saharan Africa where tuberculosis is endemic. Objective: the main objective of this study is to describe the co-infection Pulmonary Tuberculosis and Severe COVID-19 in pregnant young Woman at the University Hospital of Kinshasa. Method: The report case is of a pregnant woman aged 19 (Pare 2, Gesture 2, Abortion 0) with no known significant medical history, at 32 weeks of gestation based last menstrual period She has benefited from clinic examination, biological examinations (Ziehl’s on sputum), a chest CT scan and a morphological ultrasound. Result: On admission, COVID-19 was the only working diagnosis. However, the persistent coughing prompted clinicians to request a Ziehl-Neelsen staining of sputum that revealed the diagnosis of pulmonary TB. The reverse-transcription polymerase chain reaction (RT-PCR)-confirmed COVID-19 infection and HIV serology negative. A contrast-enhanced chest computed tomography (CT) showed airspace disease involving the right upper lobar, right medial basal segment and left upper lobe in the background of diffuse micro-nodular opacities favored to represent military pulmonary tuberculosis. There were associated cystic bronchiectasis in bilateral upper lobe and bilateral small amount of pleural effusion. Aforementioned findings were favored to represent a secondary or reactivation tuberculosis. The obstetrical ultrasound showed a single live intrauterine pregnancy in breech presentation, estimated at 34 weeks 3 days of gestation without usual features including detectable congenital malformation. Conclusion: The outcome of a pregnant woman with simultaneous COVID-19 and pulmonary tuberculosis is improved when the diagnosis is made early and management is promptly initiated. This attitude also improves the fetal prognosis. In the context of the COVID-19, the association of COVID-19 and pulmonary tuberculosis, especially in immunocompromised patients should be considered.
Abstract: Background: To date, world widely, only a couple of papers have reported the association between pulmonary tuberculosis, Coronavirus disease 2019 (COVID-19) and pregnancy, and none of these reports was from sub-Saharan Africa where tuberculosis is endemic. Objective: the main objective of this study is to describe the co-infection Pulmonary Tubercu...
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Radiographic Aspects of Multidrug-Resistant Pulmonary Tuberculosis at the CSDT of Lubumbashi University Clinics
Lumbala Mota Marc,
Ilunga Mpoyi Tabitha,
Bapu Sapu Rebecca,
Cibaka Kabasele Léon,
Tabu Yekoli Léonard,
Kyungu Kambale Guy,
Ngoie Muleka Serge,
Mulumba Kadiebwe David,
Lumbumbu Kasereka,
Luyeye Mvila Gertrude
Issue:
Volume 9, Issue 3, September 2021
Pages:
155-158
Received:
19 August 2021
Accepted:
2 September 2021
Published:
26 September 2021
Abstract: Multidrug-resistant pulmonary tuberculosis (MDR-TB) is an infectious disease whose early diagnosis and management still cause problems in countries with very limited resources. Knowing the great consequences of this disease in the life of an individual, we estimated to make an epidemiological and radiographic inventory of this devastating entity at the CSDT university clinics of Lubumbashi. Materials and methods: We conducted a descriptive cross-sectional study including 63 multidrug-resistant tuberculosis subjects aged between 15 and 83 years old at the diagnostic health center and treatment of the university clinics of Lubumbashi (CSDT) from December 2016 to July 2020. The data were analysed using Epi- info 7 and SPSS v 20 software. Results: The average age was 37.4±14.0 years. Male sex was the most dominant with 60.3%; the commune of Kampemba was the most affected (41.7%). HIV co-infection was very low at 4.8%. 90.5% of patients had experienced a therapeutic failure and 9.5% had acknowledged having direct contact with a multi-resistant tuberculosis patient. Chest radiographic lesions were dominated by reticular infiltrations (66.7%) and fibrosis lesions (60.3%). Conclusion: In view of the results demonstrating that the radiographic pulmonary lesions were dominated by reticular infiltrations and pulmonary fibrosis lesions, the discussion with the other authors highlights the late nature of the diagnosis of multidrug-resistant tuberculosis in Lubumbashi, thus exposing our population to irreversible and disabling pulmonary pathologies.
Abstract: Multidrug-resistant pulmonary tuberculosis (MDR-TB) is an infectious disease whose early diagnosis and management still cause problems in countries with very limited resources. Knowing the great consequences of this disease in the life of an individual, we estimated to make an epidemiological and radiographic inventory of this devastating entity at...
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