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Large Intra-Osseous Cystic Meningioma in a Child: A Rare Entity
Denlewende Sylvain Zabsonre,
Ben-Aziz Dao,
Valentin Konsegre,
Eric Nao,
Yacouba Haro,
Ido Fabrice,
Yves Bako,
Boureima Kinda,
Abel Kabre
Issue:
Volume 3, Issue 2, June 2019
Pages:
31-34
Received:
8 April 2019
Accepted:
21 May 2019
Published:
11 June 2019
Abstract: Introduction. Meningiomas are rare tumors in children, in whom the intracranial pathology is dominated by craniopharyngiomas and medulloblastomas. Cystic meningiomas are also rare, as is their intraosseous location. Intraosseous meningiomas are ectopic meningiomas. Their diagnosis is rarely done preoperatively. We report a case of cystic intraosseous meningioma managed in our department. Observation. Mr. ON, 16 years old, presented progressively a right temporal tumefaction causing an aesthetic prejudice. This tumefaction raised the flag of the right ear. It was covered by normal skin and there was moderate right hypo acoustics. CT scan showed a right sphenotemporal lesion with hyperdense contours and hypodense contents. It repressed the brain without invading it but affected the anatomic structures of the ear. Surgical procedure allowed for almost complete excision of the lesion. Histology of the operative specimen concluded to an intraosseous meningothelial meningioma. After a 4-year follow-up, the tumor residue remained stable. Conclusion. In addition to the diagnostic difficulty, we faced two other therapeutic difficulties. The first is that complete excision was not possible to avoid compromising a hearing always good. The second difficulty was related to the age of the patient who did not allow us to consider the cranial plasty before the end of the growth.
Abstract: Introduction. Meningiomas are rare tumors in children, in whom the intracranial pathology is dominated by craniopharyngiomas and medulloblastomas. Cystic meningiomas are also rare, as is their intraosseous location. Intraosseous meningiomas are ectopic meningiomas. Their diagnosis is rarely done preoperatively. We report a case of cystic intraosseo...
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Selected Physical Therapy Program for Balance Training of Neuropathic Patients After Lower Limb Burn
Rasha Mohamed El-Rewainy,
Esraa Hany Rostom,
Hanan Helmy Elgendy
Issue:
Volume 3, Issue 2, June 2019
Pages:
35-42
Received:
19 March 2019
Accepted:
25 April 2019
Published:
18 June 2019
Abstract: Background: Balance problems are very common with neuropathic patients following burn. Objective: To investigate the effect of selected physical therapy program on balance of neuropathic patients following burn. Methods: A randomized controlled study was conducted on fifty male patients (age range from 35 to 45 years) with polyneuropathy following burn injury of lower limb mainly at sole of the foot, 3rd degree injury, axonotemesis with burn extent 30%. Patients were selected from outpatient clinic, Faculty of physical therapy and Kasr AL Ainy hospital, Faculty of Medicine, Cairo University. The study was held during period between June 2017 to April 2018. The balance of patients was assessed before & after treatment by Biodex balances system & Berg Balance Scale. Patients were assigned randomly into two equal groups: Group A (study group) that received selected physical therapy program for balance training including (Stretching, Resistive and Balance exercises) and group B (control group) that received balance exercises only. Results: showed significant improvement in balance in favor to group A. Significant decrease in the balance indices and significant increase in BBS (Berg balance scale) scores were recorded after treatment in both study and control groups with better improvement of group A. Conclusion: On basis of the present data, it is possible to conclude that selected physical therapy program including (Stretching, Resistive and Balance exercises) is more effective for improving balance of neuropathic patients following burn than using balance exercises only.
Abstract: Background: Balance problems are very common with neuropathic patients following burn. Objective: To investigate the effect of selected physical therapy program on balance of neuropathic patients following burn. Methods: A randomized controlled study was conducted on fifty male patients (age range from 35 to 45 years) with polyneuropathy following ...
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Patient with Refractory Epilepsy Associated with Oligondendroglioma
Mauricio Vaillant Amarante,
Ozinelia Pedroni Batista,
Camilia Lampier Lutzke,
Shirley Kempin Quiqui
Issue:
Volume 3, Issue 2, June 2019
Pages:
43-45
Received:
23 April 2019
Accepted:
5 June 2019
Published:
20 June 2019
Abstract: Oligodendroglioma is a rare form of primary brain tumor, accounting for about 2-5% of intracranial tumors, being more common in adult males but rare in children, accounting for about 1-2% of all primary brain tumors in children. It originates from oligodendrocytes or glial precursor cells and exhibits infiltrative and slow growth. They can be classified in two grades (Grade II and Grade III), where Grade II are low grade tumors and have tumor cells that grow slowly and invade nearby normal tissue, and Grade III are malignant and have rapidly growing tumors. It has low growth and 50-80% of cases first symptom is seizures. A seizure is a symptom that requires a rapid solution usually requiring empirical treatment at the initial time to cease seizures and promote some well-being for the patient's routine. Seizures can cause a lot of damage to the patient's life, especially if the patient is a child who does not know what to do and what to do. Depending on the intensity and frequency of seizure episodes, the patient may experience fractures with falls, may suffer discrimination and prejudice at school. The causes behind refractory epilepsy are diverse, so whenever a patient is found to be refractory to drug treatment, the origin of seizures should be investigated early, it is not enough to stop at empirical treatment.
Abstract: Oligodendroglioma is a rare form of primary brain tumor, accounting for about 2-5% of intracranial tumors, being more common in adult males but rare in children, accounting for about 1-2% of all primary brain tumors in children. It originates from oligodendrocytes or glial precursor cells and exhibits infiltrative and slow growth. They can be class...
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Frequency and Types of Hyponatremia in Stroke Patients Admitted in a Referral Neuroscience Institute of Dhaka
Maliha Hakim,
Mashfiqul-Hasan,
Mahmudul Islam,
Mohammad Akter Hossain,
Jobaida Naznin,
Saifur Rahman Khan
Issue:
Volume 3, Issue 2, June 2019
Pages:
46-49
Received:
8 May 2019
Accepted:
11 June 2019
Published:
20 June 2019
Abstract: Background: Hyponatremia is a common electrolyte abnormality in acute stroke patients and may be related to variable etiology. Objective: To observe the frequency and types of hyponatremia in hospitalized acute stroke patients. Materials and methods: This cross-sectional study, carried out in a referral neuroscience institute of Dhaka during February to November 2017, included 209 patients admitted with acute stroke (65 ischemic, age 61.5±13.3 years, M/F: 45/20; 144 hemorrhagic, age 59.2±13.1 years, M/F: 80/64). The clinical and laboratory values on admission were recorded. Those having hyponatremia (serum sodium <135 mmol/L) on admission were evaluated by clinical features (history of vomiting or diarrhoea, volume status, urine output) and laboratory parameters (urine osmolality, urine sodium, plasma osmolality, blood urea, hematocrit) to determine the types of hyponatremia. Results: Four patients died before the serum could be sent for electrolytes. Among the rest, 36 (17.6%) had hyponatremia on admission. Serum sodium level was <125 mmol/L in 7 (19.4%) and 125-134 mmol/L in rest of the patients having hyponatremia (29; 80.6%). The frequency of hyponatremia was similar in ischemic and hemorrhagic stroke (17.2% vs. 17.7%, p=0.925). Syndrome of inappropriate antidiuresis (SIAD) was most frequent cause of hyponatremia (50.0%), followed by cerebral salt wasting (CSW; 30.6%). The rest had either hyponatremia related to gastrointestinal (GI) fluid loss (2.8%) or died before a cause of hyponatremia could be ascertained (11.1%). There was no significant difference of age, gender, NIHSS score and GCS score on admission as well as in hospital stay and in-hospital mortality between patients with or without hyponatremia (p=ns for all). Frequency of CSW was relatively higher in hemorrhagic stroke (hemorrhagic vs. ischemic: 32.0% vs. 27.3%) and SIAD in ischemic stroke (hemorrhagic vs. ischemic: 40.0% vs. 72.7%) but did not reach level of statistical significance. Conclusion: Frequency of hyponatremia seems remarkable in hospitalized acute stroke patients, SIAD and CSW being the most frequent cause.
Abstract: Background: Hyponatremia is a common electrolyte abnormality in acute stroke patients and may be related to variable etiology. Objective: To observe the frequency and types of hyponatremia in hospitalized acute stroke patients. Materials and methods: This cross-sectional study, carried out in a referral neuroscience institute of Dhaka during Februa...
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Mortality and Morbities of Severe Stroke in Limited Ressources Neurological Service
Komi Assogba,
Kossivi Apetse,
Watouo Marlène Djobosse,
Lantam Sonhaye,
Nynèvi Anayo,
Panabalo Waklatsi,
Abdoulah Blakime,
Victor Kokou Adjenou,
Koffi Agnon Ayélola Balogou
Issue:
Volume 3, Issue 2, June 2019
Pages:
50-57
Received:
22 February 2019
Accepted:
9 April 2019
Published:
29 June 2019
Abstract: Introduction: Severe strokes have poor prognosis by their heavy motor and cognitive consequences. Objective: To describe the epidemiological, clinical and therapeutic aspects of these strokes. Material and Method: A retrospective and analytical study was conducted from January 2015 to December 2016 in the neurology department of our University Hospital. The diagnosis of severe stroke was based on clinical criteria (NIHSS score greater than 17, Glasgow score less than 9, and a WFNS stage greater than or equal to IV); and CT scan criteria (stroke location in the posterior fossa, carotid and Sylvian malignant infarction, cerebral hemorrhage with ventricular flood and mass effect). Results: We recorded 1964 strokes and 163 patients had severe stroke with a frequency of 8.3%. Of the 163 severe strokes, ischemic were observed in 38.7% and hemorrhagic for 61.3%. The average age was 55.8 ± 12.8. The motor deficit (76.1%) and disturbances of consciousness (62.6%) were the most admission signs. High blood pressure was the main risk factor (64.8%) and the etiology of hemorrhage in 83.5%. Atherosclerosis was the main etiology (86.4%) of ischemia. The hemorrhagic lesions location was diencephalic (67.7%) and brainstem (21.7%). Overall mortality was 44.8%, including 72.6% of early mortality due to haemorrhage. Predictive factors of mortality were the high NIHSS score, low Glasgow score, presence of ventricular flood, and high volume of hematoma. Conclusion: The high incidence of severe stroke and its early mortality rate demonstrate that many challenges remain to be done to improve the management of patients and avoid disabling sequelae.
Abstract: Introduction: Severe strokes have poor prognosis by their heavy motor and cognitive consequences. Objective: To describe the epidemiological, clinical and therapeutic aspects of these strokes. Material and Method: A retrospective and analytical study was conducted from January 2015 to December 2016 in the neurology department of our University Hosp...
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