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Sayhi S, Ben Haj Ali E, Mrissa L, Derbali H, Thahri R, Gueddiche N, Ben Abdelhafidh N, Zaouali J, Laajili F, Mrissa R, Louzir B. Facteurs de prédisposition au cours de la sarcoïdose systémique. Rev Med Interne 2019. [DOI: 10.1016/j.revmed.2019.03.128] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Messelmani M, Laabidi K, Sassi RB, Zaouali J, Gharsalla H, Mrissa R. Cannabis et myélopathie dysbarique. Rev Neurol (Paris) 2019. [DOI: 10.1016/j.neurol.2019.01.363] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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Derbali H, Neji A, Bedoui I, Laabidi K, Mansour M, Zaouali J, Mrissa R. Le spectre de la neuromyélite optique : étude d’une série tunisienne. Rev Neurol (Paris) 2019. [DOI: 10.1016/j.neurol.2019.01.254] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Neji A, Derbali H, Riahi A, Messelmani M, Mansour M, Zaouali J, Mrissa R. Sclérose en plaques et uvéite : étude d’une cohorte tunisienne. Rev Neurol (Paris) 2019. [DOI: 10.1016/j.neurol.2019.01.097] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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Souissi W, Riahi A, Abuhassan A, Bedoui I, Mansour M, Zaouali J, Mrissa R. Le syndrome de POEMS : étude de 7 cas et revue de la littérature. Rev Neurol (Paris) 2019. [DOI: 10.1016/j.neurol.2019.01.121] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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Laabidi K, Derbali H, Riahi A, Messelmani M, Mansour M, Zaouali J, Mrissa R. La fatigue dans la sclérose en plaques : Imputabilité des anomalies radiologiques. Rev Neurol (Paris) 2019. [DOI: 10.1016/j.neurol.2019.01.229] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Messelmani M, Laabidi K, Mansour M, Zaouali J, Mrissa R. Thrombose veineuse cérébrale et mutation du gène du méthylène tétrahydrofolate réductase. Rev Neurol (Paris) 2019. [DOI: 10.1016/j.neurol.2019.01.187] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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Ketata J, Hajer D, Messelmeni M, Anis R, Sayhi S, Bousetta N, Arfaoui B, Ajili F, Ben Abdelhafidh N, Louzir B, Mrissa R. Syndrome de Gougerot-Sjögren et Parkinsonisme. Rev Med Interne 2018. [DOI: 10.1016/j.revmed.2018.03.089] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/14/2022]
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Lansari T, Riahi A, Ben Mahmoud MS, Hajer D, Mansour M, Zaouali J, Mrissa R. Algies vasculaires de la face : retentissement psychosocial et impact sur la qualité de vie. Rev Neurol (Paris) 2018. [DOI: 10.1016/j.neurol.2018.01.279] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Ben Hmidene M, Riahi A, Ahmed A, Ines B, Mansour M, Zaouali J, Mrissa R. Les neuropathies périphériques au cours des maladies de système. Rev Neurol (Paris) 2018. [DOI: 10.1016/j.neurol.2018.01.082] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Ketata J, Hajer D, Ines B, Riahi A, Mansour M, Jamel Z, Mrissa R. L’épilepsie dans la sclérose en plaques : étude d’une population tunisienne. Rev Neurol (Paris) 2018. [DOI: 10.1016/j.neurol.2018.01.048] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
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Derbali H, Safia Ben Mahmoud M, Elmabrouk E, Zaouali J, Riahi A, Mansour M, Mrissa R. Impact du syndrome des jambes sans repos sur le sommeil et la qualité de vie dans la sclérose en plaques. Rev Neurol (Paris) 2018. [DOI: 10.1016/j.neurol.2018.01.239] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Brahem Z, Zaouali J, Bedoui I, Mansour M, Mrissa R. Pronostic fonctionnel après un hématome intracérébral : facteurs prédictifs d’handicap moteur. Rev Neurol (Paris) 2018. [DOI: 10.1016/j.neurol.2018.01.198] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
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Brahem Z, Zaouali J, Bedoui I, Mansour M, Mrissa R. Bilan biologique à la phase aigu de l’hématome intracérébral spontané : intérêt pronostique. Rev Neurol (Paris) 2018. [DOI: 10.1016/j.neurol.2018.01.195] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
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Brahem Z, Zaouali J, Bedoui I, Mansour M, Mrissa R. Resaignement après un hématome intracérébral : prédicteurs cliniques et radiologiques. Rev Neurol (Paris) 2018. [DOI: 10.1016/j.neurol.2018.01.163] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
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Lansari T, Ines B, Ben Hmidene M, Riahi A, Mansour M, Zaouali J, Mrissa R. Le syndrome de jambe sans repos et maladie de Parkinson. Rev Neurol (Paris) 2018. [DOI: 10.1016/j.neurol.2018.01.290] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
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Makhlouf S, Msselemeni M, Derbali H, Mansour M, Zaouali J, Mrissa R. Spastic paraparesis revealing celiac disease. Acta Gastroenterol Belg 2018; 81:107-108. [PMID: 29562387] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
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Riahi A, Bedoui I, Derbali H, Messelmani M, Mansour M, Mrissa R. Visual evoked potentials in demyelinating optic neuritis: Electrophysiological and prognosis correlations in 22 patients. J Neurol Sci 2017. [DOI: 10.1016/j.jns.2017.08.3569] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Riahi A, Zaouali J, Bedoui I, Messelmani M, Mansour M, Mrissa R. Paraneoplastic motor neuron disease: A descriptive and prognostic study about five cases. J Neurol Sci 2017. [DOI: 10.1016/j.jns.2017.08.1996] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Fekih-Mrissa N, Mansour M, Sayeh A, Bedoui I, Mrad M, Riahi A, Mrissa R, Nsiri B. The Plasminogen Activator Inhibitor 1 4G/5G Polymorphism and the Risk of Alzheimer's Disease. Am J Alzheimers Dis Other Demen 2017; 32:342-346. [PMID: 28466654 PMCID: PMC10852582 DOI: 10.1177/1533317517705223] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/03/2024]
Abstract
OBJECTIVE The aim of this study was to determine whether plasminogen activator inhibitor 1 (PAI-1) is associated with the risk of Alzheimer's disease (AD) in Tunisian patients. DESIGN AND METHODS We analyzed the genotype and allele frequency distribution of the PAI-1 polymorphism in 60 Tunisian patients with AD and 120 healthy controls. RESULTS The results show a significantly increased risk of AD in carriers of the 4G/4G and 4G/5G genotypes versus the wild-type 5G/5G genotype (4G/4G: 28.33% in patients vs 10.0% in controls; P < 10-3; OR = 8.78; 4G/5G: 55.0% in patients vs 38.33% in controls; OR = 4.45; P < 10-3). The 4G allele was also more frequently found in patients compared with controls; P < 10-3; OR = 3.07. For all participants and by gender, homozygotic carriers (4G/4G) were at an increased risk of AD over heterozygotes and women were at an increased risk over their male genotype counterparts. The odds ratio for AD among 4G/4G carriers for any group was approximately twice that of heterozygotes in the same group. Women homozygotes ranked highest for AD risk (OR = 20.8) and, in fact, women heterozygotes (OR = 9.03) ranked higher for risk than male homozygotes (OR = 6.12). CONCLUSION These preliminary exploratory results should be confirmed in a larger study.
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Nasri A, Mansour M, Kacem A, Zaouali J, Mrissa R. Reversible cerebral vasoconstriction syndrome and antivitamin K anticoagulation: challenges of an unusual association. Neurol Sci 2017; 38:1715-1717. [DOI: 10.1007/s10072-017-2990-x] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/24/2016] [Accepted: 05/02/2017] [Indexed: 12/01/2022]
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Riahi A, Mansour M, Bedoui I, Derbali H, Messelmani M, Zaouali J, Mrissa R. Acute beriberi neuropathy mimicking Guillain-Barré syndrome after a strict vegetarian diet. IRANIAN JOURNAL OF NEUROLOGY 2017; 16:100-102. [PMID: 28761634 PMCID: PMC5526775] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Download PDF] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
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Souissi W, Mariem M, Zaouali J, derbali H, Mansour M, Mrissa R. Les dissections carotidiennes et vertébrales : aspects cliniques, radiologiques et évolutifs. Rev Neurol (Paris) 2017. [DOI: 10.1016/j.neurol.2017.01.323] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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74
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Nasri A, Mansour M, Brahem Z, Kacem A, Hassan AA, Derbali H, Messelmani M, Zaouali J, Mrissa R. Stroke disclosing primary aldosteronism: Report on three cases and review of the literature. ANNALES D'ENDOCRINOLOGIE 2017; 78:9-13. [PMID: 28168953 DOI: 10.1016/j.ando.2016.07.993] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/22/2016] [Revised: 07/06/2016] [Accepted: 07/13/2016] [Indexed: 11/24/2022]
Abstract
OBJECTIVES There is a growing evidence of increased risk of cerebrovascular events in primary aldosteronism (PA). Nevertheless, acute neurologic ailment as presenting feature of PA is uncommon. Our aim is to highlight the diagnosis challenges in stroke unmasking PA and to discuss the underlying physiopathology and management dilemmas. MATERIALS AND METHODS We hereby describe three consecutive rare cases of stroke revealing PA. All patients had brain imaging and thorough biological and morphological assessment to rule out other etiologies of stroke. The diagnosis of primary aldosteronism was established according to the Endocrine Society Clinical Practice Guideline, with a review of the literature on the spectrum of neurologic manifestations in PA. RESULTS We report on three cases, two women and a man, presenting with ischemic or hemorrhagic stroke, of early onset in two of them. All of the reported patients had hypertension and hypokaliemia. This association prompted the assessment of renin angiotensin aldosterone system (RAAS) disclosing PA, which was due to bilateral adenomas in the first one or bilateral adrenal hyperplasia in the two others. All patients refused the surgical option and received spironolactone with recurrence of stroke in one of them due to treatment incompliance. CONCLUSION Although cerebrovascular events are quite common in PA, their occurrence as initial feature can be misleading. The association of hypokaliemia and refractory hypertension in ischemic or hemorrhagic strokes should prompt an assessment of the RAAS to rule out PA and initiate adequate management as soon as possible in order to avoid further complications.
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Nasri A, Mansour M, Kacem A, Derbali H, Yahya M, Riahi A, Bedoui I, Messelmani M, Zaouali J, Fekih-Mrissa N, Bouzayène A, Mrissa R. Trouble obsessionnel compulsif pédiatrique : forme inaugurale inhabituelle de la maladie de Lafora. Encephale 2017; 43:90-94. [DOI: 10.1016/j.encep.2016.06.004] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/29/2015] [Accepted: 08/31/2015] [Indexed: 11/17/2022]
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Fekih-Mrissa N, Bedoui I, Sayeh A, Derbali H, Mrad M, Mrissa R, Nsiri B. Association between an angiotensin-converting enzyme gene polymorphism and Alzheimer's disease in a Tunisian population. Ann Gen Psychiatry 2017; 16:41. [PMID: 29176997 PMCID: PMC5693601 DOI: 10.1186/s12991-017-0164-0] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/23/2017] [Accepted: 11/08/2017] [Indexed: 01/08/2023] Open
Abstract
BACKGROUND The angiotensin-converting enzyme gene (ACE) insertion/deletion (I/D or indel) polymorphism has long been linked to Alzheimer's disease (AD), but the interpretation of established data remains controversial. The aim of this study was to determine whether the angiotensin-converting enzyme is associated with the risk of Alzheimer's disease in Tunisian patients. METHODS We analyzed the genotype and allele frequency distribution of the ACE I/D gene polymorphism in 60 Tunisian AD patients and 120 healthy controls. RESULTS There is a significantly increased risk of AD in carriers of the D/D genotype (51.67% in patients vs. 31.67% in controls; p = .008, OR = 2.32). The D allele was also more frequently found in patients compared with controls (71.67% vs. 56.25%; p = .003, OR = 2.0). Moreover, as assessed by the Mini-Mental State Examination, patient D/D carriers were more frequently found to score in the severe category of dementia (65%) as compared to the moderate category (32%) or mild category (3%). CONCLUSIONS The D/D genotype and D allele of the ACE I/D polymorphism were associated with an increased risk in the development of AD in a Tunisian population. Furthermore, at the time of patient evaluation (average age 75 years), patients suffering with severe dementia were found predominantly in D/D carriers and, conversely, the D/D genotype and D allele were more frequently found in AD patients with severe dementia. These preliminary exploratory results should be confirmed in larger studies and further work is required to explore and interpret possible alternative findings in diverse populations.
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Nasri A, Mansour M, Messelmani M, Riahi A, Derbali H, Bedoui I, Zaouali J, Mrissa R. Syndrome opsoclonus-myoclonus-ataxie révélant une méningo-encéphalite rubéolique chez un adulte. Rev Med Interne 2016; 37:840-843. [DOI: 10.1016/j.revmed.2016.02.012] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/15/2015] [Accepted: 02/26/2016] [Indexed: 10/22/2022]
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Nasri A, Bedoui I, Mrissa R, Riahi A, Derbali H, Zaouali J, Messelmani M, Mansour M. Recurrent status epilepticus in posterior reversible encephalopathy syndrome as initial feature of pediatric lupus: A newly diagnosed case and literature review. Brain Dev 2016; 38:835-41. [PMID: 27068876 DOI: 10.1016/j.braindev.2016.03.011] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/01/2016] [Revised: 03/25/2016] [Accepted: 03/28/2016] [Indexed: 10/22/2022]
Abstract
INTRODUCTION Posterior reversible encephalopathy syndrome (PRES) is a recently described clinico-neuroradiological syndrome with several predisposing conditions. Systemic lupus erythematosus (SLE), beginning in 15-20% in childhood, is considered as a potential underlying etiology of PRES. In children, status epilepticus (SE) rarely complicates PRES, and exceptionally occurs in SLE. METHODS We report on an illustrative case of PRES complicating pediatric lupus revealed by recurrent SE, and we further review through a Pubmed search the previously reported cases of pediatric SLE, PRES and SE. RESULTS We describe the case of a 12-year old girl who presented with recurrent status epilepticus associated to high blood pressure and renal involvement. Brain imaging showed classical aspects of PRES. Immunological tests including antinuclear, anti-DNA, and anticardiolipin antibodies were positive. The diagnosis of SLE was established. The Pubmed search identified a total number of 9 children with SE in SLE, and 26 with PRES, including our patient. CONCLUSIONS We discussed the clinical and paraclinical features of PRES in SLE with epilepsy, their underlying pathophysiological aspects, and their management challenges. PRES should be considered in initial recurrent SE in children, justifying a battery of tests comprising immunological testing. Anticardiolipin antibodies seem to play a crucial role in epilepsy, PRES and renal involvement in pediatric SLE. Further studies are needed to clarify whether PRES should be considered one of the neuropsychiatric manifestations of SLE or a consequence of active disease in other organ systems or its treatment.
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Beyrouti R, Mansour M, Kacem A, Zaouali J, Mrissa R. Transient global amnesia like syndrome associated with acute infarction of the corpus callosum: a case report. Acta Neurol Belg 2016; 116:375-7. [PMID: 26643084 DOI: 10.1007/s13760-015-0572-3] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/05/2015] [Accepted: 11/17/2015] [Indexed: 11/30/2022]
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Touati N, Mansour M, Bedoui I, Kacem A, Derbali H, Riahi A, Messelmani M, Zaouali J, Fekih-Mrissa N, Mrissa R. [Neurologic manifestations of sarcoidosis: A study of 18 cases]. Rev Neurol (Paris) 2015; 171:773-81. [PMID: 26648345 DOI: 10.1016/j.neurol.2015.07.008] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/02/2014] [Revised: 07/13/2015] [Accepted: 07/22/2015] [Indexed: 11/29/2022]
Abstract
INTRODUCTION Sarcoidosis is a multisystemic granulomatous disease of unknown aetiology. Neurologic manifestations are found in 5 to 10% of cases. PATIENTS AND METHODS We conducted a retrospective study over 6-year period including 18 patients diagnosed with neurosarcoidosis in the Neurologic department of the Military Hospital of Instruction of Tunis. Clinical, radiological, therapeutic features and outcome were studied. RESULTS The mean age was 43.44 years. Neurologic signs were the first symptom in 10 cases. Peripheral nervous system impairment was often found. Meningitis was noted in 8 cases. Biological tests are not contributive for the diagnosis. The brain magnetic resonance imaging was pathologic in 10 cases. Corticosteroids were administrated in the majority of cases. Eight patients did not show any sign of improvement. Ten cases improved with treatment. DISCUSSION AND CONCLUSION Diagnosis of neurosarcoidosis is difficult because of its clinical and radiological polymorphism. It is based on a clinical history suggestive of neurosarcoidosis, laboratory, imaging and histological studies.
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Makhlouf S, Messelmani M, Mhiri M, Derbali H, Bedoui I, Zaouali J, Mrissa R. La neuropathie optique ischémique antérieure. Rev Neurol (Paris) 2015. [DOI: 10.1016/j.neurol.2015.01.034] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Makhlouf S, Messelmani M, Bedoui I, Derbali H, Mansour M, Zaouali J, Mrissa R. Les accidents vasculaires cérébraux ischémiques chez la femme jeune. Rev Neurol (Paris) 2015. [DOI: 10.1016/j.neurol.2015.01.089] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Mhiri M, Mansour M, Derbali H, Messelmeni M, Zaouali J, Mrissa R. La coexistence des anticorps anti-tyrosine kinase spécifique de muscle et les anticorps anti-récepteurs acétylcholine. Rev Neurol (Paris) 2015. [DOI: 10.1016/j.neurol.2015.01.363] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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mabrouk EE, Derbali H, Mansour M, Messelmeni M, Zaouali J, Mrissa R. Troubles neurologiques par carence en vitamine B12 : étude rétrospective de 29 cas. Rev Neurol (Paris) 2015. [DOI: 10.1016/j.neurol.2015.01.241] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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85
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Zangar E, Mansour M, Bedoui I, Zaouali J, Mrissa R. [Inaugural paraneoplastic neurological syndromes]. LA TUNISIE MEDICALE 2015; 93:190. [PMID: 26367411] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
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Bouthouri A, Mansour M, Kacem A, Bedoui I, Fkih-Mrissa N, Mrissa R. [Paraplegia associated with cystinuria: A fortuitous association or direct relationship? A case report]. Rev Neurol (Paris) 2015; 171:395-6. [PMID: 25572142 DOI: 10.1016/j.neurol.2014.10.015] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/03/2014] [Revised: 10/17/2014] [Accepted: 10/29/2014] [Indexed: 10/24/2022]
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Messelmani M, Fekih-Mrissa N, Zaouali J, Mrissa R. Limbic encephalitis associated with leucine-rich glioma-inactivated 1 antibodies. Ann Saudi Med 2015; 35:76-9. [PMID: 26142944 PMCID: PMC6152548 DOI: 10.5144/0256-4947.2015.76] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
We describe the case of a patient with confirmed limbic encephalitis associated with leucine-rich glioma-inactivated 1 (LGI1) antibodies. A 59-year-old man presented to the Department of Neurology with bizarre behavior, memory loss, cognitive impairment, visual hallucinations, and myoclonus and facio-brachial dystonic seizures. A brain magnetic resonance imaging (MRI) revealed no hippocampal lesions. Blood tests showed hyponatremia. An electroencephalogram showed disorganization and slowing of background activity. Antiepileptic drugs were ineffective. The patient exhibited considerable improvement following immunotherapy. The diagnosis of limbic encephalitis associated with LGI1 antibodies should be considered in patients with clinical manifestations mimicking psychiatric disorders and in cases of refractory epilepsy especially with faciobrachial dystonic seizures. There is frequently hyponatremia, and cerebral MRI may be normal. Full recovery can be expected with early diagnosis and prompt treatment.
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Zangar E, Mansour M, Zaouelli J, Mrissa R. Rubella encephalitis and status epilepticus in a young adult male. LA TUNISIE MEDICALE 2014; 92:762. [PMID: 25879604] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
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Sidhom Y, Damak M, Riahi A, Hizem Y, Mrissa R, Mhiri C, Gouider R. Clinical features and disability progression in multiple sclerosis in Tunisia: do we really have a more aggressive disease course? J Neurol Sci 2014; 343:110-4. [PMID: 24980939 DOI: 10.1016/j.jns.2014.05.049] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/24/2014] [Revised: 05/18/2014] [Accepted: 05/20/2014] [Indexed: 10/25/2022]
Abstract
BACKGROUND Few epidemiological data are available on multiple sclerosis (MS) patients in North Africa (NA). Studies of immigrants from NA showed a more aggressive course compared to European patients. OBJECTIVE The aim of this study is to describe clinical and long term course characteristics of MS in Tunisia and to compare it to European cohorts. METHOD A total of 437 MS patients from three hospital based cohorts in Tunisia and having prospective follow up between 2010 and 2012 were analyzed. We considered as endpoints the time to reach EDSS scores of 3, 4 and 6 in the different clinical forms of MS and the beginning of a secondary progressive (SP) phase. RESULTS Sex ratio was 2.34. Mean age of onset was 30.3 years. The course was relapsing-remitting (RR) in 91% of patients and primary progressive (PP) in 9%. The most frequent isolated onset symptoms were respectively motor (28%), optic neuritis (20%) and sensory (16%) dysfunction. Median time to SP onset was 19.1 years. Median times from onset of multiple sclerosis to assignment of a score of 3, 4 and 6 were 8, 10.7 and 15 years respectively. Benign form of MS represented 31.5%. Median interval from the onset of the disease to EDSS score of 3, 4 and 6 was shorter in PP-MS than in RR-MS. However, there was no difference between these two groups for the median time from the assignment of EDSS 4 to the assignment EDSS 6. CONCLUSIONS Our study shows that Tunisian MS patients have a quite similar clinical feature to European patients. Still, larger MS multicenter cohort studies in NA with longer follow-up duration could clearly respond to the issue.
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Fekih-Mrissa N, Mrad M, Riahi A, Sayeh A, Zaouali J, Gritli N, Mrissa R. Association of HLA-DR/DQ polymorphisms with Guillain–Barré syndrome in Tunisian patients. Clin Neurol Neurosurg 2014; 121:19-22. [DOI: 10.1016/j.clineuro.2014.03.014] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/16/2013] [Revised: 01/20/2014] [Accepted: 03/10/2014] [Indexed: 11/24/2022]
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91
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Ketata J, Gnaichiya C, Sellami L, Yangui N, Mansour M, Zaouali J, Mrissa R. Télangiectasie du pont révélée par un syndrome de masse. Rev Neurol (Paris) 2014. [DOI: 10.1016/j.neurol.2014.01.644] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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92
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Sellami L, Zaouali J, Yengui N, Ketata J, Gnaichia C, Mansour M, Mrissa R. Les myélopathies aiguës transverses : à propos de 45 cas. Rev Neurol (Paris) 2014. [DOI: 10.1016/j.neurol.2014.01.117] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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93
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Sidhom Y, Mansour M, Messelmani M, Derbali H, Fekih-Mrissa N, Zaouali J, Mrissa R. Cerebral venous thrombosis: clinical features, risk factors, and long-term outcome in a Tunisian cohort. J Stroke Cerebrovasc Dis 2014; 23:1291-5. [PMID: 24462460 DOI: 10.1016/j.jstrokecerebrovasdis.2013.10.025] [Citation(s) in RCA: 40] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/28/2013] [Revised: 09/09/2013] [Accepted: 10/24/2013] [Indexed: 11/17/2022] Open
Abstract
BACKGROUND Data from African countries regarding diagnosis, prognosis, management, and outcome of patients with cerebral venous thrombosis (CVT) are limited. The aim of the present study is to characterize clinical presentation, predisposing factors, neuroimaging findings, and outcomes of the disease in the Tunisian population. METHODS This is a prospective study including patients referred to the Neurology Department of the Military Hospital of Tunis between January 2009 and December 2012. The diagnosis of CVT was confirmed in all patients using magnetic resonance imaging and magnetic resonance venography. The demographic, clinical, radiological, and outcome data were recorded and analyzed. Median follow-up was 16 months (range 6 months to 4 years). Primary outcome was death or dependency as assessed by modified Rankin score more than 2 at the end of follow-up. RESULTS This study included 41 patients with CVT. Mean age was 41.24 years, predominantly women (68%). The mode of onset was acute in 10 patients (24%), subacute in 26 (64%), and chronic in 5 (12%). The most common presenting features were headache, observed in 83% of the patients, followed by seizures, focal motor deficits, papilledema, and mental status changes. Lateral (56%) and superior longitudinal (51%) sinuses were the most commonly involved. Multiple sinuses were involved in 46% of cases. Nineteen patients (46%) had a D-dimer level more than 500 ng/mL. Major causes of CVT were thrombophilia (56%), either genetic or acquired, obstetric and gynecological (50%), and septic (34%). Outcome was favorable in 83% of patients. At the end of follow-up, 32 patients (78%) had complete recovery (modified Rankin Scale [mRs] score 0-1), 2 (5%) had partial recovery (mRs score 2), and 4 (10%) were dependent (mRs score 3-5). One patient (2.5%) had a recurrent sinus thrombosis. CONCLUSIONS Our Tunisian population presented distinct risk factors profile with high frequency of thrombophilia, infections, and postpartum state. Oral contraceptive use is not a major risk factor in our population. The overall prognosis was good.
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Fekih-Mrissa N, Mrad M, Klai S, Mansour M, Nsiri B, Gritli N, Mrissa R. Methylenetetrahydrofolate reductase (C677T and A1298C) polymorphisms, hyperhomocysteinemia, and ischemic stroke in Tunisian patients. J Stroke Cerebrovasc Dis 2013; 22:465-9. [PMID: 23642756 DOI: 10.1016/j.jstrokecerebrovasdis.2013.03.011] [Citation(s) in RCA: 36] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/22/2012] [Revised: 01/17/2013] [Accepted: 03/09/2013] [Indexed: 11/18/2022] Open
Abstract
OBJECTIVE The present study evaluated the role of the methylenetetrahydrofolate reductase (MTHFR) C677T and A1298C gene polymorphisms and correlated these results with plasma homocysteine (Hcy) levels in Tunisian ischemic stroke (IS) patients. METHODS Overall, 84 patients with IS were included and compared with 100 healthy controls. The most common stroke risk factors were investigated. Fasting plasma Hcy levels were measured. Genotyping of the MTHFR C677T and A1298 polymorphisms was studied by polymerase chain reaction. RESULTS Aside from tobacco and alcohol use, the other studied factors were significant risk factors for IS. Mean plasma Hcy levels were significantly higher in IS patients than in controls (16.1 ± 8.28 μmol/L versus 8.76 ± 3.48 μmol/L, P < 10(-3)). Significant associations were found with both the MTHFR 677(CT + TT) and 1298 (AC + CC) genotypes in comparison with controls (P < 10(-3)). A significant synergistic interaction was also found with the double heterozygote MTHFR 677CT/1298AC (P < 10(-3)). Homocysteine levels were significantly higher in IS patients with the MTHFR C677T variant (CT and TT genotypes) (P < 10(-3)); however, the difference was not significant with the MTHFR A1298C variant (AC and CC genotypes) (P = .31). CONCLUSION The MTHFR C677T and A1298 polymorphisms (individually or in concert) and hyperhomocysteinemia represent important risk factors for IS. Elevated Hcy levels were found to be associated with the MTHFR C677T variant; however, no significant association was found with the MTHFR A1298C variant.
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Mrad M, Fekih-Mrissa N, Mansour M, Seyah A, Riahi A, Gritli N, Mrissa R. Association of HLA-DR/DQ polymorphism with chronic inflammatory demyelinating polyradiculoneuropathy (CIDP) in Tunisian patients. Transfus Apher Sci 2013; 49:623-6. [DOI: 10.1016/j.transci.2013.07.024] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/26/2013] [Accepted: 07/26/2013] [Indexed: 11/28/2022]
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Bedoui I, Mansour M, Riahi A, Zangar E, Zaouali J, Mrissa R. Cerebral thrombophlebitis and ß-thalassemia intermedia. J Neurol Sci 2013. [DOI: 10.1016/j.jns.2013.07.940] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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97
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Bedoui I, Malek M, Riahi A, Waddy OB, Zaouali J, Mrissa R. Neurological manifestations revealing Gougerot Sjogren syndrome: 18 cases. J Neurol Sci 2013. [DOI: 10.1016/j.jns.2013.07.1369] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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98
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Riahi A, Bedoui I, Zangar E, Lansari R, Mansour M, Zaouali J, Mrissa R. Clinical features and outcome of ALS-like disorders: Two year follow-up of three cases and review of the literature. J Neurol Sci 2013. [DOI: 10.1016/j.jns.2013.07.2348] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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99
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Touati N, Bedoui I, Riahi A, Lansari R, Mansour M, Zouali J, Mrissa R. Peripheral paraneoplastic neuropathy, an uncommon clinical onset of sigmoid cancer. J Neurol Sci 2013. [DOI: 10.1016/j.jns.2013.07.2370] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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100
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Zangar E, Mansour M, Bedoui I, Riahi A, Zaoueli J, Mrissa R. Rubella encephalitis and status epilepticus in a young adult male. J Neurol Sci 2013. [DOI: 10.1016/j.jns.2013.07.2173] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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