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Abstract
The aim of our study was to assess the prevalence of depression and anxiety in a population of patients treated for multiple sclerosis (MS) and their link with alexithymia.Method31 patients with MS according to McDonald's criteria, and followed in neurology department took part in the study. All patients were evaluated using a protocol to collect the epidemiological, clinical and evolution of the disease. We used versions of Arabized-Hospital Anxiety and Depression Scale (HADS) to assess the mood state and the Toronto Alexithymia Scale (TAS-20) for alexithymia.Results and commentsParticipants were divided on 18 women and 13 men with a mean age of 39 years. The prevalence of depression and anxiety were 42% and 52% respectively. The prevalence of alexithymia was 43%. The anxiety was correlated with the degree of disability and age of disease onset. Similarly, depression was more frequently observed in patients with higher EDSS, a long period of evolution. A positive correlation was found between alexithymia, depression and anxiety.Our study showed that half of all MS patients have mood disorders. However, depression is the most common and most disabling psychiatric disorder in MS. The place of anxiety should not be neglected because in case of comorbidity with depression, can be an aggravating factor. The frequency of alexitymia is high and appears to be positively correlated with depression and anxiety.
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Smaoui S, Boukhris A, Damak M, Turki E, Bouchhima I, Miladi M, Feki I, Mhiri C. Characteristics of Parkinson's disease dementia in Southern Tunisia. J Neurol Sci 2013. [DOI: 10.1016/j.jns.2013.07.1207] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Smaoui S, Bouchhima I, Boukhris A, Damak M, Miladi M, Feki I, Mhiri C. Les caractéristiques cliniques et étiologiques des chorées dans le sud Tunisien. Rev Neurol (Paris) 2013. [DOI: 10.1016/j.neurol.2013.01.335] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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Goizet C, Benard G, Depienne C, Boukhris A, Sole G, Coupry I, Pilliod J, Martin-Negrier ML, Forlani S, Durr A, Brice A, Lacombe D, Rossignol R, Stevanin G. Mitochondrial Morpho-Functional Dysfunction in SPG31 Patients (IN7-1.007). Neurology 2012. [DOI: 10.1212/wnl.78.1_meetingabstracts.in7-1.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
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Goizet C, Benard G, Depienne C, Boukhris A, Sole G, Coupry I, Pilliod J, Martin-Negrier ML, Forlani S, Durr A, Brice A, Lacombe D, Rossignol R, Stevanin G. Mitochondrial Morpho-Functional Dysfunction in SPG31 Patients (P01.206). Neurology 2012. [DOI: 10.1212/wnl.78.1_meetingabstracts.p01.206] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
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Stevanin G, Tesson C, Nawara M, Salih M, Zaki M, Mundwiller E, Al Balwi M, Boukhris A, Bouhouche A, Martin E, Elmalik S, Alswaid A, Mochel F, Santorelli F, Benomar A, Al Rasheed S, Mhiri C, Gleeson J, Darios F, Durr A, Brice A. Combination of Positional Cloning and New Generation Sequencing Identifies 3 Novel Genes in Spastic Paraplegia Involved in Common Metabolic Pathways (P01.205). Neurology 2012. [DOI: 10.1212/wnl.78.1_meetingabstracts.p01.205] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
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Elleuch N, Feki I, Turki E, Miladi M, Boukhris A, Damak M, Mhiri C, Chappuis E, Woimant F. Nouvelle mutation du gène ATP7B responsable d’une maladie de Wilson avec atteinte neurologique sévère. Rev Neurol (Paris) 2010; 166:550-2. [DOI: 10.1016/j.neurol.2009.10.008] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/06/2009] [Revised: 08/18/2009] [Accepted: 10/26/2009] [Indexed: 10/20/2022]
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Goizet C, Boukhris A, Maltete D, Guyant-Maréchal L, Truchetto J, Mundwiller E, Hanein S, Jonveaux P, Roelens F, Loureiro J, Godet E, Forlani S, Melki J, Auer-Grumbach M, Fernandez JC, Martin-Hardy P, Sibon I, Sole G, Orignac I, Mhiri C, Coutinho P, Durr A, Brice A, Stevanin G. SPG15 is the second most common cause of hereditary spastic paraplegia with thin corpus callosum. Neurology 2009; 73:1111-9. [PMID: 19805727 DOI: 10.1212/wnl.0b013e3181bacf59] [Citation(s) in RCA: 73] [Impact Index Per Article: 4.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
OBJECTIVE Hereditary spastic paraplegias (HSPs) are very heterogeneous inherited neurodegenerative disorders. Our group recently identified ZFYVE26 as the gene responsible for one of the clinical and genetic entities, SPG15. Our aim was to describe its clinical and mutational spectra. METHODS We analyzed all exons of SPG15/ZFYVE26 gene by direct sequencing in a series of 60 non-SPG11 HSP subjects with associated mental or MRI abnormalities, including 30 isolated cases. The clinical data were collected through the SPATAX network. RESULTS We identified 13 novel truncating mutations in ZFYVE26, 12 of which segregated at the homozygous or compound heterozygous states in 8 new SPG15 families while 1 was found at the heterozygous state in a single family. Two of 3 splice site mutations were validated on mRNA of 2 patients. The SPG15 phenotype in 11 affected individuals was characterized by early onset HSP, severe progression of the disease, and mental impairment dominated by cognitive decline. Thin corpus callosum and white matter hyperintensities were MRI hallmarks of the disease in this series. CONCLUSIONS The mutations are truncating, private, and distributed along the entire coding sequence of ZFYVE26, which complicates the analysis of this gene in clinical practice. In our series of patients with hereditary spastic paraplegia-thin corpus callosum, the largest analyzed so far, SPG15 was the second most frequent form (11.5%) after SPG11. Both forms share similar clinical and imaging presentations with very few distinctions, which are, however, insufficient to infer the molecular diagnosis when faced with a single patient.
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Boukhris A, Stevanin G, Feki I, Denora P, Elleuch N, Miladi MI, Goizet C, Truchetto J, Belal S, Brice A, Mhiri C. Tunisian hereditary spastic paraplegias: clinical variability supported by genetic heterogeneity. Clin Genet 2009; 75:527-36. [PMID: 19438933 DOI: 10.1111/j.1399-0004.2009.01176.x] [Citation(s) in RCA: 47] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
Hereditary spastic paraplegias (HSP) constitute a clinically and genetically heterogeneous group of neurodegenerative disorders characterized by slowly progressive spasticity of the lower extremities. We performed the first clinical, epidemiological and genetic study of HSP in Southern Tunisia. We investigated 88 patients belonging to 38 unrelated Tunisian HSP families. We could establish the minimal prevalence of HSP in the district of Sfax at 5.75/100,000. Thirty-one percent of the families had a pure HSP, whereas 69% had a complicated form. The mode of inheritance was almost exclusively compatible with an autosomal recessive trait (97%, 37/38). Taking into account previously published results and new data generated in this work, genetic studies revealed significant or putative linkage to known HSP loci in 13 families (34.2%) to either SPG11 (7/38, 18.4%), SPG15 (4/38, 10.5%) or to SPG4 and SPG5 in one family each. The linkage results could be validated through the identification of two recurrent truncating mutations (R2034X and M245VfsX246) in the SPG11 gene, three different mutations (Q493X, F683LfsX685 and the novel S2004T/r.?) in the SPG15 gene, the recurrent R499C mutation in the SPG4 gene as well as the new R112X mutation in the SPG5 gene. SPG11 and SPG15 are the major responsible HSP genes in Tunisia.
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Affiliation(s)
- A Boukhris
- Department of Neurology, Habib Bourguiba University Hospital, Sfax, Tunisia
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Feki I, Miladi MI, Elleuch N, Boukhris A, Stévanin G, Brice A, Mhiri C. Paraplégie spastique familiale avec amyotrophie sévère des mains (syndrome de Silver?). Rev Neurol (Paris) 2007; 163:476-9. [PMID: 17452950 DOI: 10.1016/s0035-3787(07)90424-5] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Familial spastic paraplegia (FSP) with severe muscular atrophy of hands and feet is exceptional. Autosomal dominant forms were initially described by Silver in 1966. We report two cases, from the same Tunisian family, presenting FSP with severe amyotrophy of the hands. A brother and his sister, aged respectively 37 and 36 years old, presented practically the same clinical picture. Their parents were cousins. The female patient was hospitalized. Both patients developed gait disorders around the age of three years. Muscular atrophy of the hands arose much later, around the age of 20 years. The neurological examination disclosed a spastic gait with distal amyotrophy, severe in the hands and moderate in the feet. Sensitivity was preserved and there was no fasciculation. The spinal cord and cerebral MRI was normal. Electromyography (EMG) showed a neurogenic pattern in the distal muscles. Stimulation of the median, ulnar and sciatica nerves was ineffective. The somatosensory evoked potentials (EP) were delayed (upper limb) or desynchronised (lower limb). The auditory and visual EP were normal. The cerebrospinal fluid contained 1 mononuclear cell/mm3 and 10 mg protein/100 ml. Abnormalities of the cranio-vertebral junction, Arnold-Chiari malformation, syringomyelia and familial juvenile amyotrophic lateral sclerosis (ALS) were excluded and the diagnosis of Silver's syndrome was evoked.
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Affiliation(s)
- I Feki
- Service de Neurologie, CHU Habib Bourguiba, Sfax, Tunisie
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Boukhris A, Feki I, Miladi M, Elleuch N, Triki C, Mhiri C. E - 3 Les paraplégies spasmodiques familiales : à propos de 33 familles du sud tunisien. Rev Neurol (Paris) 2007. [DOI: 10.1016/s0035-3787(07)90816-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Feki I, Boukhris A, Miladi M, Elleuch N, Triki C, Mhiri C. L - 11 Tuberculome intradural extramédullaire compliquant une méningo-encéphalo-radiculite tuberculeuse : à propos d’un cas. Rev Neurol (Paris) 2007. [DOI: 10.1016/s0035-3787(07)90878-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Abstract
Pulmonary angiosarcoma is an uncommon vascular and usually secondary tumor. Only a few primary cases of pulmonary angiosarcoma have been described. We report a case of primary pulmonary angiosarcoma in an adult man who presented with hemoptysis. Chest x-ray film and chest CT showed a right para-cardiac opacity associated with diffuse alveolar consolidation of the right basal lobe. Right inferior lobectomy has been performed. Pulmonary angiosarcoma was diagnosed on histological and immuno-histochemical studies of the operative specimen. The primitive character was retained after ruling out all other tumor localizations. The clinical outcome was rapidly fatal. This observation is added to the other rare cases published of primitive pulmonary angiosarcoma. It confirms the poor prognosis and the extremely hemorrhagic nature of this tumor. Isolated necrotic parenchymatous mass was an original radiological pattern observed in this patient.
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Affiliation(s)
- M H Bouhaouala
- Service d'Imagerie Médicale, Hôpital des Forces de Sécurité Intérieure, 2070 La Marsa, Tunisia.
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Guilard R, Mitaine P, Moise C, Lecomte C, Boukhris A, Swistak C, Tabard A, Lacombe D, Cornillon JL, Kadish KM. Metalloporphyrins with metal-metal bonds. Synthesis and characterization of (P)InMn(CO)5, (P)InCo(CO)4, and (P)InM(CO)3Cp where M = Cr, Mo, and W. Molecular stereochemistry of [(2,3,7,8,12,13,17,18-octaethylporphyrinato)indium(III)]pentacarbonylmanganese. Inorg Chem 2002. [DOI: 10.1021/ic00262a026] [Citation(s) in RCA: 19] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Boukhris A, Lecomte C, Thalal A. Evolution of the structural and mean square displacement parameters in (NH 4) xK 1-xH 2PO 4solid solutions versusconcentration and temperature. Acta Crystallogr A 2000. [DOI: 10.1107/s0108767300027768] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
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