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Balaji N, Olukayode O, Faiz F, Dixit P, Bhavsar V. Periprocedural Bridging Therapy in Patients With Mechanical Heart Valves. Cureus 2024; 16:e56465. [PMID: 38638777 PMCID: PMC11024885 DOI: 10.7759/cureus.56465] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/18/2024] [Indexed: 04/20/2024] Open
Abstract
Mechanical heart valves (MHVs) are thrombogenic and require lifelong anticoagulation with vitamin K antagonists (VKAs) such as warfarin. Periprocedural bridging with unfractionated heparin (UFH) and low-molecular-weight heparin (LMWH) aims to reduce the risk of thromboembolic events in patients. Currently, there are no definitive class I recommendations for anticoagulation management in patients with MHVs. In this report, we present the case of a 77-year-old female who was perioperatively bridged with enoxaparin and subsequently developed an acute thrombus.
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Affiliation(s)
- Nivedha Balaji
- Internal Medicine, Northeast Georgia Medical Center Gainesville, Gainesville, USA
| | - Oluwafemi Olukayode
- Internal Medicine, Northeast Georgia Medical Center Gainesville, Gainesville, USA
| | - Fardeen Faiz
- Cardiology, Northeast Georgia Medical Center Gainesville, Gainesville, USA
| | | | - Vedang Bhavsar
- Cardiology, Northeast Georgia Medical Center Gainesville, Gainesville, USA
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2
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Balaji N, Dixit P, Adams AM, Faiz F, Ngwainmbi D, Henry G, Ghasemzadeh N. ST-Segment Elevation Myocardial Infarction Caused by 5-Fluorouracil-Related Cardiotoxicity. Cureus 2024; 16:e52864. [PMID: 38406077 PMCID: PMC10889476 DOI: 10.7759/cureus.52864] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/23/2024] [Indexed: 02/27/2024] Open
Abstract
5-Fluorouracil (5-FU) and its prodrug, capecitabine, are commonly used chemotherapeutic agents for solid tumor management. While these agents can present with adverse side effects such as nausea, vomiting, diarrhea, and myelosuppression, they can also, less commonly, cause cardiovascular toxicity. This toxicity may manifest as cardiac arrhythmias, myocarditis, heart failure, myocardial infarction, and even death. The management of 5-FU-related cardiotoxicity includes early recognition of symptom manifestation so that medication can be discontinued promptly and symptoms can be addressed appropriately. Here, we describe the case of a 72-year-old male who developed coronary vasospasm and ST-segment elevation myocardial infarction shortly after the initiation of chemotherapy with 5-FU.
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Affiliation(s)
- Nivedha Balaji
- Internal Medicine, Northeast Georgia Medical Center Gainesville, Gainesville, USA
| | | | - Alex M Adams
- Graduate Medical Education, Northeast Georgia Medical Center Gainesville, Gainesville, USA
| | - Fardeen Faiz
- Cardiology, Northeast Georgia Medical Center Gainesville, Gainesville, USA
| | - Daisy Ngwainmbi
- Cardiology, Northeast Georgia Medical Center Gainesville, Gainesville, USA
| | - Glen Henry
- Interventional Cardiology, Georgia Heart Institute, Gainesville, USA
| | - Nima Ghasemzadeh
- Interventional Cardiology, Georgia Heart Institute, Gainesville, USA
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Mohamed K, Faiz F, Khdeir O. STANFORD TYPE A AORTIC DISSECTION IN A PATIENT WITH LEFT CIRCUMFLEX CORONARY ARTERY ANOMALY PRESENTING WITH ACUTE CORONARY SYNDROME. J Am Coll Cardiol 2022. [DOI: 10.1016/s0735-1097(22)03915-8] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Dofash L, Faiz F, Servián-Morilla E, Rivas E, Sullivan P, Oates E, Clayton J, Taylor R, Davis M, Laing N, Cabrera-Serrano M, Ravenscroft G. CONGENITAL MYOPATHIES – NEMALINE MYOPATHIES. Neuromuscul Disord 2021. [DOI: 10.1016/j.nmd.2021.07.059] [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: 10/20/2022]
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Sankhyan P, Faiz F, Maddipati V. UNUSUAL CASE OF BILATERAL PNEUMOTHORACES AFTER NASOGASTRIC TUBE INSERTION. Chest 2020. [DOI: 10.1016/j.chest.2020.08.702] [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: 11/27/2022] Open
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Ravenscroft G, Clayton J, Faiz F, Milnes D, Cincotta R, Moon P, McGrath P, Colley A, Chao K, Laing N, Davis M. O.16Diagnosis of fetal akinesia and arthrogryposis by panel sequencing and functional genomics. Neuromuscul Disord 2019. [DOI: 10.1016/j.nmd.2019.06.296] [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: 10/25/2022]
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Ravenscroft G, Pannell S, O'Grady G, Ong R, Ee HC, Faiz F, Marns L, Goel H, Kumarasinghe P, Sollis E, Sivadorai P, Wilson M, Magoffin A, Nightingale S, Freckmann ML, Kirk EP, Sachdev R, Lemberg DA, Delatycki MB, Kamm MA, Basnayake C, Lamont PJ, Amor DJ, Jones K, Schilperoort J, Davis MR, Laing NG. Variants in ACTG2 underlie a substantial number of Australasian patients with primary chronic intestinal pseudo-obstruction. Neurogastroenterol Motil 2018; 30:e13371. [PMID: 29781137 DOI: 10.1111/nmo.13371] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/13/2017] [Accepted: 04/09/2018] [Indexed: 12/13/2022]
Abstract
BACKGROUND Primary chronic intestinal pseudo-obstruction (CIPO) is a rare, potentially life-threatening disorder characterized by severely impaired gastrointestinal motility. The objective of this study was to examine the contribution of ACTG2, LMOD1, MYH11, and MYLK mutations in an Australasian cohort of patients with a diagnosis of primary CIPO associated with visceral myopathy. METHODS Pediatric and adult patients with primary CIPO and suspected visceral myopathy were recruited from across Australia and New Zealand. Sanger sequencing of the genes encoding enteric gamma-actin (ACTG2) and smooth muscle leiomodin (LMOD1) was performed on DNA from patients, and their relatives, where available. MYH11 and MYLK were screened by next-generation sequencing. KEY RESULTS We identified heterozygous missense variants in ACTG2 in 7 of 17 families (~41%) diagnosed with CIPO and its associated conditions. We also identified a previously unpublished missense mutation (c.443C>T, p.Arg148Leu) in one family. One case presented with megacystis-microcolon-intestinal hypoperistalsis syndrome in utero with subsequent termination of pregnancy at 28 weeks' gestation. All of the substitutions identified occurred at arginine residues. No likely pathogenic variants in LMOD1, MYH11, or MYLK were identified within our cohort. CONCLUSIONS AND INFERENCES ACTG2 mutations represent a significant underlying cause of primary CIPO with visceral myopathy and associated phenotypes in Australasian patients. Thus, ACTG2 sequencing should be considered in cases presenting with hypoperistalsis phenotypes with suspected visceral myopathy. It is likely that variants in other genes encoding enteric smooth muscle contractile proteins will contribute further to the genetic heterogeneity of hypoperistalsis phenotypes.
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Affiliation(s)
- G Ravenscroft
- Harry Perkins Institute of Medical Research, University of Western Australia, Nedlands, WA, Australia
| | - S Pannell
- Harry Perkins Institute of Medical Research, University of Western Australia, Nedlands, WA, Australia
| | - G O'Grady
- Department of Surgery, University of Auckland, Auckland, New Zealand
| | - R Ong
- Harry Perkins Institute of Medical Research, University of Western Australia, Nedlands, WA, Australia
| | - H C Ee
- Department of Gastroenterology, Sir Charles Gairdner Hospital, Nedlands, WA, Australia
| | - F Faiz
- PathWest Diagnostic Genomics, QE II Medical Centre, Nedlands, WA, Australia
| | - L Marns
- PathWest Diagnostic Genomics, QE II Medical Centre, Nedlands, WA, Australia
| | - H Goel
- Hunter Genetics, Waratah, NSW, Australia
| | - P Kumarasinghe
- Faculty of Medicine and Health Sciences, University of Western Australia, Nedlands, WA, Australia
| | - E Sollis
- Harry Perkins Institute of Medical Research, University of Western Australia, Nedlands, WA, Australia
| | - P Sivadorai
- PathWest Diagnostic Genomics, QE II Medical Centre, Nedlands, WA, Australia
| | - M Wilson
- Department of Clinical Genetics, Children's Hospital at Westmead, Sydney, NSW, Australia
| | - A Magoffin
- Department of Gastroenterology, The Children's Hospital at Westmead, Westmead, NSW, Australia
| | - S Nightingale
- Paediatric Gastroenterology, John Hunter Children's Hospital, Newcastle, NSW, Australia
| | - M-L Freckmann
- ACT Genetics, The Canberra Hospital, Woden, ACT, Australia
| | - E P Kirk
- Centre for Clinical Genetics, Sydney Children's Hospital, Randwick, NSW, Australia
| | - R Sachdev
- Centre for Clinical Genetics, Sydney Children's Hospital, Randwick, NSW, Australia
| | - D A Lemberg
- Department of Paediatric Gastroenterology, Sydney Children's Hospital, Women's and Children's Health, University of New South Wales, Randwick, NSW, Australia
| | - M B Delatycki
- Victorian Clinical Genetics Services, Murdoch Children's Research Institute, Department of Paediatrics, University of Melbourne, Melbourne, Vic., Australia
| | - M A Kamm
- Department of Gastroenterology, St Vincent's Hospital and University of Melbourne, Melbourne, Vic., Australia
| | - C Basnayake
- Department of Gastroenterology, St Vincent's Hospital and University of Melbourne, Melbourne, Vic., Australia
| | - P J Lamont
- Harry Perkins Institute of Medical Research, University of Western Australia, Nedlands, WA, Australia
| | - D J Amor
- Murdoch Children's Research Institute, Department of Paediatrics, University of Melbourne, Melbourne, Vic., Australia
| | - K Jones
- Faculty of Medicine and Health Sciences, University of Western Australia, Nedlands, WA, Australia
| | - J Schilperoort
- Faculty of Medicine and Health Sciences, University of Western Australia, Nedlands, WA, Australia
| | - M R Davis
- PathWest Diagnostic Genomics, QE II Medical Centre, Nedlands, WA, Australia
| | - N G Laing
- Harry Perkins Institute of Medical Research, University of Western Australia, Nedlands, WA, Australia.,PathWest Diagnostic Genomics, QE II Medical Centre, Nedlands, WA, Australia
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Elghazouani F, Aarab C, Faiz F, Midaoui A, Barrimi M, Elrhazi K, Berraho A, Belahssen MF, Rammouz I, Aalouane R. [Psychiatric disorders and associated factors in patients with epilepsy in Fez, Morocco]. Encephale 2015; 41:493-8. [PMID: 26548617 DOI: 10.1016/j.encep.2013.06.004] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/10/2013] [Accepted: 06/13/2013] [Indexed: 10/22/2022]
Abstract
BACKGROUND The prevalence of psychiatric disorders in epileptic patients remains unclear. OBJECTIVE This study was conducted in order to determine the prevalence and nature of the psychiatric disorders and the associated factors in patients with idiopathic epilepsy. METHODS A cross-sectional study was conducted over a period of eighteen months in the psychiatric unit of the University Hospital Hassan II of Fez (Morocco). A questionnaire was completed by the included patients, which specified: the socio-demographic data, personal and family history, and the clinical features of epilepsy and its management. Psychiatric disorders were identified by the Mini International Neuropsychiatric Interview test (MINI). The severity of the depression and anxiety symptoms was investigated using the Beck Depression Inventory (BDI) and the Hamilton Rating Scale. RESULTS Eighty-nine patients met the inclusion criteria. The average age of patients was 29.7±10.8years. Mood disorders were the leading psychiatric comorbidity: 32.6% among which 25.8% of major depressive episodes, 15.7% of dysthymia and 2.2% of hypomanic episodes. Anxiety disorders came second: 28.1% (among which 19.1% panic disorder, 13.5% agoraphobia, 12.4% generalized anxiety disorder, 10.1% social phobia and 4.5% post-traumatic stress disorder). Female gender, unemployment and poor compliance to antiepileptic drugs are all risk factors for the occurrence of psychiatric disorders in this population.
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Affiliation(s)
- F Elghazouani
- Service de psychiatrie, faculté de médecine et de pharmacie de Fès, université sidi Mohamed Ben Abdellah, hôpital Ibn Alhassan, CHU Hassan II, BP 30000, Ain Kadouss Fès, Maroc.
| | - C Aarab
- Service de psychiatrie, faculté de médecine et de pharmacie de Fès, université sidi Mohamed Ben Abdellah, hôpital Ibn Alhassan, CHU Hassan II, BP 30000, Ain Kadouss Fès, Maroc
| | - F Faiz
- Service de neurologie, faculté de médecine et de pharmacie de Fès, université sidi Mohamed Ben Abdellah, CHU Hassan II, Fès, Maroc
| | - A Midaoui
- Service de neurologie, faculté de médecine et de pharmacie de Fès, université sidi Mohamed Ben Abdellah, CHU Hassan II, Fès, Maroc
| | - M Barrimi
- Service de psychiatrie, faculté de médecine et de pharmacie de Fès, université sidi Mohamed Ben Abdellah, hôpital Ibn Alhassan, CHU Hassan II, BP 30000, Ain Kadouss Fès, Maroc
| | - K Elrhazi
- Laboratoire d'épidémiologie et de recherche clinique, faculté de médecine et de pharmacie de Fès, université sidi Mohamed Ben Abdellah, Fès, Maroc
| | - A Berraho
- Laboratoire d'épidémiologie et de recherche clinique, faculté de médecine et de pharmacie de Fès, université sidi Mohamed Ben Abdellah, Fès, Maroc
| | - M F Belahssen
- Service de neurologie, faculté de médecine et de pharmacie de Fès, université sidi Mohamed Ben Abdellah, CHU Hassan II, Fès, Maroc
| | - I Rammouz
- Service de psychiatrie, faculté de médecine et de pharmacie de Fès, université sidi Mohamed Ben Abdellah, hôpital Ibn Alhassan, CHU Hassan II, BP 30000, Ain Kadouss Fès, Maroc
| | - R Aalouane
- Service de psychiatrie, faculté de médecine et de pharmacie de Fès, université sidi Mohamed Ben Abdellah, hôpital Ibn Alhassan, CHU Hassan II, BP 30000, Ain Kadouss Fès, Maroc
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Cabrera-Serrano M, Fabian VA, Boutilier J, Wise C, Faiz F, Lamont PJ, Laing NG. Adult onset distal and proximal myopathy with complete ophthalmoplegia associated with a novel de novo p.(Leu1877Pro) mutation in MYH2. Clin Genet 2015; 88:573-8. [PMID: 25529940 DOI: 10.1111/cge.12552] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/14/2014] [Revised: 11/19/2014] [Accepted: 12/10/2014] [Indexed: 11/29/2022]
Abstract
An MYH2 mutation p.(Glu706Lys) was originally described in a family with autosomal dominant inheritance, where the affected family members presented with multiple congenital contractures and ophthalmoplegia, progressing to a proximal myopathy in adulthood. Another patient with a dominant mutation p.(Leu1870Pro) was described, presenting as a congenital myopathy with ophthalmoplegia. Here, we present a patient with symptoms beginning at age 16 years, of prominent distal but also proximal weakness, bulbar involvement and ophthalmoplegia. Initially, clinically classified as oculopharyngodistal myopathy, the patient was found to carry a novel, de novo MYH2 mutation c.5630T>C p.(Leu1877Pro). This expands the phenotype of dominant MYH2 myopathies with the clinical phenotype overlapping the oculopharyngodistal myopathy spectrum.
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Affiliation(s)
- M Cabrera-Serrano
- Centre for Medical Research, University of Western Australia, Harry Perkins Institute of Medical Research, Perth, Western Australia, Australia.,Instituto de Biomedicina de Sevilla, Hospital Universitario Virgen del Rocío/CSIC/Universidad de Sevilla, Seville, Spain
| | - V A Fabian
- Section of Neuropathology, Department of Anatomical Pathology, Royal Perth Hospital, Perth, Western Australia, Australia
| | - J Boutilier
- Centre for Medical Research, University of Western Australia, Harry Perkins Institute of Medical Research, Perth, Western Australia, Australia
| | - C Wise
- Department of Diagnostic Genomics, Pathwest Laboratory Medicine WA, Perth, Western Australia, Australia
| | - F Faiz
- Department of Diagnostic Genomics, Pathwest Laboratory Medicine WA, Perth, Western Australia, Australia
| | - P J Lamont
- Neurogenetic Unit, Department of Neurology, Royal Perth Hospital, Perth, Western Australia, Australia
| | - N G Laing
- Centre for Medical Research, University of Western Australia, Harry Perkins Institute of Medical Research, Perth, Western Australia, Australia
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Hamilton-Craig I, van Bockxmeer F, Faiz F. WENDS-FH Morocco: The Wendish Emigration National Detection Study of FH Morocco in Familial Hypercholesterolaemia: Results of Cascade Family Screening. Heart Lung Circ 2013. [DOI: 10.1016/j.hlc.2013.05.557] [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: 10/26/2022]
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Raposo N, Faiz F, Albucher JF, Dugert E, Bonneville F, Meliani P, Chollet F. [Iatrogenic venous cerebral air embolism without pulmonary manifestation: A retrograde mechanism?]. Rev Neurol (Paris) 2010; 167:615-8. [PMID: 21190704 DOI: 10.1016/j.neurol.2010.10.004] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/08/2010] [Revised: 08/16/2010] [Accepted: 10/15/2010] [Indexed: 11/16/2022]
Abstract
INTRODUCTION Air embolism is a rare complication of various invasive medical procedures. Venous cerebral air embolism is usually the consequence of paradoxical embolism. We report a case of isolated cerebral air embolism resulting from a non-paradoxical mechanism. CASE REPORT A few minutes after his central venous catheter had been accidentally disconnected, a 63-year-old man developed left-sided rhythmic jerking movements followed by left hemiplegia. There were no associated cardiologic or pulmonary signs. Brain CT showed air bubbles in the right frontal cortical sulci. The brain MRI DWI and FLAIR sequences showed a high intensity right frontal cortical lesion without reduction in ADC. Transesophageal echocardiogram did not find a patent foramen ovale. CONCLUSIONS In this case of venous cerebral air embolism, the lack of any cardiopulmonary manifestation, the lack of a patent foramen ovale and the neuroradiological findings are not in favor of the hypothesis of paradoxical embolism. The hypothesis of retrograde venous cerebral air embolism is discussed.
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Affiliation(s)
- N Raposo
- Service de neurologie vasculaire, hôpital Purpan, pavillon Riser, CHU de Toulouse, 31059 Toulouse cedex 3, France.
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Faiz F, Kamaoui I, El midaoui A, Souirti Z, El machkour M, Rhissassi M, Messouak O, Faouzi M. Etiologie particuliere de l’encephalite limbique : la neurosyphilis (a propos de deux cas). African Journal of Neurological Sciences 2010. [DOI: 10.4314/ajns.v28i1.55146] [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: 11/17/2022]
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Souirti Z, Elyoubi R, El Yazami O, Faiz F, Midaoui A, Messouak O, Belahsen F. G - 63 Accident vasculaire cérébral révélant une artérite de Takayasu. Rev Neurol (Paris) 2007. [DOI: 10.1016/s0035-3787(07)90569-x] [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: 11/30/2022]
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El Yazami O, El Midaoui A, Elyoubi R, Souirti Z, Faiz F, Messouak O, Belahsen M. O - 9 Hypertrophie hemicorporelle associée à une malformation d’Arnold Chiari sans syringomyélie. Rev Neurol (Paris) 2007. [DOI: 10.1016/s0035-3787(07)90725-0] [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: 10/28/2022]
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Faiz F, El Yazami O, Souirti Z, El Midaoui A, El Youbi R, Messouak O, Belahsen F. O - 10 Hémianhidrose révélatrice d’une malformation de la charnière cervico-occipitale avec syringomyélie. Rev Neurol (Paris) 2007. [DOI: 10.1016/s0035-3787(07)90726-2] [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: 10/28/2022]
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Faiz F, Elneklawy AS. The additivity Rules of Free Energy for Alkaline Metal Ions on Kaolinite. Z PHYS CHEM 1986. [DOI: 10.1515/zpch-1986-267100] [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]
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