1
|
Hajji EB, Traore B, Hassoune S, Khoubila A, Bellakhdar S, Rafai MA, Lakhdar A. Prevalence and associated factors of psychiatric comorbidities in epilepsy in the Casablanca-Settat region of Morocco: A cross-sectional study. Epilepsia Open 2024. [PMID: 38738817 DOI: 10.1002/epi4.12958] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/19/2023] [Revised: 03/29/2024] [Accepted: 04/28/2024] [Indexed: 05/14/2024] Open
Abstract
OBJECTIVE To determine the estimated prevalence of anxiety, depression, and anxiety-depression syndrome (ADS) and to identify the associated factors in Moroccan people with epilepsy (PWE). METHOD A cross-sectional study was conducted among adult PWE (June 2021-December 2022) in the Casablanca-Settat region. PWE were interviewed by completing a questionnaire collecting sociodemographic and clinical data. Anxiety and depression were assessed by the Hospital Anxiety and Depression Scale (HADS). Out of 21 points, a score ≥8 is in favor of considerable anxiety/depression symptoms and a sum of the two scores ≥15 indicates the presence of ADS. Data were analyzed using Statistical Package for Social Sciences (SPSS) 21.0. p-values ≤0.05 were considered statistically significant and logistic regression was performed to determine the associated factors. RESULTS Among 294 PWE, the median age was 39 years (interquartile range [IQR]: 25.75-54.00). The median anxiety, depression, and ADS scores were 8 (IQR: 5.00-10.00), 7 (IQR: 4.00-10.00), and 15 (IQR: 10.00-20.00), respectively. Anxiety, depression, and ADS were revealed in 51.4%, 44.9%, and 51.0% of PWE, respectively. Depression was the only predictor for anxiety (aOR = 24.20; 95%CI: 12.45-47.01). Antiseizure polytherapy (aOR = 3.35; 95%CI: 1.72-6.54) and anxiety (aOR = 24.04; 95%CI: 12.12-47.67) were the factors associated with depression. The risk of ADS was increased by female gender (aOR = 2.83; 95%CI: 1.68-4.78), antiseizure polytherapy (aOR = 2.75; 95%CI: 1.62-4.65), structural epilepsy (aOR = 1.73; 95%CI: 1.01-2.94), and the presence of concomitant conditions with epilepsy (aOR = 1.96; 95%CI: 1.16-3.31). SIGNIFICANCE Our study reports high psychiatric comorbidity prevalence in epilepsy, which supports the bidirectional link hypothesis. Associated factors found are important in the prognosis and prevention. PLAIN LANGUAGE SUMMARY The neural mechanisms underlying epilepsy tend to expose PWE to psychiatric disorders. Our study aims to quantify the rate of psychiatric comorbidities and their predictive factors in Moroccan PWE. The estimated prevalences of significant symptoms of anxiety, depression, and ADS were 51.4%, 44.9%, and 51.0%, respectively. Depression was the predictor of anxiety. Antiseizure polymedication and anxiety were the associated factors with depression. The risk of SAD was increased by female gender, antiseizure polymedication, structural epilepsy, and concomitant diseases with epilepsy. Our results are important for considering the psychiatric aspect of PWE and improving their care and quality of life.
Collapse
Affiliation(s)
- El Bachir Hajji
- Laboratory of Research on Neurologic, Neurosensorial Diseases and Disability, Faculty of Medicine and Pharmacy, Hassan II University, Casablanca, Morocco
| | - Boubacar Traore
- Laboratory of Epidemiology, Faculty of Medicine and Pharmacy, Hassan II University, Casablanca, Morocco
- Direction de la Pharmacie et du Médicament (DPM), Bamako, Mali
| | - Samira Hassoune
- Laboratory of Epidemiology, Faculty of Medicine and Pharmacy, Hassan II University, Casablanca, Morocco
- Laboratory of Cellular and Molecular Pathology, Team "Epidemiology and Histology of Chronic and Cancerous Diseases", Faculty of Medicine and Pharmacy, Hassan II University, Casablanca, Morocco
| | - Adil Khoubila
- Clinical Neurosciences and Mental Health Research Laboratory, University Hassan II, Casablanca, Morocco
- University Psychiatric Centre, University Hospital Ibn Rochd, Casablanca, Morocco
| | - Salma Bellakhdar
- Laboratory of Research on Neurologic, Neurosensorial Diseases and Disability, Faculty of Medicine and Pharmacy, Hassan II University, Casablanca, Morocco
- Department of Neurology, IBN ROCHD University Hospital, Casablanca, Morocco
| | - Mohammed Abdoh Rafai
- Laboratory of Research on Neurologic, Neurosensorial Diseases and Disability, Faculty of Medicine and Pharmacy, Hassan II University, Casablanca, Morocco
- Department of Neurology, IBN ROCHD University Hospital, Casablanca, Morocco
| | - Abdelhakim Lakhdar
- Laboratory of Research on Neurologic, Neurosensorial Diseases and Disability, Faculty of Medicine and Pharmacy, Hassan II University, Casablanca, Morocco
- Department of Neurosurgery, IBN ROCHD University Hospital, Casablanca, Morocco
| |
Collapse
|
2
|
Hajji EB, Traore B, Hassoune S, Bellakhdar S, Rafai MA, Lakhdar A. Antiseizure medication adherence and epilepsy surgery attitude in people with epilepsy in Morocco: A cross-sectional study. Epilepsy Behav Rep 2024; 26:100672. [PMID: 38770278 PMCID: PMC11103368 DOI: 10.1016/j.ebr.2024.100672] [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] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/22/2024] [Revised: 05/06/2024] [Accepted: 05/06/2024] [Indexed: 05/22/2024] Open
Abstract
We determine the proportion of non-Antiseizure Medication Adherence (non-AMA) and refusal attitude towards Epilepsy Surgery (ES) and their associated factors in Moroccan People With Epilepsy (PWE). A cross-sectional study was conducted (December 2021-December 2022) among adult Moroccan PWE. PWE were interviewed for their reactions to AMA and the ES attitude. Their medical files were processed to complete their sociodemographic and clinical data. Data were analyzed by the Statistical Package for Social Sciences (SPSS) software 21.0. A Chi-square test was performed to compare variables and multivariate logistic regression was used to highlight associations. Statistical tests were considered significant at a p-value ≤ 0.05 for a Confidence Interval (CI) of 95 %. The median age of our sample (n = 294) was 38 years (IQR: 25.00-55.00). Non-AMA was noted in 24.5 % with indifference as the main reason (55.6 %). ES refusal was found in 33.3 %, attributed mostly to apprehension (61.2 %). In the multivariate analysis, male sex (aOR = 1.94; 95 %CI: 1.03-3.64) and the existence of a family history of epilepsy (aOR = 1.96; 95 %CI: 1.02-3.75) were the factors associated with the non-AMA, whereas the use of allopathic treatments (aOR = 2.32; 95 %CI: 1.20-4.51), exclusively focal or generalized (not combined) seizures (aOR = 2.66; 95 %CI: 1.36-5.21) and the combination of a generic with the originator ASM (aOR = 2.64; 95 %CI: 1.12-6.18) were the predictive factors with the ES refusal attitude. The proportions found of non-AMA and ES refusal were relatively low compared to other studies, which may indicate the effort that medical staff have devoted recently to raising awareness of the importance of PWE's therapeutic involvement.
Collapse
Affiliation(s)
- El Bachir Hajji
- Laboratory of Research on Neurologic, Neurosensorial Diseases and Disability, Faculty of Medicine and Pharmacy, Hassan II University, Casablanca, Morocco
| | - Boubacar Traore
- Laboratory of Epidemiology, Faculty of Medicine and Pharmacy, Hassan II University, Casablanca, Morocco
- Direction de la Pharmacie et du Médicament (DPM), Bamako, Mali
| | - Samira Hassoune
- Laboratory of Epidemiology, Faculty of Medicine and Pharmacy, Hassan II University, Casablanca, Morocco
- Laboratory of Cellular and Molecular Pathology, Team “Epidemiology and Histology of Chronic and Cancerous Diseases”, Faculty of Medicine and Pharmacy, Hassan II University, Casablanca, Morocco
| | - Salma Bellakhdar
- Laboratory of Research on Neurologic, Neurosensorial Diseases and Disability, Faculty of Medicine and Pharmacy, Hassan II University, Casablanca, Morocco
- Department of Neurology, IBN ROCHD University Hospital, Casablanca, Morocco
| | - Mohammed Abdoh Rafai
- Laboratory of Research on Neurologic, Neurosensorial Diseases and Disability, Faculty of Medicine and Pharmacy, Hassan II University, Casablanca, Morocco
- Department of Neurology, IBN ROCHD University Hospital, Casablanca, Morocco
| | - Abdelhakim Lakhdar
- Laboratory of Research on Neurologic, Neurosensorial Diseases and Disability, Faculty of Medicine and Pharmacy, Hassan II University, Casablanca, Morocco
- Department of Neurosurgery, IBN ROCHD University Hospital, Casablanca, Morocco
| |
Collapse
|
3
|
Haouas MY, Daite N, Aadoud K, Hilmani S, Ibahioin K, Lakhdar A. En bloc vertebrectomy: A radical technique for spinal metastases but rarely used. Int J Surg Case Rep 2024; 118:109581. [PMID: 38555832 PMCID: PMC10987317 DOI: 10.1016/j.ijscr.2024.109581] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/02/2024] [Revised: 03/21/2024] [Accepted: 03/23/2024] [Indexed: 04/02/2024] Open
Abstract
INTRODUCTION AND IMPORTANCE Total vertebrectomy En bloc by posterior approach is proposed for primary or secondary single-site malignant tumors of the spine to reduce local recurrence and increase patient survival. This type of surgery is gaining increasing recognition. However, it requires a high level of technical skill and knowledge of the anatomy, physiology and biomechanics of the spine. CASE PRESENTATION We present here a case of a patient with a single thoracic metastasis with neurological deficit treated by total vertebrectomy via the posterior approach, using a cage and pedicle screws in situ. DISCUSSION This surgery is technically demanding, and patient selection therefore requires careful preoperative evaluation. CONCLUSION The reproducibility of the En bloc vertebrectomy method documented in the literature is demonstrated and supported by our case.
Collapse
Affiliation(s)
- Mohammed Yassine Haouas
- Department of Neurosurgery University Hospital Center IBN Rochd Casablanca, Morocco; Laboratory of Research on Neurologic, Neurosensorial Diseases and Disability, Faculty of MEDECINE, Hassan II University, Casablanca, Morocco.
| | - Nassima Daite
- Department of Neurosurgery University Hospital Center IBN Rochd Casablanca, Morocco
| | - Khalid Aadoud
- Department of Neurosurgery University Hospital Center IBN Rochd Casablanca, Morocco
| | - Said Hilmani
- Department of Neurosurgery University Hospital Center IBN Rochd Casablanca, Morocco; Laboratory of Research on Neurologic, Neurosensorial Diseases and Disability, Faculty of MEDECINE, Hassan II University, Casablanca, Morocco
| | - Khadija Ibahioin
- Department of Neurosurgery University Hospital Center IBN Rochd Casablanca, Morocco; Laboratory of Research on Neurologic, Neurosensorial Diseases and Disability, Faculty of MEDECINE, Hassan II University, Casablanca, Morocco
| | - Abdelhakim Lakhdar
- Department of Neurosurgery University Hospital Center IBN Rochd Casablanca, Morocco; Laboratory of Research on Neurologic, Neurosensorial Diseases and Disability, Faculty of MEDECINE, Hassan II University, Casablanca, Morocco
| |
Collapse
|
4
|
Haouas MY, Elkhamouye A, Aadoud K, Hilmani S, Ibahioin K, Lakhdar A. Scoliosis secondary to neglected Hemivertebra: A case report. Int J Surg Case Rep 2024; 119:109725. [PMID: 38728965 PMCID: PMC11101884 DOI: 10.1016/j.ijscr.2024.109725] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/03/2024] [Revised: 04/25/2024] [Accepted: 04/29/2024] [Indexed: 05/12/2024] Open
Abstract
INTRODUCTION AND IMPORTANCE A hemivertebra is a congenital anomaly of the spine characterized by an incomplete vertebra resulting from a failure in the formation of the vertebral body. The significance of this article lies in the fact that early diagnosis of hemivertebra allows for personalized surgical treatment, which can enhance outcomes and prevent the development of spinal deformities and associated complications. CASE PRESENTATION We report on the case of a 17-year-old girl with scoliosis secondary to lumbar hemivertebra, where surgical management was very late due to parental negligence, which delayed diagnosis. DISCUSSION Multiple surgical procedures are currently used for hemivertebra excision. The approaches available can be globally anteroposterior or posterior alone. Late treatment of this type of deformity requires longer fusion, with a high risk of neurological complications. Early surgical intervention is therefore indicated to correct local deformities. Early correction of primary deformities helps avoid secondary changes. CONCLUSION Hemivertebrae represent an interesting group of congenital anomalies. Their presence can potentially disrupt the normal curvature of the spine. Antenatal ultrasound screening enables early diagnosis of congenital malformations. Early diagnosis of a hemivertebra allows early surgical management that is less aggressive than when the diagnosis is made late, during growth.
Collapse
Affiliation(s)
- Mohammed Yassine Haouas
- Departement of Neurosurgery, University Hospital Center Ibn Rochd Casablanca, Morocco; Laboratory of Research on Neurologic, Neurosensorial Diseases and Disability, Faculty of Medicine, HASSAN II University, Casablanca, Morocco.
| | - Amine Elkhamouye
- Departement of Neurosurgery, University Hospital Center Ibn Rochd Casablanca, Morocco
| | - Khalid Aadoud
- Departement of Neurosurgery, University Hospital Center Ibn Rochd Casablanca, Morocco
| | - Said Hilmani
- Departement of Neurosurgery, University Hospital Center Ibn Rochd Casablanca, Morocco; Laboratory of Research on Neurologic, Neurosensorial Diseases and Disability, Faculty of Medicine, HASSAN II University, Casablanca, Morocco
| | - Khadija Ibahioin
- Departement of Neurosurgery, University Hospital Center Ibn Rochd Casablanca, Morocco; Laboratory of Research on Neurologic, Neurosensorial Diseases and Disability, Faculty of Medicine, HASSAN II University, Casablanca, Morocco
| | - Abdelhakim Lakhdar
- Departement of Neurosurgery, University Hospital Center Ibn Rochd Casablanca, Morocco; Laboratory of Research on Neurologic, Neurosensorial Diseases and Disability, Faculty of Medicine, HASSAN II University, Casablanca, Morocco
| |
Collapse
|
5
|
Daghi M, Lakhdar A, El Otmani H. Deep brain stimulation for movement disorders treatment in Africa: The current status, outcomes, and challenges. Clin Neurol Neurosurg 2024; 236:108113. [PMID: 38232609 DOI: 10.1016/j.clineuro.2023.108113] [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] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/04/2023] [Revised: 12/29/2023] [Accepted: 12/31/2023] [Indexed: 01/19/2024]
Abstract
Movement disorders (MDs), a diverse group of neurological conditions characterized by abnormal and involuntary movements, have a profound impact on individuals, families, and healthcare systems. Deep Brain Stimulation (DBS) has emerged as a promising therapeutic intervention, offering relief from symptoms and improved quality of life. By implanting electrodes in specific brain regions and connecting them to a pulse generator, DBS modulates aberrant neural activity underlying these disorders. While DBS has gained recognition globally, its utilization in African countries remains limited. This comprehensive article presents the results of a literature review on the status of DBS therapy for MDs in Africa. The review assesses treatment outcomes, patient demographics, and challenges tied to implementing DBS in the African context. The findings reveal promising developments in DBS therapy across several African countries, particularly in treating Parkinson's disease and dystonia. However, challenges related to awareness, access to specialized care, and a scarcity of expertise still impede broader adoption. The article underscores the urgent need for collaborative efforts, policy changes, and increased training to expand the reach of DBS therapy, thus mitigating the burden of MDs on the African continent.
Collapse
Affiliation(s)
- Mohamed Daghi
- Research Laboratory of Nervous System Diseases, Neurosensory Disorders & Disability, Faculty of Medicine and Pharmacy, Hassan II University of Casablanca, Morocco.
| | - Abdelhakim Lakhdar
- Research Laboratory of Nervous System Diseases, Neurosensory Disorders & Disability, Faculty of Medicine and Pharmacy, Hassan II University of Casablanca, Morocco; Neurosurgery Department, Ibn Rochd University Hospital Center, Casablanca, Morocco
| | - Hicham El Otmani
- Neurology Department, Ibn Rochd University Hospital Center, Casablanca, Morocco; Laboratory of Genetics and Molecular Pathology, Faculty of Medicine and Pharmacy, Hassan II University of Casablanca, Morocco
| |
Collapse
|
6
|
Bachir Hajji E, Traore B, Hassoune S, Bellakhdar S, El Imane Issam Salah N, Abdoh Rafai M, Lakhdar A. Knowledge, attitudes and practices towards epilepsy in morocco: A cross-sectional study. Epilepsy Behav 2024; 150:109567. [PMID: 38096661 DOI: 10.1016/j.yebeh.2023.109567] [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] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/21/2023] [Revised: 11/01/2023] [Accepted: 11/26/2023] [Indexed: 01/14/2024]
Abstract
BACKGROUND This study aims to assess knowledge, practices and attitudes of the general Moroccan population towards epilepsy and to highlight predictive factors. METHOD A cross-sectional study was conducted in the Casablanca-Settat Moroccan region. A questionnaire was used to collect sociodemographic data and item answers from 400 people with epilepsy (PWE) and without epilepsy caregivers on dependent variables: knowledge, attitudes, and practices towards epilepsy. Bivariate and logistic regression analyses were performed using IBM SPSS Statistics 21.0. Statistical significance was set when P value < 0.05. RESULTS The rates of poor knowledge, practices, and attitudes toward epilepsy were 11.5 %, 41 %, and 66.6 %, respectively. In the multivariate analysis, the risk of having poor knowledge about epilepsy was favored by lack of education (ORa = 4.31;CI95%:1.83-10.13;p = 0.001) and the absence of familiarity with epilepsy (ORa = 4.05;CI95%:1.92-8.54;p < 0.001). The risk of preferring allopathic practices to treat epilepsy was associated with lack of education (ORa = 2.21;CI95%:1.01-4.82;p = 0.046), residence in a city outside Casablanca (ORa = 2.33;CI95%:1.06-5.15;p = 0.035), age over 59 years (ORa = 2.50;CI95%:1.26-4.95; p = 0.008), residence in a rural areas (ORa = 4.41;CI95%:2.61-7.47;p < 0.001) and absence of familiarity with epilepsy (ORa = 4.08;CI95%:2.33-7.15;p < 0.001). Predictors of stigma towards epilepsy were female sex (ORa = 3.05;CI95%:2.04-4.56;p < 0.001) and the tendency to abandon anti-seizure medication for allopathic alternatives (ORa = 3.98;CI95%:2.21-7.17;p < 0.001), whereas advanced age was a protective factor (ORa = 0.57;CI95%:0.36-0.89;p = 0.014[39-59 years vs 18-29 years];ORa = 0.44;CI95%:0.23-0.82;p = 0.011[>59 years vs 18-29 years]). CONCLUSIONS The rate of poor attitudes and treatment-seeking behavior was high. This socio-cultural context certainly impacts the quality of life and care of Moroccan PWE. These results should be considered to raise awareness in the Moroccan population.
Collapse
Affiliation(s)
- El Bachir Hajji
- Laboratory of Research on Neurologic, Neurosensorial Diseases and Disability, Faculty of Medicine and Pharmacy, Hassan II University, Casablanca, Morocco.
| | - Boubacar Traore
- Laboratory of Epidemiology, Faculty of Medicine and Pharmacy, Hassan II University, Casablanca, Morocco
| | - Samira Hassoune
- Laboratory of Epidemiology, Faculty of Medicine and Pharmacy, Hassan II University, Casablanca, Morocco
| | - Salma Bellakhdar
- Laboratory of Research on Neurologic, Neurosensorial Diseases and Disability, Faculty of Medicine and Pharmacy, Hassan II University, Casablanca, Morocco; Department of Neurology, IBN ROCHD University Hospital, Casablanca, Morocco
| | - Nour El Imane Issam Salah
- Laboratory of Research on Neurologic, Neurosensorial Diseases and Disability, Faculty of Medicine and Pharmacy, Hassan II University, Casablanca, Morocco
| | - Mohammed Abdoh Rafai
- Laboratory of Research on Neurologic, Neurosensorial Diseases and Disability, Faculty of Medicine and Pharmacy, Hassan II University, Casablanca, Morocco; Department of Neurology, IBN ROCHD University Hospital, Casablanca, Morocco
| | - Abdelhakim Lakhdar
- Laboratory of Research on Neurologic, Neurosensorial Diseases and Disability, Faculty of Medicine and Pharmacy, Hassan II University, Casablanca, Morocco; Department of Neurosurgery, IBN ROCHD University Hospital, Casablanca, Morocco
| |
Collapse
|
7
|
Haouas MY, Lahlou S, Amry C, Jehri A, Ibahioin K, Lakhdar A. Bilateral symmetrical extradural hematoma in an older person: A case report. Int J Surg Case Rep 2023; 113:109020. [PMID: 37976718 PMCID: PMC10685045 DOI: 10.1016/j.ijscr.2023.109020] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/14/2023] [Revised: 10/30/2023] [Accepted: 11/03/2023] [Indexed: 11/19/2023] Open
Abstract
INTRODUCTION AND IMPORTANCE The occurrence of bilateral extradural hematomas (EDH) is a rare consequence of craniocerebral trauma, and acute symmetrical bilateral epidural hematomas are extremely rare even more so in elderly subjects. PRESENTATION OF THE CASE We report the case of an 82-year-old patient who had fallen down a flight of stairs. Scalp examination was consistent with a bi-parietal subgaleal hematoma. Clinically, he was confused with a glascow score of 13/15. His brain scan showed bilateral and symmetrical parietal EDH with simple fractures of both parietal bones. The patient underwent a two-stage evacuation of the extra-dural hematomas. CLINICAL DISCUSSION The management of bilateral EDH cases requires careful planning, adequate exposure, judicious surgical approach and time management for good results. CONCLUSION To our knowledge, no case of bilateral hematoma in an elderly subject has been reported in the literature.
Collapse
Affiliation(s)
- Mohammed Yassine Haouas
- Departement of Neurosurgery University Hospital Center Ibn Rochd Casablanca, Morocco; Laboratory of Research on Neurologic, Neurosensorial Diseases and Disability, Faculty of Medecine, HASSAN II University, Casablanca, Morocco.
| | - Salma Lahlou
- Departement of Neurosurgery University Hospital Center Ibn Rochd Casablanca, Morocco
| | - Chaimaa Amry
- Departement of Neurosurgery University Hospital Center Ibn Rochd Casablanca, Morocco
| | - Abdelhamid Jehri
- Departement of Neurosurgery University Hospital Center Ibn Rochd Casablanca, Morocco
| | - Khadija Ibahioin
- Departement of Neurosurgery University Hospital Center Ibn Rochd Casablanca, Morocco; Laboratory of Research on Neurologic, Neurosensorial Diseases and Disability, Faculty of Medecine, HASSAN II University, Casablanca, Morocco
| | - Abdelhakim Lakhdar
- Departement of Neurosurgery University Hospital Center Ibn Rochd Casablanca, Morocco; Laboratory of Research on Neurologic, Neurosensorial Diseases and Disability, Faculty of Medecine, HASSAN II University, Casablanca, Morocco
| |
Collapse
|
8
|
Souirti Z, Hmidani M, Lamkadddem A, Khabbach K, Belakhdar S, Charkani D, Mhandez Tlemcani D, Lahmadi N, El Akramine M, Erriouiche S, Berrada A, Ahniba A, Omari M, El Fakir S, Tachfouti N, Rafai MA, Chahid I, Meriam B, Jilla M, Ghaname A, Benmansour Y, Filali Zegzouti Y, Kissani N, Lakhdar A, Belfkih R, Aggouri M, Ouazzani R, Chahidi A, Janati Idrissi A. Prevalence of epilepsy in Morocco: A population-based study. Epilepsia Open 2023; 8:1340-1349. [PMID: 37805672 PMCID: PMC10690708 DOI: 10.1002/epi4.12802] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/13/2023] [Accepted: 07/22/2023] [Indexed: 10/09/2023] Open
Abstract
OBJECTIVE In Morocco, there was a lack of data related to the epidemiology of epilepsy. This data serves as a useful basis for the development of any national intervention or action program against epilepsy in Morocco. Through this study, we aimed to estimate the active and lifetime prevalence of epilepsy in Morocco. METHODS We collected data from eight out of 12 Moroccan regions in two steps: In the screening step, we first used a nationwide telephone diagnosis questionnaire and in the second stage, a team of physicians under the direction of an epileptologist conducted a confirmative survey for suspected cases. We fixed the confidence interval at α = 5% and the precision at 0.02. RESULTS Up to 3184 responded positively to our invitation to participate in this study and were able to answer the questions of the first diagnostic questionnaire. In the diagnostic phase, physicians in neurology reinterviewed all 86 suspected cases using a confirmative diagnosis questionnaire, and 63 persons were confirmed as having lifetime epilepsy and 56 with active epilepsy. The mean age (Mean ± SD) of persons with epilepsy was 35.53 years (±21.36). The prevalence of lifetime and active epilepsy were 19.8 (19.6-20.0) and 17.6 (17.5-17.8) per 1000 (95% confidence interval), respectively. SIGNIFICANCE This is the first study to estimate the active and lifetime prevalence of epilepsy in Morocco according to the international recommendations of the ILAE. The prevalence of lifetime and active epilepsy were 19.8 (15-24.6) and 17.6 (13.3-22.8) per 1000, respectively. We included both children and elderly subjects. The rates of active and lifetime population epilepsy prevalence in Morocco ranged between Asian and sub-Saharan Africa low- and middle-income countries.
Collapse
Affiliation(s)
- Zouhayr Souirti
- Clinical Neurosciences Laboratory, Faculty of Medicine and PharmacySidi Mohamed Ben Abdellah UniversityFezMorocco
- Neurology CenterHassan II University Hospital in FezFezMorocco
| | - Mohammed Hmidani
- Clinical Neurosciences Laboratory, Faculty of Medicine and PharmacySidi Mohamed Ben Abdellah UniversityFezMorocco
| | - Abdelaziz Lamkadddem
- Clinical Neurosciences Laboratory, Faculty of Medicine and PharmacySidi Mohamed Ben Abdellah UniversityFezMorocco
| | - Kawtar Khabbach
- Mohamed VI Hospital Center, Faculty of Medicine and Pharmacy – TangierAbdelmalek Essaadi UniversityTangerMorocco
| | - Salma Belakhdar
- Ibn Rochd University Hospital Center, Faculty of Medicine and PharmacyHassan II University of CasablancaCasablancaMorocco
| | - Doae Charkani
- Outpatient Consultations CenterHassan II University Hospital in FezFezMorocco
| | | | - Nabila Lahmadi
- Neurology CenterHassan II University Hospital in FezFezMorocco
| | | | | | - Asmae Berrada
- Neurology CenterHassan II University Hospital in FezFezMorocco
| | - Asmae Ahniba
- Neurology CenterHassan II University Hospital in FezFezMorocco
| | - Mohammed Omari
- Clinical Research and Community Health Laboratory, Faculty of Medicine and Pharmacy, EpidemiologySidi Mohamed Ben Abdellah UniversityFezMorocco
| | - Samira El Fakir
- Clinical Research and Community Health Laboratory, Faculty of Medicine and Pharmacy, EpidemiologySidi Mohamed Ben Abdellah UniversityFezMorocco
| | - Nabil Tachfouti
- Clinical Research and Community Health Laboratory, Faculty of Medicine and Pharmacy, EpidemiologySidi Mohamed Ben Abdellah UniversityFezMorocco
| | - Mohammed Abdoh Rafai
- Department of Neurology and Clinical Neurophysiological Explorations, Faculty of Medicine and Pharmacy, Ibn Rochd HospitalHassan II University of CasablancaCasablancaMorocco
| | - Imane Chahid
- Department of Pediatric, Faculty of Medicine and Pharmacy, Centre Hospitalier Ibn RochdHassan II University of CasablancaCasablancaMorocco
| | - Bentahar Meriam
- Faculty of Medicine Laayoune, Hôpital Moulay Hassane Ben MehdiIbn Zouhr UniversityLaayouneMorocco
| | - Mariam Jilla
- Provincial Hospital CenterAbdelmalek Essaadi UniversityAl HoceimaMorocco
| | - Aayad Ghaname
- Department of Pediatrics, Faculty of Medicine and Pharmacy, Mohammed VI University HospitalMohammed I University OujdaOujdaMorocco
| | | | | | - Najib Kissani
- Department of Neurology, Marrakech Faculty of Medicine and PharmacyUniversity Hospital Mohamed VIMarrakechMorocco
| | - Abdelhakim Lakhdar
- Department of Neurosurgery, Faculty of Medicine and Pharmacy, Ibn Rochd HospitalHassan II University of CasablancaCasablancaMorocco
| | - Rachid Belfkih
- Mohammed VI Hospital Center, Department of Neurology, Faculty of Medicine and Pharmacy – TangierAbdelmalek Essaadi UniversityTangierMorocco
| | - Mohamed Aggouri
- Mohammed VI Hospital Center, Department of Neurology, Faculty of Medicine and Pharmacy – TangierAbdelmalek Essaadi UniversityTangierMorocco
| | - Reda Ouazzani
- Department of Clinical Neurophysiology, Faculty of Medicine and Pharmacy of Rabat, Avicenne HospitalMohammed V University of RabatRabatMorocco
| | - Abderrahmane Chahidi
- Clinical Neurosciences Laboratory, Faculty of Medicine and PharmacySidi Mohamed Ben Abdellah UniversityFezMorocco
| | - Abdelkrim Janati Idrissi
- Clinical Neurosciences Laboratory, Faculty of Medicine and PharmacySidi Mohamed Ben Abdellah UniversityFezMorocco
| |
Collapse
|
9
|
Haouas MY, Makhchoune M, Faham I, Jihri A, Lakhdar A. Pediatric CHANCE fracture treated by lumbar lacing technique: a case report. Ann Med Surg (Lond) 2023; 85:5629-5633. [PMID: 37915642 PMCID: PMC10617918 DOI: 10.1097/ms9.0000000000000565] [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] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/06/2023] [Accepted: 03/18/2023] [Indexed: 11/03/2023] Open
Abstract
This paper presents the case of an 7-year-old girl victim of a road accident. The neurological examination revealed a conscious patient without any sensory or motor deficit and she had intense lumbar pain. The lumbar computed tomography scan found a chance fracture at the level of L3. the patient was operated under general anaesthesia with a sublaminar lacing fixation of L2-L3 similar to the lacing of C1C2 in upper cervical trauma. The follow-up was good The control X-ray was satisfied with a complete reduction and restoration of the lumbar lordosis and the patient was discharged from the hospital on the fifth day following the intervention. this article shows that sublaminar lacing can be as effective as pedicle screw fixation, thus preserving bone growth.
Collapse
Affiliation(s)
| | - Marouane Makhchoune
- Neurosurgery Department, University Hospital Center IBN ROCHD, Casablanca, Morocco
| | | | | | | |
Collapse
|
10
|
El Otmani H, El Moutawakil B, Daghi M, Fadili O, Slassi I, El Azhari A, Essodegui F, Barrou L, Rafai MA, Lakhdar A. Deep Brain Stimulation for Dystonia: Experience of a Moroccan University Hospital. Pediatr Neurol 2023; 148:23-27. [PMID: 37651973 DOI: 10.1016/j.pediatrneurol.2023.08.002] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/20/2023] [Revised: 07/17/2023] [Accepted: 08/02/2023] [Indexed: 09/02/2023]
Abstract
BACKGROUND Deep brain stimulation (DBS) is a well-established procedure that provides long-term symptom control of the third most common movement disorder: dystonia. In this study, we aim to report the experience of Ibn Rochd University Hospital in the treatment of dystonia using DBS of the globus pallidus internus, which represents an exceptional challenge for a developing country such as Morocco. METHODS Since 2013, we selected five eligible candidates for DBS surgery at the university hospital Ibn Rochd. A genetic assessment had been performed in four cases. Their motor and mental states were prospectively monitored using several validated scales, including Burke-Fahn-Marsden Dystonia Rating Scale, Mini Mental State Examination, 36-Item Short Form Survey, and Zarit scale. RESULTS Our sample had two clinical phenotypes of dystonia: isolated dystonia (in two patients) and combined dystonia (in three patients). Patients were aged 14 to 32 years, and their mean onset age ranged from 7 to 13 years with a mean progression duration of 9 years. Our results indicate successful treatment of patients with dystonia using DBS. Scores from the Burke-Fahn-Marsden Dystonia Rating Scale confirm improvements ranging from 40% to 95%. However, some potentially surgery-related complications could occur such as lead infection, which, in our experience, was reported in one case. CONCLUSION The experience of the university hospital Ibn Rochd regarding the use of DBS in treating dystonia was largely positive. However, the procedure faces challenges due to its complexity, specifically concerning its multidisciplinary nature, its genetic test costs, and the reluctance of pediatricians to get involved.
Collapse
Affiliation(s)
- Hicham El Otmani
- Neurology Department, Ibn Rochd University Hospital Center, Casablanca, Morocco; Laboratory of Genetics and Molecular Pathology, Faculty of Medicine and Pharmacy, Hassan II University of Casablanca, Casablanca, Morocco.
| | - Bouchra El Moutawakil
- Neurology Department, Ibn Rochd University Hospital Center, Casablanca, Morocco; Laboratory of Genetics and Molecular Pathology, Faculty of Medicine and Pharmacy, Hassan II University of Casablanca, Casablanca, Morocco
| | - Mohamed Daghi
- Research Laboratory of Nervous System Diseases, Neurosensory Disorders & Disability, Faculty of Medicine and Pharmacy, Hassan II University of Casablanca, Casablanca, Morocco
| | - Omar Fadili
- Neurology Department, Ibn Rochd University Hospital Center, Casablanca, Morocco
| | - Ilham Slassi
- Neurology Department, Ibn Rochd University Hospital Center, Casablanca, Morocco
| | - Abdessamad El Azhari
- Neurosurgery Department, Ibn Rochd University Hospital Center, Casablanca, Morocco
| | - Fatiha Essodegui
- Radiology Department, Ibn Rochd University Hospital Center, Casablanca, Morocco
| | - Lahoucine Barrou
- Anesthesia and Critical Care Department, Ibn Rochd University Hospital Center, Casablanca, Morocco
| | - Mohammed Abdoh Rafai
- Neurology Department, Ibn Rochd University Hospital Center, Casablanca, Morocco; Research Laboratory of Nervous System Diseases, Neurosensory Disorders & Disability, Faculty of Medicine and Pharmacy, Hassan II University of Casablanca, Casablanca, Morocco
| | - Abdelhakim Lakhdar
- Research Laboratory of Nervous System Diseases, Neurosensory Disorders & Disability, Faculty of Medicine and Pharmacy, Hassan II University of Casablanca, Casablanca, Morocco; Neurosurgery Department, Ibn Rochd University Hospital Center, Casablanca, Morocco
| |
Collapse
|
11
|
El Otmani H, Daghi M, Tahiri Jouti N, Lakhdar A. Severe and Reversible Exacerbation of Primary Dystonia Associated With Hypothyroidism. J Clin Neurol 2023; 19:501-502. [PMID: 37635428 PMCID: PMC10471553 DOI: 10.3988/jcn.2023.0050] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/06/2023] [Revised: 05/09/2023] [Accepted: 06/19/2023] [Indexed: 08/29/2023] Open
Affiliation(s)
- Hicham El Otmani
- Department of Neurology, Ibn Rochd University Hospital Center, Casablanca, Morocco
- Laboratory of Genetics and Molecular Pathology, Faculty of Medicine and Pharmacy, Hassan II University of Casablanca, Casablanca, Morocco.
| | - Mohamed Daghi
- Research Laboratory of Nervous System Diseases, Neurosensory Disorders & Disability, Faculty of Medicine and Pharmacy, Hassan II University of Casablanca, Casablanca, Morocco
| | - Nadia Tahiri Jouti
- Laboratory of Cellular and Molecular Inflammatory, Degenerative and Oncologic Pathophysiology, Faculty of Medicine and Pharmacy, Hassan II University of Casablanca, Casablanca, Morocco
| | - Abdelhakim Lakhdar
- Research Laboratory of Nervous System Diseases, Neurosensory Disorders & Disability, Faculty of Medicine and Pharmacy, Hassan II University of Casablanca, Casablanca, Morocco
- Department of Neurosurgery, Ibn Rochd University Hospital Center, Casablanca, Morocco
| |
Collapse
|
12
|
Issam Salah NEI, Marnissi F, Lakhdar A, Karkouri M, ElBelhadji M, Badou A. The immune checkpoint VISTA is associated with prognosis in patients with malignant uveal melanoma. Front Immunol 2023; 14:1225140. [PMID: 37662962 PMCID: PMC10471992 DOI: 10.3389/fimmu.2023.1225140] [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] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/18/2023] [Accepted: 07/31/2023] [Indexed: 09/05/2023] Open
Abstract
Introduction Uveal melanoma (UM) is a rare yet deadly tumor. It is known for its high metastatic potential, which makes it one of the most aggressive and lethal cancers. Recently, immune checkpoints such as Programmed cell Death protein-1 (PD1) and Cytotoxic T-Lymphocyte-Associated significantly increasing patient survival in multiple human cancers, especially cutaneous melanoma. However, patients with UMs were excluded from these studies because of their molecular characteristics, which tend to be widely different from those of cutaneous melanoma. This study aimed to analyze the expression of V domain Ig Suppressor T-cell Activation (VISTA), a novel immune checkpoint, to evaluate its prognosis significance and its correlation with PD1 and CTLA-4. Methods Evaluation of VISTA, CTLA-4, and PD1 expression was performed through TCGA database analysis and immunohistochemistry using two independent cohorts with primary malignant UM. Results and discussion Our results showed that VISTA expression was associated with tumor aggressiveness, T cell exhaustion, and the shortest median overall survival among patients. Surprisingly, PD1 protein expression was negative in all patients, whereas CTLA-4 expression was high in patients with advanced stages. Our findings suggest that VISTA may be a prognostic marker and an attractive treatment strategy for immunotherapy in patients with UM. Exploring its expression profile may predict response to immunotherapy and may lead to the improvement of precision therapy in malignant uveal melanoma patients.
Collapse
Affiliation(s)
- Nour el Imane Issam Salah
- Laboratory of Research on Neurologic, Neurosensorial Diseases and Handicap, Faculty of Medicine and Pharmacy, Hassan II University, Casablanca, Morocco
- Immuno-Genetics and Human Pathology Laboratory, Faculty of Medicine and Pharmacy, Hassan II University, Casablanca, Morocco
| | - Farida Marnissi
- Department of Pathological Anatomy, University Hospital Center (CHU) Ibn Rochd and Faculty of Medicine and Pharmacy of Casablanca, Hassan II University, Casablanca, Morocco
| | - Abdelhakim Lakhdar
- Laboratory of Research on Neurologic, Neurosensorial Diseases and Handicap, Faculty of Medicine and Pharmacy, Hassan II University, Casablanca, Morocco
| | - Mehdi Karkouri
- Department of Pathological Anatomy, University Hospital Center (CHU) Ibn Rochd and Faculty of Medicine and Pharmacy of Casablanca, Hassan II University, Casablanca, Morocco
| | - Mohamed ElBelhadji
- Department of Adults Ophthalmology, 20 August Hospital 1953, CHU Ibn Rochd, Casablanca, Morocco
| | - Abdallah Badou
- Immuno-Genetics and Human Pathology Laboratory, Faculty of Medicine and Pharmacy, Hassan II University, Casablanca, Morocco
- Mohammed VI Center for Research & Innovation, Rabat, Morocco, Mohammed VI University of Sciences and Health, Casablanca, Morocco
| |
Collapse
|
13
|
Miftah H, Naji O, Ssi SA, Ghouzlani A, Lakhdar A, Badou A. NR2F6, a new immune checkpoint that acts as a potential biomarker of immunosuppression and contributes to poor clinical outcome in human glioma. Front Immunol 2023; 14:1139268. [PMID: 37575237 PMCID: PMC10419227 DOI: 10.3389/fimmu.2023.1139268] [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] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/06/2023] [Accepted: 07/06/2023] [Indexed: 08/15/2023] Open
Abstract
Intoroduction Nuclear receptor subfamily 2 group F member 6 (NR2F6) is a promising checkpoint target for cancer immunotherapy. However, there has been no investigation of NR2F6 in glioma. Our study systematically explored the clinical characteristics and biological functions of NR2F6 in gliomas. Methods We extracted RNA sequencing (RNA-seq) data of 663 glioma samples from The Cancer Genome Atlas (TCGA) as the training cohort and 325 samples from the Chinese Glioma Genome Atlas (CGGA) as the validation cohort. We also confirmed the NR2F6 gene expression feature in our own cohort of 60 glioma patients. R language and GraphPad Prism softwares were mainly used for statistical analysis and graphical work. Results We found that NR2F6 was significantly related to high tumor aggressiveness and poor outcomes for glioma patients. Functional enrichment analysis demonstrated that NR2F6 was associated with many biological processes that are related to glioma progression, such as angiogenesis, and with multiple immune-related functions. Moreover, NR2F6 was found to be significantly correlated with stromal and immune infiltration in gliomas. Subsequent analysis based on Gliomas single-cell sequencing datasets showed that NR2F6 was expressed in immune cells, tumor cells, and stromal cells. Mechanistically, results suggested that NR2F6 might act as a potential immunosuppression-mediated molecule in the glioma microenvironment through multiple ways, such as the recruitment of immunosuppressive cells, secretion of immunosuppressive cytokines, M2 polarization of macrophages, in addition to combining with other immune checkpoint inhibitors. Conclusion Our findings indicated that intracellular targeting of NR2F6 in both immune cells and tumor cells, as well as stromal cells, may represent a promising immunotherapeutic strategy for glioma. Stromal cells, may represent a promising immunotherapeutic strategy for glioma.
Collapse
Affiliation(s)
- Hayat Miftah
- Immuno-Genetics and Human Pathology Laboratory, Faculty of Medicine and Pharmacy, Hassan II University, Casablanca, Morocco
| | - Oumayma Naji
- Immuno-Genetics and Human Pathology Laboratory, Faculty of Medicine and Pharmacy, Hassan II University, Casablanca, Morocco
| | - Saadia Ait Ssi
- Immuno-Genetics and Human Pathology Laboratory, Faculty of Medicine and Pharmacy, Hassan II University, Casablanca, Morocco
| | - Amina Ghouzlani
- Immuno-Genetics and Human Pathology Laboratory, Faculty of Medicine and Pharmacy, Hassan II University, Casablanca, Morocco
| | - Abdelhakim Lakhdar
- Department of Neurosurgery, University Hospital Center (UHC) Ibn Rochd, Casablanca, Morocco
- Laboratory of Research on Neurologic, Neurosensorial Diseases and Handicap, Faculty of Medicine and Pharmacy, Hassan II University, Casablanca, Morocco
| | - Abdallah Badou
- Immuno-Genetics and Human Pathology Laboratory, Faculty of Medicine and Pharmacy, Hassan II University, Casablanca, Morocco
- Mohammed VI Center for Research and Innovation, Rabat, Morocco
- Mohammed VI University of Sciences and Health, Casablanca, Morocco
| |
Collapse
|
14
|
Faham B, Nsengiyumva EO, Jamal O, Makhchoune M, Naja A, Lakhdar A. Glioblastoma simulating an arteriovenous malformation: a case report. Ann Med Surg (Lond) 2023; 85:2977-2980. [PMID: 37363535 PMCID: PMC10289735 DOI: 10.1097/ms9.0000000000000593] [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] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/06/2023] [Accepted: 03/22/2023] [Indexed: 06/28/2023] Open
Abstract
Glioblastoma is the most common primary malignant brain tumor in adults. It is enhanced by the abnormal proliferation of central nervous system cells called astrocytes. Microvascular endothelial proliferation is one of the criteria for a histological diagnosis. Hypervascular glioblastoma simulating an arteriovenous malformation is an involuntary manifestation and constitutes a rare entity. Case presentation The authors report a case of a 44-year-old patient with no history followed. Symptoms began 6 months ago with the gradual onset of headaches without vomiting or seizures associated with a drop in normal visual acuity without neurological deficit. Cerebral imaging including cerebral angiography concluding with a right parieto-occipital cerebral process probably associated with an arteriovenous malformation. Clinical discussion The management was surgical by biopsy after a right parieto-occipital bone flap concluding in glioblastoma. The patient needs chemotherapy and radiotherapy sessions with good clinical evolution. Conclusion The coexistence of an arteriovenous malformation and glioblastoma remains an association whose pathophysiology still remains to be explored.
Collapse
Affiliation(s)
| | | | | | - Marouane Makhchoune
- Corresponding author. Address: Neurosurgery Department, University Hospital Center IBN ROCHD, Casablanca, Morocco, 1, Rue des Hôpitaux, Casablanca 22200, Morocco. Tel.: +212 659 503 320. E-mail: (M. Makhchoune)
| | | | | |
Collapse
|
15
|
Haouas MY, Jihri A, Makhchoune M, Limi J, Lakhdar A. Vertebromedullary hydatidosis: a case report. Ann Med Surg (Lond) 2023; 85:2974-2976. [PMID: 37363601 PMCID: PMC10289481 DOI: 10.1097/ms9.0000000000000575] [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] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/06/2023] [Accepted: 03/22/2023] [Indexed: 06/28/2023] Open
Abstract
The contamination of humans with the larval form of the tapeworm Echinococcus granulosus results in the parasitic disease known as hypatidosis. Even though hydatid disease is widespread in Maghreb nations, bone hydatidosis is still uncommon. Case presentation This article presents the case of a 12-year-old child with no particular pathological antecedent, who presents a spinal cord compression syndrome evolving gradually for 2 weeks whose objective clinical examination found a 2/5 paraparesis with a sharp pyramidal syndrome and subxiphoid sensory level. Medullary MRI has objectified an aspect of hydatid cysts at the level of D8 D9 and D10 compressing the spinal cord. Clinical discussion Management was surgical by decompression by laminectomy of stage D8, D9, and D10 under general anesthesia and put on albendazole, the diagnosis was confirmed by histopathological examination, the evolution was marked by a partial recovery of deficit. Conclusions Clinical symptomatology is vague with a gradually inescapable movement towards spinal or root pressure.
Collapse
Affiliation(s)
| | | | - Marouane Makhchoune
- Corresponding author. Address: Neurosurgery Department, University Hospital Center IBN ROCHD, 1, Rue des Hôpitaux, Casablanca 22200, Morocco. Tel.: +212 678 191 450. E-mail address: (M. Makhchoune)
| | | | | |
Collapse
|
16
|
Boulhen C, AIT SSI S, Benthami H, Razzouki I, Lakhdar A, Karkouri M, Badou A. TMIGD2 as a potential therapeutic target in glioma patients. Front Immunol 2023; 14:1173518. [PMID: 37261362 PMCID: PMC10227580 DOI: 10.3389/fimmu.2023.1173518] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [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] [Received: 02/24/2023] [Accepted: 04/21/2023] [Indexed: 06/02/2023] Open
Abstract
Introduction Among all types of central nervous system cancers, glioma remains the most frequent primary brain tumor in adults. Despite significant advances in immunomodulatory therapies, notably immune checkpoint inhibitors, their effectiveness remains constrained due to glioma resistance. The discovery of TMIGD2 (Transmembrane and Immunoglobulin Domain Containing 2) as an immuno-stimulatory receptor, constitutively expressed on naive T cells and most natural killer (NK) cells, has emerged as an attractive immunotherapy target in a variety of cancers. The expression profile of TMIGD2 and its significance in the overall survival of glioma patients remains unknown. Methods In the present study, we first assessed TMIGD2 mRNA expression using the Cancer Genome Atlas (TCGA) glioma transcriptome dataset (667 patients), followed by validation with the Chinese Glioma Genome Atlas (CGGA) cohort (693 patients). Secondly, we examined TMIGD2 protein staining in a series of 25 paraffin-embedded blocks from Moroccan glioma patients. The statistical analysis was performed using GraphPad Prism 8 software. Results TMIGD2 expression was found to be significantly higher in astrocytoma, IDH-1 mutations, low-grade, and young glioma patients. TMIGD2 was expressed on immune cells and, surprisingly, on tumor cells of glioma patients. Interestingly, our study demonstrated that TMIGD2 expression was negatively correlated with angiogenesis, hypoxia, G2/M checkpoint, and epithelial to mesenchymal transition signaling pathways. We also demonstrated that dendritic cells, monocytes, NK cells, gd T cells, and naive CD8 T cell infiltration correlates positively with TMIGD2 expression. On the other hand, Mantel-Cox analysis demonstrated that increased expression of TMIGD2 in human gliomas is associated with good overall survival. Cox multivariable analysis revealed that TMIGD2 is an independent predictor of a good prognosis in glioma patients. Discussion Taken together, our results highlight the tight implication of TMIGD2 in glioma progression and show its promising therapeutic potential as a stimulatory target for immunotherapy.
Collapse
Affiliation(s)
- Chaimae Boulhen
- Immuno-Genetics and Human Pathology Laboratory, Faculty of Medicine and Pharmacy, Hassan II University, Casablanca, Morocco
| | - Saadia AIT SSI
- Immuno-Genetics and Human Pathology Laboratory, Faculty of Medicine and Pharmacy, Hassan II University, Casablanca, Morocco
| | - Hamza Benthami
- Immuno-Genetics and Human Pathology Laboratory, Faculty of Medicine and Pharmacy, Hassan II University, Casablanca, Morocco
| | - Ibtissam Razzouki
- Laboratory of Pathological Anatomy, University Hospital Center (CHU) Ibn Rochd, Hassan II University, Casablanca, Morocco
| | - Abdelhakim Lakhdar
- Department of Neurosurgery, Faculty of Medicine and Pharmacy, University of Hassan II, Casablanca, Morocco
| | - Mehdi Karkouri
- Laboratory of Pathological Anatomy, University Hospital Center (CHU) Ibn Rochd, Hassan II University, Casablanca, Morocco
| | - Abdallah Badou
- Immuno-Genetics and Human Pathology Laboratory, Faculty of Medicine and Pharmacy, Hassan II University, Casablanca, Morocco
- Mohammed VI Center for Research and Innovation, Rabat, Morocco and Mohammed VI University of Sciences and Health, Casablanca, Morocco
| |
Collapse
|
17
|
Rafii S, Ghouzlani A, Naji O, Ait Ssi S, Kandoussi S, Lakhdar A, Badou A. A2AR as a Prognostic Marker and a Potential Immunotherapy Target in Human Glioma. Int J Mol Sci 2023; 24:ijms24076688. [PMID: 37047660 PMCID: PMC10095519 DOI: 10.3390/ijms24076688] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/13/2023] [Revised: 03/05/2023] [Accepted: 03/14/2023] [Indexed: 04/07/2023] Open
Abstract
Gliomas are considered one of the most malignant tumors in the body. The immune system has the ability to control the initiation and development of tumors, including gliomas. Thus, immune cells find themselves controlled by various molecular pathways, inhibiting their activation, such as the immunosuppressive adenosine 2A receptor (A2AR). Our objective was to establish the expression profile and role of A2AR at the transcriptomic level, using real-time RT-PCR in Moroccan glioma patients, in addition to TCGA and CGGA cohorts. The real-time RT-PCR results in Moroccan patients showed that high expression of this gene was associated with poor survival in males. Our study on the CGGA cohort corroborated these results. In addition, there was a positive association of A2AR with T-cell exhaustion genes. A2AR also correlated strongly with genes that are primarily enriched in focal adhesion and extracellular matrix interactions, inducing epithelial mesenchymal transition, angiogenesis, and glioma growth. However, in the TCGA cohort, the A2AR showed results that were different from the two previously examined cohorts. In fact, this gene was instead linked to a good prognosis in patients with the astrocytoma histological type. The correlation and enrichment results reinforced the prognostic role of A2AR in this TCGA cohort, in which its high expression was shown to be related to lymphocyte differentiation and a successful cytolytic response, suggesting a more efficient anti-tumor immune response. Correlations and differential analyses based on A2AR gene expression, to understand the cause of the association of this gene with two different prognoses (CGGA males and TCGA Astrocytoma), showed that the overexpression of A2AR in Chinese male patients could be associated with the overexpression of extracellular adenosine, which binds to A2AR to induce immunosuppression and consequently a poor prognosis. However, in the second group (TCGA astrocytomas), the overexpression of the gene could be associated with an adenosine deficiency, and therefore this receptor does not undergo activation. The absence of A2AR activation in these patients may have protected them from immunosuppression, which could reflect the good prognosis. A2AR can be considered a promising therapeutic target in male CGGA and Moroccan patients with gliomas.
Collapse
Affiliation(s)
- Soumaya Rafii
- Immuno-Genetics and Human Pathologies Laboratory, Faculty of Medicine and Pharmacy, Hassan II University, Casablanca 20000, Morocco
| | - Amina Ghouzlani
- Immuno-Genetics and Human Pathologies Laboratory, Faculty of Medicine and Pharmacy, Hassan II University, Casablanca 20000, Morocco
| | - Oumayma Naji
- Immuno-Genetics and Human Pathologies Laboratory, Faculty of Medicine and Pharmacy, Hassan II University, Casablanca 20000, Morocco
| | - Saadia Ait Ssi
- Immuno-Genetics and Human Pathologies Laboratory, Faculty of Medicine and Pharmacy, Hassan II University, Casablanca 20000, Morocco
| | - Sarah Kandoussi
- Immuno-Genetics and Human Pathologies Laboratory, Faculty of Medicine and Pharmacy, Hassan II University, Casablanca 20000, Morocco
| | | | - Abdallah Badou
- Immuno-Genetics and Human Pathologies Laboratory, Faculty of Medicine and Pharmacy, Hassan II University, Casablanca 20000, Morocco
- Mohammed VI Center for Research and Innovation, Rabat, Morocco and Mohammed VI University of Sciences and Health, Casablanca 82403, Morocco
| |
Collapse
|
18
|
Daghi M, Lakhdar A, Otmani HE. Parkinson's disease research in Morocco: a review. Neurodegener Dis Manag 2023; 13:129-139. [PMID: 36803100 DOI: 10.2217/nmt-2022-0021] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/23/2023] Open
Abstract
Aim: To quantify and provide an overview on the scientific productivity made by Moroccan academics in the research on Parkinson's disease (PD) and parkinsonism. Materials & methods: Scientific articles, in either English or French, were gathered from published literature in three recognized databases: PubMed, ScienceDirect and Scopus. Results: We identified 95 published papers from which 39 articles have been extracted after removing inadequate publications and duplications between databases. All articles were published between 2006 and 2021. The selected articles were subdivided into five categories. Conclusion: The Moroccan academia is presently facing a low productivity issues and a lack of research laboratories focusing on PD research. We anticipate that providing more budgetary funds will significantly improve the productivity of PD research.
Collapse
Affiliation(s)
- Mohamed Daghi
- Research Laboratory of Nervous System Diseases, Neurosensory Disorders & Disability, Faculty of Medicine and Pharmacy, Hassan II University, Casablanca, 20250, Morocco
| | - Abdelhakim Lakhdar
- Research Laboratory of Nervous System Diseases, Neurosensory Disorders & Disability, Faculty of Medicine and Pharmacy, Hassan II University, Casablanca, 20250, Morocco.,Department of Neurosurgery, Ibn Rochd University Hospital, Casablanca, 20360, Morocco
| | - Hicham El Otmani
- Laboratory of Medical Genetics & Molecular Pathology, Faculty of Medicine and Pharmacy, Hassan II University, Casablanca, 20250, Morocco.,Department of Neurology, Ibn Rochd University Hospital, Casablanca, 20360, Morocco
| |
Collapse
|
19
|
Saidy J, Bertal A, Hmada S, Aamara N, Tahrir Y, Mokhliss S, Karkouri M, Naja A, Lakhdar A. Primary dural lymphoma: Case report. Ann Med Surg (Lond) 2022; 79:103984. [PMID: 35860163 PMCID: PMC9289331 DOI: 10.1016/j.amsu.2022.103984] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/14/2022] [Revised: 06/07/2022] [Accepted: 06/08/2022] [Indexed: 11/24/2022] Open
Abstract
Primary Dural lymphoma (PDL) is a rare pathology that occurs in immunocompetent patients. In such cases, these lesions may mimic more common intracranial tumors. We present the case of a patient who presented an intra cranial hypertension syndrome; the brain MRI showed a tissular mass that we took for a meningioma; upon surgical intervention, an occult mass was discovered. Major excision and immunohistochemistry demonstrated PDL. Our case report highlights the rarity of these pathology and the importance of combined surgery and medical treatment, as the latter can be treated with chemoradiation with good clinical outcomes. Primary dural lymphoma (PDL) is a rare pathology that occurs in immunocompetent patients. We present the case of a patient who presented an intra cranial hypertension syndrome; the brain MRI showed a tissular mass that we took for a meningioma; upon surgical intervention, an occult mass was discovered. Our case report highlights the rarity of these pathology and the importance of combined surgery and medical treatment.
Collapse
|
20
|
Laaidi A, Hmada S, Naja A, Lakhdar A. Kernohan Woltman notch phenomenon caused by subdural chronic hematoma: Systematic review and an illustrative case. Ann Med Surg (Lond) 2022; 79:104006. [PMID: 35860133 PMCID: PMC9289325 DOI: 10.1016/j.amsu.2022.104006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/21/2022] [Revised: 06/09/2022] [Accepted: 06/12/2022] [Indexed: 11/26/2022] Open
Abstract
Kernohan Woltman Notch Phenomenon (KWNP) is caused by a supratentorial lesion pressing the contralateral cerebral peduncle against the free edge of the tentorium of the cerebellum. It is manifested by neurological signs of ipsilateral localization; cerebral MRI is the most sensitive examination for KWNP. Our patient is a 50-year-old woman, operated in 2011 for aortic and mitral valve replacement by mechanical prosthesis, under oral anticoagulant, consults for headaches evolving for 20 days without any notion of head trauma with installation of a progressively worsening left hemibody deficit. Glasgow coma scale was 14 (E3 V5 M6) with left anisocoria 4mm left/2mm right with left hemiplegia. CT shows a chronic left hemispheric subdural hematoma 13.5mm thick with subfalcorial and ipsilateral temporal involvement of the deficit. The cardiovascular examination as well as the biological assessment was unremarkable. The patient was operated on with a total recovery in 12 days, the anticoagulant is resumed on day 20 postoperatively, with close monitoring. KWNP may contribute to misdiagnosis in patients with bilateral corticospinal tract lesions, and anticoagulation poses a problem in stopping and restarting treatment due to the risk of bleeding on one side and thrombosis on the other side. This article presents a review of literature of Kernohan Woltman Notch Phenomenon due to a subdural chronic hematoma. The clinical examination revealed a hemiplegic motor deficit associated with consciousness disorders and the CT scan confirmed the diagnosis. The relationship between the hypersignal of the cerebral peduncle on MRI and the severity of the clinical picture as well as the delay in postoperative recovery.
Collapse
|
21
|
Hmada S, Mesbahi T, Jehri A, Jouida A, Naja A, Amenzoui N, Lakhdar A. Pediatric brain hydatid cyst about two cases: Case report. Ann Med Surg (Lond) 2022; 78:103806. [PMID: 35734744 PMCID: PMC9207044 DOI: 10.1016/j.amsu.2022.103806] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/09/2022] [Revised: 05/12/2022] [Accepted: 05/14/2022] [Indexed: 11/29/2022] Open
Abstract
Cerebral hydatid cyst is rare (2%), and mainly affects children. We report 2 cases aged 5 years. The clinical symptomatology was dominated by intracranial hypertension syndrome and motor deficit in both cases. One patient presented a generalized tonic-clonic seizure, the second one presented a left central facial palsy. The diagnosis was made in both cases by brain CT scan and one patient underwent brain MRI. A radiological workup to look for extra-cerebral localization was performed for all patients, which was normal. The treatment was surgical for both patients (D'ARANA-INIGUEZ hydro pulsion technique) with simple after-effects. The postoperative CT scan showed a residual cavity. All our patients were put under antiparasitic treatment with Albendazole. Two cases of children with motor deficit of progressive onset associated with intracranial hypertension. The clinical examination revealed a hemiplegic motor deficit the CT scan as well as the cerebral MRI were carried out which was in favor of the diagnosis. Confirmation with intraoperatively with the delivery of this one using technique of ARANA-INIGUEZ, and by the parasitological examination which objectified Echinococcus granulosus.
Collapse
|
22
|
Mesbahi T, Zaine H, Mahazou Abdou I, Chekrine T, Sahraoui S, Karkouri M, Lakhdar A. Glioblastoma Following Treated Medulloblastoma After 29 Years in the Posterior Fossa: Case Report and Review of Literature. Front Oncol 2022; 12:760011. [PMID: 35494079 PMCID: PMC9043312 DOI: 10.3389/fonc.2022.760011] [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] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/17/2021] [Accepted: 03/08/2022] [Indexed: 11/13/2022] Open
Abstract
Glioblastoma multiforme (GBM) is a high-grade glioma that may be a rare complication of radiotherapy. We report a case of a patient who was treated for medulloblastoma (MB) of the posterior fossa at the age of 27 years. Twenty-nine years later, at the age of 56 years, he presented with a double-location tumor: supratentorial and in the posterior fossa. Imaging features of the supratentorial location were very suggestive of a meningioma. We operated on the posterior fossa location, which revealed a glioblastoma. Histologically, the tumor cells exhibited characteristics of both GBM and rhabdoid tumor cells. Literature reports of cases of GBM following MB at the same place are very rare, and presenting rhabdoid characteristics is even rarer. This is the first case of MB and GBM at ages 27 and 56 years, respectively. The double-location supratentorial probable meningioma and GBM of the posterior fossa 32 years after MB is the only case reported in the literature. What to do in this case remains a topic of debate, and there are no clear recommendations in the literature.
Collapse
Affiliation(s)
- Tarek Mesbahi
- Neurosurgery Department of the IBN ROCHD University Hospital Center, Casablanca, Morocco
| | - Hind Zaine
- Department of Radiotherapy and Oncology of the IBN ROCHD University Hospital Center, Casablanca, Morocco
| | - Ismaël Mahazou Abdou
- Neurosurgery Department of the IBN ROCHD University Hospital Center, Casablanca, Morocco
| | - Tarik Chekrine
- Department of Radiotherapy and Oncology of the IBN ROCHD University Hospital Center, Casablanca, Morocco
| | - Souha Sahraoui
- Department of Radiotherapy and Oncology of the IBN ROCHD University Hospital Center, Casablanca, Morocco
| | - Mehdi Karkouri
- Anatomic Pathology Department of the IBN ROCHD University Hospital Center, Casablanca, Morocco
| | - Abdelhakim Lakhdar
- Neurosurgery Department of the IBN ROCHD University Hospital Center, Casablanca, Morocco
| |
Collapse
|
23
|
Laaidi A, Makhchoune M, Tahrir Y, Haouas MY, Naja A, Lakhdar A. Simultaneous frontal and orbital abscess rare complications of otogenic origin: Case report and literature review. Ann Med Surg (Lond) 2022; 75:103458. [PMID: 35386769 PMCID: PMC8977935 DOI: 10.1016/j.amsu.2022.103458] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/30/2022] [Revised: 02/24/2022] [Accepted: 02/28/2022] [Indexed: 11/27/2022] Open
Abstract
Otogenic frontal abscess is an uncommon location of otogenic abscess of the brain and constitutes less than 5%. And the orbital extension is even more exceptional. An 11-year-old child, presenting with a two-week-long history of an acute otitis badly treated. Admitted for headaches, fever, vomiting and left eyelid swelling. The preoperative CT scan revealed a left frontal epidural abscess associated to a sub-periosteal Abscess. The patient was operated on. A supraorbital incision through the eyebrows allowed the evacuation of the periorbital abscess and the cerebral empyema through a trephine hole. The patient received probabilistic intravenous antibiotic therapy with ceftriaxon, aminoglycoside and metronidazole. Then relay per os. Postoperative recovery was marked by disappearance of headaches at postoperative Day two and the periorbital edema at day six. The patient was discharged home at postoperative week four with oral antibiotic therapy. Three months postoperative months follow-up CT scan revealed a total radiological cleaning. Otogenic frontal abscess associated to orbital Abscess is extremely rare and should be considered in front of ophthalmological signs. The management is multidisciplinary, and the entry point treatment mustn't be forgotten. This paper presents an 11-year-old boy complaining presenting with a two-week-long history of an acute otitis badly treated. Admitted for headaches, fever, vomiting and left eyelid swelling. The neurological examination found a conscious child GCS scores were E4V5M6 with no deficit, and palpebral edema. The CT scan revealed a left frontal epidural abscess associated to a sub-periosteal Abscess. A supraorbital incision through the eyebrows allowed the evacuation of the periorbital abscess. Otogenic frontal abscess associated to orbital Abscess should be considered in front of ophthalmological signs. The management is multidisciplinary, and the entry point treatment mustn't be forgotten.
Collapse
|
24
|
Jamal O, Makhchoune M, Tahrir Y, EL Guettabi K, Lakhdar A. Non-Hodgkin's lymphoma revealed by a cerebral vascular stroke: A case report. Ann Med Surg (Lond) 2022; 75:103459. [PMID: 35386805 PMCID: PMC8977936 DOI: 10.1016/j.amsu.2022.103459] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/24/2022] [Revised: 02/24/2022] [Accepted: 02/28/2022] [Indexed: 12/04/2022] Open
Abstract
Hemorrhagic lesions in CNS lymphoma are extremely rare. We report the case of a 75-year-old patient admitted to the emergency room following a classic hemorrhagic stroke. The CT scan showed a hyperdense tumor-like process with perilesional edema, the diagnosis reinforced by (MRI). The patient underwent macroscopically total surgical excision and the anatomo pathological examination concluded a diffuse non-Hodgkin's B large cell lymphoma. The follow up was marked by a clear clinical improvement. Primary cerebral lymphomas can be polymorphic, so this diagnosis should always be kept in mind during stroke manifestations. This case illustrates the diagnostic difficulty of this rare and poor prognosis condition. Primary central nervous system (CNS) lymphoma is relatively rare, representing only 1%–2% of all primary CNS malignancies. Hemorrhagic lesions in CNS lymphoma are extremely rare. This paper presents a case of A 75-year-old man admitted to the emergency room following a classic hemorrhagic stroke The CT scan showed a hyperdense tumor-like process with perilesional lesional edema, the diagnosis reinforced by (MRI). The patient underwent macroscopically total surgical excision and the anatomopathological examination concluded a diffuse non-Hodgkin's B large cell lymphoma. The follow up was marked by a clear clinical improvement. The clinical expression of primary cerebral lymphomas can be polymorphic, so this diagnosis should always be kept in mind during stroke manifestations. This case illustrates the diagnostic difficulty of this rare and poor prognosis condition.
Collapse
|
25
|
Tahrir Y, Bertal A, Mawhoub S, Makhchoune M, Ibahiouin K, Lakhdar A. A cerebellopontine angle metastatis of a male breast cancer: Case report. Ann Med Surg (Lond) 2022; 75:103421. [PMID: 35386782 PMCID: PMC8977929 DOI: 10.1016/j.amsu.2022.103421] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/16/2022] [Revised: 02/17/2022] [Accepted: 02/27/2022] [Indexed: 11/25/2022] Open
Abstract
Male breast cancer is rare, less than 1% of men's cancers. The tumors occurring in the cerebellopontine angle remain a rare entity. Features suggestive of metastasis are acute onset, rapid progression of symptoms. We report a case of a 72-year-old man had a mastectomy and an axillary lymph node dissection for a breast cancer 22 years prior to this report. The patient was admitted with deterioration of level of consciousness with intracranial hypertension syndrome. The magnetic resonance imaging showed a cystic lesion in the left cerebellar hemisphere and the prepontine cistern. We proceeded to a large tumor resection. On the follow up, the patient presented a delayed emergence. A CT scan showed a small hematoma at the surgical site and triventricular hydrocephalus for which the patient underwent a ventriculoperitoneal shunt. This is the first described cerebellopontine angle metastasis of a male breast cancer and the first described case of a metastatic triple hormone negative breast cancer to the brain. A 72 years old man had a mastectomy and an axillary lymph node dissection for a breast cancer 22 years prior to this report. He was brought to our emergency for intracranial hypertension syndrome with disorders of consciousness. The magnetic resonance imaging showed a cystic lesion in the left cerebellar hemisphere compressing the pons, the acoustic-facial nerve bundle, with a peripheral contrast enhancement. This is the first described cerebellopontine angle metastasis of a male breast cancer and the first described case of a metastatic triple hormone negative breast cancer to the brain.
Collapse
Affiliation(s)
| | | | | | | | | | - Abdelhakim Lakhdar
- Corresponding author. Neurosurgery department, University Hospital Center IBN ROCHD, 1, Rue des Hôpitaux, Casablanca, Morocco.
| |
Collapse
|
26
|
Makhchoune M, Benhayoun O, Laaidi A, Haouas MY, Naja A, Lakhdar A. Extra dural hematoma following a high voltage electrocution accident: A case report. Ann Med Surg (Lond) 2022; 73:103157. [PMID: 34950477 PMCID: PMC8671092 DOI: 10.1016/j.amsu.2021.103157] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/11/2021] [Revised: 12/03/2021] [Accepted: 12/04/2021] [Indexed: 11/27/2022] Open
Abstract
Electrification accidents is a serious pathology due to the passage of an electric current through the body. The clinical manifestation is mainly represented by skin lesions with burners of different degrees however all the tissues of the body can be affected. The cerebral manifestation is a rare entity described in the literature. In this paper, we report the case of a patient with an electrocution accident manifested by an extradural hematoma who has not encountered a similar case described in the literature. We therefore present this case which poses a poorly understood pathophysiological problem.
Collapse
Affiliation(s)
- Marouane Makhchoune
- Neurosurgery Department, University Hospital Center IBN ROCHD, 1, Rue des Hôpitaux, Casablanca, Morocco
| | - Othman Benhayoun
- Neurosurgery Department, University Hospital Center IBN ROCHD, Casablanca, Morocco
| | - Abdelkouddous Laaidi
- Neurosurgery Department, University Hospital Center IBN ROCHD, Casablanca, Morocco
| | | | - Abdessamad Naja
- Neurosurgery Department, University Hospital Center IBN ROCHD, Casablanca, Morocco
| | - Abdelhakim Lakhdar
- Neurosurgery Department, University Hospital Center IBN ROCHD, Casablanca, Morocco
| |
Collapse
|
27
|
Laaidi A, Rafiq A, Tahrir Y, Hilmani S, Lakhdar A. Contralateral epidural hematoma after decompressive surgery: Case report and systematic literature review. Ann Med Surg (Lond) 2022; 74:103233. [PMID: 35145655 PMCID: PMC8818896 DOI: 10.1016/j.amsu.2021.103233] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/17/2021] [Revised: 12/27/2021] [Accepted: 12/31/2021] [Indexed: 11/15/2022] Open
Affiliation(s)
| | - Abderrahmane Rafiq
- Corresponding author. Neurosurgery department, University Hospital Center IBN ROCHD, 1, Rue des Hôpitaux, Casablanca, Morocco.
| | | | | | | |
Collapse
|
28
|
Ghouzlani A, Lakhdar A, Rafii S, Karkouri M, Badou A. The immune checkpoint VISTA exhibits high expression levels in human gliomas and associates with a poor prognosis. Sci Rep 2021; 11:21504. [PMID: 34728682 PMCID: PMC8563991 DOI: 10.1038/s41598-021-00835-0] [Citation(s) in RCA: 24] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/31/2020] [Accepted: 10/06/2021] [Indexed: 12/14/2022] Open
Abstract
In human gliomas, anti-tumor T cell responses are inhibited through induction of local and systemic immunosuppression. Immune checkpoint blockade is proving to be a success in several types of cancers. However, many studies reported that the treatment of glioblastoma patients with anti-CTLA-4 or anti-PD-1 has no survival benefit compared to standard chemotherapy. This study aimed to investigate the expression and role of VISTA, a newly described immune checkpoint regulator, in human gliomas. mRNA expression was assessed in a total of 87 samples from glioma patients. 57 glioma tissues were taken at different grades. 20 peripheral blood mononuclear cells (PBMC) samples were taken before surgery and ten after surgery, all from the same set of patients. As for the control, ten specimens of PBMC were taken from healthy donors. Protein expression using immunohistochemistry was performed for 30 patients. The Cancer Genome Atlas (TCGA) data set, was also used to investigate VISTA expression through analysis of RNA-seq data of 667 glioma patients. In the Moroccan cohort, VISTA gene expression was significantly upregulated in glioma tissues related to PBMC of healthy donors. This high expression was specific to patient tissues since VISTA expression in PBMC was low when assessed either before or after surgery. Besides, VISTA exhibited higher expression levels in grade III/IV relative to grade I/II glioma patients. Interestingly, VISTA correlated positively with PD-1 expression. PD-1 also showed elevated expressions in higher glioma grades. The TCGA cohort corroborated these observations. Indeed, VISTA was also found to be strongly expressed in high grades. It was positively correlated with other critical immune checkpoints. Finally, increased VISTA transcript levels were associated with weak overall survival of glioma patients. Our study highlighted a correlation between high levels of VISTA expression and poor prognosis in glioma patients. VISTA might be involved in glioma progression and could be considered as a possible new therapeutic target, especially in advanced gliomas.
Collapse
Affiliation(s)
- Amina Ghouzlani
- Cellular and Molecular Pathology Laboratory, Faculty of Medicine and Pharmacy, Hassan II University, Casablanca, Morocco
| | - Abdelhakim Lakhdar
- Department of Neurosurgery, UHC Ibn Rochd, Casablanca, Morocco.,Laboratory of Research on Neurologic, Neurosensorial Diseases and Handicap, Faculty of Medicine and Pharmacy, Hassan II University, Casablanca, Morocco
| | - Soumaya Rafii
- Cellular and Molecular Pathology Laboratory, Faculty of Medicine and Pharmacy, Hassan II University, Casablanca, Morocco
| | - Mehdi Karkouri
- Cellular and Molecular Pathology Laboratory, Faculty of Medicine and Pharmacy, Hassan II University, Casablanca, Morocco.,Department of Pathology, CHU Ibn Rochd, Casablanca, Morocco
| | - Abdallah Badou
- Cellular and Molecular Pathology Laboratory, Faculty of Medicine and Pharmacy, Hassan II University, Casablanca, Morocco.
| |
Collapse
|
29
|
Mesbahi T, Makhchoune M, Mouine R, Rafiq A, Lakhdar A. Cervical spine dislocation on ankylosing spondylitis: A case report. Ann Med Surg (Lond) 2021; 69:102766. [PMID: 34527232 PMCID: PMC8429921 DOI: 10.1016/j.amsu.2021.102766] [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] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/06/2021] [Revised: 08/22/2021] [Accepted: 08/22/2021] [Indexed: 11/16/2022] Open
Abstract
Treatment of cervical spine fracture in patients with ankylosing spondylitis is difficult. Biomechanical changes related to ossified ankylosing spondylitis spine make cervical spine fractures highly unstable. They cover the entire width of the spine inducing. multidirectional instability and the risk of neurological injuries. Treatment is more difficult that in the nonossified spine. Different treatments have been proposed including anterior stabilization, posterior stabilization, or both. This paper present a case of an 55-year-old man followed for ankylosing spondylitis admitted for fracture dislocation of c5-c6 following a minimal trauma of which it was operated 4 times in order to obtain a satisfactory reduction and stabilization from which we drew the importance of the osteosynthesis by combined way. This paper presents a case of a 55-year-old man followed for ankylosing spondylitis admitted for fracture dislocation of c5-c6 following a minimal trauma of which it was operated 4 times. To obtain a satisfactory reduction and stabilization from which we drew the importance of the osteosynthesis by combined way. Orthopedic treatment alone is inadequate. Isolated anterior or posterior osteosynthesis is also insufficient. The rule should be the combination of both (360◦ fixation) when technically feasible.
Collapse
Affiliation(s)
- Tarik Mesbahi
- Neurosurgery Department, University Hospital Center IBN ROCHD, Casablanca, Morocco
| | - Marouane Makhchoune
- Neurosurgery Department, University Hospital Center IBN ROCHD, Casablanca, Morocco
| | - Reda Mouine
- Neurosurgery Department, University Hospital Center IBN ROCHD, Casablanca, Morocco
| | - Abederrahmane Rafiq
- Neurosurgery Department, University Hospital Center IBN ROCHD, Casablanca, Morocco
| | - Abdelhakim Lakhdar
- Neurosurgery Department, University Hospital Center IBN ROCHD, Casablanca, Morocco
| |
Collapse
|
30
|
Bocco A, Panu L, Chellaoui A, Lakhdar A, Naja A. Surgical site infections in neurosurgery. roneuro 2021. [DOI: 10.33962/roneuro-2021-050] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022] Open
Abstract
Background: Surgical site infections in neurosurgery are serious due to their proximity to the central nervous system and their management is a challenge. The aim of our work is to report surgical site infections (SSI) in patients who underwent brain or spinal surgery and to describe their characteristics.
Materials and method: We conducted a retrospective study involving patients who underwent surgery in our facility's neurosurgical emergency department over 5 years from January 2015 to December 2019. The data were collected from medical hospital and follow-up records.
Results: Fifty-eight cases of SSI were identified out of 2889 operations in total, for a frequency of 2%. The series consisted of 36 men (62.07%) and 22 women (37.93%). The average age was 43.9 years (19-72 years). 46 patients (79.31%) had undergone urgent surgery and 12 patients (20.69%) for delayed surgery. 40 patients (68.97%) had undergone cranial intervention and 18 patients (31.03%) underwent spinal surgery. The identified germ was Staphylococcus aureus in 13 cases (76.48%). Mortality was 13.8% (8 out of 58 cases).
Conclusion: The majority of microorganisms that cause the infections contaminate the surgical site intraoperatively. Preventive measures can reduce the rate of surgical site infections.
Collapse
|
31
|
Benhayoun O, Makhchoune M, Jehri A, Yassine Haouas M, Hilmani S, Lakhdar A. Spinal extradural angiolipomas: A case report. Ann Med Surg (Lond) 2021; 65:102289. [PMID: 33912345 PMCID: PMC8066406 DOI: 10.1016/j.amsu.2021.102289] [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] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/14/2021] [Revised: 03/31/2021] [Accepted: 04/01/2021] [Indexed: 11/23/2022] Open
Abstract
Angiolipoma are benign tumors composed of mature adipocytes ad mixed with abnormal vascular elements. It reportedly accounts for 0.1–0.5% of all spinal axis tumors in adults and is extremely rare in children. This article describes a case of spinal extradural angiolipoma in a 35-year-old man, who presented with paraplegia and sphincter disorders, the MRI showed extradural spinal lesions at the level of T7 to T10, that squeezed the spinal cord. We attained total resection without any further neurological complication. The diagnosis of SEALs initially can be challenging radiologically since they may imitate other spinal lesions. The gold standard treatment modality should always be surgery, however in some cases, total resection can not be done. This paper presents a 35-year-old man complaining for 1 months a numbness and lowerlimbs heaviness. The neurological examination revealed paraplegia with a muscle power was 2/5. However, in lower limbs, the deep tendon reflexes were absent, walking was impossible also without any sensitive disorder. MRI revealed T7-T10 extradural spinal lesion. The tumor appeared as an hyperintense on T1 and T2-weighted images, and as heterogeneous on STIR. Total resection after dissecting the tissue around the tumor. The histopathological examination of the specimens obtained, showed that the lesion was made up of fatty tissue and angioma-like tissue. SAL is a rare benign tumor and considered as a specific clinico-pathological entity. MRI is considered to be the “gold standard” in diagnosing SAL and surgery appears to be the treatment of choice.
Collapse
Affiliation(s)
- Othman Benhayoun
- Neurosurgery Department, University Hospital Center IBN ROCHD, Casablanca, Morocco
| | - Marouane Makhchoune
- Neurosurgery Department, University Hospital Center IBN ROCHD, Casablanca, Morocco
| | - Abdelhamid Jehri
- Neurosurgery Department, University Hospital Center IBN ROCHD, Casablanca, Morocco
| | | | - Said Hilmani
- Neurosurgery Department, University Hospital Center IBN ROCHD, Casablanca, Morocco
| | - Abdelhakim Lakhdar
- Neurosurgery Department, University Hospital Center IBN ROCHD, Casablanca, Morocco
| |
Collapse
|
32
|
Benhayoune O, Makhchoune M, Jehri A, Yassine Haouas M, Naja A, Lakhdar A. Cerebral hydatid cyst during pregnancy: A case report. Ann Med Surg (Lond) 2021; 63:102161. [PMID: 33664947 PMCID: PMC7903051 DOI: 10.1016/j.amsu.2021.02.007] [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] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/04/2021] [Revised: 02/01/2021] [Accepted: 02/02/2021] [Indexed: 10/24/2022] Open
Abstract
This paper presents the case of an 18-year-old woman in the 31st week of pregnancy complaining for 8 months a several episodes of vomiting and headache the neurological examination revealed muscle power was 3/5 on left side. The cerebral MRI revealed an intracranial hydatid cyst. The cyst was surgically removed under general anesthesia and put it on albendazole, the diagnosis has been confirmed by the histopathological examination. The patient gave a healthy baby 1 month later without any incident. No primary focus was found in the lungs, liver, or other organs. Primary cerebral hydatid cyst during pregnancy can be successfully treated by surgical and medical intervention, vomiting in a pregnant woman should be investigated to rule out other differential diagnosis.
Collapse
Affiliation(s)
- Othman Benhayoune
- Neurosurgery Department, University Hospital Center IBN ROCHD, Casablanca, Morocco
| | - Marouane Makhchoune
- Neurosurgery Department, University Hospital Center IBN ROCHD, Casablanca, Morocco
| | - Abdelhamid Jehri
- Neurosurgery Department, University Hospital Center IBN ROCHD, Casablanca, Morocco
| | | | - Abdessamad Naja
- Neurosurgery Department, University Hospital Center IBN ROCHD, Casablanca, Morocco
| | - Abdelhakim Lakhdar
- Neurosurgery Department, University Hospital Center IBN ROCHD, Casablanca, Morocco
| |
Collapse
|
33
|
Ghouzlani A, Rafii S, Karkouri M, Lakhdar A, Badou A. The Promising IgSF11 Immune Checkpoint Is Highly Expressed in Advanced Human Gliomas and Associates to Poor Prognosis. Front Oncol 2021; 10:608609. [PMID: 33604291 PMCID: PMC7884863 DOI: 10.3389/fonc.2020.608609] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/22/2020] [Accepted: 12/11/2020] [Indexed: 12/12/2022] Open
Abstract
Glioma is the most prevalent primary brain tumor. Immune checkpoint blockade has made a great stride in mending patient’s clinical outcome for multiple types of cancers. However, PD-1, CTLA-4, or VEGF blockade exhibited only poor outcome in glioma patients. This study aimed to explore the expression and role of IgSF11, an emerging immune checkpoint and a ligand of VISTA, in human gliomas. IgSF11 mRNA expression was assessed in human glioma patients at different grades using 2 independent cohorts, a set of 52 Moroccan samples, including 20 glioma tissues, 22 PBMC samples taken before and 10 PBMC samples taken after surgery; and a series of 667 patients from TCGA. In parallel, immunohistochemistry was performed to evaluate IgSF11 protein staining. IgSF11 gene expression was significantly upregulated in high grade glioma tissues, compared to low grade. IgSF11 protein also showed a significant expression in low and high-grade gliomas. Interestingly, IgSF11 expression seemed to correlate positively with other critical immune checkpoints such as PD1, PDL-1, VISTA, and surprisingly negatively with CTLA-4. Although, T cell markers appeared higher in advanced gliomas, T cell-produced pro-inflammatory genes showed similar expression levels, highly likely because of the potent immunosuppressive microenvironment. Indeed, increased expression of IgSF11 in advanced human gliomas associated with a poor overall survival. Our data strongly suggest that IgSF11 is an immune checkpoint, which is upregulated in advanced human gliomas and contributes to the immunosuppressive state resulting in a poor clinical outcome in glioma patients. IgSF11 could be considered as a possible promising therapeutic target in advanced human gliomas.
Collapse
Affiliation(s)
- Amina Ghouzlani
- Cellular and Molecular Pathology Laboratory, Faculty of Medicine and Pharmacy, Hassan II University, Casablanca, Morocco
| | - Soumaya Rafii
- Cellular and Molecular Pathology Laboratory, Faculty of Medicine and Pharmacy, Hassan II University, Casablanca, Morocco
| | - Mehdi Karkouri
- Cellular and Molecular Pathology Laboratory, Faculty of Medicine and Pharmacy, Hassan II University, Casablanca, Morocco.,Department of Pathology, CHU Ibn Rochd, Casablanca, Morocco
| | - Abdelhakim Lakhdar
- Department of Neurosurgery, UHC Ibn Rochd, Casablanca, Morocco.,Laboratory of Research on Neurologic, Neurosensorial Diseases and Handicap, Faculty of Medicine and Pharmacy, Hassan II University, Casablanca, Morocco
| | - Abdallah Badou
- Cellular and Molecular Pathology Laboratory, Faculty of Medicine and Pharmacy, Hassan II University, Casablanca, Morocco
| |
Collapse
|
34
|
Hilmani S, Mesbahi T, Bouaggad A, Lakhdar A. A rare complication of ventriculoperitoneal shunt: Pleural effusion without intrathoracic ventriculoperitoneal shunt catheter. Surg Neurol Int 2020; 11:291. [PMID: 33093968 PMCID: PMC7568093 DOI: 10.25259/sni_57_2020] [Citation(s) in RCA: 1] [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] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/12/2020] [Accepted: 08/22/2020] [Indexed: 11/12/2022] Open
Abstract
Background: Symptomatic pleural effusion following ventriculoperitoneal shunt (VPS) insertion is very rare and poorly understood in the literature in contrary to other mechanical complications. Case Description: We report a case of 15 month-year-old girl who had VP shunt for congenital hydrocephalus. Twelve months after surgery, she was diagnosed with massive hydrothorax. Chest X-ray and thoracoabdominal CT scan confirmed the right pleurisy and showed the tip of the peritoneal catheter in the general peritoneal cavity. We made thoracic drainage of the transudative pleural effusion. When we released the chest tube, 24 h after, the girl showed a respiratory distress again and the effusion resumed at the X-ray control. Her symptoms abated after the realization of a ventriculoatrial shunt “VAS.” Repeat chest X-ray confirmed the resolution of the hydrothorax. Conclusion: Despite the not yet well-understood mechanism of this rare and important VPS complication, management is simple based on X-ray confirmation, thoracentesis with biological analysis, and catheter replacement, especially in atrium “VAS.”
Collapse
Affiliation(s)
- Said Hilmani
- Department of Neurosurgical, SAID Hilmani, Casablanca, Morocco
| | - Tarek Mesbahi
- Department of Neurosurgical, SAID Hilmani, Casablanca, Morocco
| | - Abderrahman Bouaggad
- Department of Anesthesiology, Clinic Dar Salam, UHC Ibn Rusch, Casablanca, Morocco
| | | |
Collapse
|
35
|
Jehri A, Lambarki L, Makhchoune M, Ibahion K, Lakhdar A. Fracture évolutive du crâne : à propos d’un cas. Neurochirurgie 2020. [DOI: 10.1016/j.neuchi.2020.06.051] [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]
|
36
|
Bargach Z, Bertal A, Fathi IE, Ibahioin K, Lakhdar A. [Osteoblastoma of the parietal bone of the cranial vault: about a case]. Pan Afr Med J 2020; 36:160. [PMID: 32874424 PMCID: PMC7436644 DOI: 10.11604/pamj.2020.36.160.16031] [Citation(s) in RCA: 1] [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] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/11/2018] [Accepted: 05/22/2020] [Indexed: 11/25/2022] Open
Abstract
L´ostéoblastome est une tumeur osseuse primitive peu fréquente, sa localisation au niveau de la voûte du crâne est extrêmement rare. Nous rapportons un cas d´ostéoblastome de l´os pariétal droit chez une femme âgée de 46 ans ayant des antécédents de traumatisme crânien bénin. Elle a présenté de façon progressive une tuméfaction pariétale droite douloureuse non inflammatoire. Le scanner crânio-cérébral a montré une lésion osseuse hyperdense respectant la table interne de l´os pariétal droit. La patiente a bénéficié d´abord d´une biopsie puis d´une résection totale de la lésion osseuse avec une cranioplastie au ciment méthyl-méthacrylique. Les suites post-opératoires étaient simples. L´examen anatomo-pathologique a montré qu´il s´agissait d´un ostéoblastome sans signes de malignité. Nous discuterons, à travers notre premier cas d´ostéoblastome de la voûte du crâne et une revue de la littérature, sa présentation clinique, l´examen anatomo-pathologique, les aspects radiologiques, ainsi que la prise en charge de cette rare pathologie.
Collapse
Affiliation(s)
- Zoubida Bargach
- Service de Neurochirurgie, Centre Hospitalier Universitaire Ibn Rochd, Casablanca, Maroc
| | - Abderrazak Bertal
- Service de Neurochirurgie, Centre Hospitalier Universitaire Ibn Rochd, Casablanca, Maroc
| | - Idriss El Fathi
- Service de Neurochirurgie, Centre Hospitalier Universitaire Ibn Rochd, Casablanca, Maroc
| | - Khadija Ibahioin
- Service de Neurochirurgie, Centre Hospitalier Universitaire Ibn Rochd, Casablanca, Maroc
| | - Abdelhakim Lakhdar
- Service de Neurochirurgie, Centre Hospitalier Universitaire Ibn Rochd, Casablanca, Maroc
| |
Collapse
|
37
|
Bennis A, Hafiane R, Benouhoud J, El Khaoudi A, Ibahioin K, Lakhdar A, Moussaid I, El Youssoufi S, Salmi S. Epidural cavernous haemangioma during pregnancy: a case report and a literature review. Pan Afr Med J 2019; 33:202. [PMID: 31692775 PMCID: PMC6814345 DOI: 10.11604/pamj.2019.33.202.8481] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/23/2015] [Accepted: 06/08/2016] [Indexed: 11/17/2022] Open
Abstract
Cavernous haemangiomas are benign vascular malformations that can locate in the central nervous system. The epidural spinal location remains unusual. Pregnancy is known to be a precipitating factor. The aim of this study is to review general aspects of these lesions and specific facts about their relationship to pregnancy. A 32-year-old full-term pregnant woman is managed during early labor for a progressive spinal cord compression syndrome. After delivery, exploration by a lumbar MRI found an epidural vascular dorsal mass. Surgical exploration and histopathological examination confirmed the diagnosis of epidural cavernous haemangioma. The patient achieved complete recovery after 1 month. Spinal cavernous haemangiomas are rare malformations. Specific mechanisms seems to be involved in their growth during pregnancy. Although clinical and radiological presentation are spectacular and misleading, the prognosis is generally good, and urgent surgical treatment during pregnancy is usually not indicated.
Collapse
Affiliation(s)
- Anas Bennis
- Anaesthesiology unit, Department of Obstetrics and Gynaecology, Ibn Rochd University Hospital, Casablanca, Morocco.,Department of Neurology, Ibn Rochd University Hospital, Casablanca, Morocco
| | - Reda Hafiane
- Anaesthesiology unit, Department of Obstetrics and Gynaecology, Ibn Rochd University Hospital, Casablanca, Morocco
| | - Jaafar Benouhoud
- Anaesthesiology unit, Department of Obstetrics and Gynaecology, Ibn Rochd University Hospital, Casablanca, Morocco
| | - Amine El Khaoudi
- Anaesthesiology unit, Department of Obstetrics and Gynaecology, Ibn Rochd University Hospital, Casablanca, Morocco
| | - Khadija Ibahioin
- Department of Neurosurgery, Ibn Rochd University Hospital, Casablanca, Morocco
| | - Abdelhakim Lakhdar
- Department of Neurosurgery, Ibn Rochd University Hospital, Casablanca, Morocco
| | - Ihsane Moussaid
- Anaesthesiology unit, Department of Obstetrics and Gynaecology, Ibn Rochd University Hospital, Casablanca, Morocco
| | - Smaïl El Youssoufi
- Anaesthesiology unit, Department of Obstetrics and Gynaecology, Ibn Rochd University Hospital, Casablanca, Morocco
| | - Said Salmi
- Anaesthesiology unit, Department of Obstetrics and Gynaecology, Ibn Rochd University Hospital, Casablanca, Morocco
| |
Collapse
|
38
|
Zoukal S, Ben Abdelaziz A, Tahiri Jouti N, Lakhdar A, Bousfiha AA, Hassoune S. Bibliometric profil of medical publication at Faculty of Medicine of Casablanca (2008-2017). Tunis Med 2019; 97:613-618. [PMID: 31729731] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Abstract
AIM To measure productivity in scientific publications of teachers of the Faculty of Medicine and Pharmacy of Casablanca (FMPC). METHODS This is a descriptive bibliometric study of the publications of the FMPC, indexed in the Medline and Scopus databases, between 2008 and 2017. Articles of physicians affiliated to the FMPC or its university hospital center were included in this study. RESULTS With 1041 articles, the average scientific productivity of the FMPC was 38 articles / 100 teachers-year. These articles were published in 244 journals of which 18% in Pan African Medical Journal and 67% in French. In 58% of the articles, the type was "case reports". Dermatology and Genetics were the most prolific medical disciplines with 122 and 76 articles respectively. In surgery, Oto-Rhino-Laryngology and Gynecology-Obstetrics ranked first, with respectively 75 and 60 articles. The impact factor of the journals that published the articles of the FMPC ranged from 0.05 to 26.56 and was less than two in 84% of the cases. National and international scientific collaboration was 2.6% and 6.4% respectively. CONCLUSION The publication at the FMPC was largely unproductive in English-language journals with a high impact factor. Training in scientific medical writing would be a priority for faculty development and institutional visibility of the FMPC.
Collapse
|
39
|
Hilmani S, Ibahioin K, El Azhari A, Lakhdar A. Adénomes hypophysaires. Neurochirurgie 2019. [DOI: 10.1016/j.neuchi.2019.03.038] [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: 12/01/2022]
|
40
|
Saidy J, Sylla K, Hilmani S, Lakhdar A. Ostéosarcome cervical : à propos d’un cas. Neurochirurgie 2019. [DOI: 10.1016/j.neuchi.2019.03.086] [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]
|
41
|
Dıanka MB, Ennhaili ZEA, Chellaouı A, Ibahıoın K, Bertal A, Lakhdar A, Naja A, Azharı AE. Neonatal Glioblastoma: A case report. J Med Res 2017. [DOI: 10.31254/jmr.2017.3205] [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: 11/03/2022]
|
42
|
Maati A, Ennhaili Z, Chellaoui A, Bertal A, Ibahiouine K, Hilmani S, Lakhdar A, Naja A, Ouboukhlik A, Kamar AE, Azhari AE. Le xanthoastrocytome polymorphe supratentoriel (à propos de 2 cas). Neurochirurgie 2013. [DOI: 10.1016/j.neuchi.2013.10.092] [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]
|
43
|
En-Nhaili Z, Dianka M, Maati A, Bertal A, Hilmani S, Chellaoui A, Ibahioin K, Naja A, Lakhdar A, Ouboukhlik A, Kamar AE, Azhari AE. Luxations cervicales : à propos de 36 cas. Neurochirurgie 2013. [DOI: 10.1016/j.neuchi.2013.10.057] [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]
|
44
|
En-Nhaili Z, Maati A, Dianka M, Lakhdar A, Chellaoui A, Bertal A, Ibahiouin K, Hilmani S, Naja A, Ouboukhlik A, Kamar AE, Azhari AE. Les abcès cérébraux otogènes : à propos de 33 cas. Neurochirurgie 2013. [DOI: 10.1016/j.neuchi.2013.10.077] [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]
|
45
|
Karim R, Hamdani TE, Maati A, Mesbahi T, Chellaoui A, Bertal A, Ibahiouin K, Hilmani S, Lakhdar A, Naja A, Ouboukhlik A, Kamar AE, Azhari AE. La prise en charge des métastases rachidiennes : à propos de 25 cas. Neurochirurgie 2013. [DOI: 10.1016/j.neuchi.2013.10.122] [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: 11/24/2022]
|
46
|
El Massaoudi A, Kanaan A, Maati A, Nhaili Z, Naja A, Ibahioin K, Hilmani S, Lakhdar A, Ouboukhlik A, El Kamar A, El Azhari A. Hydatidose vertébro-médullaire : à propos de 20 cas. Neurochirurgie 2012. [DOI: 10.1016/j.neuchi.2012.10.063] [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: 11/29/2022]
|
47
|
Compaore P, Haissam M, Dianka M, Chellaoui A, Ibahion K, Hilmani S, Lakhdar A, Naja A, Ouboukhlik A, El Kamar A, El Azhari A. Les hématomes intracrâniens post-traumatiques de l’enfant. Étude de 30 cas. Neurochirurgie 2011. [DOI: 10.1016/j.neuchi.2011.09.101] [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]
|
48
|
Compaore P, Rghioui M, Manfalouti M, Bertal A, Chellaoul A, Hilmani S, Ibahion K, Lakhdar A, Naja A, Ouboukhlik A, El Kamar A, El Azhari A. Prise en charge des hématomes spinaux spontanés : à propos de 6 cas. Neurochirurgie 2011. [DOI: 10.1016/j.neuchi.2011.09.153] [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: 10/15/2022]
|
49
|
Compaore P, Sanda M, Kenaan A, Mokri M, Ibahion K, Hilmani S, Lakhdar A, Naja A, El Kamar A, El Azhari A. Les méningiomes de l’enfant : particularités thérapeutiques et évolutives. Analyse d’une série de 20 cas. Neurochirurgie 2011. [DOI: 10.1016/j.neuchi.2011.09.050] [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: 11/29/2022]
|
50
|
Manfalouti M, El Massaoudi A, Ibahion K, Hilmani S, Lakhdar A, Naja A, Chellaoui A, Beratal I, Ouboukhlik A, El Kamar A, El Azhari A. Le xanthoastrocytome polymorphe supratentoriel. Neurochirurgie 2011. [DOI: 10.1016/j.neuchi.2011.09.107] [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: 10/15/2022]
|