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Moudaffar S, Arraji M, Aabbassi B, Adali I, Manoudi F. Speech and Language Delays Associated With New-Onset Seizures Revealing Dandy-Walker Variant. Cureus 2024; 16:e52802. [PMID: 38264175 PMCID: PMC10805175 DOI: 10.7759/cureus.52802] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/23/2024] [Indexed: 01/25/2024] Open
Abstract
Dandy-Walker malformation or syndrome is a rare congenital deformity in which the cerebellar vermis is hypoplastic and upwardly rotated, the fourth ventricle enlarged, and the posterior fossa cystically dilated. It represents the most common type of posterior fossa malformations that are usually diagnosed before the age of one year old. We present a seven-year-old boy with a history of neonatal hypotonia and delayed walking, who presented with speech and language difficulties. His physical examination and cognitive tests were unremarkable. The patient's brain magnetic resonance imaging showed a partial defect of the inferior part of the cerebellar vermis and communication between a normal-sized cisterna magna and the fourth ventricle. There were no other coexisting central nervous system or systemic anomalies. This isolated inferior vermian hypoplasia was compatible with an uncommon variant of the Dandy-Walker syndrome. The aim of this report is to provide insight into the importance of implementing a pediatrician-psychiatrist collaboration in the clinical decision-making process of such developmental delay cases. What makes the present case further interesting are the new-onset unprovoked seizures that developed and recurred in the setting of such isolated and less severe posterior fossa anomaly, raising both diagnostic and therapeutic challenges.
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Affiliation(s)
- Sara Moudaffar
- Child and Adolescent Psychiatry, Ibn Nafis Hospital, University Hospital Center Mohammed VI, Marrakesh, MAR
| | - Mohssine Arraji
- Child and Adolescent Psychiatry, Ibn Nafis Hospital, University Hospital Center Mohammed VI, Marrakesh, MAR
| | - Bouchra Aabbassi
- Child and Adolescent Psychiatry, Ibn Nafis Hospital, University Hospital Center Mohammed VI, Marrakesh, MAR
- Child, Health and Development Research Laboratory, Faculty of Medicine and Pharmacy, Marrakesh, MAR
| | - Iman Adali
- Psychiatric Department, University Hospital Center Mohammed VI, Marrakesh, MAR
| | - Fatiha Manoudi
- Psychiatric Department, University Hospital Center Mohammed VI, Marrakesh, MAR
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Ait Idar A, Madani M, Berghalout M, Adali I, Manoudi F. [Stigma in psychiatry]. Encephale 2021; 48:288-293. [PMID: 34148648 DOI: 10.1016/j.encep.2021.03.005] [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: 01/19/2021] [Revised: 02/23/2021] [Accepted: 03/12/2021] [Indexed: 11/25/2022]
Abstract
Mental illness affects 48.9 % of the Moroccan population. Despite this significant figure, mental illness remains unrecognized. The patients suffering from mental disorders are therefore subject to stigma and social rejection. A descriptive study was conducted at the consultation service of the psychiatric Ibn Nafiss hospital of the CHU of Marrakech. We chose as a sample 100 stabilized patients, followed on an outpatient basis. The study included the three mental disorders: depressive disorder, bipolar disorder, and schizophrenia. The number of patients in each group had been fixed beforehand; and we tried to get a fairly even distribution between the two genders. The questionnaire had three main axes: (1) Sociodemographic data of the patient. (2) Knowledge of the disease. (3) Evaluation of the experience of stigma. The results of our sample were as follows: For both sexes the age extremes were 19 to 68 years with an average of 38.5 with a clear predominance of women. For the entire population, most patients were single with a percentage of 60 %. Two thirds of the patients, i.e. 59 %, did not exceed primary school. For personal medical history, endocrine pathologies were the most prevalent, at 18 % of cases, while depression was the most common family psychiatric history in our study. We noticed that our population suffered more discrimination and disclosure from those around them regardless of family, social and professional with less appreciation of the positive aspects.
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Affiliation(s)
- A Ait Idar
- CHU Mohammed VI BP2360 Principal, avenue Ibn Sina, Marrakech, Maroc.
| | - M Madani
- CHU Mohammed VI BP2360 Principal, avenue Ibn Sina, Marrakech, Maroc
| | - M Berghalout
- CHU Mohammed VI BP2360 Principal, avenue Ibn Sina, Marrakech, Maroc
| | - I Adali
- CHU Mohammed VI BP2360 Principal, avenue Ibn Sina, Marrakech, Maroc
| | - F Manoudi
- CHU Mohammed VI BP2360 Principal, avenue Ibn Sina, Marrakech, Maroc
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Kachouchi A, Sebbani M, Akammar S, Berghalout M, Adali I, Manoudi F, Amine M, Asri F. Protéine C-réactive et agitation chez des patients atteints de schizophrénie : suivi d’une cohorte avec groupe témoin. Encephale 2020; 46:264-268. [DOI: 10.1016/j.encep.2019.11.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/03/2019] [Revised: 11/06/2019] [Accepted: 11/23/2019] [Indexed: 10/25/2022]
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El Yazidi FE, Boualame A, Akammar S, Zahrae Elfahiri F, Aitbenlaassel O, Adali I, Manoudi F, Asri F. [Prevalence and characteristics of sexual dysfunction among Moroccan patients consulting for a first depressive episode]. Encephale 2019; 45:501-505. [PMID: 31495551 DOI: 10.1016/j.encep.2019.06.003] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/05/2018] [Revised: 06/23/2019] [Accepted: 06/24/2019] [Indexed: 02/08/2023]
Abstract
Depression as such causes emotional and physical disturbances that affect biological functions such as sleep, appetite, decreased libido and lack of interest in sexual function. Indeed, there is a significant incidence of sexual dysfunction in depressed patients. In addition, depression and sexual dysfunction have a significant impact on the quality of life of couples which can be improved by managing these two conditions between which there seems to be a two-way causal link. Sexual dysfunction has long been neglected in the clinic of depression. In Morocco, depression affects more than a quarter of the population. However, to date, no study has focused on the assessment of sexual function in relation to depression among Moroccans. OBJECTIVES This work aimed to evaluate the prevalence and characteristics of sexual dysfunction in Moroccan patients consulting for a first depressive episode. METHODS This is a descriptive cross-sectional study. All subjects included in this study were consulting for a first major depressive episode according to DSM-5 criteria from June 1st to November 30th, 2017 at the psychiatric university department at Ibn Nafis hospital in Marrakech. The severity of depression was assessed using the Hamilton scale. The ASEX (Arizona Sexuel Experience) scale was used to define sexual dysfunction. Statistical analysis was performed using SPSS 22 software. RESULTS Fifty eight patients were recruited 34 of whom were female. They had an average age of 37 years. The majority were between 27 and 42 years old (59 %), married (81 %), with an average level of education (34.5 %). The average duration of the episode was 57 days. The major depressive episode was severe in 62 % of patients. According to the ASEX, 77.6 % of the depressed patients had a clinically significant sexual dysfunction. The majority of our patients (60.3 %) consulting for depression attach their sexual dysfunction to their depressed mood, either by reporting the onset of sexual dysfunction at the same time as depression (53.4 %), or worsening after the depression onset (6.9 %). The frequency of sexual intercourse with the pre-depressive state was decreased in the majority of our sample. Sexual desire was the most impaired phase of the sexual response (58.6 %) followed by excitation (53.4 %) and then orgasm (51.7 %). Of the 47 married patients, more than two thirds (32 patients) were dissatisfied with their life as a couple as well as with different aspects of their relationship life. The majority of patients reporting marital dissatisfaction attributed the cause to the quality of their sexual intercourses rather than to their frequency or other relational aspects. Sexual dysfunction was significantly correlated with the severity of depression (P=0.031), whereas it was not correlated with duration of depressive episode (P=0.412) or age or patient sex (P=0.114, P=0.202 respectively). CONCLUSIONS The prevalence of sexual dysfunction is high in depressed patients. It significantly impacts the couple's quality of life. Although our main limitation was the small sample size which prevented us from doing a multi-varied analysis, the robust nature of this study lies in documenting the initial prevalence and types of sexual dysfunctions in both sexes in the first major depressive episode unrelated to the dysfunctions induced by antidepressant drugs. The early identification of sexual disorders and the consideration of couple dynamics would be two important elements in the management of the depressed patient.
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Affiliation(s)
- F E El Yazidi
- Équipe de recherche pour la santé mentale, hôpital psychiatrique Ibn Nafis CHU Mohammed VI Marrakech, 40000 Marrakech, Maroc
| | - A Boualame
- Équipe de recherche pour la santé mentale, hôpital psychiatrique Ibn Nafis CHU Mohammed VI Marrakech, 40000 Marrakech, Maroc.
| | - S Akammar
- Équipe de recherche pour la santé mentale, hôpital psychiatrique Ibn Nafis CHU Mohammed VI Marrakech, 40000 Marrakech, Maroc
| | - F Zahrae Elfahiri
- Équipe de recherche pour la santé mentale, hôpital psychiatrique Ibn Nafis CHU Mohammed VI Marrakech, 40000 Marrakech, Maroc
| | - O Aitbenlaassel
- Faculté de médecine et de pharmacie de Marrakech, 40000 Marrakech, Maroc
| | - I Adali
- Équipe de recherche pour la santé mentale, hôpital psychiatrique Ibn Nafis CHU Mohammed VI Marrakech, 40000 Marrakech, Maroc
| | - F Manoudi
- Équipe de recherche pour la santé mentale, hôpital psychiatrique Ibn Nafis CHU Mohammed VI Marrakech, 40000 Marrakech, Maroc
| | - F Asri
- Équipe de recherche pour la santé mentale, hôpital psychiatrique Ibn Nafis CHU Mohammed VI Marrakech, 40000 Marrakech, Maroc
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Kachouchi A, Salim S, Berghalout M, Adali I, Manoudi F, Asri F. Le profil des patients âgés marocains hospitalisés en psychiatrie. Encephale 2018; 44:571. [DOI: 10.1016/j.encep.2018.05.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/29/2018] [Revised: 05/26/2018] [Accepted: 05/28/2018] [Indexed: 10/28/2022]
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Kachouchi A, Sebbani M, Salim S, Adali I, Manoudi F, Amine M, Asri F. Facteurs de risque de passage à l’acte d’homicide chez des patients marocains atteints de schizophrénie. Encephale 2018; 44:409-414. [DOI: 10.1016/j.encep.2017.07.001] [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] [Received: 06/10/2017] [Revised: 07/03/2017] [Accepted: 07/05/2017] [Indexed: 10/18/2022]
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Manoudi F, Adali I, Asri F, Tazi I. Approche épidémiologique de la boulimie et du comportement alimentaire inhabituel en milieu universitaire à Marrakech (Maroc). Annales Médico-psychologiques, revue psychiatrique 2010. [DOI: 10.1016/j.amp.2010.09.001] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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Boutabia S, Manoudi F, Bouaouda S, Adali I, Chagh R, Asri F, Tazi I. Medico-Legal acts and epilepsy. Eur Psychiatry 2008. [DOI: 10.1016/j.eurpsy.2008.01.706] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/22/2022] Open
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Adali I, Boutabia S, Bououda S, Chagh R, Asri F, Manoudi F, Tazi I. Sexual Violence among women in Marrakech. Eur Psychiatry 2008. [DOI: 10.1016/j.eurpsy.2008.01.668] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/22/2022] Open
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Bouaouda S, Boutabia S, Chagh R, Adali I, Manoudi F, Asri F, Tazi I. Late factors of schizophrenia diagnosis. Eur Psychiatry 2008. [DOI: 10.1016/j.eurpsy.2008.01.751] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/22/2022] Open
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Asri F, Manoudi F, Chagh R, Souirti Z, Adali I, Boutabia S, Bououda S, Tazi I. Psychiatric disorders among foreign nationals in Marrakech. Eur Psychiatry 2008. [DOI: 10.1016/j.eurpsy.2008.01.1158] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/22/2022] Open
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Adali I, Manoudi F, Essabiri L, Chagh R, Bououda S, Boutabia S, Asri F, Tazi I. Bulimia among female students in Marrakesh. Eur Psychiatry 2008. [DOI: 10.1016/j.eurpsy.2008.01.996] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/22/2022] Open
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Manoudi F, Louhab N, Bououda S, Chagh R, Adali I, Boutabia S, Kissani N, Asri F, Tazi I. Depressive disorders among epileptic patients. Eur Psychiatry 2008. [DOI: 10.1016/j.eurpsy.2008.01.512] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
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Berkman AT, Aran M, Civelekoğlu E, Adali I, Aldemir O. [Diagnostic and therapeutic problems in malignant effusions and chylothorax]. Turk Tip Cemiy Mecm 1970; 36:259-277. [PMID: 5510334] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/21/2023]
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Uzel R, Adali I, Civelekoğlu E. [Results of SPI, SPG and combination of radiotherapy in the management of certain tumors]. Turk Tip Cemiy Mecm 1967; 33:106-16. [PMID: 6040938] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/18/2023]
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