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Ouerdiene A, Messelmani M, Mansour M, Zaouali J, Mrissa R. Patent foramen ovale: Causal link with ischemic stroke. J Neurol Sci 2019. [DOI: 10.1016/j.jns.2019.10.571] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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2
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Zaouali J, Messelmani M, Bedoui I, Riahi A, Derbali H, Mansour M, Mrissa R. Spontaneous intracerebral hematoma: Which etiologies? And what predictions prognosis? A study about 253 patients. J Neurol Sci 2019. [DOI: 10.1016/j.jns.2019.10.747] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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3
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Mansour M, Mahmoud MB, A.kacem, Zaouali J, Mrissa R. Melkersson-Rosenthal syndrome: About a Tunisian family and review of the literature. Clin Neurol Neurosurg 2019; 185:105457. [DOI: 10.1016/j.clineuro.2019.105457] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/11/2018] [Revised: 07/29/2019] [Accepted: 08/04/2019] [Indexed: 11/25/2022]
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4
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Mahmoud MB, Derbali H, Riahi A, Azzouz D, Zaouali J, Mansour M, Mrissa R. Fatigue in multiple sclerosis: A Tunisian hospital cohort. J Neurol Sci 2019. [DOI: 10.1016/j.jns.2019.10.1349] [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: 11/28/2022]
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Oukhai F, Messelmani M, Ouerdiane A, Mansour M, Zaouali J, Mrissa R. Cerebral venous thrombosis and solid tumors. J Neurol Sci 2019. [DOI: 10.1016/j.jns.2019.10.1039] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Oukhai F, Mesellmani M, Ouerdiene A, Mansour M, Zaouali J, Mrissa R. Adie’s tonic pupil in sjogren's syndrome. J Neurol Sci 2019. [DOI: 10.1016/j.jns.2019.10.1025] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Ben Haj Ali E, Messelmani M, Zaouali J, Makhlouf S, Mouelhi L, Ebdelli M, Mrissa R. Troubles cognitifs au cours de la maladie cœliaque. Rev Med Interne 2019. [DOI: 10.1016/j.revmed.2019.03.273] [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]
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Ben Haj Ali E, Messelmani M, Riahi S, Zaouali J, Mrissa R. Manifestations psychiatriques au cours de la maladie de Behçet : aspects cliniques et profils évolutifs. Rev Med Interne 2019. [DOI: 10.1016/j.revmed.2019.03.244] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Sayhi S, Ben Haj Ali E, Mrissa L, Derbali H, Thahri R, Gueddiche N, Ben Abdelhafidh N, Zaouali J, Laajili F, Mrissa R, Louzir B. Facteurs de prédisposition au cours de la sarcoïdose systémique. Rev Med Interne 2019. [DOI: 10.1016/j.revmed.2019.03.128] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Ketata J, Hajer D, Messelmeni M, Anis R, Sayhi S, Bousetta N, Arfaoui B, Ajili F, Ben Abdelhafidh N, Louzir B, Mrissa R. Syndrome de Gougerot-Sjögren et Parkinsonisme. Rev Med Interne 2018. [DOI: 10.1016/j.revmed.2018.03.089] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/14/2022]
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Makhlouf S, Msselemeni M, Derbali H, Mansour M, Zaouali J, Mrissa R. Spastic paraparesis revealing celiac disease. Acta Gastroenterol Belg 2018; 81:107-108. [PMID: 29562387] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Affiliation(s)
- S Makhlouf
- Department of Neurology, Military Hospital of Tunis, Tunis, Tunisia
| | - M Msselemeni
- Department of Neurology, Military Hospital of Tunis, Tunis, Tunisia
| | - H Derbali
- Department of Neurology, Military Hospital of Tunis, Tunis, Tunisia
| | - M Mansour
- Department of Neurology, Military Hospital of Tunis, Tunis, Tunisia
| | - J Zaouali
- Department of Neurology, Military Hospital of Tunis, Tunis, Tunisia
| | - R Mrissa
- Department of Neurology, Military Hospital of Tunis, Tunis, Tunisia
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Riahi A, Bedoui I, Derbali H, Messelmani M, Mansour M, Mrissa R. Visual evoked potentials in demyelinating optic neuritis: Electrophysiological and prognosis correlations in 22 patients. J Neurol Sci 2017. [DOI: 10.1016/j.jns.2017.08.3569] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Riahi A, Zaouali J, Bedoui I, Messelmani M, Mansour M, Mrissa R. Paraneoplastic motor neuron disease: A descriptive and prognostic study about five cases. J Neurol Sci 2017. [DOI: 10.1016/j.jns.2017.08.1996] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Nasri A, Mansour M, Kacem A, Derbali H, Yahya M, Riahi A, Bedoui I, Messelmani M, Zaouali J, Fekih-Mrissa N, Bouzayène A, Mrissa R. Trouble obsessionnel compulsif pédiatrique : forme inaugurale inhabituelle de la maladie de Lafora. Encephale 2017; 43:90-94. [DOI: 10.1016/j.encep.2016.06.004] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/29/2015] [Accepted: 08/31/2015] [Indexed: 11/17/2022]
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Nasri A, Mansour M, Messelmani M, Riahi A, Derbali H, Bedoui I, Zaouali J, Mrissa R. Syndrome opsoclonus-myoclonus-ataxie révélant une méningo-encéphalite rubéolique chez un adulte. Rev Med Interne 2016; 37:840-843. [DOI: 10.1016/j.revmed.2016.02.012] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/15/2015] [Accepted: 02/26/2016] [Indexed: 10/22/2022]
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Beyrouti R, Mansour M, Kacem A, Zaouali J, Mrissa R. Transient global amnesia like syndrome associated with acute infarction of the corpus callosum: a case report. Acta Neurol Belg 2016; 116:375-7. [PMID: 26643084 DOI: 10.1007/s13760-015-0572-3] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/05/2015] [Accepted: 11/17/2015] [Indexed: 11/30/2022]
Affiliation(s)
- R Beyrouti
- Department of Neurology, Military Hospital of Tunis, Tunis, Tunisia.
| | - M Mansour
- Department of Neurology, Military Hospital of Tunis, Tunis, Tunisia
| | - A Kacem
- Department of Medicine, Hospital of Jendouba, Jendouba, Tunisia
| | - J Zaouali
- Department of Neurology, Military Hospital of Tunis, Tunis, Tunisia
| | - R Mrissa
- Department of Neurology, Military Hospital of Tunis, Tunis, Tunisia
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Touati N, Mansour M, Bedoui I, Kacem A, Derbali H, Riahi A, Messelmani M, Zaouali J, Fekih-Mrissa N, Mrissa R. [Neurologic manifestations of sarcoidosis: A study of 18 cases]. Rev Neurol (Paris) 2015; 171:773-81. [PMID: 26648345 DOI: 10.1016/j.neurol.2015.07.008] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/02/2014] [Revised: 07/13/2015] [Accepted: 07/22/2015] [Indexed: 11/29/2022]
Abstract
INTRODUCTION Sarcoidosis is a multisystemic granulomatous disease of unknown aetiology. Neurologic manifestations are found in 5 to 10% of cases. PATIENTS AND METHODS We conducted a retrospective study over 6-year period including 18 patients diagnosed with neurosarcoidosis in the Neurologic department of the Military Hospital of Instruction of Tunis. Clinical, radiological, therapeutic features and outcome were studied. RESULTS The mean age was 43.44 years. Neurologic signs were the first symptom in 10 cases. Peripheral nervous system impairment was often found. Meningitis was noted in 8 cases. Biological tests are not contributive for the diagnosis. The brain magnetic resonance imaging was pathologic in 10 cases. Corticosteroids were administrated in the majority of cases. Eight patients did not show any sign of improvement. Ten cases improved with treatment. DISCUSSION AND CONCLUSION Diagnosis of neurosarcoidosis is difficult because of its clinical and radiological polymorphism. It is based on a clinical history suggestive of neurosarcoidosis, laboratory, imaging and histological studies.
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Affiliation(s)
- N Touati
- Service de neurologie, hôpital militaire principal d'instruction de Tunis, Mont Fleury, 1008 Tunis, Tunisie.
| | - M Mansour
- Service de neurologie, hôpital militaire principal d'instruction de Tunis, Mont Fleury, 1008 Tunis, Tunisie
| | - I Bedoui
- Service de neurologie, hôpital militaire principal d'instruction de Tunis, Mont Fleury, 1008 Tunis, Tunisie
| | - A Kacem
- Service de médecine, hôpital régional de Jendouba, avenue de l'UMA 8100, Jendouba, Tunisie
| | - H Derbali
- Service de neurologie, hôpital militaire principal d'instruction de Tunis, Mont Fleury, 1008 Tunis, Tunisie
| | - A Riahi
- Service de neurologie, hôpital militaire principal d'instruction de Tunis, Mont Fleury, 1008 Tunis, Tunisie
| | - M Messelmani
- Service de neurologie, hôpital militaire principal d'instruction de Tunis, Mont Fleury, 1008 Tunis, Tunisie
| | - J Zaouali
- Service de neurologie, hôpital militaire principal d'instruction de Tunis, Mont Fleury, 1008 Tunis, Tunisie
| | - N Fekih-Mrissa
- Service d'hématologie, hôpital militaire principal d'instruction de Tunis, Mont Fleury, 1008 Tunis, Tunisie
| | - R Mrissa
- Service de neurologie, hôpital militaire principal d'instruction de Tunis, Mont Fleury, 1008 Tunis, Tunisie
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Bouthouri A, Mansour M, Kacem A, Bedoui I, Fkih-Mrissa N, Mrissa R. [Paraplegia associated with cystinuria: A fortuitous association or direct relationship? A case report]. Rev Neurol (Paris) 2015; 171:395-6. [PMID: 25572142 DOI: 10.1016/j.neurol.2014.10.015] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/03/2014] [Revised: 10/17/2014] [Accepted: 10/29/2014] [Indexed: 10/24/2022]
Affiliation(s)
- A Bouthouri
- Service de neurologie, hôpital militaire de Tunis, Mont Fleury, 1008 Tunis, Tunisie.
| | - M Mansour
- Service de neurologie, hôpital militaire de Tunis, Mont Fleury, 1008 Tunis, Tunisie
| | - A Kacem
- Service de médecine, hôpital régional de Jendouba P17, Jendouba, Tunisie
| | - I Bedoui
- Service de neurologie, hôpital militaire de Tunis, Mont Fleury, 1008 Tunis, Tunisie
| | - N Fkih-Mrissa
- Service d'hématologie, hôpital militaire de Tunis, Mont Fleury, 1008 Tunis, Tunisie
| | - R Mrissa
- Service de neurologie, hôpital militaire de Tunis, Mont Fleury, 1008 Tunis, Tunisie
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Ketata J, Gnaichiya C, Sellami L, Yangui N, Mansour M, Zaouali J, Mrissa R. Télangiectasie du pont révélée par un syndrome de masse. Rev Neurol (Paris) 2014. [DOI: 10.1016/j.neurol.2014.01.644] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Sellami L, Zaouali J, Yengui N, Ketata J, Gnaichia C, Mansour M, Mrissa R. Les myélopathies aiguës transverses : à propos de 45 cas. Rev Neurol (Paris) 2014. [DOI: 10.1016/j.neurol.2014.01.117] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Bedoui I, Mansour M, Riahi A, Zangar E, Zaouali J, Mrissa R. Cerebral thrombophlebitis and ß-thalassemia intermedia. J Neurol Sci 2013. [DOI: 10.1016/j.jns.2013.07.940] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Bedoui I, Malek M, Riahi A, Waddy OB, Zaouali J, Mrissa R. Neurological manifestations revealing Gougerot Sjogren syndrome: 18 cases. J Neurol Sci 2013. [DOI: 10.1016/j.jns.2013.07.1369] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Riahi A, Bedoui I, Zangar E, Lansari R, Mansour M, Zaouali J, Mrissa R. Clinical features and outcome of ALS-like disorders: Two year follow-up of three cases and review of the literature. J Neurol Sci 2013. [DOI: 10.1016/j.jns.2013.07.2348] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Touati N, Bedoui I, Riahi A, Lansari R, Mansour M, Zouali J, Mrissa R. Peripheral paraneoplastic neuropathy, an uncommon clinical onset of sigmoid cancer. J Neurol Sci 2013. [DOI: 10.1016/j.jns.2013.07.2370] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Zangar E, Mansour M, Bedoui I, Riahi A, Zaoueli J, Mrissa R. Rubella encephalitis and status epilepticus in a young adult male. J Neurol Sci 2013. [DOI: 10.1016/j.jns.2013.07.2173] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Messelmani M, Derbali H, Mansour M, Zaouli J, Mrissa R. Accident de décompression médullaire : à propos de neuf cas. Rev Neurol (Paris) 2013. [DOI: 10.1016/j.neurol.2013.01.211] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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Ben Salem-Berrabah O, Fekih-Mrissa N, Louati I, Layouni S, Zaouali J, N'siri B, Gritli N, Mrissa R. La thrombose veineuse cérébrale : étude étiologique prospective de 26 patients tunisiens. Rev Neurol (Paris) 2011; 167:141-9. [DOI: 10.1016/j.neurol.2010.06.001] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/16/2010] [Revised: 05/14/2010] [Accepted: 06/18/2010] [Indexed: 10/19/2022]
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Kacem I, Ben Ammar M, Ben Ali N, Chkili R, Zaouali J, Mrissa R, Yedaes M. PO07-MO-04 Miliary brain tuberculomas: a case report. J Neurol Sci 2009. [DOI: 10.1016/s0022-510x(09)70709-9] [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]
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Battikh R, Yedeas M, Labidi J, Ben Abdelhafidh N, Zaouali J, Sellami A, Mrissa R, Azzouz O, Louzir B, Ben Moussa M, Ben Abdallah N, Othmani S. [Brain tuberculomas: six cases]. Rev Neurol (Paris) 2009; 165:943-8. [PMID: 19394985 DOI: 10.1016/j.neurol.2009.03.006] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/11/2008] [Revised: 02/07/2009] [Accepted: 03/17/2009] [Indexed: 11/28/2022]
Abstract
INTRODUCTION Despite the resurgence of tuberculosis, partly due to HIV infection, central nervous system involvement remains rare, accounting for only 2 to 5% of all tuberculosis forms. PATIENTS ET METHOD: We report six cases of brain tuberculomas occurring in patients free of HIV infection and hospitalized between 2001 and 2006 in the internal medicine department of a Tunisian military hospital (Tunis). RESULTS Four patients had an underlying defect. Headache, fever, consciousness disorders, deficit disorder or cerebellar syndrome are the main symptoms. Tuberculomas were multiple and disseminated in four cases and localized in the brain stem in two cases. Positive diagnosis could be established in two cases on the basis of the pathology results of a brain biopsy or detection of Mycobacterium tuberculosis in the cerebrospinal fluid; the diagnosis was presumptive in the other cases. Five patients recovered under antituberculosis treatment maintained on average 13 months (11 to 16 months). Steroid treatment was associated in five patients and tapered off for four to six weeks. One 78-year-old diabetic patient died in a context of cachexia with multiple organ failure.
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Affiliation(s)
- R Battikh
- Service de médecine interne, hôpital militaire de Tunis, Montfleury, 1008 Tunis, Tunisie.
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Messaoudi F, Yazidi M, Ben Jemaa S, Messaoudi L, Kallel M, Basly M, Chibani M, Rachdi R, Mrissa R, Yedes M. [Cerebral venous thrombosis during pregnancy: about 7 cases]. Tunis Med 2007; 85:744-747. [PMID: 18254303] [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] [Subscribe] [Scholar Register] [Indexed: 05/25/2023]
Abstract
BACKGROUND cerebral venous thrombophlebitis (CVT) is a rare but serious pathology. The pregnancy and especially the postpartum constitute supporting circumstances occured of the CVT. AIM the aim of our study is to remember the symptomatology of CVT, the importance of the IRM and the angio IRM in the diagnosis of CVT, and its treatment. OBSERVATIONS We present a retrospective study relating to 7 cases of CVT during gravidopuerperality over 7 years (1996 to 2002). The average age of our patients is 32.1 years. The CVT occured during the first trimester of the pregnancy in one case and in the postpartum in 6 cases. The symptomatology was dominated by cephalgia and the signs of intracranian hypertension. Convulsions occured in 3 cases. The diagnosis of CVT was confirmed by IRM coupled with the Angio-IRM in all cases. The treatment by heparinotherapy was instaured immediately and relayed by the Anti-Vit K as the evolution was favorable in all cases. CONCLUSION cerebral venous thrombophebitis (CVT) is a serious pathology (especially in pregnancy and post partum). The diagnosis is performed by the magnetic resonance imaging (IRM) and the early introduction of the heparinotherapy.
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Affiliation(s)
- F Messaoudi
- Service de Gynécologie Obstétrique, Hôpital Militaire de Tunis
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Mrissa R, Battikh R, Ben Abdelhafidh N, Jemli B, Azzouz O, Zaouali J, Louzir B, M'sadek F, Ben Abdallah N, Gargouri S, Yedeas M, Othmani S. Méningo-encéphalite à toxocara canis : à propos d'un cas. Rev Med Interne 2005; 26:829-32. [PMID: 15927312 DOI: 10.1016/j.revmed.2005.04.025] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/27/2004] [Accepted: 04/13/2005] [Indexed: 11/17/2022]
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Mrissa N, Belal S, Ben Hamida C, Amouri R, Turki I, Mrissa R, Ben Hamida M, Hentati F. LINKAGE TO CHROMOSOME 13Q11-12 OF AN AUTOSOMAL RECESSIVE CEREBELLAR ATAXIA IN A TUNISIAN FAMILY. J Peripher Nerv Syst 2000. [DOI: 10.1046/j.1529-8027.2000.00022-22.x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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Mrissa N, Belal S, Ben Hamida C, Amouri R, Turki I, Mrissa R, Ben Hamida M, Hentati F. LINKAGE TO CHROMOSOME 13Q11‐12 OF AN AUTOSOMAL RECESSIVE CEREBELLAR ATAXIA IN A TUNISIAN FAMILY. J Peripher Nerv Syst 2000. [DOI: 10.1111/j.1529-8027.2000.22-22.x] [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] [Indexed: 11/29/2022]
Affiliation(s)
- N Mrissa
- Neurology 54: 1408–1414, 2000. Reprinted with permission from Lippincott Williams & Wilkins
| | - S Belal
- Neurology 54: 1408–1414, 2000. Reprinted with permission from Lippincott Williams & Wilkins
| | - C Ben Hamida
- Neurology 54: 1408–1414, 2000. Reprinted with permission from Lippincott Williams & Wilkins
| | - R Amouri
- Neurology 54: 1408–1414, 2000. Reprinted with permission from Lippincott Williams & Wilkins
| | - I Turki
- Neurology 54: 1408–1414, 2000. Reprinted with permission from Lippincott Williams & Wilkins
| | - R Mrissa
- Neurology 54: 1408–1414, 2000. Reprinted with permission from Lippincott Williams & Wilkins
| | - M Ben Hamida
- Neurology 54: 1408–1414, 2000. Reprinted with permission from Lippincott Williams & Wilkins
| | - F. Hentati
- Neurology 54: 1408–1414, 2000. Reprinted with permission from Lippincott Williams & Wilkins
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Mrissa N, Belal S, Hamida CB, Amouri R, Turki I, Mrissa R, Hamida MB, Hentati F. Linkage to chromosome 13q11-12 of an autosomal recessive cerebellar ataxia in a Tunisian family. Neurology 2000; 54:1408-14. [PMID: 10751248 DOI: 10.1212/wnl.54.7.1408] [Citation(s) in RCA: 57] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/02/2023] Open
Abstract
OBJECTIVE To report the clinical findings and the genetic linkage mapping of an autosomal recessive cerebellar ataxia associated to peripheral neuropathy, showing an early onset cerebellar ataxia with retained tendon reflexes (EOCA) phenotype. BACKGROUND EOCA is a clinical syndrome delimited by Harding distinguished from Friedreich's ataxia (FA) mainly by the preservation of tendon reflexes. Molecular genetic study of patients with EOCA has demonstrated genetic heterogeneity. A form of autosomal recessive spastic ataxia has been described in Charlevoix Saguenay area in Quebec (ARSACS); the gene responsible has been mapped to chromosome 13q. METHODS Genetic linkage analysis was performed on 18 members of a large family including 8 of 9 members with EOCA. After exclusion of FA and ataxia with vitamin E deficiency loci as well as loci of autosomal dominant cerebellar ataxias, we performed a linkage analysis to markers of 13q11-12 region. RESULTS The 9 affected members of this family showed stereotyped clinical features with cerebellar ataxia, pyramidal syndrome, and a variable degree of axonal peripheral neuropathy. Linkage was detected between the disease locus and the microsatellite marker D13S232. Surrounding markers to D13S232 confirmed the linkage and showed the homozygosity of the affected members. CONCLUSION The family reported here showed the same locus as autosomal recessive spastic ataxia Charlevoix Saguenay disease.
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Affiliation(s)
- N Mrissa
- Institut National de Neurologie, Tunis, Tunisia
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Chabriat H, Mrissa R, Levy C, Vahedi K, Taillia H, Iba-Zizen MT, Joutel A, Tournier-Lasserve E, Bousser MG. Brain stem MRI signal abnormalities in CADASIL. Stroke 1999; 30:457-9. [PMID: 9933287 DOI: 10.1161/01.str.30.2.457] [Citation(s) in RCA: 61] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
BACKGROUND We recently showed that the severity of MRI signal abnormalities increases with age in CADASIL, an arteriopathy due to mutations of notch 3 gene on chromosome 19. Previous results also suggest that the various hemispheric subcortical areas have a different vulnerability to ischemia in this disease. The distribution of the lesions at the brain stem level has not yet been reported. CASE DESCRIPTIONS We reviewed the MRIs of 68 affected patients having signal abnormalities in the hemispheric white matter to assess the distribution and clinical consequences of brain stem signal abnormalities in CADASIL. We found hypersignals on T2-weighted images in the brain stem in 45% of the subjects. The pons was more frequently involved (100%) than the mesencephalon (69%) and the medulla (35%). Hyposignals on T1-weighted images, at the brain stem level, were observed only in two thirds of these subjects. The lack of signal abnormalities reaching the brain stem surface and the absence of cerebellar lesions were noteworthy. CONCLUSIONS Brain stem signal abnormalities observed in CADASIL are found in regions irrigated only by perforating arteries. These results support parallel observations made for CADASIL-associated signal abnormalities in the cerebral hemispheres and emphasize the importance of the angioarchitecture of the cerebral vasculature to explain why a condition characterized by a systemic vessel wall pathology is manifested only as a brain disease.
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Affiliation(s)
- H Chabriat
- Service de Neurologie, Hôpital Lariboisière, the Service de Radiologie, Hôpital Saint-Antoine, Service de Neuroradiologie, Paris, France
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