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[Hydatid cyst of the spine and spinal cord. Study of 24 cases]

https://arctichealth.org/en/permalink/ahliterature34962
Source
Neurochirurgie. 1996;42(6):281-7
Publication Type
Article
Date
1996
Author
A. Sami
A. Elazhari
A. Ouboukhlik
A. Elkamar
M. Jiddane
M. Boucetta
Author Affiliation
Service de Neurochirurgie, CHU Ibn Rochd, Casablanca, Maroc.
Source
Neurochirurgie. 1996;42(6):281-7
Date
1996
Language
French
Publication Type
Article
Keywords
Adolescent
Adult
Child
Echinococcosis - diagnosis - therapy
English Abstract
Female
Humans
Male
Middle Aged
Retrospective Studies
Spinal Cord Diseases - parasitology - therapy
Spinal Diseases - parasitology - therapy
Time Factors
Abstract
In this retrospective study, we report our experience of severe hydatid disease located to the spine and the adjacent spinal cord observed in 24 cases between 1970 and 1994. In our series the sex ratio was predominant for males, and the mean age was 29 years. Clinically, the patients presented predominantly with a motor deficit. The diagnosis was assessed on radiological and biological investigations and was confirmed preoperatively. Hydatid serology was positive in 7 out of the ten cases explored. On standard X rays, the bone lesions were frequent: lysis in 10 cases, vertebral deformation in 3 cases, costal invasion in 5 cases, and paravertebral collection in 2 cases. These lesions were predominantly located at the thoracic level. Myelography confirmed a complete blockade in 8 out of 11 cases. When possible, the CT scan confirmed the bone lesion in all of the 10 cases explored, with an intrathecal cyst in 7 cases and a paravertebral collection in 8 cases. Magnetic resonance imaging was possible in one case only. Medical antihelminthic treatment was indicated as the sole treatment in one inoperable case. All the other patients were operated on, and the adjunctive specific medical treatment was associated in 5 cases. Using a posterior approach in 20 cases, the operative technique consisted in a complete removal (if possible) of the invaded bone and soft tissue, thus achieving a complete relief of the spinal cord compression. Complementary bone fixation was indicated in 2 cases. During the postoperative follow-up, two patients died from infection and trophic ulceration, 11 patients improved and 8 patients remained unchanged. In 5 cases, a reoperation was indicated and performed from 2 to 4 times. Three patients were lost for follow-up. The severity of this affection is confirmed in the literature. A complete recovery is quite exceptional. The best treatment remains an active nationwide prevention of the disease.
PubMed ID
9161534 View in PubMed
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[Intradural extramedullary tuberculous abscess. Apropos of a case]

https://arctichealth.org/en/permalink/ahliterature69549
Source
Neurochirurgie. 1996;42(6):306-8
Publication Type
Article
Date
1996
Author
M. Achouri
S. Hilmani
A. Sami
A. Ouboukhlik
A. el Kamar
A. el Azhari
M. Boucetta
Author Affiliation
Service de Neurochirurgie, CHU Ibn Rochd, Casablanca, Maroc.
Source
Neurochirurgie. 1996;42(6):306-8
Date
1996
Language
French
Publication Type
Article
Keywords
Abscess - diagnosis
Adolescent
English Abstract
Humans
Magnetic Resonance Imaging
Male
Spinal Cord Compression - etiology
Thoracic Vertebrae
Tuberculosis, Spinal - diagnosis
Abstract
Intradural extramedullary tuberculous spinal abscess is rare and has a poor prognosis if not diagnosed early and treated adequately. We report the case of 13 year-old boy who presented with an 8-month history of paraplegia. MR imaging demonstrated an intradural extramedullary spinal abscess in the mid-thoracic region. At operation, an encapsulated abscess was removed completely. The tuberculous nature was confirmed with microbiological testing. Postoperative antituberculous chemotherapy resulted in complete recovery. MR imaging can prove very helpful in early diagnosis of this condition, which is particular relevant in countries where tuberculosis is endemic.
PubMed ID
9161538 View in PubMed
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[Intramedullary schwannoma. A case report]

https://arctichealth.org/en/permalink/ahliterature17058
Source
Neurochirurgie. 2005 Feb;51(1):19-22
Publication Type
Article
Date
Feb-2005
Author
M. El Malki
A. Bertal
A. Sami
K. Ibahoin
A. Lakhdar
A. Naja
M. Achouri
A. Ouboukhlik
A. El Kamar
A. El Azhari
Author Affiliation
Service de Neurochirurgie, CHU Ibn Rochd, Quartier des Hôpitaux, Casablanca, Maroc. elmalki.mohamed@caramail.com
Source
Neurochirurgie. 2005 Feb;51(1):19-22
Date
Feb-2005
Language
French
Publication Type
Article
Keywords
Adult
Cervical Vertebrae
English Abstract
Female
Humans
Neurilemmoma - diagnosis - surgery
Spinal Cord Neoplasms - diagnosis - surgery
Abstract
The intramedullary localization of schwannoma is rare, corresponding to 0.3% of all intraspinal tumors. We report a case of intramedullary schwannoma without symptoms suggestive of neurofibromatosis. This patient presented with symptoms of spinal compression. Total removal of the tumor was achieved. The literature is reviewed about of this rare localization of schwannoma.
PubMed ID
15851962 View in PubMed
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[Intramedullary tuberculomas. Five cases]

https://arctichealth.org/en/permalink/ahliterature69306
Source
Neurochirurgie. 2004 Nov;50(5):527-32
Publication Type
Article
Date
Nov-2004
Author
K. Ibahioin
M. El Malki
A. Chellaoui
A. Bertal
S. Hilmani
A. Lakhdar
A. Naja
A. Sami
M. Achouri
A. Ouboukhlik
A. El Kamar
A. El Azhari
Author Affiliation
Service de Neurochirurgie, CHU Ibn Rochd, Casablanca, Maroc. ibahioinek@hotmail.com
Source
Neurochirurgie. 2004 Nov;50(5):527-32
Date
Nov-2004
Language
French
Publication Type
Article
Keywords
Adult
Aged
English Abstract
Female
Humans
Male
Middle Aged
Spinal Cord Diseases - diagnosis - surgery
Tuberculoma - diagnosis - surgery
Tuberculosis, Central Nervous System - diagnosis - surgery
Abstract
Tuberculosis of the central nervous system is uncommon. The intramedullary localization is exceptional. We report five cases of intramedullary tuberculosis observed in four women and one man with a mean age of 43 years. Two patients had a prior history of tuberculosis. Spinal cord compression was found clinically in all cases. The spinal MRI visualized the tuberculoma in all patients; two had a double tumor. Complete removal of the tuberculoma was possible in only one patient. Outcome was stationary for four patients.
PubMed ID
15654306 View in PubMed
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[Thoracic medullary epidermoid cyst. Apropos of a case with MRI and review of the literature]

https://arctichealth.org/en/permalink/ahliterature22822
Source
Neurochirurgie. 1996;42(6):309-11
Publication Type
Article
Date
1996
Author
A. Elazhari
A. Sami
A. Naja
A. Ouboukhlik
A. Elkamar
M. Boucetta
Author Affiliation
Service de Neurochirurgie, CHU Ibn Rochd, Casablanca, Maroc.
Source
Neurochirurgie. 1996;42(6):309-11
Date
1996
Language
French
Publication Type
Article
Keywords
Adolescent
English Abstract
Epidermal Cyst - diagnosis - radiography - surgery
Humans
Magnetic Resonance Imaging
Male
Spinal Cord Diseases - diagnosis - surgery
Thoracic Vertebrae
Abstract
We report the case of a 14 year-old patient presenting with a thoracic spinal cord compressing syndrome (T5-T6). The myelography and magnetic resonance imaging showed an intramedullary cystic mass. One year after the surgical excision of the capsule and an easy aspiration of the tumoral content, this patient had a good neurological recovery.
PubMed ID
9161539 View in PubMed
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