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Initia. Experience with Open Hea.t Surgery in Sub-Sa.a.a. a.rica.Cha.lenges in Ma.i with Minimum Sta.da.ds for Pra.tice

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World Journa. of Ca.diova.cula. Surgery 2019年第9期9卷 108-118页

作者： Seydou Togo Moussa.a.doula.e Oua.ta.a.a.doul a.iz Ma.ga.Moussa.Ba.ongo Issa.boubacar Ma.ga.Cheik a.med Sekou Toure Ibra.im Couliba.y Sounka.o Diop a.la.e Ombotimbe Sitta.Illia.sou Souleyma.e Couliba.y Ma.a.ou Solo Koita.Koumba.Nelly Dora.Igna.ga.Sa.ibe drama.e Kone Moussa.Osca. Ka.a.o Fa.ouma.a.Kona.e a.a.a.Issa.Kone a.a.ou Sidibe a.ma.ou drame Nouhoum Oueloguem Boura.a.Ka.e boubacar drame Sekou Kouma.e Zimogo Zie Sa.ogo Sa.io Yena Depa.tment of Thora.ic a.d Ca.diova.cula. Surgery Mali HospitalBamakoMali Depa.tment of a.esthesiology a.d Critica. Ca.e Mali HospitalBamakoMali Depa.tment of Ca.diologie Mali HospitalBamakoMali Depa.tment of Pedia.rics Mali HospitalBamakoMali Depa.tment of Biomedica. La.ora.ory Mali HospitalBamakoMali Depa.tment of Surgery“a. Point G HospitalBamakoMali

Introduction: There ha. been limited experience with Open Hea.t Surgeries (OHS) in Sub-Sa.a.a. a.rica. In west a.rica.especia.ly in Ma.i, most fledgling centers a.e una.le to overcome the myria. of cha.lenges encountered in esta.lishing OHS though there is a.high preva.ence of surgica.ly correcta.le hea.t disea.es. The a.m of this pa.er is to review our initia. experience of our first ca.es in developing OHS progra. a.d discuss the cha.lenges a.d prospects tha. need to be overcome to further develop it. Methods: a.tota. of 6 pa.ients who underwent OHS during the first “ca.dia. mission” in July 2016 were included in this retrospective study. The medica. records of the pa.ients were exa.ined a.d da.a.on a.e, sex, dia.nosis, EuroSCORE, type of surgery, ca.diopulmona.y bypa.s deta.ls, complica.ions a.d length of hospita. sta. were extra.ted. Results: Six pa.ients with a.ma.e to fema.e ra.io of 1, a.es ra.ging between 12 a.d 35 yea.s (mea. of 22.5 ± 12 yea.s) were studied. The mea. of EuroSCORE wa. 6 ± 41. Perica.dia. pa.ch closure of isola.ed a.ria. septa. defect wa. performed in one pa.ient. One pa.ient ha. mitra. va.ve repa.r for rheuma.ic mitra. regurgita.ion consisting of chorda. shortening with a.tricuspid va.vulopla.ty. Three pa.ients ha. mitra. va.ve repla.ement with tricuspid va.vulopla.ty. Four pa.ients ha. mitra. va.ve repla.ement. Sixty-da. morta.ity?wa. 0%. Conclusion: Sa.e conduct of open hea.t surgery in Ma.i Hospita. setting is fea.ible. Gra.t fina.cia. a.d is required for ra.id growth of Open-Hea.t Surgery in this pa.t of Sub-Sa.a.a. a.rica.

关键词： Open-Hea.t Surgery Ma.i a.rica

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Conserva.ive Trea.ment in Grisel’s Syndrome Following Tonsillectomy

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World Journa. of Neuroscience 2018年第1期8卷 38-43页

作者： Youssouf Sogoba.a.doula.e Ba.ry Issa.a.a.ou boubacar Sogoba.Drissa.Ka.ikomo Seybou Ha.sa.e Dia.lo Ouma. Couliba.y Youssoufa.Ma.ga.Sia.a.Souma.ro Dia.guina.dit Noumou Souma.é Ka.idia.ou Singa.é Moha.ed Keita Depa.tment of Neurosurgery Hopital Gabriel Touré Bamako Mali Depa.tment of Pedia.rics Hopital de Kati Bamako Mali Depa.tment of Pedia.ric Surgery Hopital Gabriel Touré Bamako Mali Depa.tment of Neurology Hopital Gabriel Touré Bamako Mali Depa.tment of ENT Hopital Gabriel Touré Bamako Mali Depa.tment of Pneumonology Hopital du Point G Bamako Mali

Grisel’s syndrome is a.ra.e complica.ion tha. is cha.a.terized by non-tra.ma.ic a.la.toa.ia. subluxa.ion. It is most commonly seen in children a.ter a. upper respira.ory tra.t infection or neck surgery, such a. a. a.enoidectomy, tonsillectomy a.d ma.toidectomy. Grisel’s Syndrome is cha.a.terized by torticollis a.d a.limited ra.ge of motion of the neck with pa.n. Here the a.thors report a.ca.e of a.Ma.ia. 5-yea.-old girl with Grisel’s syndrome following tonsillectomy. The pa.ient’s compla.nts were fully resolved a.ter 2 weeks of conserva.ive trea.ment.

关键词： a.la.toa.ia. Subluxa.ion Grisel’s Syndrome Torticollis

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Gia.t Intra.ra.ia. a.a.hnoid Cyst Ca.sing a.ute Neurologic Symptoms

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World Journa. of Neuroscience 2018年第3期8卷 363-369页

作者： Youssouf Sogoba.boubacar Sogoba.Seybou Ha.sa.e Dia.lo Drissa.Ka.ikomo Djenè Kourouma.Ouma. Couliba.y Issa.a.a.ou Mousta.ha.Ma.ga.é Ha.idou a.meimoune Ma.a.i Thierno Diop Youssoufa.Ma.ga.Broula.e Sa.a.é Djibo M. Dia.go Depa.tment of Neurosurgery Hopital Gabriel Touré Bamako Mali Depa.tment of Neurology Hopital Gabriel Touré Bamako Mali Depa.tment of Neurosurgery Hopital du Mali Bamako Mali Depa.tment of Pedia.ric Surgery Hopital Gabriel Touré Bamako Mali Depa.tment of a.esthesiology a.d ICU Hopital Gabriel Touré Bamako Mali

Intra.ra.ia. a.a.hnoid cysts (Ia.) a.e benign lesions conta.ning cerebrospina. fluid (CSF). Most of them a.e clinica.ly silent a.d rema.n sta.ic in size. However some ma. present with mild a.d slow progressive symptoms ca.sed by the cyst. The a.thors present the ca.e of 54-yea.-old woma. who presented with a.ute symptoms of severe hea.a.he, vomiting, a.d ga.t disturba.ce of 2 da.’s dura.ion. She ha. no history of hea. tra.ma. On a.mission, neurologica. exa.ina.ion revea.ed tha. the pa.ient ha. a.Gla.gow Coma.Sca.e score of 15, a.d a.left side hemiplegia. a.CT sca. revea.ed a.hypodense fluid collection in the right frontopa.ieta. region tha. mimicked a. a.a.hnoid cyst. The symptoms were improved a.ter a. emergency ma.supia.isa.ion via.cra.iotomy.

关键词： a.a.hnoid Cyst Neuroendoscopy Microsurgica. Fenestra.ion

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Hemoglobinopa.hy a.d Systemic Lupus: a.Ra.e a.socia.ion

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Open Journa. of Interna. Medicine 2019年第3期9卷 72-77页

作者： a.sétou Ka.a.Soukho Ibra.ima.a.a.ou Dembele Djenebou Tra.re Nounga.Romua.d Nya.ke Djibril Sy a.a.se Sa.ogo Ma.a.ou Cissoko Ba.ry boubacar Sa.ga.e Ma.a.ou Ma.le Sékou Ma.a.ou Cisse a.drama.e Tra.re Ma.a.a.ou Sa.iou Na.ko Doumbia.Brehima.Boly Berthe Ka.y Keita.boubacar Zouma.a.Cisse Drissa.Sa.ga.e Youssouf Fofa.a.Kokou Tba. Tigha.kpa.a.1}é Keita.Ma.a.ou Keita.Ma.a.ou Dembele a.del Ka.er Tra.re Ha.a. a.a.sa.e Tra.re Depa.tment of Interna. Medicine Point G University Teaching Hospital Bamako Mali

The a.thors report a.ca.e of systemic lupus a.socia.ed with a.composite heterozygosis SC with tha.a.semic component in a.19-yea.-old pa.ient hospita.ized for a.emia.a.d polya.thra.gia.who ha. a.sta.uropondera. dela., ma.ula. erythema.ous lesions in butterfly wings on the fa.e a.d ea.s, photosensitivity, puffy fa.e, a.opecia. pubic a.d a.illa.y ha.r loss, sca.p derma.ophytosis, pa.nful swelling of the interpha.a.gea. joints, wrists a.d knees. The hemoglobin electrophoresis showed a.compound heterozygote SC a.socia.ed with β tha.a.semia. a.tinuclea. a.tibodies were positive with a. a.ti-Sm positive a.tibody. Conclusion: The dia.nosis of both disea.es ca. be difficult when symptoms a.e concomita.t a.d look a.ike.

关键词： Hemoglobinopa.hy Lupus University Tea.hing Hospita. Point G

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Opera.ing Site Infections a. Genera. Surgery Depa.tment of Ga.riel Toure Tra.ning Hospita.

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Surgica. Science 2015年第2期6卷 59-64页

作者： Ba.a.y Tientigui Dembélé a.ha.sa.e Tra.ré a.égné Togo La.sa.a.Ka.té Ibra.im Dia.ité Boura.a.Dia.ra.a.a.ou Tra.ré Ma.ia.sa.Kona.é boubacar Ka.embé Ya.a.ia.Couliba.y Ma.by Keita.Souleyma.e Dia.lo Souleyma.e Dia.lo Ga.ga.y Dia.lo Fa.ulty of Medicine a.d Odonto-Stoma.ology Bamako Mali Depa.tment of Genera. Surgery CHU Gabriel Touré Bamako Mali Depa.tment of Biology a.d La.ora.ory CHU Gabriel Touré Bamako Mali

The opera.ing site infections constitute the ma.or postopera.ive issue in surgery. Our objectives were to determine the hospita. frequency, the risk fa.tors, the involved germs a. well a. the cost genera.ed by the opera.ing site infections. Method: Our three months prospective survey run from September the 1st to November the 30th 2013 ha. included a.l depa.tment pa.ients being opera.ed on a.d hospita.ized. The criteria.ha.e been set by CDC d’a.la.ta. Results: 374 files were involved, a.ong them 229 (61.2%) were emergencies a.d 145 (38.8%) were scheduled. The a.era.e a.e wa. 41 (extremes 7 a.d 95 sta.da.d devia.ion 17.46), the sex ra.io 1.67. The infective risk a.cording to a.tmeier ha. found 17.5% type 1, 25.1% type 2, 11.2% type 3 a.d 46.3% type 4;a.cording to NNISS, 96 (25.7) were NNISS 0;94 (51.9%) NNISS 1;80 (21.4%) NNISS 2;a.d 4 (1.1%) NNISS. In the a.tmeier cla.s I ha.e not got a.tibiotic before infection signs a.pea.a.ces. Our overa.l ra.e of opera.ing site infections wa. 7.9% (29 ca.es), with 24 (82.8%) emergency ca.es. a.cording to a.tmeier’s cla.s of infective risk, the ra.e of opera.ing site infections wa. 1.54% ma.ing 1 out of 65 type I pa.ients;4.3% ma.ing 4 out of 93 type II pa.ients;11.9% ma.ing 5 out of 42 type III pa.ients;10.9% ma.ing 19 out of 174 type IV pa.ients. a.cording to NNISS, the infective risk ha. been a.sessed a.d wa. 2.08% for score 0, we ha.e got 8.25% score 1, a.d 12.5% for score 2, a.d 25% for score 3. The ba.teriology ha. been domina.ed by Escherichia.colii(51.7), Proteus mira.ilisi(13.8), a.d Klebsiella.pneumonia.i(10.34). The germs ha.e been resista.t to the combina.ion a.oxicillin-cla.ula.ic a.id between 50% a.d 87% of ca.es. The most a.tive a.tibiotics on the germs ha.e been Cepha.osporin, Polypeptides, a.d a.inoglycosides. The hospita. sta. ha. been dela.ed to 12 da.s on a.era.e by opera.ing site infections, ma.ing 2.5 times grea.er tha. those uninfected. The infection ha. increa.ed the cost of ma.a.ement a.ound 600 Euro.

关键词： Infections Opera.ing Sites Ba.a.o

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Ilea. Occlusion on Bezoa.s a. Ka.i BSS Hospita.

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Surgica. Science 2019年第1期10卷 39-43页

作者： Keita.Koniba.a.doula.e Dia.ra.Sidiki Keita.Issa.Tra.re Sa.ia.Couliba.y Fa.ima.Ta.l Da.uda.Dia.lo Oulema.ou Couliba.y a.sita. Kone boubacar Kone Ma.a.a.ou Ba.a.y Couliba.y Da.uda.Kona.e Isma.l Kona.e Drissa.Tra.re Genera. Surgery Depa.tment Kati Mali Medica. Ima.ing Depa.tment Kati Mali a.esthesia.Resuscita.ion Depa.tment Kati Mali Ophtha.mology Depa.tment Kati Mali

Bowel occlusions by bezoa.s a.e ra.e pa.hologies. They a.e due to a. ob-struction of the intestina. lumen by a.solid ma.s of fruits or undigested vegeta.le fibers. They a.e sea.ona. (wild fruit sea.on from Ma.ch to June) in the Sa.el Zone. We report a.ca.e of sma.l bowel obstruction in a.35-yea.-old rura. ma. a.ter swa.lowing a.significa.t a.ount of wild gra.es (La.nea.microca.pa.. We proceeded to the resection of the occluded ilea. segment a.d performed a. ilea. termina. ilea. a.a.tomosis. There weren’t a.y complica.ions during the postopera.ive site.

关键词： Bezoa.s Occlusion Jejunum Sea.on

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Ma.a.ement of Spina. Schwa.noma. in Ga.riel TouréHospita.: Review of 11 Ca.es

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Surgica. Science 2018年第8期9卷 256-261页

作者： Youssouf Sogoba.boubacar Sogoba.Drissa.Ka.ikomo Seybou Ha.sa.e Dia.lo Djenè Kourouma.Ouma. Couliba.y Issa.a.a.ou Mousta.ha.Ma.ga.é Ha.idou a.meimoune Ma.a.i Thierno Diop Youssoufa.Ma.ga.Broula.e Sa.a.é Djibo M. Dia.go Depa.tment of Neurosurgery H&#244 pita. Ga.riel Touré Bamako Mali Depa.tment of Neurology H&#244 pita. Ga.riel Touré Bamako Mali Depa.tment of Neurosurgery H&#244 pita. du Ma.i Bamako Mali Depa.tment of Pedia.ric Surgery H&#244 pita. Ga.riel Touré Bamako Mali Depa.tment of a.esthesiology a.d ICU H&#244 pita. Ga.riel Touré Bamako Mali

Ba.kground: Spina. schwa.noma. a.e common tumors of spina. neopla.m a.d a.count for a.out 25% of intra.ura. spina. cord tumors in a.ults. They a.e genera.ly benign a.d slow-growing. a.va.ced in ra.iologic a.d surgica. techniques ha.e brought a.out better surgica. results. The goa. of surgica. trea.ment must be tota. resection if possible. In this report, the a.thors present the incidence, clinica. presenta.ion, loca.iza.ion, a.d results of surgica.ly trea.ed spina. schwa.noma.. The results of a.litera.ure review a.e a.so presented. Methods: Eleven consecutive pa.ients with histologica.ly confirmed spina. schwa.noma. were trea.ed from Ja.ua.y 2013 to December 2016 in the neurosurgica. depa.tment of Ga.riel Touré Hospita., Ba.a.o, Ma.i. Neurora.iologica. dia.nosis wa. ma.e, CT sca. in 7 pa.ients, a.d MRI in 4 pa.ients. a.l pa.ients were opera.ed on via.the posterior a.proa.h. a.l ca.es were surgica.ly excised, a.d they were confirmed to be schwa.noma. by pa.hologists. The pa.ients were followed for 6 to 38 months (mea. 28 months). Functiona. outcome wa. a.sessed using the motor gra.e a.d sensory cha.ge. Results: There were 11 pa.ients with 7 (63.6%) ma.es a.d 4 (36.4%) fema.es. The mea. a.e wa. 40.3 yea.s (ra.ge 23 - 62 yea.s). The most common symptom a. the time of dia.nosis wa. ra.icula. pa.n in 9 (81.8%) pa.ients followed by motor wea.ness in 8 (72.7%) pa.ients. The most frequent site of spina. schwa.noma. wa. the thora.ic region in 5 (45.5%) pa.ients. During surgery, Gross-tota. resec-tion wa. a.hieved in 8 pa.ients (72.7%) a.d subtota. remova. in 3 (27.3%) pa.ients. Histologica. findings were benign schwa.noma.in a.l ca.es. Postopera.ive complica.ions developed in two pa.ients, including one with cerebrospina. fluid lea.a.e a.d other one with wound infection. In the short-term follow-up period, most of the pa.ients (90.9%) a.pea.ed to be improved in compa.ison with their preopera.ive neurologica. sta.us. There wa. no opera.ive morta.ity. Conclusion: In this study

关键词： Spina. Schwa.noma Spine Surgery Recurrence

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a.Ra.e Ca.e of a.Gia.t Ca.ernous Lympha.gioma.of the Chest Wa.l in a.Child

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Open Journa. of Respira.ory Disea.es 2016年第1期6卷 1-6页

作者： Seydou Togo Moussa.a.doula.e Oua.ta.a.Ibra.im boubacar Ma.ga.Yunping Lu Donghui Jin Ibra.im Sa.ga.é Ma.ga.a.doul a.iz Cheik a.ed Sekou Touré Ibra.im Couliba.y Ja.ues Sa.e Cheik Sa.ibou Sékou Kouma.é Sa.io Yéna.Djibril Sa.ga.é Thora.ic Surgery Depa.tment Mali Hospital Bamako Mali 24th Chinese Medica. Tea. Mali Hospital Bamako Mali Surgery “a. Depa.tment Point G Hospital Bamako Mali

Ca.ernous lympha.gioma.of the chest wa.l is a.very ra.e disea.e entity, a.d only a.few ca.es ha.e ever been documented in the litera.ure. Ca.es of recurrent ca.ernous lympha.gioma.a.ter surgica. excision of a.cystic lympha.gioma.on the sa.e side of the chest wa.l a.e quite uncommon. We report a.ca.e of a.10-yea.-old girl, with a.gia.t ca.ernous lympha.gioma.of the left la.era. chest wa.l extending into the a.illa. who ha. undergone surgica. excision of a.cystic lympha.gioma.9 yea.s ea.lier.

关键词： Ca.ernous Lympha.gioma Chest Wa.l

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Meta.olic Syndrome: Epidemiologica., Clinica. a.d Biologica. Profiles in the Ca.diology a.d Interna. Medicine Depa.tments of the Mother-Child CHU “Luxembourg”

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World Journa. of Ca.diova.cula. Disea.es 2021年第12期11卷 593-602页

作者： a.ma.u Keita.boubacar Sonfo Sa.oussi Da.fé Da.uda.Fofa.a.Coumba.Thia. Ouma. Doucouré Souleyma.e Dia.lo Ma.ia. Sa.o Ma.sa.a.Kona.é Ha.idou Oma. Bâ Youssouf Ca.a.a.Ibra.ima.Sa.ga.é Souleyma.e Couliba.y Icha.a.Menta.Ma.a.ou Boca.y Dia.ra Ca.diology Depa.tment of CHU Mère-Enfa.t Bamako Mali Ca.diology Depa.tment of CHU Ka.i Bamako Mali Ca.diology Depa.tment of CHU Point G Bamako Mali Interna. Medicine Depa.tment Mali Hospital Bamako Mali Ca.diology Depa.tment of CHU Ga.riel Touré Bamako Mali

Introduction: The meta.olic syndrome is a.clinica. entity defined by the a.socia.ion in the sa.e subject of four of the following five fa.tors: a.domina. obesity (or a.droid), type 2 dia.etes, hypertension, hypo HDL c... 详细信息

Introduction:a. style="white-spa.e:norma.;font-size:10pt;font-fa.ily:;" "=""> The meta.olic syndrome is a.clinica. entity defined by the a.socia.ion in the sa.e subject of four of the following five fa.tors: a.domina. obesity (or a.droid), type 2 dia.etes, hypertension, hypo HDL cholesterolemia. hypertriglyceridemia. The a.m of the work wa. to study the epidemiologica., clinica.-biologica. profiles a.d complica.ions of pa.ients in the ca.diology a.d interna. medicine depa.tment of the Mother-Child CHU “Luxembourg”. Ma.eria.s a.d Methods: We ca.ried out a.cross-sectiona. study, from September 2019 to June 2020 in the ca.diology a.d interna. depa.tment of the mother-child CHU “Luxembourg”. a.l pa.ients with meta.olic syndrome a.mitted to the two depa.tments who a.reed to pa.ticipa.e during the study period were included in the study. These pa.ients meet the 2009 ha.moniza.ion a.tempt criteria.(IDF 2009). The va.ia.les studied were: socio-demogra.hic cha.a.teristics (sex, a.e, profession), pa.hologica. history, clinica. signs (functiona. signs, BMI, wa.st size), pa.a.linica. signs (ECG, ca.dia. ultra.ound, la.ora.ory a.sessment) a.d complica.ions. Results: a.tota. of 104 pa.ients were included. The fema.e sex represented 58.65% of ca.es. The 60 to 69 a.e group wa. the ma.ority with 40.78%, housewives occupied 41.34% of ca.es. Dia.etes, a.teria. hypertension a.d dyslipidemia.were the most represented ca.diova.cula. risk fa.tors with respectively: 80.77%, 79.81% a.d 53.85%. Visua. blurring wa. the most common functiona. sign with 23.08% of ca.es. Modera.e obesity wa. observed in 34% of pa.ients. Wa.st circumference wa. high in 39.53% of ma.e pa.ients a.d 37.70% of fema.e pa.ients. Ca.dia. ultra.ound found a.severely colla.sed ejection fra.tion in 25% of pa.ients. HDL-c levels were low in 64.52% of ma.e pa.ients a.d 75% of fema.e pa.ients. The most observed complica.ions were: dyslipidemia.(53.85%), stroke a.d rena. fa.lure with 23% respe

关键词： Meta.olic Syndrome Epidemiologica. Profiles Clinica.-Biologica. CHUME Luxembourg Ba.a.o

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Ma.igna.t Tra.sforma.ion of Cerebella. Pleomorphic Xa.thoa.trocytoma. a.Ca.e Report

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World Journa. of Neuroscience 2017年第4期7卷 376-382页

作者： Ouma. Couliba.y Ma.a.a.ou Da.a.Ouma. Dia.lo Quenum Koua.si Jea. Ma.ie Ma.rin Kisito Li Gu boubacar Sogoba.Moussa.Denou Sieleche a.xence Christ Youssouf Sogoba.Ma.a.ou Sa.ia.Dia.ra.a.pha.Singuépiré Drissa.Ka.ikomo Hopita. du Ma.i Bamako Mali Unité de Neurochirurgie Centre Hospitalier Départemental et Universitaire de Parakou Parakou Benin The First a.filia.ed Hospita. of Medica. School of Zhejia.g University Zhejiang China Hopita. Ga.riel Touré Bamako Mali Hopita. Mère-Enfa.t “Le Luxembourg” Bamako Mali

Pleomorphic xa.thoa.trocytoma.(PXa. genera.ly occurs in children a.d young a.ults a.d is cla.sified a. a.low-gra.e a.trocytic tumor with a.potentia. fa.ora.le prognosis. But these da.a.must be interpreted with much ca.tion, beca.se of some ra.id progression or ma.igna.t tra.sforma.ion during the postopera.ive follow-up. We report herein a.ra.e ca.e of a.cerebella. PXa.ma.ifested a. a.benign lesion a. first time in a.39 yea.-old woma., but with ma.igna.t tra.sforma.ion two yea.s la.er. In this pa.er, we discuss the clinica. signs, ra.iologica. findings a.d the thera.eutic da.a.on the subject a.cording to litera.ure review.

关键词： Pleomorphic Xa.thoa.trocytoma Cerebella. Ma.igna.t

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