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Buerger’s Disease and Fitness for Work in a Flight Personnel: A Case Report

Occupational Diseases and Environmental Medicine 2022年第2期10卷 71-77页

作者： Imen Jammeli Asma Aloui Malek Ben Abdelkader Zeineb Athimni marwa bouhoula Chouchene Asma Imen Kacem Maher Maoua Aicha Brahem Houda Kalboussi Olfa El Maalel Souhaiel Chatti Nejib Mrizak University Hospital Farhat Hached Sousse Tunisia Department of Occupational Medicine University Hospital Ibnou El Jazzar Faculty of Medicine of Sousse University of Sousse Sousse Tunisia

Buerger’s disease, also called thromboangiitis obliterans (TAO), is an inflammatory disease affecting small and medium size blood vessels of the limbs. Several risk factors are strongly associated with this disease. In fact, heavy smokers represent 99% of patients diagnosed with Buerger’s disease and smoking cessation can slow down the progression of the pathology. Ulcers and gangrene are very common complications and TAO may also cause a vasculitis as well as ischemic damage to the distal part of the limbs that can eventually lead to limb amputation. Here, we report the case of a 43 years old patient, a flight personnel working in a Tunisian airline company who consults for a lesion of the left toe that appeared 2 weeks ago. He is a chronic inveterate smoker with 36 pack-years. The diagnosis of TAO was made based on the clinical presentation and the results of the Doppler Ultrasound of the left toe. This disease has a major impact on the quality of life due to the risk of necrotic ulcers and amputation. Navigation is a profession that requires a high level of physical and mental fitness. According to the international and Tunisian standards, the applicant or the holder of medical certificate must not have a cardiovascular condition that may affect the safety of the exercise.

关键词： Buerger’s Disease Flight Personnel Medical Fitness

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Symptomatic Tarlov Cysts and Occupational Outcome: A Case Report

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Occupational Diseases and Environmental Medicine 2023年第2期11卷 115-121页

作者： Belhadj Chabbah Narjes Aloui Asma Athimni Zeineb Nakhli Rania bouhoula Maroua Chelly Farah Chouchane Asma Kacem Imène Maoua Maher Brahem Aicha Kalboussi Houda Elmaalel Olfa Chatti Souhail Mrizek Najib Faculty of Medicine of Sousse University of Sousse Sousse Tunisia Department of Occupational Medicine University Hospital Farhat Hached Sousse Tunisia Department of Occupational Medicine University Hospital Sahloul Sousse Tunisia

Tarlov cysts are often asymptomatic and incidentally discovered. However, in few cases, these cysts can be symptomatic and may manifest as chronic low back pain. We report a case of a Tarlov cyst incidentally diagnosed by MRI in a wiring factory worker complaining of chronic low back pain exacerbated with the carrying of heavy loads and the hyper solicitation of the lumbar spine during his professional activity. The clinical manifestations of symptomatic Tarlov cysts can influence the life quality of patients and have enormous repercussions on their work ability, which in some cases can lead to job loss. Thus, the socio-professional aspects of symptomatic Tarlov cysts should not be underestimated and maintaining these patients in employment should be considered from the outset as an objective in its own right in the management.

关键词： Tarlov Cysts Neurosurgery Occupational Outcomes

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Management of Rathke’s Cleft Cysts: About Three Observations

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Open Journal of Modern Neurosurgery 2014年第4期4卷 169-172页

作者： Bouali Sofiene Badri Mohamed Boubaker Adnene Ben Said Imed bouhoula Asma Zemmel Ihsen Jemel Hafedh Department of Neurosurgery National Institute of Neurology Mongi Ben Hmida Tunis Tunisia Department of Neurosurgery CTGB Ben Arous Faculty of Medicine University OF Tunis El Manar Tunis Tunisia

Rathke cleft cysts are benign sellar lesions that are generally asymptomatic. Rathke cleft cyst can enlarge and become symptomatic. Surgical therapy is the mainstay of treatment for symptomatic RCC. The optimal surgical strategy remains debatable. We report our experience with this lesion and we discuss the advantages and disadvantages of each technique through a literature review.

关键词： Rathke Cleft Cyst Transsphenoidal Surgery Magnetic Resonance Imaging

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A Case Report of Osteosarcoma of the Skull

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Open Journal of Modern Neurosurgery 2014年第3期4卷 105-109页

作者： Bouali Sofiene bouhoula Asma Boubaker Adnene Ben Said Imed Kallel Jalel Aouij Lassaad Jemel Hafedh Department of Neurosurgery Faculty of Medicine University of Tunis El Manar National Institute of Neurology Mongi Ben Hmida Tunis Tunisia

Background: Osteosarcoma is the most common primary malignancy and aggressive neoplasm of bone composed of spindle cells producing osteoid. The incidence of primary osteogenic sarcomas of the skull is about 1% to 2% of all skull tumors. Methods: We present an extraordinary case of osteosarcoma arising in the postero-temporal region of the skull. The clinical features, diagnosis and management are discussed. Results: A 34-year-old woman was operated in our department for mass, fixed to bone in the left postero-temporal area. Histopathology confirmed the diagnosis of osteogenic sarcoma. Conclusion: We review the literature of reported cases of primary osteogenic sarcomas of the skull to discuss the common clinical presentation, evaluation methods, and recommended treatment plans.

关键词： Osteosarcoma Primary Tumor Skull

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