检索结果-南通市图书馆

Open Journal of Modern Neurosurgery 2024年第3期14卷 218-227页

作者： Diallo moussa Traoré Youssouf Kanikomo Drissa Diarra Sounkalo Izoudine B. Koumaré sogoba Youssouf sogoba Boubacar Diallo Oumar Gabriel Tour Teatching Hospital Bamako Mali Bocar Sidy Sall Teatching Hospital Kati Mali Hopital du Mali Teaching Hospital Bamako Mali

Unusual head trauma is rare with various mechanisms of occurrence. The injuries can be similar to those of road accidents but sometimes with significant complexities. The objective was to determine the frequency of this pathology in our practice, describe the different mechanisms and report the craniocerebral lesions caused by this type of trauma. Materials and Method: This was a descriptive study with retrospective collection spread over a period of 3 years. After selecting the files, the patients and/or their companions were contacted by telephone to inquire about them and then returned to the consultation for reassessment. Disease history and information were obtained from patients’ medical records. Result: The frequency of this pathology was 1.78% and his incidence was 0.4 cases per month. The average age of the patients was 13.47 years. All the victims were male. 41.17% of patients were in school. The mechanisms of trauma were the hoof blow 47.1%, the horn blow 29.4% and the stone blow 11.7% respectively. 23.5% of patients were confused and 11.7% children were in coma. One patient presented an anisocoria. The motor deficit was present in 5 cases. CT-scan made it possible to highlight a skull depressing fracture 58.8% and confirm a craniocerebral wound in 35.3%. The average time between patient admission to hospital and completion of surgery was 24.5 hours. The surgery had consisted of the trimming of cranio-cerebral wounds, exploration, duroplasty and lifting of skull depressing fracture. After 15 months of follow-up, the evolution was favorable in 53.3%, the morbidity was 33.4% and the mortality 17.6%. Conclusion: These are rare but serious conditions because they are fatal and disabling. An early and multidisciplinary management can hope to have a good favorable.

关键词： Brain Trauma Injury Insolite Unusual Skull Depressing Fracture Hoof Kick Horn Blows Stone Bows Motorcycle Gear Lever

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Ectopic Pregnancy Combined with Intra-Uterine Pregnancy with a Full-Term Live Baby: A Case Report and Review of Literature

引用

Case Reports in Clinical Medicine 2019年第1期8卷 29-34页

作者： Mamadou Almamy Keita Daouda Camara Abdoulaye Kanté Assitan Koné Abdoulaye Diarra Bréhima Coulibaly Zoseph Koné Seydou Fané Cheick Fantamady Camara Assitan Traoré Bakary Danfaga moussa sogoba Ismaila Simaga Bakary Keita moussa Konaré Jules Sangala Drissa Traoré Nouhoum Ongoiba General Surgery Service of the Kati-Mali Reference Health Centre Kati Mali Gynecology and Obstetrics Service of the Kati-Mali Reference Health Centre Kati Mali Service of Surgery “B” of CHU Point G Bamako Mali Service of Anesthesia and Resuscitation of Reference Health Centre Kati Mali Service of Gynecology and Obstetrics of CHU-Gabriel Touré Faculty of Medicine and Odontostomatology Bamako Mali Service of Anesthesia and Resuscitation of CHU-Gabriel Touré Bamako Mali

Heterotopic pregnancy is no more a medical breakthrough. It combines intrauterine pregnancy and extra-uterine pregnancy regardless of location. We report a case of intra-uterine pregnancy associated with a ruptured abdominal ectopic pregnancy located on the pelvic colon in a 29-year-old patient, third gestation, primigravida, having a live baby and a prior history of two abortions. She has blood group O negative of Rhesus. It has been diagnosed at the stage of the rupture of ectopic pregnancy. An emergency laparotomy performed under blood transfusion has revealed heavy hemoperitoneum (1100 ml), a ruptured abdominal extra-uterine localized on the pelvic under blood transfusion and a bulging uterus. We have proceeded with the aspiration of hemoperitoneum, the ablation of the extra-uterine pregnancy and the hemostasis of the section part. The post-operative follow-up has been easy. The intra-uterine pregnancy has developed normally and has given birth to a full-term live, and healthy baby.

关键词： Heterotopic Pregnancy Diagnosis Maternal and Fetus Prognostic

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Study of Factors Associated with Maternal Deaths at Timbuktu Hospital in Mali

引用

Open Journal of Obstetrics and Gynecology 2024年第9期14卷 1471-1487页

作者： Coulibaly moussa Kassogué Djibril Samaké Alou Sy Ousmane Poda Ghislain Dolo Akoro sogoba Seydou Cissouma Assetou Kassogué Abdoulaye Maiga Mariam Mariko Souleymane Ongoiba Oumar Traoré Bassirima Kané Babou Traoré Halima Taoudeni Regional Health Directorate Tombouctou Mali Department of Pediatrics Timbuktu Hospital Timbuktu Mali Department of Pediatrics District Hospital Commune VI Bamako Mali WHO Bamako Mali Department of Pediatrics CHU Point G Bamako Mali Department of Pediatrics Sikasso Hospital Sikasso Mali Department of Pediatrics Nianankoro Fomba Sgou Hospital Segou Mali

Introduction: Despite progress in universal health coverage, maternal mortality remains a concern for developing countries, including Mali. The problem is not due only to a lack of health services but to a combination of factors that need to be identified to give hope to women of childbearing age. Objective: Determine the factors associated with maternal mortality in the Timbuktu region of Mali. Methodology: Retrospective, descriptive, cross-sectional and analytical study from January 1, 2018 to December 31, 2022 using a questionnaire and an interview guide to determine the factors associated with maternal mortality in the Timbuktu region of Mali. Results: A total of 112 maternal deaths were recorded between 2018 and 2022. The average age of the women who died was 26 years (standard deviation 7.6 years). The 14 – 23-year-old age group is the most affected (43.8%). 66.1% of women came from rural areas. Illiteracy (77.7%), lack of ANC (54.5%), distance of households from health facilities (76%) and insecurity (52.7%) have been identified as factors contributing to maternal mortality. Conclusion: This study reported a high prevalence of maternal mortality rates that may be associated with women’s socioeconomic conditions. Actions must be developed to integrate CPN into an advanced strategy for women living in rural areas in Mali.

关键词： Maternal Mortality Timbuktu Hospital Mali

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Unusual Brain Trauma Injury

引用

Open Journal of Modern Neurosurgery（现代神经外科学进展） 2024年第3期 218页

作者： Diallo moussa Traoré Youssouf Kanikomo Drissa Diarra Sounkalo Izoudine B. Koumaré sogoba Youssouf sogoba Boubacar Diallo Oumar

来源：博看期刊评论

在线全文

博看期刊

学校读者我要写书评

暂无评论

Vibration-Based Analysis for Detecting Turbocharger Blade Defect on High-Power Diesel Generator

引用

World Journal of Mechanics 2020年第1期10卷 1-10页

作者： Metaga Jeremi sogoba Badié Diourté moussa Magara Traoré Ecole Nationale d’Ingénieurs Abderhamane Baba TOURE (ENI-ABT) Bamako Mali

This study is concerned with 12-MW capacity turbochargers on diesel power generators. These are generators equipped with 18 cylinders. Our previous studies [1] showed that the processing of vibration signature collected from a power generator is very complex, insomuch the dominant vibration remains the one originating from explosion frequency in the diesel generator cylinders, with a fairly high number of cylinders. This vibration drowns out all other possible vibrations, which can expose defects. The study at hand is focused on turbochargers with 20,940 rpm, while the rotation speed in the diesel engine is 600 rpm only. With the turbocharger rotating at very high speed, it results in severe mechanical constraints on the rotor shaft in the turbocharger and its related organs (turbine blades). The wear of turbine blades can result in breakdowns in the turbocharger. This article is an attempt to early detect defaults in turbine blades based on vibration signature that can be experimentally determined. We noted in our investigations that a diesel engine and its turbochargers do not bear the same mechanic loads. While the diesel engine is the seat of violent shocks brought about by explosions in cylinders, the turbochargers are driven by the action of exhaust gas from explosions, without being affected by explosion shocks. The study found that explosion frequency in the diesel engine cylinders, which disrupted the vibration signals in the diesel engine and alternator, did not impact on the vibration signals in the turbocharger. We experimentally determined, following several campaigns of measurements, a vibration signature on the turbochargers under study, which corresponds to a defect in turbine blades.

关键词： Vibration Signature Fast Fourier Transform Method (FFT) Turbocharger Tur-bine Blades

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

A Case Report of 3C Syndrome and Literature Review

引用

Case Reports in Clinical Medicine 2022年第1期11卷 8-12页

作者： Drissa Kanikomo Youssouf sogoba moussa Diallo Mamadou Salia Diarra Oumar Coulibaly Boubacar sogoba Mahamadou Dama Mamady Coulibaly Mamadou Diallo Department of Neurosurgery Gabriel Touré Teaching Hospital Bamako Mali Department of Neurosurgery Luxembourg Hospital Bamako Mali Department of Neurosurgery H&ocirc pital du Mali Bamako Mali

Ritscher-Schinzel syndrome, or 3C (cranio-cerebello-cardiac) syndrome is a developmental disorder characterized by cranio-facial, cerebellar and cardiac anomalies. It is a rare disease with an incidence of 1/1,000,000 inhabitants, and was first described by Ritscher-Schinzel in 1987. 3C syndrome is an autosomal recessive disease caused by a mutation on the long arm of chromosome 8 to 8q24.13, the KIAA0196 locus, the strumpellin protein gene. The cardiac and cerebral anomalies are most often leading cause of death at an early age and people with 3C syndrome rarely exceed 40 years. In this paper, we report a case of Ritscher-Schinzel in 3-month-old boy who was admitted to our neurosurgical department in September 2020. Clinical examination revealed a macrocrania with head circumference at 47 cm. There was a prominence of forehead and occiput, the root of the nose which was flat, hypertelorism and micrognatism. The CT scan revealed Dandy WALKER malformation with cystic dilation of the 4th ventricle, an aplasia of the cerebellar vermis associated with a tretraventricular hydrocephalus.

关键词： Cardiac Anomalies Ritscher-Schinzel Syndrome 3C

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Surgical Repair of Growing Skull Fracture: A Case Report

引用

Case Reports in Clinical Medicine 2022年第3期11卷 79-83页

作者： Youssouf sogoba Seybou Hassane Diallo moussa Diallo Drissa Kanikomo Boubacar sogoba Oumar Coulibaly Mahamadou Dama Mamadou Salia Diarra Oumar Diallo Youssoufa Maiga Department of Neurosurgery Gabriel Touré Teaching Hospital Bamako Mali Department of Neurology Gabriel Touré Teaching Hospital Bamako Mali Department of Neurosurgery H&ocirc pital du Mali Bamako Mali Department of Neurosurgery H&ocirc pital Luxambourg Bamako Mali

Background: Growing skull fractures (GSF) are a rare complication of pediatric head trauma that comprises post-traumatic skull defect associated with an underlying dural tear and an intact arachnoid membrane. They are often misdiagnosed, and delay in management can lead to progression of the disease with neurological sequelae. GSF are rare and their incidence has been estimated as 0.05% - 1% of all pediatric skull fractures. This low incidence and the subtlety of its presentation often make diagnosis challenging with consequent delay in management. Surgery is recommended to treat GSF and involved dural repair with or without cranioplasty. In this paper, we report a case of a patient with GSF in whom the surgical repair was successful with good cosmetic and functional outcome. Case Report: A 12 months old girl was admitted to our neurosurgical department with right parietal swelling that had been gradually enlarging over 3 months. The history of the disease began when the girl was 1 month old with a fall with cranial impact resulting in head trauma with initial loss of consciousness. At presentation the girl was alert with normal consciousness. Clinical examination revealed the deformed skull with large pulsatile and painless swelling lesion in the right parietal region and hemiparesis on the left side. The CT scan revealed type 3 GSF including parietal bone diastasis with hypodense fluid collection that mimicked the leptomeningeal and porencephalic cyst. Surgical repair was performed. The post-operative course was uneventful and the child was discharged home five days after surgical intervention. Conclusion: GSF can lead to serious neurologic complications. Therefore educating parents on this potential outcome and close follow-up with clinical and imaging screening is recommended to screen children at risk for the development of the disease.

关键词： Growing Skull Fracture Head Trauma Dural Tear

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

A Case Report of an Invasive Scalp Actinomycosis

引用

Case Reports in Clinical Medicine 2021年第2期10卷 34-38页

作者： Youssouf sogoba Jean Paul Dembele Boubacar sogoba moussa Diallo Seybou Hassane Diallo Oumar Coulibaly Quenum Kisito Oumar Diallo Drissa Kanikomo Youssoufa Maiga Department of Neurosurgery H&ocirc pital Gabriel Touré Bamako Mali Department of Infectious Diseases H&ocirc pital du Point G Bamako Mali Department of Neurologie H&ocirc pital Gabriel Touré Bamako Mali Department of Neurosurgery H&ocirc pital du Mali Bamako Mali Department of Neurosurgery University Hospital of Parakou Parakou Benin

Background: Actinomycosis is a bacterial infection characterized by a chronic, suppurative and granulomatous process. The causative organism was identified in 1891 as Actinomycosis israelii. The disease is usually caused by the introduction of the bacteria through minor wound. Actinomycosis was classified by Cope into 3 different forms: cervicofacial (50%), pulmonothoracic (30%) and abdominopelvic (20%). Actinomycosis is an insidious disease but occasionally the clinical course can be more aggressive, involving underline tissue and organs. Involvement of scalp by actinomycosis is rare causing diagnostic dilemma and could be mistaken for different pathologies, such as tuberculosis or carcinoma. The most common clinical findings are local tumefaction with abscesses and sinuses draining pus that contains the granule of the causative organism. CT scan and MRI are aspecific for diagnosis, but they can help in defining the localization and the extension of the lesion. The certain diagnostic is based on cytology and/or biopsy. Case: A 24 year-old-man was admitted to our neurosurgical department with a 16-month history of multiple scalp ulcerated lesions and swelling of the head. He was complaining of headache. Physical examination revealed multiple scalp subcutaneous nodules and ulcerated lesions with swelling of the head. Our examination of the oral cavity revealed a poor oral hygiene condition with multiple caries. The CT scan revealed multiple scalp subcutaneous masses with chronic inflammatory changes of the skull. Routine laboratory test was normal. Surgical biopsy was performed and the histological result was compatible with actinomycosis. After histological confirmation, parenteral Penicillin 20 million units daily were given for 4 weeks. Clinical improvement was observed after completing a 4-week regimen of intravenous antibiotics. Conclusion: Involvement of scalp by actinomycosis could be mistaken for dif

关键词： Actinomycosis Bacterial Infection Computed Tomography

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Intracranial Calcified Extradural Hematoma about a Case

引用

Open Journal of Modern Neurosurgery 2023年第2期13卷 69-73页

作者： Drissa Kanikomo moussa Diallo André Tokpa Youssouf sogoba Izoudine Blaise Koumaré Mamadou Salia Diarra Boubacar sogoba Oumar Diallo Mahamadou Dama Oumar Coulibaly Mamady Coulibaly Abdoulaye Kanikomo Department of Neurosurgery Teaching Hospital Gabriel Toure Bamako Mali Department of Neurosurgery Teaching Hospital of Bouake Bouake Cote d’Ivoire Department of Neurosurgery Luxembourg Hospital of Bamako Bamako Mali Department of Neurosurgery Mali Hospital Bamako Mali

Introduction: Extradural hematoma is a common pathology in our department. The natural history of small-volume hematoma is usually towards resorption. In rare cases, the hematoma calcifies and compresses the brain. We report an extradural hematoma in a 15-year-old boy who had a road traffic accident on February 2011. The brain CT-scan performed the following day revealed a small right frontal extradural hematoma. During hospitalization, he had a fever of 40 degrees with convulsions and the blood culture isolated the coagulase-negative staphylococci and Group D streptococci. When his conscience was restored, hemiparesis and dysarthria were observed. The control brain CT-scan performed 2 weeks after the trauma showed early resorption of the hematoma. Two months after the trauma, the brain CT-scan showed calcification of the hematoma. He underwent surgery in April 2011 to remove the calcification. The sequels were hemiparesis and posttraumatic epilepsy. Conclusion: The evolution of a small non-operated extradural hematoma can be done towards calcification thus requiring surgery.

关键词： Extradural Hematoma Calcification

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Malignant Transformation of Cerebellar Pleomorphic Xanthoastrocytoma: A Case Report

引用

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

作者： Oumar Coulibaly Mahamadou Dama Oumar Diallo Quenum Kouassi Jean Marie Maurin Kisito Li Gu Boubacar sogoba moussa Denou Sieleche Auxence Christ Youssouf sogoba Mamadou Salia Diarra Alpha Singuépiré Drissa Kanikomo Hopital du Mali Bamako Mali Unité de Neurochirurgie Centre Hospitalier Départemental et Universitaire de Parakou Parakou Benin The First Affiliated Hospital of Medical School of Zhejiang University Zhejiang China Hopital Gabriel Touré Bamako Mali Hopital Mère-Enfant “Le Luxembourg” Bamako Mali

Pleomorphic xanthoastrocytoma (PXA) generally occurs in children and young adults and is classified as a low-grade astrocytic tumor with a potential favorable prognosis. But these data must be interpreted with much caution, because of some rapid progression or malignant transformation during the postoperative follow-up. We report herein a rare case of a cerebellar PXA manifested as a benign lesion at first time in a 39 year-old woman, but with malignant transformation two years later. In this paper, we discuss the clinical signs, radiological findings and the therapeutic data on the subject according to literature review.

关键词： Pleomorphic Xanthoastrocytoma Cerebellar Malignant

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

欢迎您,

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

请选择保存的检索档案：

请选择收藏分类：

通借通还

欢迎您,

建议与咨询 留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

请选择保存的检索档案： 新增检索档案 确定 取消

请选择收藏分类： 新增自定义分类 确定 取消

通借通还

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

请选择保存的检索档案：

请选择收藏分类：