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Cerebellar Liponeurocytoma Mimicking Cerebellopontine Angle Epidermoid Cyst:A Case Report

Case Reports in Clinical Medicine 2014年第4期3卷 235-239页

作者： Oumar Coulibaly Seylan Diawara nizar fatemi Rachid Gana Amar Saidi Rachid Maaqili Mohamed Jiddane Fouad Bellakhdar Department of Neurosurgery CHU Ibn SinaRabat-SaléMorocco Center of Neuropathology RabatMorocco Department of Neuroradiology CHU Ibn SinaRabat-SaléMorocco

Cerebellar liponeurocytoma (CL) described under many different names, is a rare WHO grade I or II well differentiated neurocytic tumor of the cerebellum with focal lipomatous differentiation. Mainly reported in adulthood, it is fought to be a posterior fossa benign tumor. In this paper, we talk about a 64-year-old woman, following up for Parkinson’s disease presented in our department for 7 months’ history of headache and gait disturbance. MRI showed a right cerebellopontine angle (CPA) heterogeneous unlimited tumor mimicking an epidermoid cyst. She underwent a lateral suboccipital craniectomy procedure that permitted obtaining the whole gross total resection of this tumor. The histopathological diagnosis was a cerebellar liponeurocytoma. She was discharged from hospital the 8th day after surgery and was free of symptoms since 5 years.

关键词： Cerebellar Liponeurocytoma Heterogeneous Tumor Epidermoid Cyst

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Spontaneous Spinal Epidural Hematoma Causing Paraplegia: A Case Report

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World Journal of Neuroscience 2015年第4期5卷 270-274页

作者： Oumar Coulibaly Lamine Habibou Olory Togbé Régis nizar El fatemi Rachid Gana Rachid Maaqili Mohamed Jiddane Fouad Bellakhdar Department of Neurosurgery HopitalIbn Sina Rabat Morocco Department of Neurosurgery HopitalIbn Sina Rabat Morocco Department of Neurosurgery HopitalIbn Sina Rabat Morocco

A spontaneous spinal epidural hematoma without any identified etiology is a very rare entity. We report here a 44 years old woman admitted within our department for 04 days of severe back pain complicated rapidly of bilateral lower-limbs weakness and urinary retention. Neurological examination found a complete paraplegia (0/5 stergh), with incomplete sensory deficit below the T-10 level, bowel and bladder dysfunction, decreased deep and superficial reflex. MRI with different sequences showed a large epidural mass lesion with slightly high signal intensity on T1-weighted images and heterogeneous low signal intensity on T2-weighted images from T11 to L1 suggesting an epidural hematoma. She underwent an urgent total laminectomy from T11 to L1 following by a complete removal of a large dark and compact epidural hematoma compressing the spinal cord. Operatively, there’s no sign suggesting an AVM. Postoperative course was uneventful and she was discharged ten days after surgery with complete recovery.

关键词： Spontaneous Spinal Epidural Hematoma Spinal Cord Compression MRI Laminectomy

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Risk Factors of Reoperation and Outcome of Patients Operated for Chronic Subdural Hematoma in a Teaching Hospital in Rabat

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Open Journal of Modern Neurosurgery 2023年第2期13卷 60-68页

作者： Yolande Michèle Moune Jose Dimbi Makosso Mustapha Hemama Alngar Djimrabeye Dognon Kossi François de Paul Adjiou Saad Elmi Moussa Nourou Dine Adeniran Bankole nizar El fatemi Rachid El Maaqili Neurosurgery Department Ibn Sina Hospital Rabat Morocco

Background: chronic subdural hematoma is a common pathology, especially in the elderly. Although it has a good prognosis, it poses the problem of recurrence after surgical evacuation. Objective: To analyze the risk factors of reoperation in patients surgically treated for chronic subdural hematoma (cSDH) and evaluate the outcome of patients who benefited from a reoperation. Materials and Methods: A retrospective review was conducted in a single University Hospital Center in Rabat (Morocco) on 49 patients operated on from January 2020 to June 2021 for cSDH. Possible risk factors described in the literature were analyzed and the outcome of post-operative course was evaluated. Statistical significance was defined by p-value Results: 49 patients underwent surgical evacuation of cSDH. The sex ratio of male/female was 3.08. The mean age was 70.6 years. Concerning the medical history, 8.2% were diabetics, 10.2% had heart disease, 18.4% had hypertension, 16.3% associated of comorbidities, 2% had pulmonary embolism, and 2% had neoplasm. 18.4% were on anticoagulation therapy, no patients were on new oral anticoagulants. The clinical findings upon admission were motor deficit at 57.1%, signs of intracranial hypertension at 20.4%, altered consciousness at 16.9% and impaired behavior at 6.1%. 28.6% of patients had a past history of head trauma. The pre-operative CT scan showed unilateral cSDH at 81.6%, midline shifts at 77.6%, and false membranes at 34.7%. Blood appeared chronic at 40.8%, subacute at 24.5%, and mixed densities at 34.7%. The post-operative course was uneventful in 73.5%. According to Ibanez grading 8 patients had mild complications (grade I) and 5 moderate complications (grade II) after the first surgery. We recorded 10.2% of patients who needed a second surgery because of the deterioration of neurologic status or motor deficit associated with an abnormal CT scan. According to the GOS, 85.7% of patients had a good recovery while 10.2% died. None of the factors as

关键词： Chronic Subdural Hematoma Risk Factors of Reoperation Outcome

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