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Bilateral Multi-Level Pedicle Fractures in the Lumbar Spine Secondary to Trauma: A Case Report and Literature Review

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Open Journal of Modern Neurosurgery 2020年第4期10卷 422-426页

作者： noukhoum koné Department of Neurosurgery Kiffa Hospital Center Kiffa Mauritania

Pedicle fractures are among the least common;those involving bilateral pedicle fractures are rare. To our knowledge, there are no previous reports of bilateral multi-level pedicle fractures in the lumbar spine secondary to trauma concerning adolescents. We report a 14-year-old male with bilateral multi-level traumatic pedicle fractures (BMTPF) of lumbar spine (LS) three and five (L3, L5) and spondylolisthesis of L3 on L4 (classified Meyerding grade II). Posterior lumbar instrumentation from L1 to S1 was performed. Postoperative recovery was uneventful. The aims of the study were to provide the first documentation of this pattern of injury in adolescents LS secondary to trauma and to review literature. The patient’s parents were informed that non-identifying information from the case would be submitted for publication, and they provided consent.

关键词： Pedicle Traumatic Fracture Lumbar Spine Scews

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Peritoneal Histoplasmosis about a Case and Literature Review

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Health 2021年第10期13卷 1065-1070页

作者： Brahim Moulaye El Hassen noukhoum koné Mohamed Salem Mouammar Moulay Ahmed Moulay Hachem National Oncology Center Nouakchott Mauritania Department of Neurosurgery Kiffa Hospital Center Kiffa Mauritania Department of Visceral Surgery Cheick Zayed Hospital Nouakchott Mauritania National Police Medical Center Nouakchott Mauritania

Histoplasmosis is an opportunistic granulomatous fungal infection. Peritoneal histoplasmosis (PH) is a rare form. The first case of PH was described in 1970 but this is the first case reported in Mauritania. We report the case of a 60-year-old male patient with a history of pulmonary tuberculosis, treated and declared cured, and partial epileptic seizures treated with Carbamazepine. Contrast computed tomography of the abdomen showed a large mass with a large intraperitoneal fluid component with a finely calcified wall in places, for which laparoscopy and biopsy were performed, identifying Histoplasma capsulatum infection. The subject received treatment with amphotericin B deoxycholate with good evolution, and outpatient management with itraconazole. PH is a rare entity that requires high clinical suspicion, especially in immunocompetent patients. The patient was informed that non-identifying information from the case would be submitted for publication, and he provided consent.

关键词： Peritoneal Histoplasmosis Histoplasma capsulatum var. duboisii Pathological Anatomy Mauritania

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About an Observation of a Child Penetrating Brain Injury by Knife

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Open Journal of Modern Neurosurgery 2021年第4期11卷 267-271页

作者： noukhoum koné Issa Sarki Souleymane Badra Aliou koné Daouda Sissoko Valentin Tokpa Ahmed Salem Kleib Outouma Soumaré Aderehime Haidara Department of Neurosurgery Kiffa Hospital Center Kiffa Mauritania Department of Neurosurgery Yopougon Hospital Center Abidjan Ivory Coast Department of Neurosurgery Ongwediva Medipark Hospital Ongwediva Namibia

Background: Reported cases of knife injuries to the head in children are rare. Here we describe a case of pediatric penetrating brain injury by knife (PPBIK) and review literature. The patient’s parents were informed that non-identifying information from the case would be submitted for publication, and they provided consent. Case Presentation: A 3-year-old boy presented to our emergency department with a knife penetrating the front of his head during play. Neurologic examination was normal. Radiograph in lateral view demonstrated a metallic knife entering frontal bone. Computed tomography (CT) scan showed small hemorrhage around the foreign body recognized, accompanied by small pneumocephalus. The knife was surgically removed and the dura was closed. He was discharged home after the surgery with normal neurological status. Conclusion: Only four cases of PPBIK have been reported in the literature. The adequate management of these types of injuries requires a correct neuroradiological evaluation.

关键词： Craniocerebral Trauma Penetrating Head Injury Traumatic Brain Injury Wound Stab

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