检索结果-南通市图书馆

Impact of Multifidus Muscle Morphometry on the Clinical Evolution of Chronic Low Back Pain

Forensic Medicine and Anatomy Research 2023年第1期11卷 1-13页

作者： Ndèye Bigué Mar Aïnina Ndiaye Abdoulaye Ndoye Diop Gor Side Diagne Babacar Diao Souleymane Diao Racky Wade Issa Dior Seck Karim Yacouba Garba Sokhna Astou Gawane Thiam Mamadou Ndiaye Magaye gaye magatte gaye sakho Jean Marc Ndiaga Ndoye Mamadou Diop Assane Ndiaye Abdoulaye Ndiaye Anatomy Laboratory/Joint Research and Diagnosis Unit Iba Der THIAM University of Thiès Thiès Senegal Laboratory and Organogen of Anatomy Cheikh Anta Diop University of Dakar Dakar Senegal Department of Radiology and Medical Imaging Gaston Berger University of Saint Louis Dakar Senegal Neurology Department Fann Hospital in Dakar Dakar Senegal Urology Service Ouakam Military Hospital Dakar Senegal Orthopedic Traumatology Service Idrissa Pouye Hospital of Grand Yoff-Dakar Dakar Senegal Neurosurgery Department Idrissa Pouye Hospital of Grand Yoff Dakar Senegal Anatomy Laboratory Assane Seck University of Ziguinchor Ziguinchor Senegal

Purpose: The multifidus muscle is an important extensor muscle of the lumbar spine. It plays a major role in the stability and realization of axial rotation movements of the thoraco-lumbar spine. Its atrophy by fatty degeneration would be at the origin of the occurrence of chronic low back pain which constitutes a public health problem in Senegal. Taking into account its anatomy is essential for the etiopathogenic analysis and the treatment of low back pain. The purpose of our work was to investigate the impact of multifidus muscle morphometry on the anatomy-clinical evolution of low back pain. Material and method: this was a prospective study over a period of 30 months from November 2019 to May 2022. It involved 100 patients seen in the neurology department of Fann Hospital for chronic low back pain and who had already had a scanner falling within the criteria for low back pain. We used 3D Slicer, SPSS 20, Excel 2016 software to model and analyze the morphometric data of the multifidus muscle after physiotherapy and control lumbar scans. Results: The sex ratio was 2.23. The average age of the patients was 45 ± 7 years. On the initial CT scan, according to the Hadar classification, we noted a predominance of grade 2 with 56% in L5/S1, followed by grade 1 with 32% and grade 3 with 14%. In L4/L5, the majority of patients, 67%, had grade 1. A conflicting circumferential disc bulge with the roots predominating in L5/S1 was present in 94% of men (p-value = 0.02). Before physiotherapy, the average volume of the multifidus was 193 mm3 ± 39, after physiotherapy it was 203 mm3 ± 42 with a progression rate of 5.2%. Clinically, severe type pain had regressed from 86% before physiotherapy to 0% after physiotherapy (p-value = 0.03). Conclusion: Taking into account the morphometry of the multifidus is an essential element in the management of chronic low back pain.

关键词： Morphometry Multifidus Low Back Pain Physiotherapy

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

Hyperalgesic Lumbosciatica Symptomatic of a Spinal Schwannoma: A Case Report

引用

Open Journal of Modern Neurosurgery 2022年第2期12卷 61-66页

作者： magatte gaye Omar Thiam Cherif Mouhamed Dial Lounceny Fatoumata Barry Mohameth Faye Nantene Doumbia Youssoupha sakho Department of Neurosurgery Hopital General Grand Yoff Dakar Senegal Department of Pathology Hopital General Grand Yoff Dakar Senegal

Introduction: Spinal schwannomas also known as neurinomas are often benign slow growing lesion that may develop from Schwann cells of the spinal roots, it is a nerve sheath tumor. The authors reported a case of a patient presenting a hyperalgesic lumbosciatica symptomatic of a spinal schwannoma. Observation: A 36-year-old female patient, with a history of asthma under treatment was admitted to our department because of one year lasting of an intermittent fashion bilateral L5 hyperalgesic lumbosciatica. The initial examination has shown back muscles contractures and a segmental deficit of the right lower limb in L5 and S1, but no genital or sphincter disorders were noted. The lumbosacral CT scan was without particularity but the magnetic resonance imaging (MRI) revealed an intradural, extra medullary lesion at the level of L1-L2. A monobloc resection of the lesion was done. The follow-up is good. Pathology concluded in schwannoma WHO grade I classification. Conclusion: Lumbar neurinoma that grows slowly is most often manifested by a radiculalgia often hyperalgesic and disabling. MRI is the examination of choice to make the diagnosis and complete removal is possible.

关键词： Lumbosciatica MRI Spinal Tumor Neurinoma Surgery

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

Thoracic and Lumbar Spine Fracture, Type C of Magerl: About Two Cases and Review of Literature

引用

Open Journal of Orthopedics 2020年第8期10卷 172-178页

作者： magatte gaye Roger Mulumba Ilunga N’Famara Sylla Habib Abdoul Karim Ouiminga Aladji Ibrahim Fondo Youssoupha sakho Department of Neurosurgery Grand Yoff General Hospital Dakar Senegal Department of Neurosurgery CHU Tengandogo Ouagadougou Burkina Faso

Introduction: Thoracic and lumbar spine fracture, type C of MAGERL is one of the most biomechanically and neurologically unstable lesions, induced by significant damage to the bone, disk and ligament complex. Materials and Methods: We report two cases of Thoracic and lumbar fracture, type C of MAGERL hospitalized in the Neurosurgery department of the Grand Yoff General Hospital in Dakar during a period from June 2014 to June 2017. Observations: 1st case: 44-year-old patient, referred from abroad because of multi systemic trauma related on road traffic accident. On physical examination sustained a thoracic spine trauma classified ASIA D. Body CT scan showed T4 - T5 fracture-dislocation Type C of MAGERL, multiple ribs fracture with a right slight haemothorax, a sternal, a left humerus and scapulas fracture. Thoracic Posterior approach was done using laminar hooks. Clinical and anatomical results are good. 2nd case: 20-year-old patient, referred for thoraco-lumbar trauma because of occupational accident. The initial clinical examination classified it ASIA B. CT scan investigation, demonstrated a L1-L2 fracture type C of MARGEL. Thoraco lumbar spine posterior approach was done using pedicular screw fixation. Two years after trauma the patient recovered completely from his paraplegia. Conclusion: Thoracic and lumbar spine fractures, type C of MAGERL are compelling and instable fracture. Performing posterior instrumentation can achieve a good stabilization and reduction of the lesion.

关键词： Spine Trauma Magerl Posterior Instrumentation

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

Spinal Cord Injuries without Visible Bone Lesions: Analysis of Four Consecutive Cases

引用

Open Journal of Orthopedics 2018年第3期8卷 95-101页

作者： magatte gaye Sarah Ntshindj Mutomb Amadou Ndiasse Kasse N’famara Sylla Sagar Diop Alvin Nah Doe Aboubacar Sidiki Sangharé Mouhamadou Habib Sy Youssoupha sakho Department of Neurosurgery Grand-Yoff General Hospital Dakar Senegal Department of Orthopedics and Trauma Surgery Grand-Yoff General Hospital Dakar Senegal

Objectives: Interest of this study is to report four cases of spinal cord injuries without bone lesion. Evolution of the injured patients according to the initial clinic assessment at admission and the treatment performed are discussed. Materials and Methods: From January to December 2016, we performed a retrospective study at the Neurosurgery Department of Hospital General Grand Yoff of Dakar. Four patients were followed for spinal cord injury without visible bone lesions. We analyzed the clinical, radiological, therapeutic and evolutionary data. Trauma caused by stabbing was excluded. Results: In a year, 83 cases of spinal trauma with neurological deficit were hospitalized in the department. Among them, 4 had spinal cord injuries without visible bone lesions. The average age was 31.7 years with extremes ranging from 14 to 47 years. The sex ratio of male/female was 3. We have recorded 2 cases of road traffic accidents, 1 case of fall from height and 1 case of sports accident. On the neurological level, we found 3 cases of tetraplegia, and 1 brachial monoplegia. Computed tomography in all patients was normal. All of them benefited from magnetic resonance imaging that showed spinal cord injury. All patients were under conservative treatment. One patient fully recovered, two partially and one passed away. Conclusion: In presence of any post traumatic myelopathy case, the absence of disco-vertebral lesions should bring to mind the SCIWORA as well as indicate the realization of magnetic resonance imaging.

关键词： Spinal Cord Injuries Trauma MRI

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

Dorsal Psammomatous Meningioma Revealed by Sciatica Case Report

引用

Open Journal of Orthopedics 2021年第5期11卷 164-169页

作者： Daouda Wague Maguatte gaye Cheikh Ndiaye Sy Mouhamet Cisse Souleymane Diallo Youssouf sakho Neurosurgeon at CHMFT Touba Senegal Professor of Neurosurgery (UCAD) and Head of Neurosurgery Unit at HOGIP Dakar Senegal Neurosurgeon and Senior Researcher at UCAD Dakar Senegal Resident in Neurosurgery at FANN Touba Senegal Resident in Neurosurgery at HOGIP Dakar Senegal Professor of Neurosurgery at UCAD Dakar Senegal

Introduction: Meningiomas are benign tumors most localized in brain. Intraspinal meningiomas are rare and may have an intra or extradural topography. We report the case of a dorsal psammomatous meningioma revealed by sciatica. Case description: We present a 58-year-old female hospitalized for bilateral painful and disabling L5 sciatica rebellious to medical treatment and physiotherapy. At physical examination, she presented a lumbar spinal syndrome without root deficit. MRI (Magnetic Resonance Imaging) showed a borderline lumbar canal with a paramedian L4-L5 herniated disc. She undergone a first surgery a L4 decompressive laminectomy and there was no postoperative complications. The follow-up was marked by partial pain regression. Three months later, after a fall she presented low back pain and progressive worsening gait troubles. A MRI was realized and shown L3-L4, L4-L5 duct narrowing. A second surgery a L3 and L5 decompressive laminectomy was performed. The postoperative follow up was characterized

关键词： Meningioma Dorsal Sciatica Psammomatous

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

Intake Nutritional Variabilities of Saba senegalensis Fruits

引用

Food and Nutrition Sciences 2022年第10期13卷 826-834页

作者： Sarr Médoune gaye Diouf Paul Ayessou Nicolas Cyrille Cissé Mady sakho Mama Diop Codou Gueye Mar Université Cheikh Anta Diop Ecole Supérieure Polytechnique Centre d’Etudes sur la Sécurité Alimentaire et le Développement des Molécules fonctionnelles (CESAM) Dakar Fann Sénégal Université Assane Seck de Ziguinchor Ziguinchor Sénégal

Saba senegalensis is a popular wild fruit;which is consumed as such or transformed into various products. Despite its economic potential, its nutritional potential is unknown. The objective of this study is to characterize its fruits according to Senegal’s main production areas. The study included five samples from five geographical areas of Senegal. Parameters measured include pH, protein, lipids, ash, moisture, vitamin C, carotenoids, polyphenols, minerals, and sugars. The results showed that for moisture, proteins, lipids, pH and reducing sugars did not differ significantly (p 0.05%) for all accessions. Vitamin C content varies between 32.86 and 198.22 mg·100g-1, carotenoids with a content of between 5.05 and 9.12 mg·100g-1;polyphenol contents are between 1.17 and 2.56 g·100g-1. The nutritional value of Saba fruits appears to be homogeneous in Senegal. A thorough study of the functional molecules seems necessary for a better appreciation of the potential of this fruit.

关键词： Saba senegalensis Nutrition Vitamine C Polyphénols Carotenoids

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

<i>Saba senegalensis</i>: Key Features and Uses

引用

Food and Nutrition Sciences 2018年第9期9卷 1099-1111页

作者： Médoune gaye Sarr Nafissatou Diop Ndiaye Nicolas Cyrille Ayessou Papa Guedel Faye Mady Cisse Mama sakho Codou Mar Diop Ecole Supérieure Polytechnique University Cheikh Anta DIOP Dakar Sénégal Laboratoire d’Electrochimie et des Procédés Membranaires Centre d’Etudes sur la Sécurité Alimentaire et les Molécules Fonctionnelles (CESAM) Dakar Sénégal Institut de Technologie Alimentaire (ITA) Atelier de transformation des fruits et légumes Dakar Sénégal

Native of West Africa, Saba senegalensis belongs to the family of Apocynaceae, and is a wild plant that is mainly exploited in the diet. It grows mainly along riverbanks, in wooded savannah areas in humid areas, in gallery forests and in rocky ravines and hills. Saba senegalensis is a large woody liana with white latex, dark gray bark, can reach more than 40 m high and a trunk that can measure up to 47 cm in diameter. The fruit is a globose shell, 7 to 10 cm long, 6 to 8 cm wide. The leaves are opposite, elliptical, dark green in color, about 8 to 15 cm long and 4 to 6 cm wide. This fruit is characterized by its richness in antioxidant molecules especially vitamin C (480 mg/100 g) and total polyphenols (945.83 mg/100 g). The fruit contents 41.43 until 80% water with a low pH (2.24). In Senegal, the fruit is eaten as it or transformed into puree, nectar, syrup, canned etc. It is a plant that has enormous therapeutic virtues, from the fruit to the roots through the leaves, bark, and latex. Despite its high nutritional potential, its many therapeutic virtues and its economic potential, Saba senegalensis remains under-exploited. Further researches on the nutritional and therapeutic properties deserve to be conducted.

关键词： Senegal Saba senegalensis Fruit Uses Composition

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

Threatened Aortic Injury by Thoracic Pedicle Screw: A Case Report

引用

Open Journal of Orthopedics 2018年第2期8卷 51-56页

作者： Amadou Ndiassé Kassé Souleymane Diao magatte gaye Jean Claude Sané Jean Marie Vianey Hope Karim Hemmam Babacar Thiam Pape Adama Dieng Mouhamadou Habib Sy Orthopedics and Trauma Surgery Department of Grand-Yoff General Hospital Dakar Sénégal Neurosurgery Department of Grand-Yoff General Hospital Dakar Sénégal Thoracic and Vascular Surgery Department of FANN University Teaching Hospital Dakar Sénégal

Iatrogenic vascular injury during posterior spinal surgery is a rare but potentially serious complication with treatment challenges. We report the case of threatened aortic injury by pedicle screw impingement during posterior fixation of thoracic spine T7 - T8 fracture dislocation. The removal of the conflicting screws was done posteriorly after a visual control of the absence of adventitious break-in by a thoracotomy.

关键词： Thoracic Spine Pedicle Screw Aorta Thoracotomy

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

Spinal Cord Compression, a Rare Neurofibromatosis Complication

引用

World Journal of Neuroscience 2019年第3期9卷 191-198页

作者： Habib Abdoul Karim Ouiminga Sylvain D. Zabsonré Aminath Kélani Souleymane Ouattara Assane Dravé Raphael Marie Kabore Désiré Harouna Sankara magatte gaye Department of Neurosurgery CHU Tengandogo Ouagadougou Burkina Faso Department of Neurosurgery CHU Yalgado Ouédraogo Ouagadougou Burkina Faso Department of Neurosurgery Hopital National de Niamey Niger Department of Pathology CHU Tengandogo Ouagadougou Burkina Faso Department of Neurology CHU Ouahigouya Ouahigouya Burkina Faso Department of Neurology CHU Tengandogo Ouagadougou Burkina Faso Department of Imagery CHU Tengandogo Ouagadougou Burkina Faso Department of Neurosurgery H&ocirc pital Général Grand Yoff Dakar Senegal

Objective: The objective of this study is to report a case of spinal cord compression, which is a rare complication of neurofibromatosis type 1. Observation: We report the case of a 45-year-old man, which presented a syndrome of thoracic spinal cord compression at the stage of spastic paraparesis. Its installation was gradually over 6 months associated with the inaugural back pain. He had a clinical history of neurofibromatosis type 1 with “Café-au-lait” spots. There were multiple painless nodules under the skin of different size on the chest, forearms and legs. A large isolated nodule, purplish was observed on the chest. The neuro-imaging showed a para-spinal anterior mass expansion inside the spinal canal causing spinal compression at the level of the second and third thoracic vertebra. It extends into the intervertebral foramen of the third and fourth thoracic vertebra leading to a scalloping. A second large heterogeneous left intra-abdominal mass containing cyst areas and calcifications was discovered in imaging. After a spinal decompression with laminectomy of the second and third thoracic vertebra, the reduction of pain and motor recovery was gradual. The large nodule excision was performed. Histology found a plexiform neurofibroma. Excision of the left intra-abdominal mass could not be performed because the patient’s consent had not been obtained. Conclusion: The spinal cord compression is a rare complication of neurofibromatosis type 1. However, it is essential to think about it in front of any spinal cord symptoms or any atypical long term spinal pain.

关键词： Neurofibromatosis Von Recklinghausen’s Disease Spinal Cord Compression

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

Symptomatic Extra-Dural Arachnoid Cyst

引用

World Journal of Neuroscience 2018年第2期8卷 185-189页

作者： Habib Abdoul Karim Ouiminga magatte gaye Cheik Tidiane Hafiz Bougouma Raphael Marie Kabore Dé siré Harouna Sankara Oumar Salia Souleymane Ouattara Yannick Canton Kessely Department of Neurosurgery CHU-Blaise Compaore Ouagadougou Burkina Faso Department of Neurosurgery Hopital General Grand Yoff Dakar Senegal Department of Intensive Care Unit CHU-Blaise Compaore Ouagadougou Burkina Faso Department of Neurology CHU-Blaise Compaore Ouagadougou Burkina Faso Department of Imagery CHU-Blaise Compaore Ouagadougou Burkina Faso Department of Orthopedics and Traumatology CHU-Blaise Compaore Ouagadougou Burkina Faso Department of Pathology CHU-Blaise Compaore Ouagadougou Burkina Faso

Objective: The aim of this study is to report a case of arachnoid cyst due to mass effect on the thoracic marrow. Observation: A 15-year-old patient was admitted to our institution and complaining of high back pain. Three months before he developed progressive and occasional back pain with thoracic irradiation in hemi-belt, increased by the dorsal decubitus. Neurological examination revealed a spasmodic paraplegia. The muscular strength was quoted as 2 to the left and 3 to the right on a scale of 5. Magnetic resonance imaging (MRI) revealed and extradural cyst located to the dorsal spinal cord. The ablation of a voluminous translucent cyst was achieved after a vast decompressive laminectomy from the sixth to the eighth thoracic vertebra. The dural communication with the cyst was stitched. After surgery, the pain has disappeared and the neurological recovery was progressive over a period of 21 days. The diagnosis of arachnoid cyst was confirmed by histological examination. Conclusion: The extradural thoracic arachnoid cyst is a rare affection of good forecast. In the symptomatic form, the surgery as soon as possible remains the solution. The MRI keeps all its interest for the diagnostic orientation and the therapeutic strategy.

关键词： Arachnoid Cyst Extradural Marrow Surgery

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：