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Child Spinal Cord Compression without Trauma about 113 Cases in Senegal

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Yangtze Medicine 2018年第2期2卷 114-128页

作者： Nourou dine A. Bankole Moustapha Ndiaye Thioub Mbaye Youssoupha Sakho Momar Code Ba departement de neurochirurgie Hopital des Spécialités Rabat Morrocco département de Neurologie CHNU de Fann Dakar Senegal département de neurochirurgie CHNU de Fann Dakar Senegal departement de neurochirurgie HOGGY de Dakar Senegal

Introduction: No-trauma spinal cord compressions are serious conditions not often described in children population. This study will discuss the epidemiological, clinical, biology and radiology assessment, the etiologies, the therapeutic and evolutionary aspects of this condition in children in Senegal. Patients and Methods: 113 children aged between 15 months and 18 years were managed in a 10 years period (from January 2005 to July 2015) for a non-traumatic spinal cord compression (average 8.3 years). Results: There was 66 males (58%) and 47 females (42%) with sex ratio of 1.40. The main reasons for consultation were spinal deformity (90 %). The syndrome was complete in 52 patients (46%) and incomplete in 61 patients (54%). Plain radiography performed in 63 patients. The CT scan was performed in 21 patients and myelography performed in 4 patients. MRI was performed in 22 patients. There was intradural extramedullary process (33.33%), the extradural lesions (14.28%) and intramedullary process (28.57%). dorsal lesions were predominant (46%) followed by the lumbar spine (27%). The majority of the etiology was Pott’s disease (80%) followed by tumors (17%). Spondylitis to banal germs (2%) and parasitic spinal cord compression (1%) were rare. The histology of 6 patients was revealed 5% neurofibroma Type II, 5% extramedullary intradermal arachnoid cyst, 5% intramedullary arachnoid cyst with cytochemistry of the CSF—like content, 5% Anaplastic pilocytic astrocytoma, 5% ganglioneuroma I terminal cone and 5% meningothelial meningioma. Pott’s disease has been cured by TB chemotherapy associated with a corset in 88.89% of cases. 2 patients of this group had benefited fixation after laminectomy. 68% of the patients had a favorable recovery, and 20% had completely recovered after an average of 7 months of treatment and three (3) patients had died. The compression by bilharzias is be cured by myelotomy and praziquantel with a favorable outcome. We have 94.74% decompressive laminec

关键词： Spinalcord Compression Child Pott’s disease Tumors Spondylitis Bilharzia

A case of congenital obstruction of magendie's foramen:embryologic analysis and treatment

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Chinese Neurosurgical Journal 2017年第4期3卷 243-246页

作者： HA N'da S Fondjo LK drogba LM Konan V Ba Zeze Service de neurochirurgie CHU de Yopougon Abidjan Cote d'Ivoire21 BP 632 Abidjan 21Cote d'Ivoire

Fourth ventricle isolated Magendie’s foramen primitive obstruction is rare. The etiology and the pathophysiology of the constitution of this obstruction in congenital cases remain elusive. We report a case of congenital obstruction of Magendie’s foramen in an adult patient and discuss the embryogenic mechanism and our management of this rare pathology. A 20 years old female patient without any medical history was referred for headaches and vomiting. Emergency CT scan revealed major hydrocephalus subsequently she underwent a ventriculoperitoneal shunt as initial treatment. The diagnosis of fourth ventricle obstruction was made 5 months later when the patient came back complaining of headaches, cerebellar signs and cystic dilatation of the fourth ventricle on CT scan and MRI. Fourth ventricle Magendie’s foraminoplasty via classic posterior fossa surgery brings complete cure. Magendie’s foramen obstruction is rare. The embryological development of the posterior fossa and its content could explain the primitive obstruction which can be managed by classic surgery in case of unavaibility of endoscopy.

关键词： Fourth ventricle outlets Hydrocephalus Magendie foramen Obstruction

A rare case of giant solitary spinal B cell lymphoblastic lymphoma

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Chinese Neurosurgical Journal 2016年第4期2卷 245-248页

作者： Hermann Adonis N'da Kporou Landry drogba Louis derou Slim Alban Mbende dominique N'dri Oka Vincent Ba Zézé Service de neurochirurgie CHU de Yopougon Abidjan C(o)te d'lvoire 21 BP 632 Abidjan C(o)te d'lvoire

Common B cell lymphoma locations are lymph nodes, skin, bone, mediastinum and it accounts for 2 % of NHL. Giant solitary spinal B-LBL has not yet been described. A 15-years old boy was admitted for a painful swelling of the thoracolumbar spine and paraplegia. MRI showed a voluminous mass of the thoracolumbar spine. Initial treatment consisted of surgical decompression and stabilization, followed by chemotherapy and radiotherapy. Histological examination showed a B-LBL. The quality of life improved significantly. To the best of our knowledge, this is the first case of giant solitary spinal B-LBL ever reported. Indication to choose a treatment method over another should weigh on individual priorities. Surgery should be considered as initial treatment option in this atypical lesion.

关键词： B Lymphoblastic lymphoma Spinal tumour Spine surgery

Primary Pituitary Abscess Gland Mimicking Adenoma: A Rare Case Report

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Open Journal of Modern Neurosurgery 2022年第3期12卷 167-174页

作者： dimbi Jose Alingar djimrabeye Mehdi Hakkou Adyl Melhaoui Abdessamad el Ouahabi Service de neurochirurgie de l’H?pital des Spécialités Rabat Morocco Faculté de médecine et pharmacie Université Mohamed V Rabat Morocco

Pituitary abscess gland is an uncommon lesion on sellar region. Clinical diagnosis is not easy to make and it is difficult to make difference from other pituitary lesions on clinical and sometimes on Neuroimaging. This pathology is characterized by vague symptoms, headaches, generalized tiredness and hypopituitarism manifestations. A 35-year-old woman was admitted to neurosurgery with complaints of headaches and blurred vision. MRI of the head revealed a suprasellar mass that was centrally hyperintense lesion on T2-weighted images with peripheral hypointensity. Treatment of the lesion of this lesion pituitary area through a transsphenoidal approach and spectrum antibiotic therapy with ceftriaxone metronidazole and vancomycin for 6 weeks. The patient continues to have pituitary insufficiency and is treated with oral hydrocortisone. After the diagnosis, the surgery and antibiotics should be commenced rapidly. Our aim is to report this rare case and to show how sometimes it is difficult to make diagnosis and clinical features vary mimicking other pituitary lesions before pre-operative and how to manage pituitary abscess gland. The outcome is usually good with proper treatment.

关键词： Pituitary Abscess Endoscopy Transsphenoidal Antibiotics

Surgical Management of Recent Traumatic Epiphyseal Fractures-detachments of the distal Femur at Gabriel TouréUniversity Hospital

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Surgical Science 2023年第2期14卷 61-71页

作者： Mahamadou diallo Abdoul Kadri Moussa Layes Toure Kalifa Coulibaly Mamadou Bassirou Traoré Cheick Oumar Sanogo Terna Traoré Mamadou diallo Amadou Maiga Adégné Togo Service d’Orthopédie-Traumatologie CHU Gabriel Touré Bamako Mali Service d’Orthopédie-Traumatologie Etablissement Hospitalier Publique Sikasso Sikasso Mali Service d’orthopédie traumatologie CHU de Kati Kati Mali Service de neurochirurgie CHU Gabriel Touré Bamako Mali Service de chirurgie générale CHU Gabriel Touré Bamako Mali

Traumatic epiphyseal detachment fractures of the distal end of the femur are a rare lesion whose severity is linked to disabling sequelae such as limb length inequality or most often axial deviation. In this report, surgical treatment aims to reconstruct the anatomy of the distal femur, to avoid secondary displacements and to allow early mobilization of the knee. Surgery carried out mainly by the technique of plugging in or screwing, opened or better still closed, can be a source of complications including migration of pins, infections, knee stiffness, and growth disorders. The aim of this work was to describe their epidemiological, anatomo-clinical, therapeutic and evolutionary aspects in the department of Orthopedics-Traumatology at the CHU Gabriel TOURE. It was a retrospective study over 30 months from July 2019 to december 2021. In fact, it concerned 42 patients with traumatic epiphyseal detachment of the distal femur occurring within 21 days or less, on a healthy knee with cartilage fertile treated surgically and followed in the department. However, the diagnosis of traumatic epiphyseal detachment of the distal femur was retained thanks to the clinical examination and supplemented by radiographic images of the knee from the front and from the side. The treatment was surgical. The functional results were evaluated according to the functional criteria of the Eastern Orthopedic Traumatology Society (SOTEST). Forty-two patients included 32 boys and 10 girls of average age of 12 years with extremes of 8 years and 16 years. The lesions were classified according to the Salter Harris classification. We noted 24% type I (n = 10), type II 71% (n = 30), type III 2% (n = 1), type IV 2% (n = 1). Union was achieved in all patients within an average of 6 weeks with extremes of 4 and 12 weeks. The functional result was considered good in 20% of cases and very good in 80%. Traumatic epiphyseal detachment fractures of the distal end of the femur are a rare lesion whose severity

关键词： Epiphyseal detachment distal Femur Treatment Surgical

Management of Two Cases of Spina Bifida and Neonatal Genital Prolapse at the University Hospital of Parakou and Review of the Literature

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Open Journal of Modern Neurosurgery 2022年第4期12卷 216-221页

作者： Kouassi Jean Marie Maurin Kisito Quenum Ayaovi Armel Hadonou Toyifia Eudoxie Bernice Quenum Hountondji Sophonie dokpe Zachée Agbo Matine Balagoun Olatundji Holden Fatigba Service de neurochirurgie du Centre hospitalo universitaire départemental/Borgou Alibori (CHUd/BA) Parakou Benin Service de chirurgie du Centre hospitalo universitaire départemental/Borgou Alibori (CHUd/BA) Parakou Benin Centre de prise en charge médicale intégrée des nourrissons et femmes enceintes atteints de la drépanocytose (CPMI-NFEd) Parakou Benin

Spina bifida, or spinal dysraphism, is a malformative pathology related to an anomaly in the development of the nervous system, occurring during embryogenesis. The neural tube does not close properly around the 28th day of life and affects the development of the spinal column and spinal cord. Spina bifida is characterised by damage to the nervous system and will generate handicaps and damage of varying degrees: neurological motor, sensory, cognitive, genito-phincter (bladder and anorectal) deficits with consequences for the quality of life of these people. The literature describes the association between spinal dysraphism and genital prolapse. However, genital prolapse is an exceptional and rare entity in newborns. We report the observations of two newborns: the first case of a newborn born at term, at 7 days of age, who presented a prolapse of the uterine cervix in association with myelomeningocele, without any neuromuscular repercussions, and the second case of a newborn at 10 days of age, presenting with a lumbosacral spina bifida and a uterine prolapse. They benefited from conservative medical treatment characterised by manual reduction of the prolapse in both cases with a favourable evolution. In the case of spina bifida, a cure of myelomeningocele was performed surgically with simple postoperative course.

关键词： Spina Bifida Genital Prolapse Neonate Complications CHUd/BA

Pachymeningeal en Plaque Tuberculoma in Children: A Case Report

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Open Journal of Modern Neurosurgery 2020年第1期10卷 63-69页

作者： Ibrahima Berete Alpha Boubacar Bah Seylan diawara Mohammed Benzagmout Khalid Chakour Mohammed Faiz Chaoui Service de neurochirurgie CHU Hassan II Fès Morocco Service de neurochirurgie CHU donka Conakry Guinea

Pachymeningeal en plaque tuberculoma is a rare manifestation of tuberculosis and has a poor prognosis if not diagnosed early and treated adequately. The aim of the present paper is to collect the reported clinical and radiological signs in the literature and compare it with a personal observation to evaluate the possibility of a presumptive diagnosis. A 4-year-old boy presented at the pediatric emergency department with 7 days history of severe headache, vomiting blurred vision and had one partial seizure. His neurologic examination was notable for decreased visual acuity with bilateral papilledema and intact extra-ocular muscles. His neck was rigid. Neuroimaging revealed a multifocal dural-based mass on the fronto-parietal convexity with dense heterogeneous contrast enhancement and hydrocephalus. He has undergone a Ventriculoperitoneal shunt and surgical excision of the mass the next day. Outcome was favorable with antituberculosis therapy and corticosteroids. The clinical presentation and outcome were similar to the reported cases in the literature.

关键词： Tuberculoma Pachymeningeal Intracranial Tuberculosis MRI CT Scan

French Spine Surgery Society guidelines for management of spinal surgeries during COVId-19 pandemic

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World Journal of Clinical Cases 2020年第10期8卷 1756-1762页

作者： Solène Prost Yann Philippe Charles Jérome Allain Jean-Luc Barat Henri d'Astorg Manuel delhaye Chistophe Eap Fahed Zairi Pierre Guigui Brice Ilharreborde Jean Meyblum Jean-Charles Le Huec Nicolas Lonjon Guillaume Lot Olivier Hamel Guillaume Riouallon Stéphane Litrico Patrick Tropiano Benjamin Blondel Aix-Marseille Université APHMCNRSISMCHU TimoneUnitéde Chirurgie RachidienneMarseille 13005France Service de Chirurgie du Rachis Hopitaux Universitaires de StrasbourgStrasbourg 67200France Institut Parisien du dos Paris 75005France Service de neurochirurgie Hopital privéClairval-Ramsay santéMarseille 13009France Unitéde Chirurgie du Rachis Centre Orthopédique SantyLyon 69008France Centre Francilien du dos Versailles 78000France CHU Reims Hopital Maison BlancheNeurochirurgieReims 51100France Hopital PrivéLe Bois Ramsay Santé Lille 59000France Hopital Européen Georges-Pompidou HEGP Paris 75015France Service de Chirurgie Orthopédique Pédiatrique CHU Robert DebréAPHPUniversitéde ParisParis 75019France Service de Chirurgie Orthopédique Groupe Hospitalier Paris Saint-JosephParis 75014France Polyclinique Bordeaux Nord Aquitaine Bordeaux 33300France Service de neurochirurgie Hopital Gui de ChauliacMontpellier 34090France Hopital-Fondation Rothschild Service de NeurochirurgieParis 75019France Clinique des Cèdres Service de neurochirurgie Chateau D’AlliezCornebarrieu 31700France Hopital Paris Saint-Joseph Paris 75014France Unitéde Chirurgie Rachidienne Hopital Pasteur 2CHU de NiceNice 06001France

Since the outbreak of coronavirus disease 2019(COVId-19)in december 2019 in China,various measures have been adopted in order to attenuate the impact of the virus on the *** regard to spine surgery,French physicians are devoted to take place in the national plan against COVId-19,the French Spine Surgery Society therefore decided to elaborate specific guidelines for management of spinal disorders during COVId-19 pandemic in order to prioritize management of patients.A three levels stratification was elaborated with Level I:Urgent surgical indications,Level II:Surgical indications associated to a potential loss of chance for the patient and Level III:Non-urgent surgical *** also report French experience in a COVId-19 cluster region illustrated by two clinical *** hope that the guidelines formulated by the French Spine Surgery Society and the experience of spine surgeons from a cluster region will be helpful in order optimizing the management of patients with urgent spinal conditions during the pandemic.

关键词： COVId-19 Spine Surgery Guidelines Organization Cluster region

First Total Posterior Craniopagus Twins in Central African Republic: Two Years Challenge of Management

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Open Journal of Pediatrics 2021年第3期11卷 438-449页

作者： Gody Jean Chrysostome Bogning Mejiozem Brice Olivier Houndjahoue Ghislain Franck Pasotti Ombretta Enoc Mariella Carlo Efisio Marras Centre Hospitalier Universitaire Pédiatrique de Bangui Bangui Central African Republic Hô pital Pédiatrique Bambino Gesu de Rome Rome Italy département de neurochirurgie de l’Hô pital Pédiatrique Bambino Gesu de Rome Rome Italy

Introduction: Countries with limited resources have real difficulties in separating craniopagus twins. Separation surgery cannot be considered there due to lack of technological conditions and appropriate means. Objective: To show the benefits of an Italian-Central African humanitarian collaboration, after two years follow-up, aiming to improve the first childhood years of craniopagus twins, born in the Central African Republic and separated in Rome. Case Report: The two female conjoined craniopagus twin, born at term on June 29, 2018 in Mbata located about 96 km from Bangui (CAR), were referred to the neonatology unit of the CHUPB on their 3rd day of life. The mother was 31-year-old, gravida 4 and para 5. Prenatal cares were quantitatively and qualitatively poorly followed. The diagnosis of posterior conjoined craniopagus twins associated with early neonatal infection was retained. After seven days of antibiotics and regression of infectious symptoms, the newborns were kept in the neonatology unit for a closer follow-up, pending the completion of administrative procedures for a medical evacuation as part of the international humanitarian activities of the Pediatric Hospital of the Holy Seat in collaboration with the Pediatric Teaching Hospital in Bangui. Finally, the twins were transferred to the Bambino Gesu Hospital in Rome on September 10, 2018 where the 3D images confirmed the total posterior fusion. Between May 2019 and June 2020 thirty hours of interventions allowed a step-by-step separation of the twins, with a gradual rerouting of the shared blood supply, remodeling and re-creating a skin t

关键词： Craniopagus Twins Collaboration Pediatrics Neurosurgery CHUPB Bambino Gesu Hospital in Rome