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Rare Cause of Facial Nerve Palsy (Petrous Apex Cholesteatoma)–Case Report and Review of Literature
Rauf Ahmed,
Owais Makhdoomi,
Omar Mohammad Shafi,
Faheem Khalid
Issue:
Volume 3, Issue 1, March 2019
Pages:
1-5
Received:
9 January 2019
Accepted:
1 April 2019
Published:
11 May 2019
Abstract: The petrous apex is a pyramid-shaped structure that is formed by the medial portions of the temporal bone. It is obliquely positioned within the skull base, with its apex pointing anteromedially and its base located posterolaterally. The petrous apex is bounded by the inner ear structures laterally, the petro-occipital fissure medially, the petrosphenoidal fissure and ICA anteriorly, and the posterior cranial fossa behind. Given its location, the petrous apex is susceptible to multiple pathologic processes which may be Inflammatory, developmental, vascular, benign and malignant lesions. We present a rare case of a 39 year old Male who presented wit unilateral facial nerve palsy and sensoneural hearing loss and was then diagnosed as petrous apex Cholesteatoma. Patient was treated surgically by Transchoclear trasnlabrynth technique.
Abstract: The petrous apex is a pyramid-shaped structure that is formed by the medial portions of the temporal bone. It is obliquely positioned within the skull base, with its apex pointing anteromedially and its base located posterolaterally. The petrous apex is bounded by the inner ear structures laterally, the petro-occipital fissure medially, the petro...
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Hydrocephalus and Spasticity in Motor Area AVM, a Case Report
Veranis Sotiri,
Papageorgiou Demetrios,
Mpazinas Theodoros,
Lagios Konstantinos
Issue:
Volume 3, Issue 1, March 2019
Pages:
6-10
Received:
25 February 2019
Accepted:
8 April 2019
Published:
15 May 2019
Abstract: Obstructive hydrocephalus is a rare complication of brain AVM’s. It usually diagnosed because of posterior fossa AVM’s. This article is about a case of a 40-year-old female patient suffering from a right fronto-parietal unruptured grade IV AVM located in the central sulcus who developed obstructive hydrocephalus and worsening of left sided weakness and spasticity. The AVM has been embolized twice in the past and no further treatment was offered because of the adjacent motor cortex and concerns of permanent neurological damage. Patient was treated with navigated ventricular-peritoneal shunt with a programmable valve. Interestingly there was an improvement of spasticity and weakness.
Abstract: Obstructive hydrocephalus is a rare complication of brain AVM’s. It usually diagnosed because of posterior fossa AVM’s. This article is about a case of a 40-year-old female patient suffering from a right fronto-parietal unruptured grade IV AVM located in the central sulcus who developed obstructive hydrocephalus and worsening of left sided weakness...
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Neurological Complications of Myeloproliferative Syndromes with Negative Philadelphia Chromosome (MPS Ph-) in Lome Tertiary Hospital
Komi Assogba,
Kodzo Vinyo Kumako,
Kossivi Martin Apetse,
Essohana Justin Padaro,
Abago Balaka,
Abdoullaye Idrissou,
Komi Igneza Agbotsou,
Nyenèvi Komla Anayo,
Abdullah Blakime,
Agnon Ayélola Koffi Balogou
Issue:
Volume 3, Issue 1, March 2019
Pages:
11-15
Received:
13 February 2019
Accepted:
15 March 2019
Published:
27 May 2019
Abstract: Introduction: Myeloproliferative syndromes with philadelphia (MPS Ph) chromosome negative are diseases little known in our environment and cause grave neurological sequels. The study aimed to describe the neurological complications of these syndromes. Patients and method: It was a retrospective cross-sectional study carried out on the files of patients follow up or hospitalized in hematology or neurology departments of our tertiary hospital from January, 2008 to December, 2017. The variables analyzed were composed of epidemiological data, clinical signs, treatments used, neurological complications, and evolution. Results: Among 39 patients with MPS Ph negative, 30 (76.9%) had neurological complications at the time of diagnostic. Headaches, dizziness and splenomegaly were the most reported clinical signs in 95.2%, 73.6% and 66.7% respectively. Different types of MPS Ph negative were observed with 21 cases of polycythemia vera, 8 cases of essential thrombocythemia and one case of primary myelofibrosis. The research of Jack2V617F mutation was made in 25 patients (83.3%) and was positive in 15. The neurological complications were marked by peripheral neuropathy (20 cases), cerebral venous thrombosis (15 cases) and ischemic stroke in 11 cases. The average length of stay in hospital was 23.6 days. Concerning the treatment, 96.7% had received antiplatelet therapy and cytoreductive treatment was added in 66.7%. The outcome was marked by the remission of symptoms in 11.1% of cases, 46.7% with sequels and 20% of death. Conclusion: The MPS Ph negative patients are often discovered in late stage of the disease progression with neurological complications. Measures need to be taken to improve the early diagnosis and management of MPS Ph chromosome negative.
Abstract: Introduction: Myeloproliferative syndromes with philadelphia (MPS Ph) chromosome negative are diseases little known in our environment and cause grave neurological sequels. The study aimed to describe the neurological complications of these syndromes. Patients and method: It was a retrospective cross-sectional study carried out on the files of pati...
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Profile of Swallowing Disorders in Acute Stroke in Brazzaville
Ghislain Armel Mpandzou,
Paul Macaire Ossou-Nguiet,
Lopresty Luberde Ngouala,
Annette Oball-Mond Mwankie,
Prince Eliot Sounga Bandzouzi,
Dinah Happhia Motoula Latou,
Bébène Bandzouzi Ndamba
Issue:
Volume 3, Issue 1, March 2019
Pages:
16-23
Received:
14 March 2019
Accepted:
8 May 2019
Published:
30 May 2019
Abstract: Swallowing disorders are common in stroke and cause significant morbidity and mortality. The aim of this study was to determinate the frequency of swallowing disorders and its impact on the prognosis of stroke, as well as the contribution of the local feeding protocol at University Hospital of Brazzaville. An interventional study was carried out between March and August 2016 in the department of neurology, with a follow-up of three months. It included all patients hospitalized for stroke and swallowing disorders. If necessary, a nasogastric tube was placed and local feeding protocol was initiated. Among 219 patients admitted for stroke, 59 (26.9%) had swallowing disorders. The DePippo test was positive in 54 (91.5%) patients. The mean age of the patients was 69.1 ± 13.8 years with a sex ratio of 1.3. Cough during feeding (79.7%) and swallowing effort (81.4%) were the most common complaints. The majority (72.9%) of patients had bilateral pyramidal involvement, and 23 (39%) a history of stroke. The local feeding protocol was respected by only half of patients, without any impact on the occurrence of malnutrition and dehydration (respectively, p=0.58 and p=0.79). Death was observed in 32 (54.24%) patients primarily for bronchopneumopathy (n=5, 15.62%), false roads (n=4, 12.5%) and cerebral hematoma (n=4, 12.50%). Eleven (34.4%) patients died at home for an undetermined cause. Detection and appropriate management of swallowing disorders in acute stroke, must be systematic and included in management protocols of stroke.
Abstract: Swallowing disorders are common in stroke and cause significant morbidity and mortality. The aim of this study was to determinate the frequency of swallowing disorders and its impact on the prognosis of stroke, as well as the contribution of the local feeding protocol at University Hospital of Brazzaville. An interventional study was carried out be...
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Neurological Disease Surveillance in Cameroon, a Rural and Urban-Based Inout Patient Population Study
Jacques Doumbe,
Yacouba Njankouo Mapoure,
Theophile Nyinyikua,
Callixte Kuate,
Katie Kompoliti,
Hiral Shal,
Bichum Ouyang,
Sara Calvo,
Abel Fernandez-Sierra,
Esther Cubo
Issue:
Volume 3, Issue 1, March 2019
Pages:
24-30
Received:
17 March 2019
Accepted:
17 April 2019
Published:
31 May 2019
Abstract: Background: There is a paucity of literature on the burden of neurological diseases in sub-Saharan Africa. Objective: To create a registry and surveillance of neurological diseases from urban and rural health centers in Cameroon. Methods: Retrospective review of medical records of inpatients and outpatients from two urban public hospitals in Douala and two rural health care centers, from 2013 to 2015 was conducted. In the urban areas, the diagnosis was made by a neurologist but this was not the case in the rural areas. The following variables were analyzed: demographics, medical center characteristics, presenting neurological complaint, medical history, neurological diagnosis, death and disability. Neurological diseases were classified according to ICD-10. Results: Out of 20,131 medical charts available (13% from the rural area), 4,187 cases (20.7%) with neurological complaints were identified and reviewed, mean age 48.67 + 18.62 years, females 54.7%, 188 children (4.4%). The most frequent neurological complaints were: paresis/weakness (G.82, 25.2%) and headache (R.51, 22.0%). The most common concurrent medical history was hypertension (I10, 40.0%), and HIV (B20, 16.45%). The most common neurological diagnoses were cerebrovascular disease (G45, G46, 51.5%), and infection (B50, G00, G04, G06, 24.13%) in adults, and epilepsy (G40, 64.0%) in children. Death due to neurological cause was recorded in 428 patients (19.1%), and disability in 1,072 (57.2%). Neurodegenerative diseases were exclusively diagnosed in urban areas. Conclusion: Population aging and changes in the distribution of risk factors have accelerated the prevalence of non-communicable diseases such as cerebrovascular disease. However, additional work to characterize the nature of diagnosis, treatment and care is important to advance quality of care in the adult and pediatric neurological disorders. A health policy geared towards prevention and neurological training for health professionals is warranted.
Abstract: Background: There is a paucity of literature on the burden of neurological diseases in sub-Saharan Africa. Objective: To create a registry and surveillance of neurological diseases from urban and rural health centers in Cameroon. Methods: Retrospective review of medical records of inpatients and outpatients from two urban public hospitals in Douala...
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