K. Elmazi, N. Rada, G. Draiss, M. Bouskraoui, K. Elfakiri
{"title":"Acute Disseminated Encephalomyelitis after Rabies Vaccine: About Two Cases","authors":"K. Elmazi, N. Rada, G. Draiss, M. Bouskraoui, K. Elfakiri","doi":"10.36347/sjmcr.2024.v12i06.018","DOIUrl":"https://doi.org/10.36347/sjmcr.2024.v12i06.018","url":null,"abstract":"The current study outlines two cases of Acute Disseminated Encephalomyelitis (ADEM) occurring in two children who received a rabies vaccine. The patients, aged 10 and 8 respectively, developed anarchic neurological symptoms after vaccination, confirming the diagnosis of ADEM through brain MRI. In the first case, bilateral abnormalities were observed in several regions, while in the second case, bilateral abnormalities of the occipital and parietal subcortical white matter were detected. Treatment included intravenous corticosteroid therapy and plasma exchange. Although slight clinical improvement was observed, neurological symptoms persisted.","PeriodicalId":21448,"journal":{"name":"Scholars Journal of Medical Case Reports","volume":" 14","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141373210","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
H. Amal, G. Nizigiyimana, M. Abdillahi, E. Niyonkuru
{"title":"A Rare Case of a Large Mucinous Cystadenoma of the Tail of the Pancreas","authors":"H. Amal, G. Nizigiyimana, M. Abdillahi, E. Niyonkuru","doi":"10.36347/sjmcr.2024.v12i06.017","DOIUrl":"https://doi.org/10.36347/sjmcr.2024.v12i06.017","url":null,"abstract":"Mucinous cystadenomas are part of the cystic tumours of the pancreas. They are benign tumours whose malignant potential recommends surgical resection. They are often discovered incidentally, in 75% of cases. These tumours have radiological characteristics that suggest the diagnosis. There are known radiological criteria predictive of malignancy, including a tumour diameter ≥ 3cm. Furthermore, the diagnosis of certainty is provided by anatomopathological examination. Practitioners must bear in mind the existence of these tumours, their malignant potential, and the possibility of a benign nature despite the presence of radiological criteria predictive of malignancy. Treatment consists of surgical resection without cystic rupture in order to prevent the risk of recurrence.","PeriodicalId":21448,"journal":{"name":"Scholars Journal of Medical Case Reports","volume":" 17","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141373701","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Dr Zineb Oudrhiri, Dr. Hajar Dardar, Professor Othmane Alaoui, Professor Mahmoudi Abdelhalim, Professor Khalid Khattala, Professor Youssef Bouabdallah
{"title":"Cystic Teratoma of the Pancreas: Case Report","authors":"Dr Zineb Oudrhiri, Dr. Hajar Dardar, Professor Othmane Alaoui, Professor Mahmoudi Abdelhalim, Professor Khalid Khattala, Professor Youssef Bouabdallah","doi":"10.36347/sjmcr.2024.v12i06.015","DOIUrl":"https://doi.org/10.36347/sjmcr.2024.v12i06.015","url":null,"abstract":"Dermoid cysts of the pancreas, also known as cystic teratomas, are uncommon germ cell neoplasms that are typically benign and well-differentiated. Their rarity and lack of specific preoperative diagnostic tests make them challenging to diagnose before surgery. We describe the case of an 8-year-old girl who complained of abdominal pain and was found to have a cystic mass in the head of her pancreas on CT scan. The final diagnosis was confirmed as a dermoid cyst of the pancreas. Although these cysts are usually benign, complete surgical removal is often necessary.","PeriodicalId":21448,"journal":{"name":"Scholars Journal of Medical Case Reports","volume":"48 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141377255","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hamadoun Traoré, Saâd Mohammed Amine, C. Elm’hadi, R. Tanz, Hassan Errihani
{"title":"Synchronous Rectal Adenocarcinoma and Urothelial Carcinoma of the Bladder: Fortuitous Association or Oncogenetic Predisposition?","authors":"Hamadoun Traoré, Saâd Mohammed Amine, C. Elm’hadi, R. Tanz, Hassan Errihani","doi":"10.36347/sjmcr.2024.v12i06.016","DOIUrl":"https://doi.org/10.36347/sjmcr.2024.v12i06.016","url":null,"abstract":"Synchronous primary cancers involving the rectum and the bladder are quite rare and poorly reported in the literature. We report the case of a 58-year-old non-smoking patient who presented with proctalgia with diarrhea and rectal bleeding, as well as pollakiuria and hematuria. Pelvic magnetic resonance imaging showed the presence of two tissue masses involving the rectum and the bladder, in addition to a bone lesion in the pelvis. The biopsy of the three sites (rectum, bladder and bone) was in favor of a rectal adenocarcinoma and urothelial carcinoma of the bladder, with absence of signs of malignancy for bone involvement. The PET-Scan did not show any distant lesion. The patient was treated with a trans-urethral resection of the bladder, and concomitant radio-chemotherapy for the rectum. We are going to do a review of the literature concerning this association.","PeriodicalId":21448,"journal":{"name":"Scholars Journal of Medical Case Reports","volume":"7 10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141379645","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Amantadine Enhances Recovery from Delayed Neuropsychiatric Effects Caused by Carbon Monoxide Poisoning: A Case Report","authors":"S. T. Eddine, A. Oumoussa, I. Adali, F. Manoudi","doi":"10.36347/sjmcr.2024.v12i06.011","DOIUrl":"https://doi.org/10.36347/sjmcr.2024.v12i06.011","url":null,"abstract":"Carbon monoxide (CO) poisoning causes severe brain damage, including delayed neuropsychiatric sequelae (DNS), which occur after a lucid interval following recovery from the insult of acute CO poisoning. Delayed neuropsychiatric syndrome (DNS) is a well-known complication following carbon monoxide (CO) poisoning and develops in up to 50 % of adult survivors. The syndrome is probably immunologically mediated. We describe a 19-year-old female who developed DNS, including slowness, Parkinsonism; irritability and cognitive impairment. All symptoms, including cognitive impairment, were dramatically improved by amantadine monotherapy. The present case illustrates the possibility of amantadine treatment for cognitive impairment and parkinsonism induced by CO poisoning.","PeriodicalId":21448,"journal":{"name":"Scholars Journal of Medical Case Reports","volume":"178 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141387046","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Exploring the Complexities of an Intricate Connection: Psychosis in Focal Epilepsy: Case Report","authors":"S. T. Eddine","doi":"10.36347/sjmcr.2024.v12i06.012","DOIUrl":"https://doi.org/10.36347/sjmcr.2024.v12i06.012","url":null,"abstract":"Background: Epilepsy is still a real mental health problem; although most epilepsies are curable, their psychopathological consequences are often significant and complex to manage. In this framework, the association of epilepsy with psychotic disorders has long been known. Case Report: To discuss the links between epilepsy and psychosis, we report the observation of a 42-year-old man, treated for complex focal epilepsy, admitted to a psychiatric department for attempting suicide by phlebotomy in a postictal psychosis under the commands of auditory hallucinations and a severe state of psychomotor agitation. Discussion: Psychotic symptoms in epilepsy can be part of intercritical, post-critical or alternative psychoses. In our patient's case, the psychotic symptoms were post-critical. Delusional themes are often mystical, fueled by auditory and unusual visual hallucinations. Negative disorders are rare. Conclusion: Epileptic psychoses have not been identified as nosographic entities in the psychiatric classification systems (DSM-V and ICD-10), which poses a problem in recognizing these disorders. Therefore, a collaboration between psychiatrists and neurologists is necessary to understand this complex comorbidity better, avoid diagnostic errors, and optimize management.","PeriodicalId":21448,"journal":{"name":"Scholars Journal of Medical Case Reports","volume":"178 1‐2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141387047","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hind Ameur, Motsatsa M. Gedeon, S. Barkich, N. Oumghare, M. Darfaoui, A. Alomrani, M. Khouchani
{"title":"Leiomyosarcoma of the Left Femur: A Case Report and Review of the Literature","authors":"Hind Ameur, Motsatsa M. Gedeon, S. Barkich, N. Oumghare, M. Darfaoui, A. Alomrani, M. Khouchani","doi":"10.36347/sjmcr.2024.v12i06.009","DOIUrl":"https://doi.org/10.36347/sjmcr.2024.v12i06.009","url":null,"abstract":"Soft tissue sarcomas of the limbs are rare tumors with a poor prognosis. Their diagnosis is difficult and its histological confirmation. Surgery represents the main therapeutic weapon while radiotherapy allows better local control. Chemotherapy is reserved for high-grade tumors with high metastatic potential. Our work is based on a study of a rare case of metastatic leimyosarcoma of the thigh in a 49-year-old patient.","PeriodicalId":21448,"journal":{"name":"Scholars Journal of Medical Case Reports","volume":"223 24","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141386878","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Oussama Jaddi, Z. A. S. Ali, Sana Rafi, G. E. Mghari, N. Ansari
{"title":"Pregnancy and Acromegaly: About 2 Cases","authors":"Oussama Jaddi, Z. A. S. Ali, Sana Rafi, G. E. Mghari, N. Ansari","doi":"10.36347/sjmcr.2024.v12i06.014","DOIUrl":"https://doi.org/10.36347/sjmcr.2024.v12i06.014","url":null,"abstract":"Introduction: Pregnancies in women with acromegaly are rare. Literature reports indicate the absence of fetal malformations, rarely symptomatic increases in adenoma volume, and a possible risk of gestational diabetes and pregnancy-induced hypertension in women not adequately controlled by medication before pregnancy. Variations in somatotrope function have been rarely studied. Observations: Our two patients had previously undergone surgery for somatotrope adenomas and were treated with somatostatin analogs before pregnancy, with treatment discontinued upon pregnancy diagnosis. All pregnancies were normal without gestational diabetes, pregnancy-induced hypertension, or pituitary tumor syndrome. No newborns had congenital malformations. Conclusion: Pregnancy does not appear to worsen acromegaly in young patients well-controlled with somatostatin analogs before pregnancy.","PeriodicalId":21448,"journal":{"name":"Scholars Journal of Medical Case Reports","volume":"50 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141387707","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A. Bouya, R. Salah, K. E. Mokhtari, Badr Chalouah, A. Bennis, O. Zaddoug, M. Benchakroun, S. Bouabid
{"title":"Unusual Location of Intermuscular Lipoma in the thenar eminence: Case Report and Review of the Literature","authors":"A. Bouya, R. Salah, K. E. Mokhtari, Badr Chalouah, A. Bennis, O. Zaddoug, M. Benchakroun, S. Bouabid","doi":"10.36347/sjmcr.2024.v12i06.013","DOIUrl":"https://doi.org/10.36347/sjmcr.2024.v12i06.013","url":null,"abstract":"Introduction: Lipomas are the most common benign mesenchymal tumors, typically located in subcutaneous tissue. They can also occur intramuscularly (1-5%) or intermuscularly (0.3-1.9%). Hand lipomas are rare. Case Report: A 53-year-old woman presented with a 2-year history of a painless, enlarging mass in her left hand's thenar region, impairing hand function and grip strength. Physical examination revealed a 5cm, well-defined, painless mass fixed to the deep plan. MRI indicated a benign lipoma. Surgical removal was performed under locoregional anesthesia, and histological analysis confirmed the lipoma diagnosis. Postoperative rehabilitation led to full recovery with no recurrence after 16 months. Discussion: Lipomas, though usually found in subcutaneous tissues of the neck, torso, and limbs, can also develop within muscles, with hand occurrences being particularly rare. Diagnosis is typically confirmed by ultrasound or MRI, which distinguishes lipomas from malignant tumors. Histologically, lipomas consist of mature adipocytes and are often encapsulated. Surgical removal is advised if symptomatic, with recurrence being rare. Conclusion: Hand lipomas, especially intramuscular, are uncommon and can significantly impair function. Accurate diagnosis and careful surgical excision are crucial for effective treatment and preventing recurrence.","PeriodicalId":21448,"journal":{"name":"Scholars Journal of Medical Case Reports","volume":"222 22","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141387360","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Lymphoblastic Lymphoma: Epidemio-Clinical, Therapeutic and Prognostic Aspects","authors":"N. Elhamdi, M. E. Baz, J. El Houdzi","doi":"10.36347/sjmcr.2024.v12i05.068","DOIUrl":"https://doi.org/10.36347/sjmcr.2024.v12i05.068","url":null,"abstract":"Lymphoblastic lymphoma (LL) is a multifactorial, frequent and highly progressive but curable cancer, and one of the haemopathies frequently managed at the Mohammed VI University Hospital, Marrakech. Seventeen patients with lymphoblastic lymphoma (LL) were included in this study. The annual hospital incidence of LL in Marrakech was 1.8 cases/year. The 6-10 age group was in the majority (n=11; 70%). The sex ratio was 3.25 in favor of boys, and 82% had RAMED, which corresponds to a low socioeconomic level. Dyspnea was found in 10 patients (60%). Stage 3 was in the majority (n=7; 70%). Diagnosis was made by cytology in 94% of patients, histology in 23% and immunohistochemistry in 82%. Four patients died of chemotherapy toxicity after blood product rupture, and 3 of disease progression on chemotherapy. The 10 patients in remission survived event-free for an average of 21 months.","PeriodicalId":21448,"journal":{"name":"Scholars Journal of Medical Case Reports","volume":"61 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141114195","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}