Publications by authors named "Horache K"

Article Synopsis
  • Thymoma is a rare tumor from thymic epithelial cells in the chest, presenting diagnostic and clinical challenges, especially when it behaves invasively.
  • A case study of a 66-year-old woman showed a large, invading mass in the anterior mediastinum that spread to the abdomen and affected nearby organs, diagnosed as a type B2 thymoma at stage IV B.
  • This case highlights the need for timely and precise diagnosis, requiring collaboration among medical specialists to address advanced thymoma, and stresses the importance of accounting for local invasion in treatment planning, often involving chemotherapy and radiotherapy before surgery.
View Article and Find Full Text PDF
Article Synopsis
  • Gradenigo syndrome (GS) is a rare complication of severe ear infections characterized by abducens nerve palsy, retro-orbital pain, and ear discharge (otorrhea).
  • A case study describes a 15-year-old male who developed GS after left otitis media, showing symptoms like fever, diplopia (double vision), and severe headaches, with imaging revealing serious underlying issues.
  • Treatment involved intravenous antibiotics and anticoagulants, which led to symptom improvement, highlighting the importance of timely diagnosis and intervention to avoid complications.
View Article and Find Full Text PDF

Pancreatic primary squamous cell carcinoma (PPSCC) is very uncommon. The major diagnostic method is histology, and it requires the exclusion of a metastasis from a different primary location (lung, esophagus…). Herein, we describe two cases of a PPSCC (one in the head and the other one in the tail and the body of the pancreas) with a brief review of literature.

View Article and Find Full Text PDF

Orbital metastasis originating from breast carcinoma, particularly ductal carcinoma, represents a rare clinical entity, with lobular carcinoma usually being more common. Long-term surveillance in breast cancer patients is crucial for early detection of metastasis. Herein, we present a case of a 70-year-old woman with a history of left ductal breast carcinoma, diagnosed and treated 12 years ago.

View Article and Find Full Text PDF

Cervical spondylotic myelopathy, characterized by chronic spinal cord compression resulting from degenerative spine changes, manifests with a spectrum of neurological and pain symptoms. Despite the complexity of intramedullary spinal cord abnormalities, employing a systematic approach to differential diagnosis, considering factors such as lesion location, cord length, segment involvement, and enhancement pattern, can significantly aid in narrowing down the potential diagnoses, potentially avoiding invasive diagnostic procedures and guiding treatment decisions. This article presents two cases of cervical spondylotic myelopathy characterized by progressive weakness and paraesthesia, exhibiting progressive bilateral upper extremity numbness, tingling, and impaired gait, with cervical myelopathy evident on MRI displaying transverse pancake-like gadolinium enhancement.

View Article and Find Full Text PDF
Article Synopsis
  • - This article describes a rare case of a 66-year-old patient experiencing weakness and sensory issues on the left side of the body after a left occipital stroke, challenging the common belief that strokes lead to problems on the opposite side.
  • - Neuroimaging revealed a chronic left occipital infarct and uncrossed corticospinal tracts at the medulla, suggesting unusual neural pathways in this case.
  • - The discussion includes the anatomy of corticospinal tracts, historical cases of ipsilateral strokes, and the significance of advanced imaging in diagnosing atypical stroke presentations.
View Article and Find Full Text PDF

Sarcoidosis, a multifaceted granulomatous disease primarily affecting the lungs, occasionally presents in atypical locations. Lacrimal gland involvement, though rare, poses distinct diagnostic challenges. This case report details a 52-year-old female with bilateral lacrimal gland swelling initially suggestive of metastatic tumor due to a history of breast cancer.

View Article and Find Full Text PDF

Skull base osteomyelitis is a rare and life-threatening infection of the skull base, commonly seen in elderly diabetic patients as a result of otogenic or paranasal infection. The diagnosis is based on a series of arguments, including a high clinical suspicion, imaging findings, negative biopsies for malignancy, and microbiological isolation. Complications, including abscess formation and vascular involvement, mandate a multidisciplinary treatment approach, primarily involving broad-spectrum antibiotics and surgical debridement, but the prognosis is usually poor.

View Article and Find Full Text PDF

The retention of a surgical sponge is a rare complication that presents diagnostic challenges and carries the risk of potential complications. Two distinct foreign body reactions, fibrinous, and exudative, can result in the formation of a granuloma (known as gossypiboma) or lead to complications such as abscess formation and migration into the gastrointestinal tract. In this report, we present the case of a 33-year-old woman with a history of splenectomy who presented with symptoms including epigastric pain, vomiting, and episodes of hematemesis.

View Article and Find Full Text PDF

Small cell carcinoma of ovary, hypercalcemic type (SCCOHT) is an unusual malignant tumor that most commonly affects young women. Unfortunately, it has a very poor prognosis. We describe here an unusual case of a Moroccan young woman with a left ovarian mass and a symptomatic hypercalcemia.

View Article and Find Full Text PDF

Congenital facial palsy is a rare condition that can be categorized into traumatic and developmental etiologies. Trauma related congenital facial palsy represents by far the most frequent cause with a spontaneous complete recovery within weeks, contrary to developmental causes that can be syndromic or non-syndromic, and have a poor prognosis. We present the case of an 11-month-old boy who suffers a congenital facial palsy.

View Article and Find Full Text PDF